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This version of the form is not currently in use and is provided for reference only. Download this version of
DSHS Form 13-678B
for the current year.
DSHS Form 13-678B Nurse Delegation: Assumption of Delegation - Washington
What Is DSHS Form 13-678B?
This is a legal form that was released by the Washington State Department of Social and Health Services - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is DSHS Form 13-678B?A: DSHS Form 13-678B is a Nurse Delegation form in Washington State.
Q: What is Nurse Delegation?A: Nurse Delegation is the process by which a registered nurse delegates certain nursing tasks to an unlicensed person.
Q: What is the purpose of DSHS Form 13-678B?A: The purpose of DSHS Form 13-678B is to document the assumption of delegation responsibilities by the unlicensed person.
Q: Who uses DSHS Form 13-678B?A: DSHS Form 13-678B is used by the unlicensed person who will be assuming delegation responsibilities.
Q: What information is required on DSHS Form 13-678B?A: DSHS Form 13-678B requires information about the unlicensed person, the registered nurse delegating the tasks, and the specific tasks being delegated.
Form Details:
- Released on July 1, 2017;
- The latest edition provided by the Washington State Department of Social and Health Services;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of DSHS Form 13-678B by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.
