Wash. Admin. Code § 388-828-4360
The SIS exceptional medical support needs scale measures your personal support needs for the following medical support need(s) activities:
| # | Medical supports needed | No support needed | Some support needed | Extensive support needed |
| 1. | Inhalation or oxygen therapy | 0 | 1 | 2 |
| 2. | Postural drainage | 0 | 1 | 2 |
| 3. | Chest PT | 0 | 1 | 2 |
| 4. | Suctioning | 0 | 1 | 2 |
| 5. | Oral stimulation or jaw positioning | 0 | 1 | 2 |
| 6. | Tube feeding (e.g., nasogastric) | 0 | 1 | 2 |
| 7. | Parenteral feeding (e.g., IV) | 0 | 1 | 2 |
| 8. | Turning or positioning | 0 | 1 | 2 |
| 9. | Dressing of open wound(s) | 0 | 1 | 2 |
| 10. | Protection from infectious diseases due to immune system impairment | 0 | 1 | 2 |
| 11. | Seizure management | 0 | 1 | 2 |
| 12. | Dialysis | 0 | 1 | 2 |
| 13. | Ostomy care | 0 | 1 | 2 |
| 14. | Lifting and/or transferring | 0 | 1 | 2 |
| 15. | Therapy services | 0 | 1 | 2 |
| 16. | Hypertension | 0 | 1 | 2 |
| 17. | Allergies | 0 | 1 | 2 |
| 18. | Diabetes | 0 | 1 | 2 |
| 19. | Other(s) - specify | 0 | 1 | 2 |
| Subtotal scores of 1s and 2s: | ||||
| Add subtotals scores for 1s and 2s for total exceptional medical support needs score: |
[Statutory Authority: RCW 71A.12.030 and 71A.12.120. WSR 19-02-020, § 388-828-4360, filed 12/21/18, effective 2/1/19. Statutory Authority: RCW 71A.12.030 and Title 71A RCW. WSR 07-10-029, § 388-828-4360, filed 4/23/07, effective 6/1/07.]