A medical assistant-EMT shall be deemed competent by the delegating health care practitioner prior to administering any medication authorized in this section. Medications must be administered under a valid order from the delegating health care practitioner and shall be within the delegating health care practitioner's scope of practice. The order must be in written form or contained in the patient's electronic health care record.

1. (1) Medication administration shall not be delegated when:

   1. (a) The medication may cause life-threatening consequences or the danger of immediate and serious harm to the patient; or
   2. (b) Complex observations or critical decisions are required.
2. (2) To administer medications, the delegating health care practitioner shall ensure a medical assistant-EMT receives training concerning: Dosage, technique, acceptable route(s) of administration, appropriate anatomic sites, expected reactions, possible adverse reactions, appropriate intervention for adverse reaction, and risk to the patient. The delegating health care practitioner must ensure a medical assistant-EMT is competent to administer the medication.

3. (3) A medical assistant-EMT may only administer medications if the medications are:

   1. (a) Administered only by unit or single dosage, or by a dosage calculated and verified by a health care practitioner. For purposes of this subsection, a combination or multidose vaccine shall be considered a unit dose; and
   2. (b) Limited to vaccines, opioid antagonists, and oral glucose, as authorized by the delegating health care practitioner under the scope of their license.

4. (4) A medical assistant-EMT may:

   1. (a) Start an intravenous line for diagnostic or therapeutic purposes under the immediate supervision of a health care practitioner;
   2. (b) Interrupt an intravenous line and restart at the same rate under the immediate supervision of a health care practitioner; and
   3. (c) Remove an intravenous line under the immediate supervision of a health care practitioner.

[Statutory Authority: 2024 c 217, chapter 18.360 RCW, RCW 18.360.030, 18.360.040, 18.360.050, and 18.360.070. WSR 25-13-095, s 246-827-0550, filed 6/17/25, effective 8/1/25.]