(1) In the context of the
definition of registered nursing practice and advanced registered
nursing practice, this chapter shall not be construed as:
(a) Prohibiting the incidental care of the sick by domestic
servants or persons primarily employed as housekeepers, so long
as they do not practice registered nursing within the meaning of
this chapter;
(b) Preventing a person from the domestic administration of
family remedies or the furnishing of nursing assistance in case
of emergency;
(c) Prohibiting the practice of nursing by students enrolled
in approved schools as may be incidental to their course of study
or prohibiting the students from working as nursing technicians;
(d) Prohibiting auxiliary services provided by persons
carrying out duties necessary for the support of nursing
services, including those duties that involve minor nursing
services for persons performed in hospitals, nursing homes, or
elsewhere under the direction of licensed physicians or the
supervision of licensed registered nurses;
(e) Prohibiting the practice of nursing in this state by a
legally qualified nurse of another state or territory whose
engagement requires him or her to accompany and care for a
patient temporarily residing in this state during the period of
one such engagement, not to exceed six months in length, if the
person does not represent or hold himself or herself out as a
registered nurse licensed to practice in this state;
(f) Prohibiting nursing or care of the sick, with or without
compensation, when done in connection with the practice of the
religious tenets of a church by adherents of the church so long
as they do not engage in the practice of nursing as defined in
this chapter;
(g) Prohibiting the practice of a legally qualified nurse of
another state who is employed by the United States government or
a bureau, division, or agency thereof, while in the discharge of
his or her official duties;
(h) Permitting the measurement of the powers or range of
human vision, or the determination of the accommodation and
refractive state of the human eye or the scope of its functions
in general, or the fitting or adaptation of lenses for the aid
thereof;
(i) Permitting the prescribing or directing the use of, or
using, an optical device in connection with ocular exercises,
visual training, vision training, or orthoptics;
(j) Permitting the prescribing of contact lenses for, or the
fitting and adaptation of contact lenses to, the human eye;
(k) Prohibiting the performance of routine visual screening;
(l) Permitting the practice of dentistry or dental hygiene
as defined in chapters 18.32 and 18.29 RCW, respectively;
(m) Permitting the practice of chiropractic as defined in
chapter 18.25 RCW including the adjustment or manipulation of the
articulation of the spine;
(n) Permitting the practice of podiatric medicine and
surgery as defined in chapter 18.22 RCW;
(o) Permitting the performance of major surgery, except such
minor surgery as the commission may have specifically authorized
by rule adopted in accordance with chapter 34.05 RCW;
(p) Permitting the prescribing of controlled substances as
defined in Schedule I of the Uniform Controlled Substances Act,
chapter 69.50 RCW;
(q) Prohibiting the determination and pronouncement of
death;
(r) Prohibiting advanced registered nurse practitioners,
approved by the commission as certified registered nurse
anesthetists from selecting, ordering, or administering
controlled substances as defined in Schedules II through IV of
the Uniform Controlled Substances Act, chapter 69.50 RCW,
consistent with their commission-recognized scope of practice;
subject to facility-specific protocols, and subject to a request
for certified registered nurse anesthetist anesthesia services
issued by a physician licensed under chapter 18.71 RCW, an
osteopathic physician and surgeon licensed under chapter 18.57 RCW, a dentist licensed under chapter 18.32 RCW, or a podiatric
physician and surgeon licensed under chapter 18.22 RCW; the
authority to select, order, or administer Schedule II through IV
controlled substances being limited to those drugs that are to be
directly administered to patients who require anesthesia for
diagnostic, operative, obstetrical, or therapeutic procedures in
a hospital, clinic, ambulatory surgical facility, or the office
of a practitioner licensed under chapter 18.71, 18.22, 18.36, 18.36A, 18.57, 18.57A, or 18.32 RCW; "select" meaning the
decision-making process of choosing a drug, dosage, route, and
time of administration; and "order" meaning the process of
directing licensed individuals pursuant to their statutory
authority to directly administer a drug or to dispense, deliver,
or distribute a drug for the purpose of direct administration to
a patient, under instructions of the certified registered nurse
anesthetist. "Protocol" means a statement regarding practice and
documentation concerning such items as categories of patients,
categories of medications, or categories of procedures rather
than detailed case-specific formulas for the practice of nurse
anesthesia;
(s) Prohibiting advanced registered nurse practitioners from
ordering or prescribing controlled substances as defined in
Schedules II through IV of the Uniform Controlled Substances Act,
chapter 69.50 RCW, if and to the extent that doing so is
permitted by their scope of practice.
(2) In the context of the definition of licensed practical
nursing practice, this chapter shall not be construed as:
(a) Prohibiting the incidental care of the sick by domestic
servants or persons primarily employed as housekeepers, so long
as they do not practice practical nursing within the meaning of
this chapter;
(b) Preventing a person from the domestic administration of
family remedies or the furnishing of nursing assistance in case
of emergency;
(c) Prohibiting the practice of practical nursing by
students enrolled in approved schools as may be incidental to
their course of study or prohibiting the students from working as
nursing assistants;
(d) Prohibiting auxiliary services provided by persons
carrying out duties necessary for the support of nursing
services, including those duties that involve minor nursing
services for persons performed in hospitals, nursing homes, or
elsewhere under the direction of licensed physicians or the
supervision of licensed registered nurses;
(e) Prohibiting or preventing the practice of nursing in
this state by a legally qualified nurse of another state or
territory whose engagement requires him or her to accompany and
care for a patient temporarily residing in this state during the
period of one such engagement, not to exceed six months in
length, if the person does not represent or hold himself or
herself out as a licensed practical nurse licensed to practice in
this state;
(f) Prohibiting nursing or care of the sick, with or without
compensation, when done in connection with the practice of the
religious tenets of a church by adherents of the church so long
as they do not engage in licensed practical nurse practice as
defined in this chapter;
(g) Prohibiting the practice of a legally qualified nurse of
another state who is employed by the United States government or
any bureau, division, or agency thereof, while in the discharge
of his or her official duties.
[2005 c 28 § 1; 2003 c 258 § 6; 2000 c 64 § 3; 1994 sp.s. c 9 § 424.]
NOTES:
Severability -- Effective date -- 2003 c 258: See notes following RCW 18.79.330.
Effective date -- 2000 c 64 §§ 1-3: See note following RCW 18.79.050.
Severability -- 2000 c 64: See note following RCW 18.79.050.