I don't know the legal req't in washington state, but I did "decline" eye ointment and never had to sign anything for "refusal."  
I had Lachlans' vit K (and hep B) injections given while he was nursing- it was within the "recovery" period when the L&D nurse completes all her duties and charting before reporting off to the mother-baby nurse (usually ~2hours postpartum), but he was skin to skin the whole time (and stayed there). we have great pics of it.
~vicki hayes rn ibclc in brunswick ga
www.myspace.com/that_username_is_taken

  Date:    Fri, 2 May 2008 03:13:33 -0400
  From:    "Robin Roots,Rn Ibclc" <[log in to unmask]>
  Subject: vit k and eye meds administered to newborns

  Is it a legality to administer erythromycin eye ointment and / or vit k. =
   as far=20
  as I know from being the one to administer, parents have the right to ref=
  use=20
  any and all treatment..Unless it was so detremental they have to get lega=
  l=20
  involved.  I will ask tomorrow at work.  Parents can refuse most things, =
  they=20
  just don't realize they have that power.  I am going to say it is not leg=
  ally=20
  required, but strongly encouraged.  If I am wrong I will post to this aft=
  er work=20
  tomorrow.=20=20
  stay tuned.
  robin

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