Can the nursing assistant-registered/nursing assistant-certified (NA-R/NA-C) administer injectable epinephrine?

It depends. The laws and rules do not permit the registered nurse (RN) to delegate administration of injectable epinephrine to the NA-R/NA-C in any setting. However, the NA-R/NA-C may administer epinephrine if the facility or employer is an “authorized entity” pursuant to RCW 70.54.440. This statute allows authorized facilities or employers to obtain stock epinephrine injectors with a prescription in the name of the entity and identify employees, who have completed required training, to administer epinephrine via autoinjectors. See the Washington State Department of Health’s Epinephrine Autoinjectors and Anaphylaxis Training and Reporting for Authorized Entities Frequently Asked Questions  for more information.