WAC 246-335-420 — Delivery of services (In-Home Services Agencies — Home Care)

What this rule requires your agency to do

• 1Policies must describe personnel, contractor, and volunteer roles related to medication self-administration with assistance (WAC 246-335-420(4)).(WAC 246-335-420 — Delivery of services (In-Home Services Agencies — Home Care))
• 2Home care services must start within seven calendar days of receiving and accepting a referral, unless a documented exception applies (WAC 246-335-420(3)).(WAC 246-335-420 — Delivery of services (In-Home Services Agencies — Home Care))
• 3Workers may only assist clients in taking their own vital signs using electronically operated devices with digital readouts for informational purposes; vital-sign assistance tied to medication decisions requires a contracted registered nurse to assess nurse delegation and train workers (WAC 246-335-420(12)).(WAC 246-335-420 — Delivery of services (In-Home Services Agencies — Home Care))
• 4Assistance with passive range of motion is limited to maintenance purposes under a therapist- or RN-established plan dated within twelve months, with documented skills verification of assigned workers and annually updated plans (WAC 246-335-420(13)).(WAC 246-335-420 — Delivery of services (In-Home Services Agencies — Home Care))
• 5Back-up care requiring assistance with ADLs must be provided by staff with minimum credentialing or workers meeting chapter 246-980 WAC exemption criteria; noncredentialed staff may provide back-up care only for IADLs or emergencies (WAC 246-335-420(8)).(WAC 246-335-420 — Delivery of services (In-Home Services Agencies — Home Care))
• 6If agency staff are present during a client medical emergency, they must provide emergency medical personnel with the client's signed POLST form (WAC 246-335-420(11)).(WAC 246-335-420 — Delivery of services (In-Home Services Agencies — Home Care))
• 7Nurse delegation is permitted only for stable and predictable clients requiring tasks that do not require clinical judgment, and credentialed workers must complete DSHS core delegation training before participating (WAC 246-335-420(14)).(WAC 246-335-420 — Delivery of services (In-Home Services Agencies — Home Care))
• 8Clients must be given at least forty-eight hours written or verbal notice prior to discharge, documented in the client record, except for worker safety, significant noncompliance, or nonpayment (WAC 246-335-420(1)(a)-(b)).(WAC 246-335-420 — Delivery of services (In-Home Services Agencies — Home Care))