Military Resources

Military to Civilian Crosswalk, “Draft-For Official Use Only” until approved by all boards, commissions or the secretary of health where applicable.

Military Resources

Resource Information for Military Personnel and Their Spouses or Registered Domestic Partners Washington State Department of Health recognizes the contributions of our active duty service members, veterans, spouses, and or registered domestic partners. The department highly encourages service and family members to seek out licensing and credentialing opportunities that may assist them in their search for employment before, during, and after transition. Please see our military resources website for more information pertaining. Health Systems Quality Assurance (HSQA) Division, Office of Health Professions provides regulatory oversight, including licensing and certification, for more than 83 health professions and occupations. Military personnel may have met some or all of the credentialing requirements through prior military education, alternative training and or experience. Military personnel interested in one or more of the listed occupations who would like more information about requirements may contact us or refer to the department’s automated military to civilian crosswalk of health professions health professions matrix for program specific information. Note: “Military” refers to members of the U.S. Armed Forces, including the U.S. Public Health Service Commissioned Corps.

Licensure for Spouses and Registered Domestic Partners of Military Personnel Transferring to Washington Spouses or registered domestic partners of military personnel being assigned in Washington, who desire entering the workforce more quickly, may be eligible to be issued a temporary practice permit (TPP). In addition, expedited application processing is possible when all required supporting documentation is submitted with the applicant’s original application(s). Please refer to our military resources flyer for more info pertaining.

Military Training/Experience Legislation Laws were originally passed in 2011, and most recently in 2017, that affect how we evaluate certain military training and/or experience toward meeting licensing requirements. If the profession for which you are applying is listed below, please clearly state your military training in the education and training sections of the online applications or in PDF format, and include all supporting documentation.

Customer Service Center- 360-236-4700 or 360-236-4910

DOH 631-065 August 2018

Public Health – Always Working for a Safer and Healthier Washington Review Date: 8/1/2018 Edit Date: 8/24/2018

DOH Profession USA-Military Occupational Specialty (MOS) SB 5307 - Military Education, Training "Gap Analysis" USAF-Air Force Specialty Code (AFSC) and Experience Equivalency Evaluation to be approved by Board, Commission or Secretary USN-Navy Enlisted Classification (NEC)

Dental Assistant 68E- Dental Specialist Chapter 18.260 RCW, 246-817 WAC Gap: Seven (7) hours of HIV/Aids training; Otherwise. Service (DA) component training meets or exceeds equivalency requirements. 4Y0X1- Dental Assistant Definition: "Dental assistant" means a person who is registered by the commission Note: Consistent throughout this document, for Department of HM 8701- Dental Assistant to provide supportive services to a licensed Health to consider military education, training, and experience equivalency, you must answer all questions embedded within each dentist to the extent provided in this chapter application along with copies of required documents below: and under the close supervision of a dentist. Documents to submit with your application should include: Credential Type: Registration • Copy of Certificate of Release or Discharge from Active Duty DD- 214 (Must be Member-4 or Service 2 copy); NGB 22 (Nat’l Guard) 1) Education - No formal education • Official copy of American Council of Education (ACE), Joint required; Service Transcript (JST). (Must request through website that “Official” copy(ies) be emailed directly to Washington State 2) Out of state credentialing - if applicable; Department of Health) 3) Personal data questions - Applicant must • Official Community College of the Air Force (CCAF) transcripts answer personal data questions and (U.S. Mail only) provide appropriate explanation and • Any other military transcripts and forms that document your military required documentation for all positive training and experience such as the Verification of Military answers; Experience and Training (VMET or DD-2586) or Evaluation of Learning Experiences during Military Service (DD-295). 4) Seven (7) hours Aids/HIV • You will be contacted for any additional information needed. education/training.

Military occupation certification and licensure – Whether specifically required by the Department of Health or not, many civilian health hiring authorities require a national certification and/or licensure to obtain employment.

Note: Some credentials may require a current AHA Basic Life Support Provider card in addition to other required documents.

DOH 631-065 August 2018

Dental Hygienist 68E- Dental Specialist Chapter 18.29 RCW, 246-815 WAC Gap: Seven (7) hours of HIV/Aids training plus to obtain a dental (DH) 68E (ASI “N5”)- Dental Laboratory Definition 18.29.050 Scope of licensee's hygiene license, must have completed an accredited dental hygiene functions — Employment — Supervision. education program approved by the American Dental Association, 68E (ASI “X2”)- Preventive Dentistry ***Change in 2013 ***(see 1330.SL)*** Commission on Dental Accreditation (CODA) on or before June 30, Definition: Any person licensed as a dental 2007. For direct access to the application go here. 4Y0X1H- Dental Hygienist hygienist in this state may remove deposits and For list of accredited schools, visit CODA, Standards for Dental stains from the surfaces of the teeth, may apply Hygiene Education Programs. topical preventive or prophylactic agents, may HM 8708- Dental Hygienist polish and smooth restorations, may perform Licensure by examination - An applicant seeking licensure in root planning and soft-tissue curettage, and may WA State by examination must meet the requirements listed above perform other dental operations and services and successfully pass the written and practical examinations delegated to them consisting of: by a licensed dentist; such licensed dental a) A written examination - Only the Dental Hygiene National Board hygienists may perform dental operations and exam will be accepted; services only under the supervision of b) WA ST Jurisprudence Examination; and a licensed dentist, and under such supervision c) The following dental hygiene patient eval/prophy examinations: may be employed by hospitals, boards of education of public or private schools, county i. The Western Regional Examining Boards (WREB) dental boards, boards of health, hygiene patient eval/prophy clinical and Process of Care or public or charitable institutions, or in dental examination as meeting its examination standard after January offices. 1, 1995; Or ii. The Central Regional Dental Testing Services (CRDTS) dental Credential Type: License hygiene patient eval/prophy clinical examination as meeting 1) Education - Official transcript with degree its examination standards as of November 2001; Or dated & posted directly from an approved iii. The North East Regional Board (NERB) dental hygiene patient dental hygiene education program. The eval/prophy clinical examination as meeting its examination program must be currently accredited or standard if taken and passed between the dates of January 1, received initial accreditation by the 2000 to August 21, 2009; Commission on Dental Accreditation d) The WREB anesthesia and restorative clinical examinations. (CODA) on or before June 30, 2007. Licensure by credential - Applicant seeking licensure in WA must 2) Personal data questions: Applicant must meet the requirements listed above and: answer personal data questions and provide appropriate explanation and required a) Be licensed in a qualifying state which is verified by the state board documentation for all positive answers; and ) Be currently in practice (within the last year). 3) Seven (7) hours Aids/HIV education b /training. DOH Profession USA-Military Occupational Specialty (MOS) SB 5307 - Military Education, Training "Gap Analysis" USAF-Air Force Specialty Code (AFSC) and Experience Equivalency Evaluation to be approved by Board, Commission or Secretary USN-Navy Enlisted Classification (NEC)

Dental Anesthesia 68E- Dental Specialist Chapter 18.350.040 RCW, 246-817-771 Gap: No equivalency training offered through military therefore Assistant (DAA) 68E (ASI “N5”)- Dental Laboratory WAC additional civilian education required to meet Department of Health 68E (ASI “X2”)- Preventive Dentistry Definition: "Dental Anesthesia Assistant specified requirements. Applicant must complete seven (7) hours of Aids/HIV education/training. Certified" pursuant to this chapter shall 4Y0X1H- Dental Hygienist perform the functions authorized in this Note: Any oral and maxillofacial surgeon or dental anesthesiologist chapter only by delegation of authority from delegating duties under this section must have a valid general HM 8708- Dental Hygienist the oral and maxillofacial surgeon or dental anesthesia permit and, if the dental anesthesia assistant does not anesthesiologist and under the supervision, as possess advanced cardiac life support training, must be current in such training. Refer to chapter 18.350 RCW - Dental Anesthesia No direct equivalency training offered described in subsections (2) and (3) of this Assistants / complete chapter. for any service. section, of the oral and maxillofacial surgeon or dental anesthesiologist acting within the 1) Dental Anesthesia Assistant Education: scope of his or her license. a. Dental Anesthesia Assistant National Certification Examination Credential Type: Certification (DAANCE), formerly Oral and Maxillofacial Surgery Anesthesia Assistants Program (OMAAP) provided by “Basic” requirements to obtain Dental American Association of Oral and Maxillofacial Surgeons Anesthesia Assistant certification per WAC (AAOMS); Or 246-817-205. b. California Association of Oral and Maxillofacial Surgeons 1) Seven (7) hours Aids/HIV education (CALAOMS); Or c) Substantially equivalent education – (if registered DA- you already have this); Approved by Dental Commission; 2) Application and Fee (background check). 2) Intravenous access or phlebotomy training to include: a. Eight (8) hours of didactic (must include: Intravenous access, anatomy, technique, risks and complications); and b. Hands on experience starting and maintaining intravenous lines to include 10 successful intravenous starts on human or manikin Or c. Substantially equivalent education –Approved by the Dental Commission; 3) Valid Certification of one of the following: a. Basic Life Support (BLS); Or b. Advanced Cardiac Life Support (ACLS); Or c. Pediatric Advanced Life Support (PALS); Or d. A valid Washington state general anesthesia permit of the oral and maxillofacial surgeon or dental anesthesiologist where the dental anesthesia assistant will be performing his or her services. DOH Profession USA-Military Occupational Specialty (MOS) SB 5307 - Military Education, Training "Gap Analysis" USAF-Air Force Specialty Code (AFSC) and Experience Equivalency Evaluation to be approved by Board, Commission or Secretary USN-Navy Enlisted Classification (NEC)

