PROPOSED RULES
(Nursing Care Quality Assurance Commission)
Continuance of WSR 00-14-062.
Preproposal statement of inquiry was filed as WSR 98-23-071.
Title of Rule: WAC 246-840-700 Standards of conduct or practice for nurses, 246-840-705 Functions of registered nurse and licensed practical nurse practice, 246-840-710 Violations of standards of nursing conduct or practice, and 246-840-715 Standards/competencies.
Purpose: To protect the public by requiring nurses to adhere to standards of competency and delineation of violations of the practice standards for nurses.
Other Identifying Information: The primary components identified in standards/competencies WAC 246-840-715 are combined into WAC 246-840-700, thereby eliminating the need for WAC 246-840-715.
Statutory Authority for Adoption: Chapter 18.79 RCW.
Statute Being Implemented: Chapter 18.79 RCW.
Summary: The proposal clarifies the scope of practice standards for registered nurses and licensed practical nurses by combining the standards and competencies for nurses into one rule, WAC 246-840-700 and repealing a redundant rule, WAC 246-840-715. The revisions to WAC 246-840-705 add a description of the functions of the registered nurse. WAC 246-840-710 uniformly outlines RN and LPN violations of nursing standards.
Reasons Supporting Proposal: The restructuring of the rules provide clearer guidance to nurses about the scope of practice requirements and a consistent description of the violations of the practice standards.
Name of Agency Personnel Responsible for Drafting, Implementation and Enforcement: Jeanne Vincent, 1300 S.E. Quince, Olympia, WA 98504, (360) 236-4725.
Name of Proponent: Department of Health, Health Professions Quality Assurance Division, Nursing Care Quality Assurance Commission, governmental.
Rule is not necessitated by federal law, federal or state court decision.
Explanation of Rule, its Purpose, and Anticipated Effects: The rule revisions are intended to eliminate redundancies in the current WACs. The reformatting of the standards of practice will enable the practitioner to examine the differences in the scope of practice for registered nurses and licensed practical nurses in the context of the nursing process. Combining the LPN competencies under one rule which describes nursing standards will clarify the expectations and streamline the chapter. By expanding the rule related to the functions of a nurse to include a description of the RN function will make the section consistent with the table format to enable side-by-side comparison of the RN and LPN functions. The revised rule relating to violations of the nursing standards help simplify the requirements and to apply the same language to both the RN and LPN.
Proposal Changes the Following Existing Rules: The primary change to WAC 246-840-700 is the format in which the standards are described and expressed. The LPN competencies in WAC 246-840-715 are modified and reordered into the "700" rule. WAC 246-840-715 is repealed as a result. WAC 246-840-705 adds the function of the RN and again expresses the functions in a table format to allow side-by-side comparison. WAC 246-840-710 describes violations of the standards uniformly for both RN and LPN practice, thereby eliminating differences in violations for RN and LPN practice.
A small business economic impact statement has been prepared under chapter 19.85 RCW.
A copy of the statement may be obtained by writing to Department of Health, Nursing Care Quality Assurance Commission, P.O. Box 47864, Olympia, WA 98504-7864, phone (360) 236-4712, fax (360) 236-4738.
RCW 34.05.328 applies to this rule adoption. Violator will be subject to penalty or sanction.
Hearing Location: Department of Health Conference Center, 1101 Eastside Street, Olympia, WA, on November 17, 2000, at 10:00 a.m.
Assistance for Persons with Disabilities: Contact Kris McLaughlin by November 10, 2000, (360) 236-4713.
Submit Written Comments to: Jeanne Vincent, P.O. Box 47864, Olympia, WA 98504-7864, fax (360) 236-4738, by November 10, 2000.
Date of Intended Adoption: November 17, 2000.
September 5, 2000
Paula R. Meyer, RN, MSN
Executive Director
OTS-3427.2
AMENDATORY SECTION(Amending WSR 97-13-100, filed 6/18/97,
effective 7/19/97)
WAC 246-840-700
Standards of nursing conduct or practice.
