Our office is closed due to Hurricane Francine.
Adv. practitioners performing fiberoptic flexible sigmoidoscopy (2 exceptions -- Ducote & Nutter)
Adv. practitioner reinserting button-type gastrostomy tube (PEG)
RN refraining from administering excessive dose of Ritalin (medication administration, school setting)
RN delegating one-touch glucose monitoring to unlicensed personnel
RN flushing a nephrostomy (renal) with normal saline
CRNA inserting central venous lines (CVC), arterial lines, and performing spinal anesthesia (lumbar puncture)
RN delegating capillary blood glucose testing to unlicensed assistive personnel
RN administering Streptokinase/Urokinase in a non-therapeutic dose to increase the patency of a renal dialysis access (i.e. Gortex graft) - (see Declaratory Statement npop 96.29)
Delegating accessing the shunt in a dialysis patient and initiating the dialysis to a LPN (superseded by Declaratory Statement - Dialysis)
Adv. practitioner (APRN) inserting an umbilical arterial catheter and umbilical venous catheter without direct supervision by the MD (during transport or in NICU)
Adv. practitioner inserting an umbilical arterial catheter and umbilical venous catheters under the direct supervision by the MD (during transport)
Adv. practitioner (APRN) transporting unstable neonates
RN administering exogenous surfactant via endotracheal tube to newborns in the delivery room, NICU where MD or Adv. Pract. is immediately available, and by Adv. Pract. on transport
RN turning off ventilator on patient who has been pronounced brain dead
Delegating ostomy care, emptying of drainage, replacement of bag and maintenance of ostomy to unlicensed nursing personnel
Delegating simple wound care to unlicensed nursing personnel (superseded by npop95.22)
RN delegating emptying a wound drain to unlicensed personnel with documented skills and abilities
Delegating central line care (superseded by Declaratory Statement – IV Therapy)
Delegating the insertion of a saline lock to Emergency Department Technician II (EMT)
RN inserting intrauterine pressure catheters (IUPC) - labor and delivery
RN applying and delegating the application of steri-strips
RN delegating simple wound care to unlicensed personnel
RN delegating ostomy care (emptying and changing only the drainage bag)