Denturist 68E- Dental Specialist Chapter 18.30.090 RCW, 246-812 WAC Gap: Seven (7) hours of HIV/Aids training and; 68E (ASI "N5")- Dental Laboratory Definition: The practice of denturism means 1) Proof of successfully passing both a written and clinical 68E (ASI "X2")- Preventive Dentistry the making, placing, constructing, altering, examination for Denturism in a state that has equivalent licensing reproducing, or repairing a denture and taking 4Y032- Dental Lab Apprentice standards as those in WA ST. impressions and furnishing or supplying a 4Y051- Dental Laboratory Journeyman denture directly to a person or advising the use 2) An affidavit from the state agency where the person is 4Y072- Dental Lab Craftsman of a denture. licensed or certified, attesting to the fact of the applicant’s license or certification. The following states have been determined to meet HM 8701- Dental Assistant Credential Type: License the equivalency standards as set in RCW 18.30.090 HM 8702- Advanced Dental Asst. (EFDA) 1) Education - Successful completion of HM 8707- Field Service Dental formal training with a major course of study a. Maine, Montana (only if licensed by examination, not in denturism of not less than two years at endorsement), and Oregon Examination. There is one Technician an educational institution approved by the category of eligibility for license through examination: HM 8708- Dental Hygienist board and applicant passes a written and Education: RCW 18.30.090 HM 8752- Dental Lab Tech, Basic clinical exam approved by the board; b. provides eligibility for applicants who have the following: HM 8753- Dental Lab Tech, Advanced 2) Official transcript(s); HM 8765- Dental Lab Tech, Maxillofacial i. Document showing successful completion of formal training 3) PDQs - Applicant must answer personal with a major course of study in denturism of not less than data questions and provide appropriate two years duration at an educational institution approved by explanation and required documentation for the board. all positive answers. ii. Pass a written and clinical examination approved by the 4) Exams: board; Such as local - Bates Technical College, Tacoma, i. An on-line jurisprudence exam must be WA Certified Dental Technician through the National Board completed prior to the applicant being for Certification in Dental Laboratory Technology available schedule for the written and/or clinical exam to service members upon completion of advanced training at ii. Applicants must pass the WA ST Denturist METC. Exam that is a written and clinical exam approved by the board. iii. The written exam covers: 1) head and oral anatomy and physiology; 2) oral pathology; 3) partial denture construction and design; 4) microbiology; 5) clinical dental technology; 6) dental laboratory technology; 7) clinical jurisprudence; 8) asepsis; 9) medical emergencies; and 10) cardiopulmonary resuscitation; 5) Other - Seven (7) hours HIV/Aids tng.

Expanded Function 68E- Dental Specialist- Basic/Advanced Chapter 18.260 RCW, 246-817 WAC Gap: WA ST Dental Quality Assurance Commission has Dental Auxiliaries Expanded Functions Dental Assistant Definition: An EFDA can provide the same education requirements listed in WAC 246-817-195. The (EFDA) Phase 1, 2 & 3 services as a dental assistant but can provide commission will evaluate any education/training program the following services under general to identify if it meets the WA EFDA requirements: supervision of a dentist: 4Y0X1- Dental Assistant Note: After the commission determines the education/training 4Y0X2– Dental Laboratory- a) Perform coronal polishing; b) Give fluoride is equivalent, then the applicant may take the written and clinical Basic/Advanced EFDA Phase 1, 2 & 3 treatment; c) Apply sealants; d) Place dental examinations and complete all licensing requirements. x-ray film and expose and develop film; and e) Give patients oral health instructions. Also MUST complete of seven (7) hours of HIV/Aids training. HM 8702- Advanced Dental Assistant In addition to all the dental assistant duties, The Department of Health has determined the Navy an EFDA can provide the following under close Curriculum to be equivalent; however, all other service supervision of a dentist: Place and carve direct components may be reviewed on a case-by-case to determine restorations and take final impressions. equivalency. Credential Type: License Currently, there are four ways to meet "Initial" dental assistant education to meet EFDA License requirements: a) Graduation from a Commission on Dental Accreditation accredited Dental Assistant school; b) CDA through pathway II and a DA reviewcourse - additional info. c) Limited Dental Hygienist (DH) license; d) Dental Hygienist (DH) license (education and exam not required – Final impression course only). Other requirements: 1) Approved EFDA education; 2) Dental Assisting National Board (DANB) written exam; 3) Western Regional Examining Board (WREB) clinical exam; 4) Seven (7) hours Aids/HIV education; 5) Application and Fee (background check) DOH Profession USA-Military Occupational Specialty (MOS) SB 5307 - Military Education, Training "Gap Analysis" USAF-Air Force Specialty Code (AFSC) and Experience Equivalency Evaluation to be approved by Board, Commission or Secretary USN-Navy Enlisted Classification (NEC)

Dispensing Optician 68H- Optical Laboratory Specialist Chapter 18.34 RCW, 246-824 WAC Gap: Requirements for Licensure in Washington: (DO) 68Y- Eye Specialist Definition: A DO is a person who prepares Graduated from an accredited high school or received a general duplications of, or prepares and dispenses equivalency degree.- Has either: 4V0XI- Ophthalmic Apprentice lenses, spectacles, eyeglasses and/or a) Completed at least three years of apprenticeship training appurtenances to the intended wearers thereof HM 8463- Optician on written Rx from physicians or optometrists, totaling no less than 6000 on-the-job-training (OJT) hours; and IAW such prescriptions, measures, adapts, or adjusts and fabricates such lenses, spectacles, b) Successfully completed a prescribed course in Opticianry eyeglasses and/or appurtenances thereto to the in a college or university approved by the secretary, human face for the aid or correction of visual or ocular anomalies of the human eye: provided See Commission on Opticianry Accreditation website however, that contact lenses may be fitted only or upon a written Rx of a physician or optometrist. c) Been principally engaged in practicing as a dispensing Credential Type: License optician not in the state or Washington for five years; and 1) Education - Completion of either an d) Four (4) clock hours of HIV/AIDS training. apprenticeship program in this state or five years out of state experience or completion Local educational offering: Seattle Central Community of a prescribed course in Opticianry approved College; Certification Type: Degree; ADDRESS: 1701 by the Secretary. Broadway, Room 2BE3210, Seattle, WA 98122 An applicant holding a credential in another State may be credentialed to practice in this The American Board of Opticianry Certification (ABO) state w/o exam. If the Secretary deems other and National Contact Lens Exams (NCLE) are NOW state's credentialing standards are substantially accepted. equivalent. An applicant with military training satisfies Dispensing Optician - Exam Frequently Asked Questions requirements of this chap. unless the Secretary deems military training is not substantially equivalent; 2) Official transcript(s); 3) Personal Data Questions; 4) Complete exam administered by the WA ST DO Examining Committee, program staff members, and exam proctors. 5) Four (4) clock hours of HIV/AIDS training.

Ocularist 68H- Optical Laboratory Specialist Chapter 18.55 RCW, 246-849 WAC Gap: Because the military does not have a comprehensive training program for Ocularists, training and experience will have to be 68Y- Eye Specialist Definition: A person who makes and fits evaluated on a case-by-case basis to qualify to sit for the state artificial eyes who meets the requirements administered exam and four (4) hours of required HIV/Aids training. 4V0XI- Ophthalmic Apprentice Course of Washington State RCW and WACs. Is also RCW 18.55.040/ License applicants – Qualifications-Examination skilled in the design, fabrication, and fitting HM 8463-Optician of artificial eyes and in making of prostheses No applicant shall be licensed under this chapter until the applicant complies with administrative procedures, administrative requirements, and fees associated with the appearance or function determined by the secretary according to RCW 43.70.250 and 43.70.280. Note: Military training may not be of the eyes.

equivalent and must be reviewed on case-by-case basis. Credential Type: License Scope of Practice: An ocularist designs, fabrica tes, and fits ocular 1) Education – 18yrs of age, HS graduate or has prosthetic appliances. They are authorized to perform the necessary received equivalency degree and; procedures to provide an ocular prosthetic service for the patient in the ocularist's office or laboratory on referral of a physician. A referral a) 10,000 hours of apprenticeship training is not required for the replacement of an ocular prosthetic appliance. under direct supervision of a licensed The ocularist is authorized to make judgment on the needed care, ocularist; or successfully completed a replacement, and use of an ocular prosthetic appliance. prescribed course in ocularist training An ocularist is able to design, fabricate, and fit human prosthetics approved by DOH; in the following categories: 1) Stock and custom prosthetic eyes; b) Or has 10,000 hours of apprenticeship 2) Stock and custom therapeutic scleral shells; 3) Stock and custom training under direct supervision of therapeutic painted iris shells; 4) External orbital and facial practicing ocularist or has equivalent prosthetics; 5) Ocular conformers: provided, nothing herein shall experience as a practicing ocularist or be construed to allow the fitting or fabricating of contact lenses. any combination of training and

supervision not in Washington State. Alternative Educational Pathways: To become an ocularist, you 2) Official transcript(s); must take an apprenticeship with an approved ocularist(s) recognized 3) PDQ - Applicant must answer personal data by the department of health. The apprentice program through the questions and provide appropriate explanation American Society of Ocularists (ASO) requires the apprentice must and required documentation for all positive study all aspects of ocular prosthetics, and spend five years or 10,000 answers; hours in practical training. The apprentice must also successfully 4) Exam - Successfully passes an exam complete 750 credits of related study courses offered by the Education conducted or approved by DOH; Program of the ASO. Upon successful completion of all requirements, the title Diplomate of the American Society of Ocularists, is awarded. 5) Work history documentation;

