• An advisory opinion adopted by NHBON, 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 2011 - December 2011
• Clinical Practice Advisories-January 2010- December 2010
• Clinical Practice Advisories-January 2009 to December 2009
• Clinical Practice Advisories-January 2008 to December 2008
• Clinical Practice Advisories- January 2007 to December 2007
• Clinical Practice Advisories-July 2006 to December 2006
• Clinical Practice Advisories-January 2006-June 2006
• Clinical Practice Advisories- July 2005- December 2005
• Frequently Asked Clinical Practice Questions

• Asking a Clinical Practice Question: Clinical Practice Inquiry Form
• Scope of Practice Decision Tree
• Application of Guidelines for Decision Making Regarding Scope of Practice
• Scope of Practice of the APRN
• Scope of Practice of the RN
• Scope of Practice of the LPN
• Scope of Practice of the LNA
• Medical Assistant position statement
• Taskforce Toolkit for Nurse Delegation to Medical Assistants-NEW

Practice Questions for Review and Comment :

January 19, 2012

Question:  Is it within RN scope of practice to place LMAs in newborns?
Answer: Board consensus that it is not within RN scope of practice to place LMAs in newborns.

Question: Is it within RN scope of practice while assisting with PEG insertion to (1) hold endoscope, (2) manipulate controls, (3) insufflate, (4) snare wire, (5) thread wire, position or pull gastrostomy tube?
Answer: Board consensus that it is within RN scope of practice provided competencies are met.

Question: Is it within LNA scope of practice to use GS Vibracare persussor?
Answer: Board consensus that it is within LNA scope of practice provided they have competencies and facility policies support nursing assistant practice.

Question: Is it within LNA scope of practice to do patient teaching such as reviewing anticipated surgery, what to expect, recovery, etc.?
Answer: Board affirmed that teaching is NOT within LNA scope of practice.

Question: Is it with RN/LPN/LNA scope of practice to do Therabath treatments with Paraffin wax?
Answer: Board consensus that Therabath treatments are within RN scope of practice, but NOT within LPN or LNA scope of practice.

Question: Is it within LPN scope of practice to perform TB (mantoux) testing?
Answer: Board consensus that it is within LPN scope of practice provided competencies are met.

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.

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