If the client is assessed as needing assistance with medication, the service provider may assist the client to take medications in any of the following ways:

1. (1) Communicating the prescriber's order to the client in such a manner that the client self-administers his/her medication properly;
2. (2) Reminding or coaching the client when it is time to take a medication;
3. (3) Opening the client's medication container;
4. (4) Handing the client the medication container;
5. (5) Placing the medication in the client's hand;
6. (6) Transferring medication from one container to another for the purpose of an individual dose (e.g., pouring a liquid medication from the container to a calibrated spoon or medication cup or using adaptive devices);

7. (7) Altering a medication by crushing or mixing:

   1. (a) Only if the client is aware that the medication is being altered or added to food or beverage; and
   2. (b) A pharmacist or other qualified practitioner has determined it is safe to alter medication; and
   3. (c) It is documented on the prescription container or in the client's record.
8. (8) Guiding or assisting the client to apply or instill skin, nose, eye and ear preparations. Hand-over-hand administration is not allowed; and
9. (9) For group homes that have an assisted living facility or adult family home license, refer to chapter 388-78A or 388-76 WAC for additional tasks that may be allowed.

[WSR 16-14-058, recodified as § 388-101D-0310, filed 6/30/16, effective 8/1/16. Statutory Authority: RCW 71A.12.030 and [71A.12].080. WSR 14-10-028, § 388-101-3660, filed 4/28/14, effective 5/29/14. Statutory Authority: Chapter 71A.12 RCW. WSR 08-02-022, § 388-101-3660, filed 12/21/07, effective 2/1/08.]