Other requirements - Four (4) clock hours 6) Note: If the applicant has 10,000 hours of apprenticeship training HIV/AIDS training; under the direct supervision of a practicing ocularist, or has the 7) Proof of Age: 18 years or older; equivalent experience as a practicing ocularist, or any combination 8) Be of good moral character. of training and supervision, and passes an examination approved by the secretary, then the applicant can be licensed. DOH Profession USA-Military Occupational Specialty (MOS) SB 5307 - Military Education, Training "Gap Analysis" USAF-Air Force Specialty Code (AFSC) and Experience Equivalency Evaluation to be approved by Board, Commission or Secretary USN-Navy Enlisted Classification (NEC)

Pharmacy Assistant 68Q- Pharmacy Specialist Chapter 18.64A RCW, 246-901 WAC Gap: Four (4) hours of HIV/Aids training.

Definition: Pharmacy Assistant means a 4P0X1- Pharmacy Apprentice No formal training or educational program is required. There is 4P031- Pharmacy Basic graduate person registered by the board to perform limited functions in the pharmacy such as no age or educational restriction. A pharmacy assistant must work under the supervision of a licensed pharmacist. HM 8482- Pharmacy Technician typing prescription labels, filing, re-filing, bookkeeping, pricing, stocking, delivery, Hospital Services (HS) Technician - nonprofessional phone inquiries, and Note: As a condition of employment, applicant should be aware USCG documentation of third party reimbursements that hiring agency might require recognized national certification and or credentialing. Credential Type: Registration 1) Education: a) No formal training or educational program required by the board; b) No age or educational restrictions; c) Supervising pharmacist instructs the pharmacy assistant in the limitations of the functions they can perform; 2) Official Transcript(s) (if applicable); 3) Personal Data Questions: Applicant must answer personal data questions and provide appropriate explanation and required documentation for all positive answers; 4) Exam - N/A; 5) Other requirements - Four (4) hours HIV/AIDS training.

Pharmacy 68Q- Pharmacy Specialist Chapter 18.64A RCW 246-901 WAC Gap: Military applicants meet equivalency if below Technician Definition: Pharmacy Technician means requirements are met: 4P0X1- Pharmacy Apprentice a person who is enrolled in, or has 1) DOH requires four (4) hours of HIV/AIDS training prior to 4P031- Pharmacy Basic graduate satisfactorily completed a board approved credential being issued. training program designed to prepare persons 2) Eight hours of WA ST pharmacy law study. (affidavit of eight HM 8482- Pharmacy Technician to perform nondiscretionary functions in hours of pharmacy law self-study.) a pharmacy. 3) No other educational or experience gap in if service member Credential Type: Certification has passed National Pharmacy Certification Exam. 1) Education - Applicants must have one of Note: Pharmacy technicians must renew their certification the following: annually on or before their birthday by submitting the renewal a) formal academic pharmacy tech training card and current renewal fee. Since January 2014, all pharmacy program approved by the board; technicians applying to renew their credential must report completion of 10 hours of continuing education (CE) units b) on-the-job pharmacy tech training annually, which includes at least one hour in pharmacy law. program approved by the board; Approved continuing education credits must be earned through a c) H.S. grad or GED; d) Eight (8) hours commissioned-approved of Accreditation Council of WA State pharmacy law study; Pharmaceutical Education (ACPE)-accredited education program 2) Official transcript(s); or course.

3) PDQs - must answer questions and Additional Board Information and or Requirements: provide required documentation; 1) Proof of passing a board-approved national standardized 4) Exam - Must pass board-approved pharmacy technician certification exam. national standardized pharmacy tech 2) Must complete specialized training and meet proficiency certification exam; criteria set forth by the board. This includes 99 percent 5) Other requirements - Four (4) clock hours accuracy in unit-dose medication checking and 100 percent HIV/AIDS training. accuracy in intravenous admixture preparation using aseptic technique. 3) Signed statement by program directory verifying applicant has successfully completed a board-approved pharmacy tech- training program. 4) Proof of passing a board-approved national standardized pharmacy tech certification exam.

Emergency Medical 68W- Health Care Specialist Chapter 18.73 RCW, 246-976 WAC Gap: Applicant must have a current NREMT exam credential Responder (EMR) Definition: EMR or First Responder means a AND still on active duty OR one of the below situations applies or 4N0X1A/B/C– Medical Service person who has been examined and certified by and seven (7) hours of HIV/AIDS awareness training.

the secretary as a first responder to render 1) They must be associated with an Emergency Medical Services "First Responder" HM 8406- Basic Medical Technician prehospital EMS care as defined by RCW (EMS) agency that is licensed by the department of health 18.73.081. Hospital Services (HS) Technician - 2) They must be recommended for certification by the medical Credential Type: Certification USCG program director of the county in which the applicant wishes 1) Education - HS grad or GED; to work. Special Information: The students are 2) Official transcript(s); certified to the national standards of 3) PDQs - must answer personal data questions Emergency Medical Technician-Basic and provide appropriate explanation and (EMT-B). required documentation for all positive answers; 4) Exam: a) Successful completion of an EMR course conducted IAW the Nat’l DOT EMS education standards and instructional guidelines or completed course work that is consistent with the standards and guidelines; b) Successful completion of the NREMT cognitive and psychomotor exams for EMR; 5) Must be 18 years of age; 6) Other requirements - Seven clock hours HIV/AIDS training.

Important Note: To be credentialed by the DOH applicants are required to be associated with one of the following: a) An EMS agency licensed by DOH (aid or ambulance service); b) A law enforcement agency; c) A business with an organized industrial safety team; d) Senior EMS instructors or coordinators teaching at DOH-approved EMS training programs who are not able to be associated with approved agencies. Applicants must be recommended for certification by the Physician Medical Program Director (MPD) of the county in which they are applying to work in. DOH Profession USA-Military Occupational Specialty (MOS) SB 5307 - Military Education, Training "Gap Analysis" USAF-Air Force Specialty Code (AFSC) and Experience Equivalency Evaluation to be approved by Board, Commission or Secretary USN-Navy Enlisted Classification (NEC)

1. Emergency 68W- Health Care Specialist Chapter 18.73 RCW, 246-976 WAC or Gap: Applicant must have a current NREMT exam credential Chapter 18.71 RCW, 246-976 WAC Medical Technician 68W (ASI "F2")- Flight Medic AND still on Active Duty or one of the below situations applies (EMT) (Paramedic) Definition(s): An EMT means a person who and seven (7) hours of HIV/AIDS awareness training. 18D- Special Operations Medical Sergeant has been examined and certified by the Important Note: To be credentialed by the department of health secretary as an EMT to render prehospital applicants are required to be associated with one of the following: 2. Advanced 4M0X1- Aerospace and Operational Emergency Medical Service (EMS) care. a) An EMS agency licensed by DOH (aid or ambulance service); Emergency Medical Physiology An AEMT is trained under the supervision Technician b) A law enforcement agency; 4N0X1A/B/C– Medical Service of an approved medical program director c) A business with an organized industrial safety team; (AEMT) 4N0X1C- Independent Duty Medical according to training standards prescribed in Technician rule to perform specific phases of advanced d) Senior EMS instructors or coordinators teaching at DOH- cardiac and trauma life support under written approved EMS training programs who are not able to be 4N0X1F- Flight and Operational Medical 3. Advanced or oral authorization of an approved licensed associated with approved agencies. Technician (New in 2014) Emergency Medical physician. Technician - e) Applicants must be recommended for certification by the Paramedic Hospital Services (HS) Technician - Credential Type: Certification Physician Medical Program Director (MPD) of the county in USCG which they are applying to work in. (EMT-P) 1) Education - Successful completion of the EMT, AEMT or EMT-P certification Special Information: All students are examination including written and practical certified through the National Registry of skills exams; EMT’s (NREMT) with potential to obtain 2) 18 years of age and HS diploma or GED; "Advanced" certification if meeting all requirements and endorsed through his/her 3) Official transcript(s); military service branch. 4) Personal data questions - Applicant must answer personal data questions and provide HM 8406- Basic Medical Technician & appropriate explanation and required Independent Duty Medical Technician documentation for all positive answers; Special Information: Currently, it is "optional" for USN personnel to take the 5) Other requirements - Seven (7) clock NREMT exam at this level although they hours HIV/AIDS training. do have potential to obtain "advanced" certification if meeting all requirements and endorsed through his/her military service branch.

