Nursing Practice
An advisory opinion adopted by New Hampshire Board of Nursing, in its official capacity, is an interpretation of what the law requires. Facility/agency policies may restrict practice further in its setting and/or require additional expectations related to competency, validation, training, and supervision to assure safety of their client population and/or decrease risks.
Clinical Practice Advisories
- January 2013 to December 2013
- January 2012 to December 2012
- January 2011 to December 2011
- January 2010 to December 2010
- January 2009 to December 2009
- January 2008 to December 2008
- January 2007 to December 2007
- July 2006 to December 2006
- January 2006 to June 2006
- July 2005 to December 2005
- Frequently Asked Clinical Practice Questions
- Guidelines: Asking Clinical Practice Question & Inquiry Form
Scope of Practice
- Application of Guidelines for Decision Making
- Decision Tree
- Advanced Practice Registered Nurse (APRN)
- Licensed Nursing Assistant (LNA)
- Licensed Practical Nurse (LPN)
- Medication Nursing Assistant (MNA)
- Registered Nurse (RN)
Practice Questions for Review and Comment
Please Note: There is a 30 day comment period before the board finalizes the Clinical Advisory White Paper. Please review the following questions reviewed by the Board and email your comments to boardquestions@nursing.state.nh.us.
April 18, 2013
Question: Can LNA perform heel sticks on newborns under delegation and with demonstrated competency?
Answer: Board affirmed that it is within LNA scope of practice to perform heel sticks with competencies. This procedure is similar to fingersticks done for blood sugar or for PT/INR testing as addressed in Fall 2000 and August 2005
Question: Is it within LPN scope to apply and change VAC dressings?
Answer: Board opined that it is within LPN scope of practice to apply and change VAC dressings with education and competencies.
Question: Can ICU RN start Vecuronium drip according to standard order set on patient who is intubated and sedated with physician present?
Answer: Board opined that RN can start Vecuronium drip provided there is protocol in place and patient is intubated.
Question: Can LNA's working with out of state agencies care for clients in NH?
Answer: Board affirmed that LNA's must be licensed in State of NH to provide care for clients residing in NH.
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New Hampshire Board of Nursing
21 South Fruit Street | Suite 16 | Concord, NH 03301-2431
Nursing (603) 271-2323 | Nursing Assistant (603) 271-6282
Fax (603) 271-6605