Nursing Technician Program
The Nursing Technician program is run through Washington State itself. A nursing technician (NTEC) is a nursing student preparing for RN licensure who meets the qualifications for licensure under RCW 18.79.340.
It was authorized by the Washington State Legislature in 2003 and authorized in RCW 18.79. Rules were promulgated as WAC 246-840. The legislative intent of the program was to “…provide additional work-related opportunities for nursing students enrolled in an ADN or BSN program, within the limits of their education, to gain valuable judgement and knowledge through expanded work opportunities.”
Why nurse tech?
-Noelani Kahoopii
I’m currently on my fourth rotation as a nurse tech and have enjoyed each area I’ve worked in, even if they are not areas that I see myself working long term. Having the ability to try different areas of the hospital has helped me to decide which areas I’m interested in working in when I graduate.”
-Katrina Nebel
-Makayla Connolly
-Briele Mongrain
-Alyssa Martindale
-Lindsey Palmquist
Process
The Student is responsible for:
- Applying for Nurse Technician (NTEC) position with a facility.
- Applying for NTEC license through the Washington State Board of Nursing (WA BON) website.
- Completing Pre-Education Verification Form through the College of Nursing. This form provides information needed to complete the final Education Verification Form as well as employer information needed by the College of Nursing.
- After completing the Pre-Education Verification Form students will receive, via email, a completed Education Verification Form.
- Within 14 days from NTEC license application submission (step 2), student will complete the Employment Verification form with the employing facility. The form is available on the WA BON website. The College of Nursing does not need a copy of the completed form.
- Uploading both the Education and Employment Verification forms to the WA BON website.
The College of Nursing will:
- Complete Education Verification Form and send to student.
- Send skills list to facility contact, copying student on email.
- At end of semester, after grades have posted, College of Nursing sends skills list to show new scope of practice.
- If student is no longer in good standing, College of Nursing will send notification to the Board of Nursing (BON) as well as the facility. Once student returns to good standing, College of Nursing will notify BON and facility
- Losing good standing includes students taking a leave of absence or students repeating a course.
Skills Lists
Nursing Technicians (Nurse Techs) are able to perform specific nursing functions. There are certain skills the College of Nursing wishes Nurse Tech pre-licensure BSN students to achieve at various levels throughout their program. A list of these skills will be sent to the student’s facility contact before they begin employment as a Nurse Tech. The student and facility contact should review the skills list at the beginning of, as well as throughout, the semester to ensure the student is achieving the necessary skills. At the end of each semester, after grades have posted, the College of Nursing will notify the facilities about the student’s new scope of practice.
Assessment:
- Head-to-toe assessment
Infection Control:
- Hand Hygiene
- Applying personal protective equipment: donning/doffing and appropriate use
Medical-Surgical Care:
- Basic wound care
- Surgical wound: suture and staple removal
- Pressure ulcer care
- Immobilization and compression
- Mobility, ambulating, turning, and patient transfer
Medication Administration:
- Enteral
- Inhalation
- Intramuscular injection
- Intradermal injection
- Optic
- Oral
- Otic
- Rectal
- Subcutaneous
- Sublingual
- Topical
- Vaginal
- Administering a small, and large volume retention and return flow enema
- Insulin management
Nutrition:
- Nutrition and feeding
Patient Hygiene/ADLs
Point of Care Testing:
- Blood glucose monitoring: capillary blood sample collection for adults, and the use of glucometers for testing
Respiratory:
- Oxygen administration
- Incentive Spirometer
- Pulse Oximetry
Tube Management:
- Managing a patient with a PEG/PEJ tube: secure, flush, aspirate, administer feeding
- Drainage tube: managing a Jackson-Pratt (JP)
- Drainage tube: managing a Hemovac
- Drainage tube: managing a penrose drain
Urinary:
- Urine specimen collection: clean catch
- Urine specimen collection: catheter
- Urinary catheter: care
- Urinary catheter: removal
Vital Signs
Asepsis:
- Surgical Asepsis
Central Line:
- Central venous line management: blood draw
- Central venous line management: dressing change
Intravenous:
- IV therapy: insertion
- IV therapy: discontinue
- IV: prime/hang maintenance fluids
- Parental nutrition: PPN management
- Parental nutrition: TPN management
- Patient Controlled Analgesia (PCA): education/management
Medication Administration:
- Automated medication dispensing device: access
- Administer Intravenous medications: push
- Administer Intravenous medications: piggyback
- Blood product administration: monitoring/assessment of a patient receiving blood products
Operative/Post-operative Care:
- OR: Surgical scrub and gown technique
- Orthopedic patient care
- Ostomy: wound care and management
Phlebotomy:
- Venipuncture: Blood Draw
Respiratory:
- Tracheostomy: care
- Tracheostomy: suctioning
- Exposure to care of patient on a ventilator
Monitoring:
- Exposure to basic hemodynamic monitoring
Tube Management:
- Chest tube: dressing change
- Chest tube: manage drainage system
- Drainage tube: manage a rectal tube
- Nasogastric tube: insertion
- Nasogastric tube management
- Nasogastric tube: removal
Urinary Catheter:
- Closed bladder irrigation: continuous
- Closed bladder irrigation: intermittent
- Urinary catheter placement: foley
- Urinary catheter placement: straight
Assessment:
- Physical assessment: newborn
- Physical assessment: child
- Developmental assessment: child
- Physical assessment: postpartum
Intravenous:
- Pediatric IV: insertion
- Pediatric IV: prime/hang maintenance fluids
Medication Administration:
- Pediatric intravenous (push)
- Pediatric intravenous (piggyback)
- Pediatric intramuscular
- Pediatric oral
- Pediatric otic
- Pediatric rectal
- Pediatric topical
Nursing Care:
- Intrapartum: patient care
- Leopold maneuvers
- Comfort holds/Safety measures: infant
- Comfort holds/Safety measures: child
- Pediatric growth measurements
Nutrition:
- Infant feeding: breast
- Infant feeding: bottle
Respiratory:
- Airway management: infant
- Airway management: child
Screening:
- Vision screening: child
- Hearing screening: child
Tube Management:
- Nasogastric tube: infant
- Nasogastric tube: child
- Gastrostomy tube: infant
- Gastrostomy tube: child
Nursing Technicians are authorized to perform specific nursing functions within the limits of their education, up to their skill and knowledge, but they may NOT:
- Administer chemotherapy, blood or blood products, intravenous medications, or scheduled drugs, or carry out procedures on central lines.
- Assume ongoing responsibility for assessments, planning, implementation, or evaluation of the care of patients.
- Function independently, act as a supervisor, or delegate tasks to licensed practical nurses, nursing assistants, or unlicensed personnel.
- Perform or attempt to perform nursing techniques or procedures for which the nursing technician lacks the appropriate knowledge, experience, and education.