Physical Therapist 68F- Physical Therapy Specialist Chapter 18.74.038 RCW, 246-915 WAC Gap: Seven (7) hours of HIV/AIDS training; METC curriculum is Assistant Definition: Physical therapist assistant" currently recognized as equivalent by the board, so if the applicant 4J032- Physical Medicine Apprentice (PTA) means a person who meets all the has passed the NPTE national exam, then they can be licensed;

requirements of this chapter and is licensed HM 8466- Physical Therapy Technician Additionally applicants may be granted an interim or temporary as a physical therapist assistant and who credential may be granted if all education requirements met in performs physical therapy procedures and lieu of completing the online jurisprudence examination; attain related tasks that have been selected and a passing score on the National Physical Therapy Examination delegated only by the supervising physical (NPTE). therapist. However, a physical therapist may not delegate sharp debridement to a physical Temporary Permit - Per WAC 246-915-075, unless there therapist assistant. is a basis for denial of a PT or PTA license, an applicant who is licensed in another jurisdiction shall be issued a temporary Credential Type: License practice permit after receipt of the following documentation: 1) Education: a) completed PT or PTA license application; Graduation from a nationally accredited, b) payment of fee; board approved school. Per WAC 246-915- c) required application documents; 105, a "board approved” PTA program shall d) granted 90 days to complete AIDS training; mean a U.S. PTA education program e) temp permit to expire upon issuance of a license; accredited by the American Physical Therapy f) no further temp permits if not completing application process. Association's Commission on Accreditation Interim Permit - Applicants who have not previously taken in PT Education or a US Military PT the PT exam or not held an interim or temporary permit in WA technician program that is substantially or other states are eligible for an interim permit under RCW equivalent to an accredited US PTA 18.74.075. program. Exam - Per RCW 18.74.038, the board will waive the exam and 2) Official Transcript(s) - Military forms grant a license to a person who meets the commonly accepted and transcripts; standards for practicing as a PTA, as adopted by rule. Persons 3) Personal Data Questions - Applicant must eligible for licensure as a PTA under this section must apply for answer personal data questions and provide a license within one year of 7/1/08. appropriate explanation and required documentation for all positive answers; Military Bridge PTA Program information. 4) Other Requirements - Seven (7) hours HIV/AIDS training.

Occupational 68L- Occupational Therapy Specialist Chapter 18.59 RCW, 246-847 WAC Gap: None with seven (7) hours of HIV/AIDS training; METC curriculum is currently recognized as equivalent by the board, so if the Therapist Assistant Definition: "Occupational therapy assistant" 4J0X2A- Physical Medicine Apprentice, applicant has passed the NBCOT exam, then they can be licensed; means a person licensed to assist in the (OTA) Orthotic practice of occupational therapy under the Additionally a limited or temporary credential may be granted if all education requirements met in lieu of completing the Online jurisprudence HM 8467- Occupational Therapy Assistant supervision or with the regular consultation exam and attaining a passing score on the NBCOT exam. of an occupational therapist. Limited Permit - is available only to new graduates waiting for the Credential Type: License National Board for Certification in Occupational Therapy (NBCOT, formerly AOTCB) examination or results. You must have graduated from 1) Education - Graduation from a nationally an approved program. Please refer to RCW 18.59.040(7) and WAC 246- accredited, board approved school. Per WAC 847-010(8) and WAC 246-847-115. Note: A full license will not be 246-847-050, The board recognizes and issued to you until an official transcript has been received. approves courses of instruction conducted Note: USAF does not have a direct OTA program; Only graduates of the by schools that have obtained approval of the physical medicine apprentice program may attend the Physical Medicine Apprentice, Orthotics program. An Associate’s degree through the CCAF occupational therapy assistant associate degree is possible, however, transcripts and education may need to be reviewed programs and occupational therapy assistant on a case-by-case basis to determine eligibility for certification as an certificate programs from the American OTA. Occupational Therapy Association's Temporary permits per WAC 246-847-117 - 1) Unless there is a basis Accreditation Council for OT education as for denial of an OT or OTA license, an applicant who is currently licensed recognized in the current Listing of Educational in a jurisdiction considered by the board to have licensing standards Programs in OT published by the American substantially equivalent to WA shall be issued a temporary practice permit Occupational Therapy Association, Inc. after receipt of the following documentation by DOH: a) Submission of a completed OT or OTA application on which 2) Official transcript(s) - Military forms and the applicant indicates that he or she wishes to receive a temporary transcripts; Your transcripts must show practice permit; successful completion of your fieldwork and b) Payment of the application fee and temporary practice permit fee; and degree conferred c) Direct written verification of current licensure from the state whose 3) Personal data questions - Applicant must licensing standards are substantially equivalent to WA; answer personal data questions and provide 2) The temporary practice permit shall expire upon the issuance of a appropriate explanation and required license by the board; initiation of an investigation by the board; or ninety documentation for all positive answers; days, whichever occurs first; 4) Other requirements - Must study the WA 3) An applicant who receives a temporary practice permit and who does not complete the licensure application process shall not receive additional State OT Practice Laws (RCW 18.59 and WAC temporary practice permits even upon submission of a new application in 246-847) and successfully pass the the future. Jurisprudence Exam, print your certificate 4) Exam -NBCOT Verification. If you have taken the NBCOT exam, you and include with the application packet; must have the NBCOT send a letter of good standing and/or verification 5) Seven (7) hours HIV/AIDS training. of having passed the NBCOT examination directly to us. To have verification sent to this office, contact the National Board for Certification in Occupational Therapy, Inc., 12 S Summit Ave, Suite 100, Gaithersburg, MD 20877-4150 or call 301.990.7979.

X-Ray Technician 68P- Radiology Specialist Chapter 18.84 RCW , 246-926 WAC Gap: Seven (7) hours, HIV/AIDS training; Military training for all three services exceeds the education requirement of degree 68P (ASI "M5")- Nuclear Medicine Definition: Registered X-Ray Technician means a person who is registered with the from an accredited institution. Also, work experience. 4R0X1– Diagnostic Imaging DOH who applies ionizing radiation at the direction of a licensed practitioner and who Note: As a condition of employment, applicant should be aware HM 8451- Basic X-Ray Technician does not perform parenteral procedures. that hiring agency might require recognized national certification and or credentialing. HM 8452- Advanced X-Ray Technician Credential Type: Registration HM 8407- Radiation Health Services 1) Education - No formal education requirement to "Register" however, must HM 8416- Nuclear Medicine Technologist show on application work history Hospital Services (HS) Technician - (professional training & experience) in USCG complete chronology including employment in radiologic technology field; 2) Official transcript(s); 3) Personal data questions -Applicant must answer personal data questions and provide appropriate explanation and required documentation for all positive answers; 4) Exam - N/A; 5) Other requirements - Seven (7) clock hours HIV/AIDS training.

Radiological 68P- Radiology Specialist Chapter 18.84 RCW, 246-926 WAC Gap: Seven (7) hours HIV/AIDS training; Military training for all Technologist (RT) three services meets the education requirement of degree from an 68P (ASI "M5")- Nuclear Medicine Definition: RT means an individual certified accredited institution plus proof of passing score on one or more of under chapter 18.84 RCW as: the accepted certification examinations. This includes minimal 4R0X1– Diagnostic Imaging a) Diagnostic RT, a person who handles x-ray required work experience. equipment in the process of applying radiation HM 8451- Basic X-Ray Technician on a human being for diagnostic purposes. a) Graduation from a program in radiography accredited by the Joint This is at the direction of a licensed Review Committee on Education in Radiologic Technology HM 8452- Advanced X-Ray Technician practitioner. It includes parenteral procedures (JRCERT) or Joint Review Commission for Nuclear Medicine HM 8407- Radiation Health Services related to radiologic technology when Technologists (JRCNMT); Or performed under the direct supervision of b) Registration as a diagnostic RT with the American Registry of HM 8416- Nuclear Medicine Technologist a physician licensed under chapter 18.71 Radiologic Technologists (ARRT); Or or 18.57 RCW. c) Baccalaureate, associate or higher degree in one of the physical, b) Therapeutic RT, a person who uses biological sciences, or allied health care professions or meet the radiation-generating equipment for therapeutic requirements for certification as a diagnostic radiologic technologist purposes on human subjects. This is at the or nuclear medicine technologist and must have obtained a minimum direction of a licensed practitioner. It includes of three years clinical supervised practice experience in diagnostic or parenteral procedures related to radiologic therapeutic radiologic technology, Or technology when performed under the direct d) two years clinical supervised practice experience in nuclear supervision of a physician licensed under medicine Or chapter 18.71 or 18.57 RCW. e) Alternative training per (246-926-100, 110, 120, 130) - c) Nuclear medicine technologist, a person information. prepares radiopharmaceuticals and administers them to human beings for diagnostic and therapeutic use. They perform in vivo and in vitro detection and measurement of radioactivity for medical purposes at the direction of a licensed practitioner.

Credential Type: Certification 1) Education - a) H.S. grad or GED; 2) Official transcript(s) - Degree with Date; 3) Exam: The Washington state certification examinations for radiography (diagnostic), radiation therapy, and nuclear medicine technology are administered by the ARRT Or WA State examination; 4) Seven (7) hours HIV/AIDS training.

