This version of the form is not currently in use and is provided for reference only. Download this version of DSHS Form 13-678A 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 13-678A?
A: DSHS Form 13-678A is a form used for nurse delegation of PRN medication in the state of Washington.
Q: What does nurse delegation mean?
A: Nurse delegation refers to the process where a registered nurse assigns specific nursing tasks to unlicensed assistive personnel (UAP) under their supervision.
Q: What is PRN medication?
A: PRN medication refers to medication that is given as needed, based on the patient's condition or symptoms.
Q: Who can delegate PRN medication in Washington?
A: In Washington, only registered nurses are authorized to delegate PRN medication.
Q: What is the purpose of DSHS Form 13-678A?
A: The purpose of DSHS Form 13-678A is to document the delegation of PRN medication and ensure compliance with state regulations.
Q: Who needs to fill out DSHS Form 13-678A?
A: Both the registered nurse delegator and the unlicensed assistive personnel (UAP) receiving the delegation need to complete and sign DSHS Form 13-678A.
Form Details:
Download a fillable version of DSHS Form 13-678A by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.