WAC 246-337-005   Definitions.  For the purpose of this chapter, the following words and phrases have the following meanings unless the context clearly indicates otherwise:

     (1) "Administrator" means an individual person responsible for managing the day-to-day operations of the RTF.

     (2) "Adult" means an individual age eighteen years or older.

     (3) "Approved" means approved by the department, unless otherwise specified.

     (4) "Authorized" means mandated or permitted, in writing, by the administrator to perform an act that is within a health care provider's lawful scope of practice, or that was lawfully delegated to the health care provider or to the unlicensed staff member.

     (5) "Bathroom" means a room containing at least one bathtub or shower.

     (6) "Chemical dependency" means alcoholism, drug addiction, or dependence on alcohol and one or more other psychoactive chemicals, as the context requires.

     (7) "Chemical dependency RTF" means all or part of an RTF certified by DSHS under chapter 70.96A RCW, that provides twenty-four hour evaluation, stabilization and treatment services for persons with chemical dependency within one or more of the following service categories:

     (a) "Acute detoxification" as defined in chapter 388-805 WAC;

     (b) "Subacute detoxification" as defined in chapter 388-805 WAC;

     (c) "Intensive inpatient services" as defined in chapter 388-805 WAC;

     (d) "Long-term treatment services" as defined in chapter 388-805 WAC;

     (e) "Recovery house services" as defined in chapter 388-805 WAC.

     (8) "Child" or "minor" means an individual under the age of eighteen.

     (9) "Communicable disease" means a disease caused by an infectious agent that can be transmitted from one person, animal, or object to another individual by direct or indirect means including transmission via an intermediate host or vector, food, water or air.

     (10) "Confidential" means information that may not be disclosed except under specific conditions permitted or mandated by law or legal agreement between the parties concerned.

     (11) "Construction" means:

     (a) The erection of a facility;

     (b) An addition, modification, alteration or change of an approved use to an existing facility; or

     (c) The conversion of an existing facility or portion of a facility for use as a RTF.

     (12) "DASA" means division of alcohol and substance abuse, within DSHS.

     (13) "Department" means the Washington state department of health.

     (14) "DSHS" means the Washington state department of social and health services.

     (15) "Emergency health care" means services provided consistent with the health care needs of the resident for an acute illness, injury, or unexpected clinical event as determined by an authorized health care provider.

     (16) "Facility" means a building or portion of a building.

     (17) "First aid" means care for a condition that requires immediate assistance from an individual trained and certified in first-aid procedures.

     (18) "Hand hygiene" means handwashing, antiseptic hand wash, or antiseptic hand or surgical hand antisepsis.

     (19) "Health" means a state of complete physical and mental well-being and not merely the absence of disease or infirmity.

     (20) "Health assessment" means a systematic examination of the person's body conducted by an authorized health care provider.

     (21) "Health care" means any care, service, or procedure provided by a health care provider to diagnose, treat, or maintain a resident's physical or mental condition, or that affects the structure or function of the human body.

     (22) "Health care provider" means an individual who is licensed, registered or certified under Title 18 RCW to provide health care within a particular profession's statutorily authorized scope of practice.

     (23) "Health care screen" means the process approved by an authorized health care provider to determine the health care needs of a resident.

     (24) "Licensee" means the person, corporation, association, organization, county, municipality, public hospital district, or other legal entity, including any lawful successors thereto to whom the department issues a RTF license.

     (25) "Medication" means a legend drug prescribed for a resident by an authorized health care provider, or nonprescription drugs, also called "over-the-counter medications," that can be purchased by the general public without a prescription.

     (26) "Medication administration" means the direct application of a medication or device by ingestion, inhalation, injection, or any other means, whether self-administered by a resident, or administered by a parent or guardian (for a minor), or an authorized health care provider.

     (27) "Medication self-administration" or "self-medication administration" means a process by which each resident obtains his/her container of medication from a supervised and secure storage area, removes the dose needed and ingests or applies the medication as directed on the label while being observed by staff.

     (28) "Medication error" includes any failure to administer or receive a medication according to an authorized health care provider's order, or according to the manufacturer's directions for nonprescription drugs.

     (29) "Medication protocol" means a specific group of orders to be used for specific symptoms for specific residents and authorized by a health care provider.

     (30) "Mental health RTF" means all or part of a RTF providing twenty-four hour evaluation, stabilization and treatment services for persons with a mental disorder and certified by DSHS under chapters 71.05 or 71.34 RCW, within one or more of the following service categories:

     (a) "Adult residential treatment" as defined in chapter 388-865 WAC;

     (b) "Inpatient evaluation and treatment" as defined in chapter 388-865 WAC;

     (c) "Child inpatient evaluation and treatment" as defined in chapter 388-865 WAC.

     (d) "Child long-term inpatient treatment" as defined in chapter 388-865 WAC.

     (31) "Parent" means:

     (a) A biological or adoptive parent who has legal custody of the child, including either parent if custody is shared under joint custody agreement; or

     (b) An individual or agency judicially appointed as legal guardian or custodian of the child.

     (32) "Resident" means an individual (adult or child) admitted to the RTF licensed under this chapter.

     (33) "Residential treatment facility" or "RTF" means a facility for purposes of evaluation and treatment or evaluation and referral of any individual with a chemical dependency or mental disorder.

     (34) "Restraint" means a continuum of methods used to prevent or limit free body movement.

     (35) "Room" means a space set apart by floor to ceiling partitions on all sides with all openings provided with doors or windows.

     (36) "Seclusion" means the involuntary confinement of a resident alone in a room or area from which the resident is physically prevented from leaving.

     (37) "Sink" means a properly trapped plumbing fixture, capable of holding water, with approved potable hot and cold running water under pressure.

     (38) "Survey" means an inspection or investigation conducted by the department to evaluate and monitor a licensee's compliance with chapter 71.12 RCW and this chapter.

     (39) "Toilet room" means a room containing a water closet (toilet).

     (40) "WISHA" means the state of Washington Industrial Safety and Health Act, chapter 49.17 RCW, administered by the Washington state department of labor and industries.



[Statutory Authority: Chapter 71.12 RCW. 05-15-157, § 246-337-005, filed 7/20/05, effective 8/20/05.]