Radiologist Assistant 68P- Radiology Specialist Chapter 18.84 RCW and Chapter 246-926 Gap: No direct equivalent military training to the requirements (Advanced level for Radiologist Assistant. However, individuals with advanced 68P (ASI "M5")- Nuclear Medicine Definition: Radiologist Assistant is an Radiologic skill levels and training may meet requirements listed, so the military advanced level certified diagnostic radiologic Technologist; training and experience record must be evaluated on a case-by-case technologist who assist radiologists by equivalent to a PA) 4R0X1– Diagnostic Imaging basis. performing advanced diagnostic imaging Military training is JST accredited, so it can be used towards HM 8451- Basic X-Ray Technician procedures. completion of R.R.A. certification (i.e. at Bellevue College for HM 8452- Advanced X-Ray Technician Credential Type: Certification "gap" training plan); Also seven (7) hou rs HIV/AIDS training. HM 8407- Radiation Health Services 1) Education/Examination - Graduation from Additional info: If the applicant has graduated from an American an American Registry of Radiologic Association of Radiologic Technologists accredited program as a HM 8416- Nuclear Medicine Technologist Technologists (ARRT) accredited program radiologist assistant, then they may be licensed. IF the applicant for radiologist assistants. A passing score on has JST accredited training from the military, then they may use the ARRT Radiologist Assistant that towards completion of the RAA certification. examination; Education Requirements for Registered Radiologist Assistant 2) Official transcript(s) with degree date; (R.R.A.) Certification - To be eligible for Registered Radiologist Assistant (R.R.A.) certification, candidates must be certified and 3) Work history - Complete chronology from registered in Radiography, successfully complete a radiologist date education is completed of all assistant (RA) educational program that meets the ARRT's employment (experience) in radiological recognition criteria, and hold a baccalaureate degree from an technology field; accredited educational institution (Note: the degree does not have 4) Personal data questions - Applicant must to have been awarded by the RA program). answer personal data questions and provide In addition, candidates must have completed at least one year of appropriate explanation and required full-time clinical experience (or equivalent) following the radiography documentation for all positive answers; certification. The clinical experience may be earned concurrent to 5) Other requirements - Seven hours the RA educational program, but may not be satisfied with RA HIV/AIDS training. educational program activities. The clinical experience must be patient-care related at the professional level. This experience will likely be earned as a staff radiographer; however, it could include related healthcare experience such as that earned as an emergency medical technician (EMT). All didactic and clinical requirements can be found in the handbook on their website.

Cardiovascular 68N- Cardiovascular Specialist Chapter 18.84 RCW, 246-923 WAC Gap: USA and USN personnel with seven (7) of AIDS/HIV training and proof of passing a recognized certification exam - military Invasive Specialist Definition: CIS assists in cardiac or vascular training meets DOH equivalency requirements. (CIS) 4H031– Cardiopulmonary Laboratory catheterization procedures under the personal supervision of a licensed physician. Note: USA and USN personnel are required to pass the national HM 8408- Cardiovascular Technician Credential Type: Certification exam to be occupational qualifie d; 1) Education: Graduation from an approved USAF personnel are not allowed to take the exam until proof of two accredited program for cardiovascular invasive (2) years of clinical experience. Then they are eligible to take the specialist and subsequent passage of the Invasive Registry (RCIS) or Electrophysiology Registry (RCES) National Exam; examination administered by Cardiovascular Credentialing International (CCI). Military training accredited by the Joint Review 2) Official transcript(s) and official results from Committee on Education in Cardiovascular Technology. one of the following national examinations: (a) Registered Cardiovascular Invasive If an applicant has passed one of the recognized national examinations, i.e. the Cardiovascular Credentialing International Specialist (RCIS) through the Cardiovascular Credentialing International (CCI); (CCI), then may be licensed. (b) Registered Cardiac Electrophysiology Specialist (RCES) through CCI; (c) Heart Rhythm Society (HRS) through the International Board of Heart Rhythm Examiners (IBHRE), formerly the North American Society of Pacing and Electrophysiology (NASPE); (d) Cardiac Interventional Radiographer (RTR-CI) post primary exam through the American Registry of Radiologic Technologists (ARRT); (e) Vascular Interventional Radiographer (RTR-VI) post primary exam through the ARRT; Or (f) Cardiovascular Interventional Radiographer (RTR-CV) post primary exam through the ARRT. 3) Work history - Complete chronology from date education is completed of all employment (experience) in radiological technology field; 4) PDQs; 5) Other - Seven (7) hours HIV/AIDS training.

Nursing Assistant 68W- Health Care Specialist and most all Chapter 18.88 RCW, 246-841 WAC Gap: Seven (7) hours of AIDS/HIV education. other 68 occupational specialties where Registered (NA-R) Definition: "NA" means an individual, RCW 18.88A.030 - Scope of practice — Nursing home NA-R might be a prerequisite to regardless of title, who, under the direction employment — Voluntary certification — Rules. employment. and supervision of a RN or LPN, assists in 1. the delivery of primarily "in-patient" bedside 4N031- Aerospace Medical Service a) A NA may assist in the care of individuals as delegated by nursing and nursing-related activities to Apprentice and under the direction and supervision of a licensed RN or LPN; patients in a health care facility which 4N051- Journeyman include hospitals and or nursing homes. b) A health care facility shall not assign a NA-R to provide care until the NA-R has demonstrated skills necessary to 4N071- Craftsman Credential Type: Registration perform competently all assigned duties and responsibilities. 4N091- Superintendent Emergency 1) Education - No formal education c) Nothing in this chapter shall be construed to confer on Medical Technicians and Paramedics requirements; a NA the authority to administer medication unless delegated 2) Official transcript(s); as a specific nursing task pursuant to this chapter or to practice HM- Hospital Corpsman (HM) as a licensed RN or LPN as defined in chapter 18.79 RCW. 3) Personal Data Questions and required Hospital Services (HS) Technician - documentation for all positive answers; 2. USCG 4) Exam - The commission shall examine a) A NA employed in a nursing home must have successfully each applicant, by a written or oral and a obtained certification through: manual component of competency (i) An approved training program and the competency evaluation. evaluation within four (4) months after the date of employment; The competency evaluation shall be limited Or to the purpose of determining whether the (ii) Alternative training and the competency evaluation prior to applicant possesses the minimum skill and employment. knowledge necessary to practice b) Certification is voluntary for nursing assistants working in competently; health care facilities other than nursing homes unless otherwise 5) Other requirements - Seven (7) clock required by state or federal law or regulation. hours HIV/AIDS training. 3. a) The commission may adopt rules to implement the provisions of this chapter.

Nursing Assistant 68W- Health Care Specialist Chapter 18.88A RCW, 246-841 WAC Gap: Seven (7) hours of AIDS/HIV training per Chapter 18.88A RCW, 246-841 WAC); Military personnel may meet may meet the training Certified (NA-C) 68C- Practical Nursing Specialist Definition: "NA" means a person, regardless of requirements when all criteria have been satisfied. title, who, under the direction and supervision 68D- Operating Room Specialist of a RN or LPN, assists in the delivery of Additionally, the Omnibus Budget Reconciliation Act (OBRA) maintains a database of individuals who meet the federal requirements to provide 68N- Cardiovascular Specialist nursing and related activities to pts in a HCF usually in an inpatient setting. caregiving to residents residing in skilled nursing facilities in WA ST. The Registry also informs nursing home staff, through an inquiry process, 4N031- Aerospace Medical Service Credential Type: Certification of persons who are ineligible to work in a skilled nursing home due to Apprentice 1) Education – Complete an approved training findings of abuse, neglect, or misappropriation of property. 4N051- Journeyman program or successfully complete Alt. training A nursing assistant’s name is added to the registry by: meeting established criteria adopted by the 1) Completing NAC training and passing both written and skills exams; 4N071- Craftsman commission under RCW 18.88A.087; and successfully complete competency evaluation. 2) Being inter-state endorsed to Washington from another state; 4N091- Superintendent Emergency 3) Becoming ineligible to work in a nursing facility due to state Medical Technicians and Paramedics (a) 35hrs of classroom (CR) training, a min. of 7hrs must be in AIDS education as required disciplinary action or findings of abuse or neglect in Washington or by Ch. 246-12 WAC, Part 8. another state; HM- Hospital Corpsman (HM) (b) Of the 50 hrs. of clinical training, at least 4) Becoming Federally sanctioned from working in a nursing facility. Hospital Services (HS) Technician - 40 clinical hrs. must be in the practice setting. Once a nursing assistant candidate passes the written and skills exam, Washington’s testing contractor (currently Pearson Vue) provides the USCG (c) Training to orient the student to the HCF Registry with test results for downloading into the registry. This download and policies and procedures are not to be enters the individual’s identification information and their NA exam included in the min. hours above. results into the Washington Nurse Aide Registry; 2) Each unit of core curriculum will have: More information. (a) Behavioral objectives, which are Alternative training: The commission shall adopt criteria for evaluating statements of specific observable actions and an applicant's alternative training to determine the applicant's eligibility to behaviors that the learner is to perform or take the competency evaluation for nursing assistant certification. At least exhibit. one option adopted by the commission must allow an applicant to take the (b) An outline of info the learner will need to competency evaluation if he or she: know in order to meet the objectives. (a) Is a certified home care aide pursuant to chapter 18.88B RCW; (c) Learning activities such as lecture, Or discussion, readings, film, or clinical practice designed to enable the student to achieve the (b) Is a certified medical assistant pursuant to a certification program stated objectives. accredited by a national medical assistant accreditation organization and approved by the commission and the Omnibus Budget Reconciliation Act (d) Clinical teaching in a competency area is registry required if applying for endorsement. closely related with CR teaching to integrate knowledge with manual skills. Note: The commission shall examine each applicant, by a written or oral and a manual component of competency evaluation. 3) Official transcript(s); Note: The competency evaluation shall be limited to the purpose of 4) PDQs; determining whether the applicant possesses the minimum skill and 5) Must pass competency exam/eval. knowledge necessary to practice competently. 6) Seven (7) hours HIV/AIDS tng. DOH Profession USA-Military Occupational Specialty (MOS) SB 5307 - Military Education, Training "Gap Analysis" USAF-Air Force Specialty Code (AFSC) and Experience Equivalency Evaluation to be approved by Board, Commission or Secretary USN-Navy Enlisted Classification (NEC)

