AGING AND DISABILITY SERVICES ADMINISTRATION
2008 AFH "Dear Provider" Letters
May 21, 2008
ADSA: AFH #2008-011
2008 Legislation – E2SHB 2668
NURSE DELEGATION OF INSULIN INJECTIONS
Dear Adult Family Home Provider:
New law on nurse delegation of insulin injections:
- Recently the Governor signed Engrossed Second Substitute House Bill (E2SHB) 2668 into law. (An act relating to long-term care).
- Section 11 allows diabetic insulin device set up and verbal verification of insulin dosage for sight-impaired residents without delegation.
- Sections 11 and 12 include specific requirements related to the delegation of insulin injection.
- The law directs the department to develop training for nursing assistants regarding nurse delegation of insulin injections.
- A copy of the law is enclosed.
After June 12, 2008
You may:
- Begin allowing staff to set up diabetic insulin devices and verbally verifying insulin dosage for sight impaired residents; after
- Making sure that staff can do those tasks safely.
You cannot:
- Allow the delegation of insulin injections until certain requirements are met (probably after January 1, 2009).
The department:
- Anticipates implementing required training after January 1, 2009 for nursing assistants to take before being delegated insulin injections.
- Will inform you when that required training is implemented and the Department of Health’s (DOH) rules have been updated to reflect the change.
Please contact your RCS Field Manager if you have any questions.
Sincerely,
Joyce Pashley Stockwell, Director
Residential Care Services
Enclosure: E2SHB 2668, Chapter Law 146, Laws of 2008
