Bill > SB6107

This bill modifies existing laws concerning nursing delegation, which is the process by which a registered nurse (RN) assigns specific nursing tasks to other individuals. Key changes include allowing RNs to delegate tasks in any setting, provided it's in the patient's best interest and within the nurse's scope of practice, and requiring RNs to assess patient stability and the appropriateness of delegation. The bill clarifies that RNs cannot delegate tasks requiring substantial skill, nursing judgment, or those involving piercing or severing of tissues, except in specific emergency situations for home care aides and nursing assistants who are trained and delegated the task by a nurse, allowing them to administer certain medications, including subcutaneous injections, and perform capillary blood sticks. It also establishes that education and training provided by an RN to a family caregiver is not considered delegation, and nurses cannot be coerced into delegating if they believe it compromises patient safety, nor face employer reprisal for refusing to delegate in such cases. Additionally, the bill outlines that nursing assistants and home care aides are accountable for their actions in the delegation process and are immune from liability when accurately following delegation instructions, with specific provisions for emergency medication administration. The bill also includes expiration dates for certain sections, indicating a phased implementation of the changes.

Health and Social Services

https://app.leg.wa.gov/billsummary?BillNumber=6107&Year=2025&Initiative=false