Respiratory Care 68V- Respiratory Specialist Chapter 18.89 RCW, 246-928 WAC Gap: USA and USN personnel with seven (7) hours of Therapist *Skill Levels 1-5 HIV/Bloodborne pathogen training and proof of completed Definition: A respiratory care practitioner is military program and passed national exam; Fully equivalent to (RCT) a person who adopts or uses any title or any 4H031- Cardiopulmonary Laboratory DOH requirements. description of services which incorporates Apprentice one or more of the following terms or 4H051- Cardiopulmonary Laboratory designations: USAF personnel not eligible for associates’ degree and to sit for Journeyman 1) RT; the CRT exam until they are qualified at the "phase 5" level (4H051); a record review may be conducted for evaluation of 4H071- Cardiopulmonary Laboratory 2) RCP; equivalent military training and experience. Craftsman 3) Respiratory care practitioner; If the applicant passes the DOH approved competency skills 4H091- Cardiopulmonary Laboratory 4) Respiratory therapist; exam, then they may become certified. Superintendent 5) Respiratory technician; 6) Inhalation Therapist, or HM 8451- Respiratory Therapy 7) Any other words, abbreviation, or insignia Technician indicating that he or she is a respiratory care practitioner. Credential Type: License 1) Education -Graduation from a school approved by the secretary. Per WAC 246- 928-520, an approved program is accredited by the Committee on Accreditation for Respiratory Care (COARC); 2) Official transcript(s); 3) Personal data questions; 4) Exam - Successful completion of the National Board for Respiratory Care (NBRC) examination; 5) Other requirements - Seven (7) clock hours HIV/AIDS training.

MA-Registered 68W- Health Care Specialist Medical Assistant Law, RCW 18.360, Gap: Seven (7) hours of AIDS/HIV training. WAC 246-827 (MA-R) 68C- Practical Nursing Specialist Note: An applicant for registration as a medical assistant- Definition: Medical Assistant Registered registered who applies to the department within seven days Medical Assistant 68D- Operating Room Specialist Registered will continue to are allied health professionals who work of employment by the endorsing health care practitioner, clinic, use the existing system, 68N- Cardiovascular Specialist primarily in ambulatory settings (clinics and or group practice may work as a medical assistant-registered but if they arrive at this medical offices) under the supervision of for up to sixty days while the application is processed; system in error, we’ll 68U- Ear, Nose, and Throat Specialist redirect them back to the physicians. The applicant must stop working on the sixtieth day of DOH website for details on 68V- Respiratory Specialist how to use the other Credential Type: Registration employment if the registration has not been granted for any system. 68Y- Eye Specialist reason. Other Requirements: 68Z- Chief Medical NCO Endorsement - A medical assistant-registration may be issued 1) Complete and submit a department of if you have a current endorsement from a healthcare practitioner, health application with an original signature, clinic, or group practice -and you must: 4N031- Aerospace Medical Service date, and fee; Apprentice 2) Completion of high school education or its 1) Have a current attestation signed by a healthcare practitioner or 4N051- Journeyman equivalent; representative of a clinic or group practice to perform specific medical tasks filed with the department in which you work. 4N071- Craftsman 3) The ability to read, write, and converse in the English language; Note: You may only perform the medical tasks listed in your 4N091- Superintendent Emergency current attestation for endorsement. 4) Seven hours HIV/AIDS training; Medical Technicians and Paramedics 5) Personal data questions. 2) Your endorsement is valid as long as you are continuously employed as a medical assistant-registered by the same health care HM- Hospital Corpsman practitioner, clinic, or group practice and you renew your registration; Hospital Services (HS) Technician - USCG 3) Your registration based on an endorsement by a healthcare practitioner, clinic, or group practice is not transferable to another healthcare practitioner, clinic, or group practice.

MA-Certified / 68W- Health Care Specialist Medical Assistant Law, RCW 18.360, Gap: 1) Written clinical examination (must pass), seven (7) hours Medical Assistant WAC 246-827 of AIDS/HIV training and proof of a clinical externship of no less 68C- Practical Nursing Specialist Interim Certification than 160 hours and per chapter 18.88A RCW, 246-841 WAC, Definition: Medical Assistant-Certified or 68D- Operating Room Specialist (MA-C / MA-IC) Interim are allied health professionals who 2) Enlisted medical specialist and or corpsmen training may We are pleased to meet the training requirements after thorough review. If training announce the release of 68N- Cardiovascular Specialist work primarily in ambulatory settings the medical assistant (clinics and medical offices) under the deemed equivalent, military personnel may qualify for "Interim" 68Z- Chief Medical NCO application to the new supervision of physicians. certification. Department of Health Online Application Portal. MA-C's are capable of doing both clinical Education and Training Requirements This application is for 4N031- Aerospace Medical Service and administrative procedures, and are Successful completion of one of the following medical assistant Medical Assistant Apprentice educated and tested in such procedures. Certified, Medical training programs: 4N051- Journeyman Assistant Interim Credential Type: Certification Certification, Medical 1) Post-secondary school or college program accredited by the 4N071- Craftsman Assistant Phlebotomist, Other requirements: Accrediting Bureau of Health Education School (ABHES) Or and Medical Assistant 4N091- Superintendent Emergency Hemodialysis Technician. 1) Complete and submit a department of 2) The Commission on Accreditation of Allied Health Education Applicants applying for a Medical Technicians and Paramedics health application with an original signature, Programs (CAAHEP); Or Medical Assistant Registered will continue to date, and fee; 3) Post-secondary school or college accredited by a regional or use the existing system, HM- Hospital Corpsman 2) Completion of high school education national accrediting organization approved through the U.S. but if they arrive at this Department of Education, which includes a minimum of 720 system in error, we’ll Hospital Services (HS) Technician - or its equivalent clock hours of training in medical assisting skills, including redirect them back to the USCG 3) The ability to read, write, and converse DOH website for details on in the English language; a clinical externship of no less than 160 hours; Or how to use the other system. 4) Seven (7) hours HIV/AIDS training; 4) A registered apprenticeship program administered by a department of the state of Washington unless the secretary Information on how to 5) Personal data questions access the new online determines that the apprenticeship program training or experience application is available on is not substantially equivalent to the standards of this state; Or the department's website on the profession’s page. 5) The Secretary may also approve an applicant who submits Check out the features of documentation that he or she completed post-secondary education the online application with a minimum of 720 clock hours of training in medical portal on YouTube. Additional information for assisting skills; Also documentation must include proof of training you regarding the Online in all of the duties identified in RCW.18.360.050(1) and a clinical Application Portal is externship of no less than 160 hours; Or available on the S: drive. Please direct customers to 6) Military training or experience satisfies the training or the OCS call center for experience requirements unless the secretary determines that assistance with the the military training or experience is not substantially equivalent system. to the standards of this state; must provide official transcripts showing proof of your education, training, and experience.

MA-Phlebotomist 68W- Health Care Specialist Medical Assistant Law, RCW 18.360, Gap: Seven (7) hours of HIV/Aids training per duties identified WAC 246-827 in RCW.18.360.050(1). (MA-P) 68C- Practical Nursing Specialist

Definition: Medical Assistant-Phlebotomist are 68D- Operating Room Specialist We are pleased to allied health professionals who work primarily Note: You may not practice as a medical assistant-phlebotomist announce the release of 68N- Cardiovascular Specialist in ambulatory settings (clinics and medical without a valid credential; transcripts should clearly specify proof the medical assistant offices) under the supervision of physicians. of submit the phlebotomy training or completed program from application to the new 68Z- Chief Medical NCO Department of Health a supervising health care practitioner by attestation then may be Credential Type: Certification Online Application Portal. certified. This application is for 4N031- Aerospace Medical Service Other requirements: Medical Assistant Apprentice Certified, Medical 1) Complete and submit a department of health Assistant Interim 4N051- Journeyman application with an original signature, date, Certification, Medical and fee; Assistant Phlebotomist, 4N071- Craftsman and Medical Assistant 2) Completion of high school education or Hemodialysis Technician. 4N091- Superintendent Emergency its equivalent; Applicants applying for a Medical Technicians and Paramedics 3) The ability to read, write, and converse Medical Assistant Registered will continue to in the English language; HM- Hospital Corpsman (HM) use the existing system, 4) Seven (7) hours HIV/AIDS training; but if they arrive at this system in error, we’ll Hospital Services (HS) Technician - 5) Personal data questions redirect them back to the USCG DOH website for details on Education and training requirements: how to use the other system. 1) Successful completion of a phlebotomy program through a post-secondary school or Information on how to access the new online college accredited by a regional or national application is available on accrediting organization recognized by the the department's website U.S. Department of Education Or; on the profession’s page. Check out the features of 2) Successful completion of a phlebotomy the online application training program as attested by the phlebotomy portal on YouTube. training program's supervising healthcare Additional information for practitioner Or; you regarding the Online Application Portal is 3) Military training or experience satisfies the available on the S: drive. training or experience requirements unless the Please direct customers to secretary determines that the military training the OCS call center for or experience is not substantially equivalent to assistance with the system. the standards of this state.

