This version of the form is not currently in use and is provided for reference only. Download this version of DSHS Form 13-681 for the current year.
This is a legal form that was released by the Washington State Department of Social and Health Services - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is DSHS Form 13-681?
A: DSHS Form 13-681 is a Nurse Delegation - Change in Medical/Treatment Orders form used in Washington.
Q: What is Nurse Delegation?
A: Nurse delegation is a process in which certain nursing tasks and procedures are assigned to trained and qualified non-licensed personnel.
Q: When is DSHS Form 13-681 used?
A: DSHS Form 13-681 is used when there is a change in the medical or treatment orders for a patient who is receiving nurse delegation services.
Q: Who can complete DSHS Form 13-681?
A: A registered nurse or an advanced registered nurse practitioner (ARNP) can complete DSHS Form 13-681.
Q: Is DSHS Form 13-681 specific to Washington state?
A: Yes, DSHS Form 13-681 is specific to Washington state and is used in accordance with Washington Administrative Code (WAC) rules.
Q: Can a patient request a change in their medical or treatment orders using DSHS Form 13-681?
A: No, DSHS Form 13-681 must be completed by a registered nurse or an advanced registered nurse practitioner (ARNP) to document a change in medical or treatment orders.
Q: What information is required on DSHS Form 13-681?
A: DSHS Form 13-681 requires information such as patient identification, the specific change in medical or treatment orders, and the signature of the registered nurse or ARNP.
Q: Are there any fees associated with submitting DSHS Form 13-681?
A: There are no fees associated with submitting DSHS Form 13-681.
Q: What should I do after completing DSHS Form 13-681?
A: After completing DSHS Form 13-681, the form should be submitted to the appropriate healthcare provider or agency responsible for nurse delegation services.
Form Details:
Download a printable version of DSHS Form 13-681 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.