(1) The purpose of defining standards of nursing conduct or
practice through WAC 246-840-700 and 246-840-710 is to identify
responsibilities of the nurse in health care settings and as
provided in the Nursing Practice Act, chapter 18.79 RCW. Violation of these standards may be grounds for disciplinary
action ((pursuant to)) under chapter 18.130 RCW. Each
individual, upon entering the practice of nursing, assumes a
measure of responsibility and public trust and the corresponding
obligation to adhere to the standards of nursing practice. ((The
nurse shall be responsible and accountable for the quality of
nursing care given to clients.)) This responsibility cannot be
avoided by accepting the orders or directions of another person. The standards of nursing conduct or practice include, but are not
limited to the following((:
FOR REGISTERED NURSES:
(1) Nursing process:
(a) The registered nurse shall collect pertinent objective
and subjective data regarding the health status of the client.
(b) The registered nurse shall plan and implement nursing
care which will assist the client to maintain or return to a
state of health or will support a dignified death.
(c) The registered nurse shall communicate significant
changes in the client's status to appropriate members of the
health care team. This communication shall take place in a time
period consistent with the client's need for care.
(d) The registered nurse shall document, on essential client
records, the nursing care given and the client's response to that
care.
(2) Delegation and supervision: The registered nurse shall
be accountable for the safety of clients receiving nursing
service by:
(a) Delegating selected nursing functions to others in
accordance with their education, credentials, and demonstrated
competence.
(b) Supervising others to whom he/she has delegated nursing
functions.
(3) Other responsibilities:
(a) The registered nurse shall have knowledge and
understanding of the laws and rules regulating nursing and shall
function within the legal scope of nursing practice.
(b) The registered nurse shall be responsible and
accountable for practice based on and limited to the scope of
her/his education, demonstrated competence, and nursing
experience.
(c) The registered nurse shall obtain instruction,
supervision, and consultation as necessary before implementing
new or unfamiliar techniques or practices.
(d) The registered nurse shall be responsible for
maintaining current knowledge in his/her field of practice.
(e) The registered nurse shall conduct nursing practice
without discrimination.
(f) The registered nurse shall respect the client's right to
privacy by protecting confidential information.
(g) The registered nurse shall report unsafe nursing acts
and practices, and illegal acts as defined in WAC 246-840-730.
FOR PRACTICAL NURSES:
(4) The licensed practical nurse, functioning under the
direction and supervision of other licensed health care
professionals as provided in RCW 18.79.060, shall be responsible
and accountable for his or her own nursing judgments, actions and
competence.
(5) The licensed practical nurse shall practice practical
nursing in the state of Washington only with a current Washington
license.
(6) The licensed practical nurse shall not permit his or her
license to be used by another person for any purpose.
(7) The licensed practical nurse shall have knowledge of the
statutes and rules governing licensed practical nurse practice
and shall function within the legal scope of licensed practical
nurse practice.
(8) The licensed practical nurse shall not aid, abet or
assist any other person in violating or circumventing the laws or
rules pertaining to the conduct and practice of licensed
practical nursing.
(9) The licensed practical nurse shall not disclose the
contents of any licensing examination or solicit, accept or
compile information regarding the contents of any examination
before, during or after its administration.
(10) The licensed practical nurse shall delegate activities
only to persons who are competent and qualified to undertake and
perform the delegated activities, and shall not delegate to
unlicensed persons those functions that are to be performed only
by licensed nurses.
(11) The licensed practical nurse, in delegating functions,
shall supervise the persons to whom the functions have been
delegated.
(12) The licensed practical nurse shall act to safeguard
clients from unsafe practices or conditions, abusive acts, and
neglect.
(13) The licensed practical nurse shall report unsafe acts
and practices, unsafe practice conditions, and illegal acts to
the appropriate supervisory personnel or to the appropriate state
disciplinary board or commission.
(14) The licensed practical nurse shall respect the client's
privacy by protecting confidential information, unless required
by law to disclose such information.
(15) The licensed practical nurse shall make accurate,
intelligible entries into records required by law, employment or
customary practice of nursing, and shall not falsify, destroy,
alter or knowingly make incorrect or unintelligible entries into
client's records or employer or employee records.
(16) The licensed practical nurse shall not sign any record
attesting to the wastage of controlled substances unless the
wastage was personally witnessed.
(17) The licensed practical nurse shall observe and record
the conditions of a client, and report significant changes to
appropriate persons.
(18) The licensed practical nurse may withhold or modify
client care which has been authorized by an appropriate health
care provider, only after receiving directions from an
appropriate person, unless in a life threatening situation.
(19) The licensed practical nurse shall leave a nursing
assignment only after properly reporting to and notifying
appropriate persons and shall not abandon clients.
