WAC 110-145-3460. Care and services for medically fragile children and youth

(1) Licensees providing care and services for medically fragile children and youth must: (a) Use licensed health care providers to provide care that meets the child's or youth's unique needs; (b) Have sufficient nursing personnel to meet the nursing care needs of the children and youth in care, including at least one RN as required by WAC 110-145-3450 ; (c) Offer to develop individualized treatment plans using information from the children's or youth's licensed health care providers that addresses their unique needs and includes: (i) The care and services to be provided, with details on the child's or youth's preferences and choices; and (ii) How the services will be delivered to accommodate those preferences and choices; and (d) Have an infection control program supervised by an RN or a certified infection preventionist. (2) RNs caring for medically fragile children or youth must: (a) Complete and document an initial assessment of each child and youth admitted to the facility; (b) Update assessments as needed; and (c) Advise and assist nonmedical personnel providing care at the facility with: (i) Maintaining health records; (ii) Meeting children's and youth's daily health needs; and (iii) Caring for their minor illnesses and injuries. (3) Licensees may provide specialized care to medically fragile children and youth in care who need intensive personal care including: (a) Skilled health care; (b) Physical therapy; or (c) Other forms of therapy.