Nursing Services Unit Manager
Doris Barret
Doris.barret@dshs.wa.gov
360-529-6166
Nursing Care Consultants
| Region | Contact |
|---|---|
| Region 1 North | Lisa Ross |
| Region 2 North | Becky Morton |
| Region 2 South | Erika Parada, Emma Ygona-Parrish |
| Region 3 North | Erika Parada |
| Region 3 South | Amy Scott |
Private Duty Nursing
Private Duty Nursing (PDN) is a program that provides in-home skilled nursing care to Medicaid clients 18 years of age or older, who would otherwise be served in a Medicaid Medical Institution (MMI). PDN is an alternative to institutional care.
The purpose of the PDN program is to provide community-based alternatives to institutional care for clients who have complex medical needs like ventilators, tracheostomies, feeding tubes or continuous IV infusions and require skilled nursing care on a continuous and daily basis. The PDN program is designed to support clients and their families who must assume a portion of the client’s care.
While some clients choose to seek care in an Adult Family Home setting others can be cared for in their own home or the home of a relative. The PDN program allows clients the option to remain at home with their families and in their community.
PDN hours are determined by the DDA Nursing Care Consultant (NCC), up to 16 hours per day.
FAQ’s
coming soon...
Resources
- PDN WAC
- Hour -for-Hour Deduction WAC
- Provider One Billing Guide
- Clinical Criteria Tool
- Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) rules
- Rates
- Holiday Pay Schedule
- Skilled Nursing Task Log
Contracted Providers
- List of Contracted Providers
- Contracted Home Health Agencies
- Adult Family Home Locator
Nurse Delegation
Nurse Delegation is a specific program where a non-nurse legally performs nursing tasks such as giving medication in a client’s home, an adult family home (AFH), Assisted Living Facility (ALF), supported living (SL), group training home or companion homes. Nurse delegation is where a Long-Term Care Worker (LTCW) is “delegated” by a registered nurse to provide tasks that are usually performed only by a licensed nurse. State law requires that when a task is “delegated” specific rules are followed, both by the nurse delegating the care and by the LTCW who performs the task. The rules are written by Department of Health, Nursing Commission, to ensure public safety.
FAQ’s
Resources
- Billing Tutorial
- Temporary Emergency Rule Changes Regarding ND
- ND WACs Chapters
- Find Home Care Aide Classes
- DOH Provider Credential Search
- Nurse Delegation Forms
- Find a DSHS Contracted RND
How to Become a Registered Nurse Delegator (RND)
- Registered Nurse Delegation Orientation information and sign up
- Information/handouts for Registered Nurse Delegation classes
Training and Meeting Schedule
- Orientation to DDA
- Registered Nurse Delegation Orientation information and sign up
- Contractor Meetings
DDA Nurse Delegation Program Contact
Nursing Services Unit Manager
Doris Barret
Doris.barret@dshs.wa.gov
360-529-6166
Waiver Skilled Nursing
Skilled Nursing consists of independent nurses who are contracted with DDA to provide direct care services, consultation and nursing care for chronic long term nursing tasks.
FAQs
Resources
- Fact sheets
- Waiver Skilled Nursing WAC
- EPSDT rules
- Providers
Skin Observation Protocol
Skin Observation Protocol is the method used to check if there is a potential for a pressure injury. The CARE assessment is completed the skin observation protocol (SOP) may be triggered. It is the policy for DDA to have the case manager refer to the appropriate nurse or nursing agency that SOP was triggered in CARE. The nurse must perform a direct skin observation.
FAQ’s
Training materials
- PP training materials
Forms
- Developmental Disabilities Administration (DDA) Nursing Services Referral (13-911) Word | PDF
- SOP Form - SOP Basic Skin Assessment Form Word | PDF
- SOP Form - Pressure Injury Assessment Form Word | PDF
Health Home
Health Home is a network of services that provide coordination of primary, mental health and long-term services and supports. Health home is focused on serving individuals with one or more chronic health condition who have been determined as frequent utilizers of emergency services and hospitalization, thus identified as high-risk/high-cost Medicaid clients.
Contact healthhomes@hca.wa.gov