(20) The licensed practical nurse shall not misrepresent his
or her education and ability to perform nursing procedures
safely.
(21) The licensed practical nurse shall respect the property
of the client and employer and shall not take equipment,
materials, property or drugs for his or her own use or benefit
nor shall the licensed practical nurse solicit or borrow money,
materials or property from clients.
(22) The licensed practical nurse shall not obtain, possess,
distribute or administer legend drugs or controlled substances to
any person, including self, except as directed by a person
authorized by law to prescribe drugs.
(23) The licensed practical nurse shall not practice nursing
while affected by alcohol or drugs, or by a mental, physical or
emotional condition to the extent that there is an undue risk
that he or she, as a licensed practical nurse, would cause harm
to him or herself or other persons.
(24) It is inconsistent for a licensed practical nurse to
perform functions below the minimum standards of competency as
expressed in WAC 246-840-715.));
(2) The nursing process is defined as a systematic problem solving approach to nursing care which has the goal of facilitating an optimal level of functioning for the client, recognizing diversity. It consists of assessment and planning, intervention and evaluation with each phase building upon the preceding phases.
(a) Assessment: The
registered nurse shall
collect and analyze
pertinent objective and
subjective data regarding
the health status of the
client. (a) Assessment - The
licensed practical nurse
makes basic observations,
gathers data and assists in
identification of needs and
problems relevant to the
client. Collects specific
data as directed and
identifies major deviation
from normal. (a) Delegating selected
nursing functions to others
in accordance with their
education, credentials, and
demonstrated competence
as provided by WAC 246-840-010(10). (b) Supervising others to
whom he/she has
delegated nursing
functions as provided by
WAC 246-840-010(10). (b) In community care
settings, the practical nurse
may delegate only
personal care tasks to
qualified care givers.
Registered Nurse:
Licensed Practical
Nurse:
Minimum standards
expected of registered
nurses include the
following:
Minimum standards
expected of licensed
practical nurses include the
following:
(1) Standard I Initiating
the Nursing Process:
(1) Standard I - The
practical nurse assists in
implementing the nursing
process.
(b) The registered nurse
shall plan nursing care
which will assist the client
to maintain or return to a
state of health or will
support a dignified death.
(b) Planning - The
licensed practical nurse
contributes to the
development of
approaches to meet the
needs of clients and
families. Develops client
care plans utilizing a
standardized nursing care
plan and assists in setting
priorities for care.
(c) Implementation: The
registered nurse shall
implement the plan of care
by initiating nursing
interventions through
giving direct care and/or
assisting with care.
(c) Implementation - The
licensed practical nurse
carries out planned
approaches to client care;
performs common
therapeutic nursing
techniques and documents
care provided in the
essential client record.
(d) Evaluation: The
registered nurse evaluates
the responses of
individuals to nursing
interventions and is
responsible for the analysis
and modification of the
nursing care plan.
(d) Evaluation - Utilizing
a standard plan for nursing
care, the licensed practical
nurse appraises the
effectiveness of client care.
Assists with adjustments in
care and reports outcome
of care.
(2) Standard II
Delegation and
Supervision: The
registered nurse is
accountable for the safety
of clients receiving nursing
service by:
(2) Standard II. Under
direction, the practical
nurse is responsible and
accountable for own
actions by using common
techniques of problem
solving and decision
making to plan and
organize own assignment.
Problem solving and
decision making include
utilization of available
resources to secure a
desired result. The
licensed practical nurse
may withhold or modify
client care which has been
authorized by an
appropriate health care
provider, only after
receiving directions from
an appropriate person,
unless in a life threatening
situation.
(c) Differentiating
delegation activities in
community care settings as
provided by WAC 246-840-900.
(a) The practical nurse
may delegate selected
nursing tasks to others in
accordance with their
education, credentials and
competence.
(3) Standard III Health
Teaching. The registered
nurse assesses learning
needs for patients,
develops plans to meet
those learning needs,
implements the learning
plan and evaluates the
outcome.
(3) Standard III Health
Teaching. The practical
nurse assists in health
teaching of clients and
provides routine health
information and
instruction recognizing
individual differences.
Health teaching is defined
as facilitating learning and
instructing clients and
significant others in
preventive and therapeutic
measures.
