Nurses Distributing Naloxone
Primary care services by licensed Acute Care Pediatric Nurse Practitioner
Insertion of EJ PICC and EJ PIV by RN in Life Threatening Situation
Npop13.01 - Soft Chamber, Mild, Low Pressure Hyperbaric Oxygen Therapy by RN
Psychiatric Mental Health Nurse Practitioner utilizing telemental health technology for rural clients in a school setting
GJ tube in School Setting - Delegation
PNP treating patients over 21 years old who are survivors of childhood cancer
RNs under the auspices of DHH OPH providing STD treatment
Delegation of Monitoring and Removal of Radial Arterial Compression Device to LPN
Verbal or Telephone DNR (Do Not Resuscitate) or No Code Order
RNs Practicing as Case Managers
Monitoring Patient during Abdominal Paracentesis
Delegation of Medication Administration
Collect Vital Signs during Regional Block
Inserting an External Jugular IV
Administering Focalin Orally
Measuring Intraocular Pressure
Certification of False Labor
Removal of Peripheral Nerve Block Catheters
RN Flexible Endoscopes
IO Infusion Device
LPN Counting Carbs and Insulin Pump
RN Administration of medication for rapid intubation in emergent airway mangement (Propofol, etomidate)
RN Administration and delegation to LPN ultraviolet light therapy
RN Providing neurofeedback services
RN preparation and administration of topical medication for single patient use
Delegation to Opthalmic Medical Technologist
RN Performing Class IV Laser Procedures Under the Direct Supervision of a Qualified Physician
Clarification of Declaratory Statement on the RN in the Administration of Medication and Monitoring of Patients During the levels of Procedural Sedation (Minimal, Moderate, Deep and Anesthesia)
Revision of Declaratory Statement on the Transmission and Acceptance of Verbal Orders Edited December 6, 2006.pdf
Fetal Fibronectin
Metal Sutures
Anodyne Monochromatic infrared photo energy treatment
Removal of narcotic-free post-surgical pain relief systems _ON-Q Soaker Catheter_
RN Application & Delegation of Compression Therapy (Unna Boot)
RN Assisting in Skin Closure with Staples and Sutures
RN Delegating to the LPN vacuum assisted closure,Negative pressure wound therapy
RN Delegating Administration of RH(D)Immune Globulin(Rhogam,Rhophylac)
RN administration of chemotherapy into hepatic arterial pump or hepatic arterial infusion (HAI)
Prescriptive Authority for the CRNA to write orders for medication to be administered by others
Reaffirm Npop.93.04 regarding RN delegation to LPN patient controlled analgesia (PCA)functions
To reaffirm the Board’s previous opinions, npop 89.07 & 90.23 regarding epidurals for laboring patients (see Law, R.S. 37:935)
Declaratory Statement on the Role and Scope of practice of the Registered Nurse in the Administration of medication and Monitoring of patients During the levels of Sedation (Minimal, Moderate, Deep, and Anesthesia) as Defined Herein
RN placing a Bravo pH probe
Additional CPT codes for ANPs, FNPs, & WHNPs
Removing a balloon intrauterine stent device
Legal Opinion, rendered by W. Shows regarding East Baton Rouge Parish School Board
RN assisting the APRN with a physiologic or pharmacologic cardiac stress test with provisos
APRN administering Botox and collagen injections and performing sclerotherapy with provisos
Additional CPT codes for APRNs
RN executing health care regimens (off-labeled use of drugs)
Additional CPT codes for C-NPs
Delegating to an LPN the injection of local anesthetic agents intradermally (see Law, R.S. 37:930.D)
RN delegating PRN medications to trained unlicensed school employees (inhalant, asthmatic)
Removing an internal vascular doppler
RN accessing a life-port in the subcutaneous area of the abdomen for recurrent ascites
RN injecting contrast media intra-arterially during diagnostic cardiac cath procedures
Delegating to unlicensed nursing personnel a bowel dis-impaction in the home health setting – non-delegable task
Additional CPT codes for CNPs & CNSs
Additional CPT codes for CNMs, WHNPs, FNPs
RN delegating to trained unlicensed school personnel medication administration via gastrostomy tube
RN performing sexual assault exams & functioning as a sexual assault nurse examiner(SANE) with provisos
Additional CPT codes for CNPs and CNSs
RN removing PICC lines acute care setting only (wavier of 8 hr ed required for insertion & removal of the PICC in the home care setting, see 97.02 PICC removal in the home setting, still requires 8 hr educational program)
RN performing microdermabrasion (reaffirms Board’s previous opinion 01.12 – physician must first assess the pt.)
