This version of the form is not currently in use and is provided for reference only. Download this version of DSHS Form 13-680 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 13-680?
A: DSHS Form 13-680 is a form used for Nurse Delegation in the state of Washington.
Q: What does Nurse Delegation mean?
A: Nurse Delegation refers to the process of a registered nurse assigning certain nursing tasks to unlicensed personnel.
Q: What is the purpose of Form 13-680?
A: The purpose of Form 13-680 is to request the rescinding of Nurse Delegation in Washington.
Q: Who can use Form 13-680?
A: Form 13-680 can be used by clients, guardians, or authorized representatives.
Q: What information is required on Form 13-680?
A: Form 13-680 requires information about the client, their guardian or representative, the nurse delegator, and details of the delegation to be rescinded.
Q: Are there any fees associated with submitting Form 13-680?
A: No, there are no fees associated with submitting Form 13-680.
Q: What happens after submitting Form 13-680?
A: After submitting Form 13-680, the nurse delegation will be rescinded, and the client's care plan may need to be updated accordingly.
Q: Is it mandatory to use Form 13-680 to rescind nurse delegation in Washington?
A: Yes, using Form 13-680 is mandatory to officially rescind nurse delegation in Washington.
Form Details:
Download a printable version of DSHS Form 13-680 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.