MA-Hemodialysis 68C (ASI “M3”)- Practical Nursing Medical Assistant Law, RCW 18.360, Gap: Seven (7) hours of AIDS education and proof of national Specialist (Dialysis) WAC 246-827 credential as a hemodialysis technician, which is substantially We are pleased to equivalent to the WA ST hemodialysis-training program. announce the release of 68C- Practical Nursing Specialist Definition: Medical Assistant-Hemodialysis the medical assistant Technician are allied health professionals Per WAC 246-827-0500(1)(c)(ii); Military training or experience application to the new who work primarily in ambulatory settings satisfies the training or experience requirements unless the 4N031- Aerospace Medical Service Department of Health (clinics and medical offices) under the secretary determines that the military training or experience Online Application Portal. Apprentice This application is for supervision of physicians. is not substantially equivalent to the standards of this state. Medical Assistant 4N051- Journeyman Certified, Medical Credential Type: Certification Note: You may not practice as a medical assistant-hemodialysis Assistant Interim 4N071- Craftsman without a valid credential. Other Requirements: Certification, Medical 4N091- Superintendent Emergency Assistant Phlebotomist, 1) Complete and submit a department of Education and Training Requirements and Medical Assistant Medical Technicians and Paramedics health application with an original signature, Hemodialysis Technician. Successful completion of a hemodialysis training program: Applicants applying for a date, and fee; Medical Assistant HM 8434- Hemodialysis/ Aphaeresis a) Approved by the facility medical director and governing body; Registered will continue to 2) Completion of high school education or Technician ) Under the direction of a registered nurse; use the existing system, its equivalent; b but if they arrive at this 3) The ability to read, write, and converse c) Focused on the operation of kidney dialysis equipment and system in error, we’ll machines; and Providing direct patient care, including patient redirect them back to the in English language; sensitivity training and care of difficult patients; Or DOH website for details on 4) Basic math skills including the use of how to use the other d) You have a national credential as a hemodialysis technician system. fractions and decimal points; which is substantially equivalent to the hemodialysis training 5) Current cardiopulmonary resuscitation Information on how to program. See WAC 246-827-0500(1)(c)(ii); Or access the new online (CPR) certification; e) Military training or experience satisfies the training or application is available on 6) Seven (7) hours HIV/AIDS training; the department's website experience requirements unless the secretary determines that the on the profession’s page. 7) Personal data questions military training or experience is not substantially equivalent to Check out the features of the online application the standards of this state. portal on YouTube. Additional information for you regarding the Online Application Portal is available on the S: drive. Please direct customers to the OCS call center for assistance with the system.

Agency Affiliated 68X - Behavioral Health Specialist Chapter 18.19 RCW, Chapter 246-810 WAC Gap: Usually in WA State, there is a requirement for NA-R or Counselor MA-R credential in order to employed as a Mental Health Definition(s): (1) "Agency" means: Technician; Also four (4) hours of AIDS/HIV training. 4C0X1 - Mental Health Service (a) an agency or facility operated, licensed, Note: Hiring agency must be "Agency-Affiliated as recognized by or certified by the state of Washington; the Department of Health per WAC 246-810-016; Military education, training and experience meets or exceeds requirements HM 8485 - Psychiatry Technician (b) a federally recognized Indian tribe located within the state; Or for "Registration" as a MHT and NA-R or MA-R. Hospital Services (HS) Technician - (c) a county. Additional Info: An agency-affiliated counselor may only USCG provide counseling services as part of his or her employment for a (2) "Agency affiliated counselor" means a person registered under this chapter who is recognized agency. engaged in counseling and employed by an Applicants for an agency affiliated counselor credential who apply agency. within seven days of employment may provide services within the "Agency affiliated counselor" includes juvenile agency for up to 60 days while the department processes their probation counselors who are employees of the application. juvenile court under RCW 13.04.035 and Agency affiliated counselors must notify the department within 30 13.04.040 and juvenile court employees calendar days if they're no longer employed by the agency providing functional family therapy, aggression identified on their application, are now employed with another replacement training, agency or both. or other evidence-based programs approved by the juvenile rehabilitation administration of the Agency affiliated counselors may not practice counseling unless department of social and health services. they are employed by an agency.There are no continuing education requirements at this time. The Department of Health Credential Type: Registration will establish and implement this requirement at a later date. Other Requirements: 1) Education - No formal educational requirement; 2) Official transcripts (if applicable); 3) Personal data questions - Applicant must answer personal data questions and provide appropriate explanation and required documentation for all positive answers; 4) Exam - N/A; 5) Other requirements - Four (4) clock hours HIV/AIDS training.

Surgical Technologist 68D- Operating Room Specialist Chapter 18.215 RCW, 246-939 WAC Gap: Seven (7) hours of AIDS/HIV training; Military training exceeds the requirements for "Registration”. Definition: "Surgical technologist" means a person, regardless of title, who is supervised 4N131- Surgical Services Apprentice in the surgical setting under the delegation of Note: As a condition of employment, applicant should be aware authority of a health care practitioner acting that hiring agency may require recognized national certification within the scope of his or her license and and or credentialing. HM 8483- Surgical Technologist under the laws of this state. Hospital Services (HS) Technician - Credential Type: Registration USCG Other Requirements: 1) Education - No formal educational requirement; 2) Official transcript(s); 3) Personal data questions - Applicant must answer personal data questions and provide appropriate explanation and required documentation for all positive answers; 4) Exam - N/A; 5) Other requirements - Seven (7) clock hours HIV/AIDS training.

Veterinarian 68R- Veterinary Food Inspection Chapter 18.92 RCW, 246-937 WAC Gap: Four (4) hours of AIDS/HIV training; Military training Medical Clerk Specialist Definition: "Registered veterinary medication exceeds the requirements for "Registration”. 68S- Preventive Medicine Specialist clerk" means a person who has satisfactorily completed a board-approved training program 68T- Animal Care Specialist developed in consultation with the pharmacy quality assurance commission and designed to 4E0X1 - Public Health prepare persons to perform certain nondiscretionary functions defined by HM-8432 Preventive Medicine Technician the board and used in the dispensing of legend and non-legend drugs (except controlled substances as defined in or under chapter 69.50 RCW) associated with the practice of veterinary medicine.

Credential Type: Registration

Other Requirements: 1) Education - No formal education requirements; Min. educational requirement must be H.S. grad or equivalency and completion of OJT program);

2) Sponsor candidate affidavit signed by the employing Veterinarian, agreeing to sponsor candidate and ensuring applicant has met the training requirements;

3) PDQs – ALL questions must be answered. If there is a positive answer to the professional liability claims history question, the applicant must send an explanation of the nature of the case, data and summary of care given, copies of original complaint, and the settlement or final disposition. If pending, applicant must indicate status;

4) Four (4) hrs HIV/AIDS training.

Veterinarian 68R- Veterinary Food Inspection Chapter 18.92 RCW, 246-935 WAC Gap: Four (4) hours of AIDS/HIV training, verification of Technician (VT) Specialist passing scores on Veterinary Technician National Examination Definition: "VT" means a person who is (VTNE) and successful completion of the Washington State 68S- Preventive Medicine Specialist licensed by the board upon meeting the requirements of RCW 18.92.128.RCW Jurisprudence Examination. 68T- Animal Care Specialist 18.92.128 VT License Rules: Effective until July 1, 2015. Per WAC 246-935-060 - Eligibility for examination as 4E0X1 - Public Health (1) The board shall issue a VT license to an veterinary technician. individual who has: HM-8432 Preventive Medicine Technician (a) Successfully completed required exams Applicants must meet one of the following criteria to be eligible administered or approved by the board; and for the examination: (b) Successfully completed a post-H.S. course 1) Completion of a course in veterinary technician education as a approved by the board in the care and member of the United States military and completion of a tour of treatment of animals; Or active duty as a veterinary technician or specialist. (c) Completed, before July 1, 2015, five years' practical experience, acceptable to the board, with a licensed veterinarian. (2) The board shall adopt rules under chapter 34.05 RCW identifying standard tasks and procedures that must be included in the experience of a person who qualifies to take the VT examination through the period of practical experience required in subsection (1) (b) (ii) of this section, and requirements for the supervising veterinarian's attestation to completion of the practical experience and that training included the required tasks and procedures. Credential Type: License 1) Education - Graduation from an AVMA accredited school in Vet -Technology or 5 years of FT VT work experience or 2yrs from a non- accredited school and 3yrs of FT work experience. 2) Official transcripts; 3) PDQs; 4) Must pass in-state and Nat’l exams; 5) Four (4) hrs HIV/AIDS training

