Is it within the scope of RN practice to administer vaginal prostaglandins with a live fetus, as with cervical ripening agents such as Cervidil or Misoprostol? The board opined vaginal administration of medications ordered by the physician is within the scope of RN practice.

Is it within the scope of RN practice to titrate a ropivucaine femoral catheter delivery for pain control? The board opined it is within the RN scope of practice to administer medication via pump with physician orders provided the RN has competency to perform the procedure and facility policy supports the action. It is not within RN scope to bolus the drug in question.

Is it within LNA scope of practice to act as "scrub" personnel while working under direct supervison of the physician and circulating RN for cesarean section surgery in the operating room? The board opined this is not within the educational experience and preparation for the LNA.

Are there any practice guidelines for licensed staff on the use of a nail dremel or electric nail file? The board opined that use of the nail dremel or electric nail file falls within RN/LPN scope of practice and is not within LNA scope of practice.

Are there any limitations to teaching non-licensed personnel to perform sterile technique? An operating room is investigating the role of care partners/LNAs and support partners/enviromental services people to function as runners to obtain items during a case, turn over a room after the case including cleaning and opening sterile set ups.

The board opined there is no limitation to teaching however, this is not within the scope of the LNA as the activity is not within the educational preparation of the LNA and does not meet the intent of Nur 404(Delegation). The licensed nurse cannot delegate care of an unstable patient to. The board further states they do not recommend as part of a safe nursing practice.

May a RN use an ultrasound for therapeutic purposes if taught to do so? The board opines this is not within licensed nurse scope of practice.

Can a RN who has gone through competencies start an IV using a non-invasive hand held ultrasound device? Yes, the board opines this is within the scope of the licensed nurse provided they have the competencies and facility policies support the practice.

There have been multiple questions regarding pain management in the acute and palliative care settings. Planning for a DAY OF DISCUSSION is under way to develop a board advisory on this important issue. Stay tuned to the front page of this website.