Is registered nurse RN delegation required if a patient self-tests for a COVID-19-waived test using a Clinical Laboratory Improvement Amendments (CLIA)-waived test?

No. RN delegation is not required if a patient does a self-test using a COVID-19 CLIA-waived test. The RN can provide instructions to the patient for self-testing, observe the patient do the test, report (or assist) in reporting the results, and guidance for further testing, follow-up, self-care, quarantine, and other recommendations as appropriate.

COVID-19 Self-Testing Guidance for Establishments (wa.gov)

Medical Test Sites (MTS) | Washington State Department of Health

Waived Tests | CDC

Point of Care Testing Guidelines (wa.gov)

COVID-19 - Quality Control Testing for COVID-19 Tests | Laboratory | Quality System Assessment for Nonwaived Testing Quality System Assessment (QSA) | The Joint Commission

COVID-19 Testing: Health Care Provider Resources & Recommendations | Washington State Department of Health

Reporting COVID-19 Test Results for Point-of-Care Testing Facilities | Washington State Department of Health

RCW 74.39.050: Individuals with functional disabilities—Self-directed care. (wa.gov)