The following standards apply to registered nurses and
licensed practical nurses:
(a) The registered nurse and licensed practical nurse shall communicate significant changes in the client's status to appropriate members of the health care team. This communication shall take place in a time period consistent with the client's need for care. Communication is defined as a process by which information is exchanged between individuals through a common system of speech, symbols, signs, or behaviors that serves as both a means of gathering information and of influencing the behavior, actions, attitudes, and feelings of others.
(b) The registered nurse and licensed practical nurse shall document, on essential client records, the nursing care given and the client's response to that care.
(c) The registered nurse and licensed practical nurse act as client advocates in health maintenance and clinical care.
(4) Other responsibilities:
(a) The registered nurse and the licensed practical nurse shall have knowledge and understanding of the laws and rules regulating nursing and shall function within the legal scope of nursing practice.
(b) The registered nurse and the licensed practical nurse shall be responsible and accountable for their practice based on and limited to the scope of her/his education, demonstrated competence, and nursing experience.
(c) The registered nurse and the licensed practical nurse shall obtain instruction, supervision, and consultation as necessary before implementing new or unfamiliar techniques or practices.
(d) The registered nurse and the licensed practical nurse shall be responsible for maintaining current knowledge in his/her field of practice.
(e) The registered nurse and the licensed practical nurse shall conduct nursing practice without discrimination.
(f) The registered nurse and the licensed practical nurse shall respect the client's right to privacy by protecting confidential information and shall not use confidential health care information for other than legitimate patient care purposes or as otherwise provided in the Health Care Information Act, chapter 70.02 RCW.
(g) The registered nurse and the licensed practical nurse shall make mandatory reports to the Nursing Care Quality Assurance Commission concerning unsafe or unprofessional conduct as required in WAC 246-840-730.
[Statutory Authority: Chapter 18.79 RCW. 97-13-100, § 246-840-700, filed 6/18/97, effective 7/19/97.]
Reviser's note: The typographical error in the above section occurred in the copy filed by the agency and appears in the Register pursuant to the requirements of RCW 34.08.040.
AMENDATORY SECTION(Amending WSR 97-13-100, filed 6/18/97,
effective 7/19/97)
WAC 246-840-705
Functions of a registered nurse and a
licensed practical nurse.
((A licensed practical nurse is one
who has met the requirements of the Washington state Nurse
Practice Act, chapter 18.79 RCW. The licensed practical nurse
recognizes and is able to meet the basic needs of the client, and
gives nursing care under the direction and supervision of the
registered nurse or licensed physician to clients in routine
nursing situations. In more complex situations the licensed
practical nurse functions as an assistant to the registered nurse
and carries out selected aspects of the designated nursing
regimen.
A routine nursing situation is one that is relatively free
of scientific complexity. The clinical and behavioral state of
the client is relatively stable and requires abilities based upon
a comparatively fixed and limited body of knowledge.
In complex situations, the licensed practical nurse
facilitates client care by meeting specific nursing requirements
to assist the registered nurse in the performance of nursing
care.
The functions of the licensed practical nurse makes
practical nursing a distinct occupation within the profession of
nursing. The licensed practical nurse has specific roles in
nursing in direct relation to the length, scope and depth of his
or her formal education and experience. In the basic program of
practical nursing education, the emphasis is on direct client
care.
With additional preparation, through continuing education
and practice, the licensed practical nurse prepares to assume
progressively more complex nursing responsibilities.))
| Registered Nurses: | Licensed Practical Nurses: |
| The registered nurse performs acts that require substantial knowledge, judgment and skill based on the principles of biological, physiological, behavioral, and sociological sciences. Such acts are grounded in the elements of the nursing process which include the observation, assessment, analysis, diagnosis, planning, implementation and evaluation of nursing care and health teaching in the maintenance of health or prevention of illness of others and the support of a dignified death. The registered nurse using specialized knowledge can perform the activities of administration, supervision, delegation and evaluation of nursing practice. | The licensed practical
nurse performs services
requiring knowledge, skill
and judgment necessary
for carrying out selected
aspects of the designated
nursing regimen under the
direction and supervision
of the registered nurse,
advanced registered nurse
practitioner, licensed
physician and surgeon,
dentist, osteopathic
physician and surgeon,
naturopathic physician,
physician assistant,
osteopathic physician
assistant, and podiatric
physician and surgeon.
The licensed practical
nurse recognizes and is
able to meet the basic
needs of the client, and
gives nursing care under
the direction and
supervision, to clients in
routine nursing situations.