Delegating to an LPN the reinsertion of a gastrostomy tube (reaffirms Board’s previous opinion 93.07 - non-delegable task)
RN delegating to a LPN the accessing and terminating of double-lumen permacaths and central line catheters in outpatient/chronic setting (Revised Declaratory Statement on the Role and Scope of Practice of the RN in Dialysis Nursing in Renal Dialysis Centers and Facilities)
RN performing medical evaluation to determine person’s ability to use a respirator
RN assisting and observing a physiologic cardiac stress test with or without a nuclear component in a clinic or outpatient setting (superseded by 01.07)
RN initiating standing orders by physicians (replaces npop 01.08)
Placing a cervical tenaculum and uterine manipulator
Additional CPT codes for certified nurse practitioners and women's health nurse practitioners
RN draining a pleural catheter
Provide anesthesia services (CRNA) for a podiatrist
RN replace empty syringes and/or infusion bag of pre-prepared solutions to control pain (see Board’s rules LAC46:XLVII.3705)
Additional CPT codes for certified nurse practitioners
Performing a medical screening exam to determine an emergency medical condition
Additional CPT coded for certified nurse practitioners
Administration of Ketamine Hydrochloride by the registered nurse
CPT Codes for certified neonatal nurse practitioners
CPT Codes for certified women's health nurse practitioners
RNs applying fundal pressure (replaces npop00.12)
RNs deploying collagen based extravascular hemostasis devices, such as a Vasoseal, as an integral part of groin management
Additional CPT Codes for certified nurse practitioners
Perform a physiologic or pharmacologic (Dobutamine) cardiac stress testing with or without a nuclear component (superseded by 02.01)
Initiate standing orders without contacting a physician for patient specific orders (superseded by 02.02)
RN conducting the face-to-face evaluation within one hour after a patient has been restrained or secluded; however, the RN cannot serve as a Licensed Independent Practitioner (LIP)
APRN performing initial client assessment/clinical evaluation for mental health Medicaid clients
Additional CPT code for certified nurse practitioners: 31515 - laryngoscopy direct, with or without tracheoscopy; for aspiration
RN performing microdermabrasion with provisos
RN withdrawing cerebrospinal fluid (CSF) from a lumbar placed CSF catheter
RN performing autologel (blood product) wound care treatments in the home health setting
CPT codes for C-NPs
RN obtaining an adipose tissue sample
Regulating epidural pumps
RN delegating to unlicensed person the changing of a colostomy appliance with provisos - home health
Additional CPT codes
RN, labor & delivery, applying scalp electrodes in an emergency situation with provisos
RN directing the care of a patient in an emergency situation
RN delegating to an LPN catherization of a Mitrofanoff
RN injecting sclerotherapy on telangiectasis (spider veins) with provisos
Application of fundal pressure (RN may apply if immediate emergency, delivery not complicated by shoulder dystocia and physician physically present) superseded by npop01.04
RN delegating to an LPN Oxybutynin bladder instillation
RN removing a Quinton Catheter (central venous catheter) in an acute critical care setting
RN delegating Gtube/PEG tube feeding to an unlicensed caregiver in a day care setting
Assisting the transplant physician with bone narrow harvesting
Declaratory Statement, Scope of Practice for Registered Nurses Wound Care Management
RN administering IV Optison, an echocardiogram enhancer (superseded by npop99.05)
Removing an abdominal sheath and catheter
RN delegating to an unlicensed school personnel the administration of glucagon to an unconscious student
Additional CPT codes for CNPs
RN delegating to an LPN the administration of rectal Diastat in a school setting (superseded by npop99.17)
Performing intra-articular injections
Declaratory Statement, Scope of Practice for Registered Nurses Delegating Intravenous Therapy Interventions
