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WAC 388-829R-115

How may an overnight planned respite services provider assist a client with medication?

(1) An overnight planned respite services provider may only provide medication assistance per chapter 246-888 WAC if the client meets the following criteria:
(a) Is able to put the medication into his or her mouth, apply, or instill the medication; and
(b) Is aware that he or she is receiving medication.
(2) An overnight planned respite services provider may provide specific medication assistance tasks as described under chapter 246-888 WAC as follows:
Medication Assistance Task
May an overnight planned respite services provider complete this task if the client meets both criteria in subsection (1)(a) and (b) of this section?
Remind or coach the client to take his or her medication.
Yes
Open the medication container.
Yes
Hand client the medication container.
Yes
Place medication in the client's hand.
Yes
Transfer medication from a container to another device for the purpose of an individual dose (e.g., pouring liquid medication from a container to a calibrated spoon, medication cup or adaptive device.
Yes
Alter a medication by crushing or mixing, or similar alterations.
Yes, if the client is aware that the medication has been altered or added to food or beverage. A pharmacist or other qualified practitioner must determine it is safe to alter a medication and this must be documented on the prescription container or in the client's record.
Handing the client a prefilled insulin syringe.
Yes, but the client must be able to inject the insulin by him or herself.
Guide or assist client to apply or instill skin, nose, eye and ear preparations.
Yes, but hand-over-hand administration is not allowed.
Assistance with injectable or IV medication.
No, this is not allowed.
Hand-over-hand assistance with medication.
No, may only be done under nurse delegation.
Assistance with medication beyond the examples provided in this chart.
No, may only be done by a licensed professional within the scope of their license or under registered nurse delegation.
[Statutory Authority: RCW 71A.12.030, 71A.12.120, and 2015 3rd sp.s. c 4. WSR 16-17-003, ยง 388-829R-115, filed 8/4/16, effective 9/4/16.]
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