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Support for Practicing Nurses in Washington State

The Nursing Care Quality Assurance Commission (NCQAC) protects the public's health and safety by regulating the competency and quality of licensed practical nurses, registered nurses, advanced registered nurse practitioners and nursing technicians. The nursing commission is continually working towards providing the most current and up to date guidance for practicing nurses in Washington state.

Using the Scope of Practice Decision Tree

If you have questions about what activities a nurse can safely perform, please use the Scope of Practice Decision Tree.

The Scope of Practice Decision Tree is a tool designed to assist nurses, nursing students, employers, and policy makers in determining the responsibilities a nurse can safely perform. This tool's intended use is to complement professional judgment rather than deliver definitive answers to complex and evolving situations. The decision tree encourages individual accountability in practice decisions, communicating nursing scope of practice to health care professionals and students, and promotes safe nursing practices.

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Sign up to be notified by email of important information about the nursing commission practice information as it becomes available. 

If you have questions about nursing practice, please contact our practice consultants using the contact information below:

Nursing practice email:
Advanced nursing practice email: