This is a legal form that was released by the Washington State Department of Social and Health Services - a government authority operating within Washington.
The document is provided in Chinese. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is DSHS Form 13-678?
A: DSHS Form 13-678 is a form related to nurse delegation and consent for delegation process in Washington.
Q: What is nurse delegation?
A: Nurse delegation is the process by which a registered nurse delegates certain tasks to unlicensed assistive personnel (UAP) in Washington.
Q: What is the purpose of DSHS Form 13-678?
A: The purpose of DSHS Form 13-678 is to obtain consent from the patient or their legal representative for the nurse delegation process.
Q: Who needs to fill out DSHS Form 13-678?
A: The patient or their legal representative needs to fill out DSHS Form 13-678.
Q: What should be included in DSHS Form 13-678?
A: DSHS Form 13-678 should include information about the patient, the delegated tasks, the UAP responsible for the tasks, and the signatures of the patient or their legal representative.
Q: Is DSHS Form 13-678 available in Chinese?
A: Yes, DSHS Form 13-678 is available in Chinese for those who prefer to read and fill out the form in Chinese.
Form Details:
Download a printable version of DSHS Form 13-678 PAGE 1 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.