A routine nursing situation
is one that is relatively free
of complexity. The
clinical and behavioral
state of the client is
relatively stable and
requires care based upon a
comparatively fixed and
limited body of
knowledge. In complex nursing care situations the licensed practical nurse functions as an assistant to the registered nurse and facilitates client care by carrying out selected aspects of the designated nursing regimen to assist the registered nurse in the performance of nursing care. |
| The registered nurse
functions in an
independent role when
utilizing unique skills,
knowledge and judgment
based on the
biopsychosocial sciences
to meet the complex needs
of the client. In an interdependent role as a member of a healthcare team, the registered nurse functions to coordinate and evaluate the care of the client and independently revises the plan and delivery of nursing care. The registered nurse functions in a dependent role when under the direction of an advanced registered nurse practitioner, licensed physician and surgeon, dentist, osteopathic physician and surgeon, physician assistant, osteopathic physician assistant, podiatric physician and surgeon, and naturopathic physician, and executing a medical regimen. |
The licensed practical
nurse functions in an
interdependent role to
deliver care as directed and
revises care plans in
collaboration with the
registered nurse. The licensed practical nurse functions in a dependent role when under the direction of a registered nurse, advanced registered nurse practitioner, licensed physician and surgeon, dentist, osteopathic physician and surgeon, physician assistant, osteopathic physician assistant, podiatric physician and surgeon, and naturopathic physician and performs delegated elements of the nursing process. These functions of practical nursing create a distinct occupation within the profession of nursing. In the basic program of practical nursing education, the emphasis is on direct client care. With additional preparation, through continuing education and practice the licensed practical nurse prepares to assume progressively more complex nursing responsibilities while under the direction and supervision of the health care professionals listed in RCW 18.79.270. |
| This shall not be construed as authorizing an independent role for the LPN. |
[Statutory Authority: Chapter 18.79 RCW. 97-13-100, § 246-840-705, filed 6/18/97, effective 7/19/97.]
((The following will serve as a guideline for the
nurse as to the acts, practices, or omissions that are
inconsistent with generally accepted standards of nursing conduct
or practice. Such conduct or practice may be grounds for action
with regard to the license to practice nursing pursuant to
chapter 18.79 RCW and the Uniform Disciplinary Act, chapter 18.130 RCW. Such conduct or practice includes, but is not
limited to the following:
(1) Failure to adhere to the standards enumerated in WAC 246-840-700(1) which may include:
(a) Failing to assess and evaluate a client's status or
failing to institute nursing intervention as required by the
client's condition.
(b) Willfully or repeatedly failing to report or document a
client's symptoms, responses, progress, medication, or other
nursing care accurately and/or intelligibly.
(c) Willfully or repeatedly failing to make entries,
altering entries, destroying entries, making incorrect or
illegible entries and/or making false entries in records
pertaining to the giving of medication, treatments, or other
nursing care.
(d) Willfully or repeatedly failing to administer
medications and/or treatments in accordance with policy and
procedure.
(e) Willfully or repeatedly failing to follow the policy and
procedure for the wastage of medications where the nurse is
employed or working.
(f) Willfully causing or contributing to physical or
emotional abuse to the client.
(2) Failure to adhere to the standards enumerated in WAC 246-840-700(2) which may include:
(a) Delegating nursing care function or responsibilities to
a person who the nurse knows or has reason to know lacks the
ability or knowledge to perform the function or responsibility,
or delegating to unlicensed persons those functions or
responsibilities the nurse knows or has reason to know are to be
performed only by licensed persons. This section should not be
construed as prohibiting delegation to family members and other
caregivers exempted by RCW 18.79.040(3), 18.79.050, 18.79.060 or
18.79.240.
(b) Failure to supervise those to whom nursing activities
have been delegated. Such supervision shall be adequate to
prevent an unreasonable risk of harm to clients.
(3) Failure to adhere to the standards enumerated in WAC 246-840-700(3) which may include:
(a) Performing or attempting to perform nursing techniques
and/or procedures for which the nurse lacks the appropriate
knowledge, experience, and education and/or failing to obtain
instruction, supervision and/or consultation for client safety.
(b) Violating the confidentiality of information or
knowledge concerning the client, except where required by law or
for the protection of the client.
(c) Writing prescriptions for drugs unless authorized to do
so by the board.
(4) Other violations:
(a) Appropriating for personal use medication, supplies,
equipment, or personal items of the client, agency, or
institution.
