Nursing and Residential Care Facilities - Rules & Requirements
L&I Rules:
- Safety and Health Core Rules, Chapter 296-800 WAC.
- Bloodborne Pathogens, Chapter 296-823 WAC.
- Employee Medical and Exposure Records Chapter 296-802 WAC.
- Hazardous Drugs WAC 296-62-500 (Leg.wa.gov).
- Recordkeeping and Reporting, Chapter 296-27 WAC.
L&I Procedures, Enforcement Guidance, & Explanatory Interpretations
Nursing and Residential Care Facilities NEP, DD 13.40. (515 KB PDF).- Tuberculosis Control in Health-Care Settings, WRD 11.35 (40 KB PDF).
- Workplace Violence Prevention in Health Care, WRD 5.07 (51 KB PDF).
Guidelines & Standards from Others
Please read an important message about links on this page.
Important:
"Links" to other information sources are provided as a courtesy, but we cannot vouch for or take responsibility for information contained beyond files administered by the Washington State Department of Labor and Industries. Links from this page do not represent or imply the endorsement of commercial products by the State of Washington, Labor and Industries, or by departmental staff. For more information, read L&I's Intended Usage policy.
- Nursing Homes, OSHA Guidelines.
Resident Handling
- Safe Lifting and Movement of Nursing Home Residents (NIOSH).
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A Back Injury Prevention Guide for Health Care Providers (2.2 MB PDF / 6 min) (Cal-OSHA).
- Designing Workplaces for Safer Handing of People (Work Safe Victoria).
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Extended-care Facilities Safety Manual (204 KB PDF) (Ohio BWC).
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A Practical Guide to Resident Handling (3.5 MB PDF / 10 min.) (Interior Health Authority of BC).
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No Unsafe Lift (2.2 MB PDF / 6 min.) (workbook from Work Safe Alberta).
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Safe Patient Handling and Movement Algorith (1 MB PDF / 3 min.) (VISN 8 Patient Safety Center).
- Safe Patient Handling in Inpatient Psychiatry (VISN 8 Patient Safety Center).
Slips, Trips and Falls
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Slip, Trip, and Fall Prevention for Healthcare Workers (980 KB PDF) (NIOSH).
- Health and social care slips, trips and falls prevention campaign (UK HSE).
- Slips, Trips, and Falls (Liberty Mutual).
How can I get help from L&I?
- To request a confidential workplace safety or health consultation, call or visit http://www.lni.wa.gov/Safety/Basics/Assistance/Consultation/about.asp for no charge technical assistance.
- For help with controlling your claims costs, call or visit http://www.lni.wa.gov/Safety/Basics/Assistance/Consultation/riskmanagement.asp for a no charge risk management consultation.
- Find information about filing a workplace safety & health complaint you may call or visit a local L&I office to file a complaint.
- Follow guidance in Steps To a Safe Workplace to create your safety program from scratch.
- For general information, call 1-800-423-7233.