Nursing Assistant 68W- Health Care Specialist Chapter 18.88A RCW, 246-841 WAC Gap: Seven (7) hours of AIDS/HIV training per Chapter 18.88A RCW, 246-841 WAC); Military personnel may meet may meet the training Certified (Medication 68C- Practical Nursing Specialist Definition: A NA-C with a medication requirements when all criteria have been satisfied. Assistant assistant endorsement administers Endorsement) 68D- Operating Room Specialist medications and certain treatments to Additionally, the Omnibus Budget Reconciliation Act (OBRA) maintains a database of individuals who meet the federal requirements to provide 68N- Cardiovascular Specialist residents in a nursing home under the direct supervision of a designated registered nurse. caregiving to residents residing in skilled nursing facilities in WA ST. The Registry also informs nursing home staff, through an inquiry process, 4N031- Aerospace Medical Service Credential Type: Certification of persons who are ineligible to work in a skilled nursing home due to Apprentice 1) Education – Complete an approved findings of abuse, neglect, or misappropriation of property. 4N051- Journeyman training program or successfully complete A nursing assistant’s name is added to the registry by: Alt. training meeting established criteria 1) Completing NAC training and passing both written and skills exams; 4N071- Craftsman adopted by the commission under RCW 18.88A.087; and successfully complete 2) Being inter-state endorsed to Washington from another state; 4N091- Superintendent Emergency Medical competency evaluation. 3) Becoming ineligible to work in a nursing facility due to state Technicians and Paramedics (a) 35hrs of classroom (CR) training, a min. disciplinary action or findings of abuse or neglect in Washington or of 7 hrs. must be in AIDS education as another state; HM- Hospital Corpsman (HM) required by Ch. 246-12 WAC, Part 8. 4) Becoming Federally sanctioned from working in a nursing facility. Hospital Services (HS) Technician - USCG (b) Of the 50hrs of clinical training, at least Once a nursing assistant candidate passes the written and skills exam, 40hrs must be in the clin. practice setting. Washington’s testing contractor (currently Pearson Vue) provides the Registry with test results for downloading into the registry. This download (c) Training to orient the student to the HCF enters the individual’s identification information and their NA exam and policies and procedures are not to be results into the Washington Nurse Aide Registry; included in the min. hours above. More information. 2) Each unit of core curriculum will have: Alternative training: The commission shall adopt criteria for evaluating Behavioral objectives that are (a) an applicant's alternative training to determine the applicant's eligibility to statements of specific observable actions & take the competency evaluation for nursing assistant certification. At least behaviors the learner must perform or one option adopted by the commission must allow an applicant to take the exhibit. competency evaluation if he or she: (b) An outline of info the learner will need (a) Is a certified home care aide pursuant to chapter 18.88B RCW; or to know in order to meet the objectives. (b) Is a certified medical assistant pursuant to a certification program (c) Learning activities such as lecture, accredited by a national medical assistant accreditation organization and discussion, readings, film, or clinical approved by the commission and the Omnibus Budget Reconciliation Act practice designed to enable the student to registry required if applying for endorsement. achieve the stated objectives. Note: The commission shall examine each applicant, by a written or oral (d) Clinical teaching in a competency area and a manual component of competency evaluation. is closely related with CR teaching to Note: The competency evaluation shall be limited to the purpose of integrate knowledge with manual skills. determining whether the applicant possesses the minimum skill and 3) Official transcript(s); 4) PDQs; knowledge necessary to practice competently. 5) Must pass competency exam/evaluation. 6) Seven (7) hours HIV/AIDS training DOH Profession USA-Military Occupational Specialty (MOS) SB 5307 - Military Education, Training "Gap Analysis" USAF-Air Force Specialty Code (AFSC) and Experience Equivalency Evaluation to be approved by Board, Commission or Secretary USN-Navy Enlisted Classification (NEC)

Home Care Aides 68W- Health Care Specialist (USA) Chapter 18.88A RCW, 246-841 WAC Gap: Four (4) hours of AIDS/HIV training per Chapter 18.88A RCW, 246-841 WAC); Military personnel may meet may meet the training 68C- Practical Nursing Specialist (USA) Definition: Home care aides help care for requirements when all criteria have been satisfied. physically or mentally ill, injured, disabled 68D- Operating Room Specialist (USA) or infirm individuals who are confined to WAC 246-980-070 - Who is exempt from obtaining a home care aide 68N- Cardiovascular Specialist (USA) their homes or living in residential long-term certification? care facilities. Department of Social and Human Services (DSHS) - 75 Hour Training 4N031- Aerospace Medical Service Credential Type: Certification and Home Care Aide Certification Apprentice (USAF) 1) Education – Long-term care workers Additional good to know / need to know information: nursing 4N051- Journeyman (USAF) must complete 75 hours of training through assistant’s name is added to the registry by: a program approved by the Department of 4N071- Craftsman (USAF) Social and Health Services, and must Home Care Aide (HCA) Certification 3 parts to becoming a successfully pass the home care aide certified home care aide. 4N091- Superintendent Emergency Medical certification examination. 1. Complete the home care aide certification application process Technicians and Paramedics (USAF) (Department of Health). 2) State license verification - Applicants must list all states where they do or did hold 2. Complete 75 hours of training (DSHS). HM- Hospital Corpsman (HM) - USN credentials. This list must also include when 3. Apply and take a written and skills exam (Prometric). Hospital Services (HS) Technician - USCG the applicant has applied for a credential, even if a credential was not granted. The Effective 7/28/13 : jurisdiction where the applicant is or was  A new LTC worker has 200 days from hire to become a credentialed must complete and submit the certified home care aide. A LTC worker who does not meet verification form (PDF). The jurisdiction this deadline can no longer be paid to provide care. must send the completed form directly to the department.  LTC Workers with Limited English Proficiency can apply for a provisional certificate that will extend this timeline an 3) WAC 246-980-100 Examination and additional 60 days. reexamination for home care aide

certification. HCA certification checklist and quick link page 4) Personal data questions DSHS has developed tools to help LTC workers understand how to 5) Must pass Background check. meet the training and certification requirements. These tools include:

6) Four (4) hours HIV/AIDS training.  The “Home Care Aide Certification Checklist”. This document is a guide to the process of completing the 75 hour training and home care aide certification by all deadlines.

 Links to forms, websites, and information needed for training and certification.

Find these tools on their website.

Licensed Practical 68C- Practical Nursing Specialist (USA) Chapter 18.79 RCW, 246-840 WAC Gap: Seven (7) hours of AIDS/HIV training per Chapter 18.88A RCW, Nurse 246-841 WAC); Military personnel may meet may meet the training 4N051- Journeyman (USAF) Definition: Licensed Practical Nurses requirements when all criteria have been satisfied. RCW 18.79.270 Licensed practical 4N071- Craftsman (USAF) nurse—Activities allowed. The U.S. Army’s Practical Nurse Specialist Course (68C), is USDOE approved and all graduates of the course meet full eligibility to sit for 4N091- Superintendent Emergency Medical Credential Type: License the NCLEX-PN - TX examination. Upon receipt and verification of a Technicians and Paramedics (USAF) passing score, the applicant may be licensed in WA. 1) Education – RCW 18.79.150 Schools and programs—Requirements— Approval. Note: Individuals who have not taken/passed the NCLEX-PN exam, may submit a copy of their DD214 member 4 or service 2 copy to the 2) State license verification - State Nursing Care Quality Assurance Commission (NCQAC), and must verification form must be completed by other request official copy of their Joint Service or Community College of state nursing boards where applicant was the Air Force (JST/CCAF) Transcripts be sent directly to the licensed. Form must be sent directly from department. In addition, Army Practical Nurse Specialists requesting out-of-state nursing board to the authorization for testing, must also contact the Medical Education and commission, or obtained through the online Training Campus (METC), San Antonio, TX, @ Nursys verification system. Applicant must [email protected], and have their official nursing program curricula sent directly to Department of get verification whether their license is Health, ATTN: Nursing Care Quality Assurance Commission. active or inactive. Query of the National

Council of State Boards of Nursing ATTENTION: USAF Medics Skill Level (SL) 5 or above; Thanks Disciplinary Data Bank is completed for You for your service and welcome to Washington State! applicants licensed in multiple states.

3) RCW 18.79.170 Examination—Rules. The Nursing Care Quality Assurance Commission – Washington An applicant for a license to practice as a state, as of March 22, 2017, pursuant to section 324.007, RSMo, the registered nurse, advanced registered nurse Missouri State Board of Nursing, now recognizes the education, practitioner, or licensed practical nurse must training, and/or experience received and completed through the Basic pass an examination in subjects determined Medical Technician Corpsman Program (BMTCP) - 4N051-5 by the commission. The examination may be Skill Level, as an approved program of practical nursing. supplemented by an oral or practical examination. The commission shall establish by rule the requirements for applicants who This means that any applicant, who has successfully completed have failed the examination to qualify for the BMTCP-4N051 with a 5 Skill Level, or above, has met reexamination. educational qualifications to apply for licensure as a practical nurse in Washington state and Missouri. 4) Personal data questions 5) Must pass Background check. The NCQAC, pursuant to Missouri’s Air Force Nursing Service 6) Seven (7) hours HIV/AIDS training. Program-MO-Practical Nursing, may authorize eligible applicants to sit for the NCLEX-PN examination. Must contact NCQAC @ 360.236.4703 for the correct Program Code. Department of Health Nursing Links