(b) Practicing nursing while impaired by any mental,
physical and/or emotional condition to the extent that the person
may be unable to practice with reasonable skill and safety.
(c) Willfully abandoning clients by leaving a nursing
assignment without transferring responsibilities to appropriate
personnel or caregiver when continued nursing care is required by
the condition of the client(s).
(d) Practicing nursing while impaired by alcohol and/or
drugs.
(e) Conviction of a crime involving physical abuse or sexual
abuse relating to the practice of nursing.)) In addition to
conduct contained in RCW 18.130.180, the following conduct or
practice may be grounds for disciplinary action against the
license to practice nursing under the Uniform Disciplinary Act,
chapter 18.130 RCW.
(1) Failure to adhere to the standards in WAC 246-840-700 include, but are not limited to:
(a) Failing to assess and evaluate a client's status or failing to institute nursing intervention as required by the client's condition.
(b) Willfully or repeatedly failing to report or document a client's symptoms, responses, progress, medication, or other nursing care accurately and/or intelligibly.
(c) Willfully or repeatedly failing to make entries, altering entries, destroying entries, making incorrect or illegible entries and/or making false entries in employer or employee records or client records pertaining to the giving of medication, treatments, or other nursing care.
(d) Willfully or repeatedly failing to administer medications and/or treatments in accordance with nursing standards.
(e) Willfully or repeatedly failing to follow the policy and procedure for the wastage of medications where the nurse is employed or working.
(f) Nurses shall not sign any record attesting to the wastage of controlled substances unless the wastage was personally witnessed.
(g) Willfully causing or contributing to physical or emotional abuse to the client.
(h) Engaging in sexual misconduct with a client as defined in WAC 246-840-740.
(i) Failure to protect clients from unsafe practices or conditions, abusive acts, and neglect.
(2) Failure to adhere to the standards enumerated in WAC 246-840-700(2) which may include:
(a) Delegating nursing care function or responsibilities to a person who the nurse knows or has reason to know lacks the ability or knowledge to perform the function or responsibility, or delegating to unlicensed persons those functions or responsibilities the nurse knows or has reason to know are to be performed only by licensed persons. This section should not be construed as prohibiting delegation to family members and other caregivers exempted by RCW 18.79.040(3), 18.79.050, 18.79.060 or 18.79.240.
(b) Failure to supervise those to whom nursing activities have been delegated. Such supervision shall be adequate to prevent an unreasonable risk of harm to clients.
(3)(a) Performing or attempting to perform nursing techniques and/or procedures for which the nurse lacks the appropriate knowledge, experience, and education and/or failing to obtain instruction, supervision and/or consultation for client safety.
(b) Violating the confidentiality of information or knowledge concerning the client, except where required by law or for the protection of the client.
(c) Writing prescriptions for drugs unless authorized to do so by the commission.
(4) Other violations:
(a) Appropriating for personal use medication, supplies, equipment, or personal items of the client, agency, or institution. Nor shall the nurse solicit or borrow money, materials or property from clients.
(b) Practicing nursing while affected by alcohol or drugs, or by a mental, physical or emotional condition to the extent that there is an undue risk that he or she, as a nurse, would cause harm to him or herself or other persons.
(c) Willfully abandoning clients by leaving a nursing assignment, when continued nursing care is required by the condition of the client(s), without transferring responsibilities to appropriate personnel or caregiver.
(d) Conviction of a crime involving physical abuse or sexual abuse relating to the practice of nursing.
(e) Failure to make mandatory reports to the Nursing Care Quality Assurance Commission concerning unsafe or unprofessional conduct as required in WAC 246-840-730.
Other:
(5) The nurse shall only practice nursing in the state of Washington with a current Washington license.
(6) The licensed nurse shall not permit his or her license to be used by another person.
(7) The nurse shall have knowledge of the statutes and rules governing nursing practice and shall function within the legal scope of nursing practice.
(8) The nurse shall not aid, abet or assist any other person in violating or circumventing the laws or rules pertaining to the conduct and practice of licensed practical nursing.
(9) The nurse shall not disclose the contents of any licensing examination or solicit, accept or compile information regarding the contents of any examination before, during or after its administration.
[Statutory Authority: Chapter 18.79 RCW. 97-13-100, § 246-840-710, filed 6/18/97, effective 7/19/97.]
The following section of the Washington Administrative Code is repealed:
| WAC 246-840-715 | Standards/competencies. |