Is registered nurse (RN) delegation required if a student self-tests for COVID-19 using a Clinical Laboratory Improvement Amendments (CLIA)-waived COVID-19 test in public and private schools, Kindergarten-Twelve (K-12) grades?

No. RN delegation is not required if a student self-test using a CLIA-waived COVID-19 test in public and private schools, K-12 grades. The RN can direct school staff to instruct the student to do the self-test following the COVID-19 test kit instructions, including observing the student doing a self-test, and reporting the results to the school RN. The school or school district should have policies and procedures for students to perform self-testing.

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

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

Waived Tests | CDC

RN Authority with COVID-19 CLIA-Waived Tests in School Settings | WABON

Testing in Schools Frequently Asked Questions | Washington State Department of Health

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)