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Medical Devices
The #3 citation listed on the RCS Spring Forum is related to medical devices. We also learned that the “medical device” definition in WAC 388-76-10000 does not include an inclusive list. Medical devices encompass a wide range of tools and equipment used for diagnosis, treatment, and monitoring in healthcare.
Per RCS Spring Forum 2025, if you are unsure of whether or not a specific item qualifies as a medical device, your resident case manager should be able to guide you for state client residents. For private pay residents, a nurse (such as your nurse delegator) or resident’s physician should be able to help identify what equipment is classified as a medical device.
If you are using a medical device, ensure it is not for caregiver convenience. You are required to provide risks and benefits to help residents/representatives make an informed choice about using the equipment. Once it is determined that the resident will use a device, it needs to be included in their care plan.
Resources
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Related WAC
WAC 388-76-10650
Medical devices.
(1) The adult family home must not use a medical device with a known safety risk as a restraint or for staff convenience.
(2) Before a medical device with a known safety risk is used by a resident, the home must:
(a) Ensure an assessment has been completed that identifies the resident’s need and ability to safely use the medical device;
(b) Provide the resident and his or her family or legal representative with information about the device’s benefits and safety risks to enable them to make an informed decision about whether to use the device;
(c) Ensure the resident’s negotiated care plan includes how the resident will use the medical device; and
(d) Ensure the medical device is properly installed.
WAC 388-76-10000
Definitions.
“Medical device” as used in this chapter, means any piece of medical equipment used to treat a resident’s assessed need.
(1) A medical device is not always a restraint and should not be used as a restraint;
(2) Some medical devices have considerable safety risks associated with use; and
(3) Examples of medical devices with known safety risks when used are transfer poles, Posey or lap belts, and side rails.
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