Is registered nurse (RN) delegation required for the nursing assistant-registered/nursing assistant-certified (NA-R/NA-C) or home care aide-certified (HCA-C) to administer marijuana products that contain less than 0.3% tetrahydrocannabinol (THC) in community-based* and in-home care settings?
No. RN delegation is not required for the NA-R/NA-C or HCA-C to administer cannabis products in community-based* and in-home care settings as long as the tetrahydrocannabinol (THC) concentration is less than 0.3% as these are considered Cannabis Health and Beauty Aids (CHABA) products (RCW 69.50.575). While RN delegation is not required, the Washington State Board of Nursing recommends use of CHABA products be included in the nursing care plan. While these products are legal for all practitioners to use in their practice, an employer or facility may impose their own restrictions relating to the administration of CHABA products.
*Community-based settings include adult family homes, assisted living facilities, and residential homes for individuals with developmental disabilities (RCW 18.79.260).