Additional CPT codes for CNPs (allergy testing)
Performing hair transplants using the Markman Hair Implant Device
RN activating and reconstituting a drug
Declaratory Statement Regarding The Role and Scope of Practice of Registered Nurses Performing Holistic Nursing Practice and Complementary (Alternative, Integrated) Therapies
Additional CPT codes for CNP
RN delegating rectal Diastat to an LPN in the school setting (replaces opinion 98.21 & 99.09)
RN administering Optison (replaces 99.05)
Declaratory Statement for Registered Nurse First Assistants
CNM assisting with Cesarean deliveries
RN serving as the operative assistant to the physician/endoscopist performing a percutaneous endoscopic gastrostomy (PEG)
Delegating to an LPN the IV administration of Albunex
RN administering a Dobutamine infusion for stress testing, with provisos
RN delegating to a home health aide PEG site cleansing with soap and water or 3% hydrogen peroxide, with provisos
CNM serving as first assistant during Cesarean deliveries, and additional CPT codes
RN administering inotropic drugs (Dobutamine) in the home health setting with provisos, replaces 97.08
NP and/or CNS evaluating/managing patient care, hyperbaric oxygen therapy (HBOT), additional CPT code (99183)
Reaffirms npop 90.22, RN administering intrathecal & epidural pain management in the home health with provisos
RN delegating to an LPN IV therapy related functions, (replaces 96.01, superseded by Declaratory Statement – IV Therapy)
RN performing beside mechanical hydrodebridement
Distributing any unused portion of a single dose ampule drug
Additional CPT Codes for Nurse Practitioners
RN inserting a PICC line using the Seldinger technique
Administration of Brevital, a short acting barbiturate
RN performing rapid sequential induction (RSI), needle chest decompression, intraosseous infusions and needle crichothyrotomy with transtracheal jet insufflation
RN placing indwelling arterial catheters in the operating room under the supervision of an anesthesiology
RN delegating cast application and removal to a nursing assistant
Performing digital block to prepare for sutures of minor lacerations in the emergency department (FNP)
RN administering and/or delegating rectal Diastat in a school setting to a student (superseded by 99.09)
Declaratory Statement on the Role and Scope of Practice of the Registered Nurse Performing Foot Care Interventions (Revised, replaces 97.20)
RN performing esophageal motility study (see 97.16 for RN to delegate to a LPN)
RN removing PICC in the home setting
Insertion of arterial and venous sheaths
RN removing and delegating the removable of sutures/staples
Administering Diprivan (Propofol) as part of conscious sedation (Board reaffirmed their previous decision, npop 96.16, see Declaratory Statement – Procedural Sedation)
Declaratory Statement Regarding the Role and Scope of Practice of Registered Nurses Performing Clinical Laboratory Testing
RN Delegating to an LPN the Performance of Tracheostomy Suctioning, Long Term Care Facility
RN Administering Dobutamine in Home Health Setting, replaced by 98.08
Additional CPT Codes for Certified Nurse Midwives
Removing a Shiley/Quinton Catheter (CVC) in Chronic Dialysis Setting
Delegation of Medication Administration to LPNs through Port-a-caths
RN Delegating Clean Intermittent Catheterization (urinary) to UAPs in Home Health Settings
Cutting Suture Attached to a Central Catheter in Chronic Dialysis Setting
Remove CVC lines in Home Health Setting (reaffirms previous opinion, 90.21)
RN Delegating to a LPN Esophageal Motility Study (replaces opinion 97.01 relative to delegation, does not address Tensilon Test)
Delegation of Triage Screening in the Emergency Room
Executing Medical Regimes Prescribed by a Physician not licensed in LA (reaffirms npop80.06)
Established Task Force, Medication Administration UAP, Establish State-Wide Forums; and Hold Revision in Practice Rules
Declaratory Statement on the Role and Scope of Practice of Registered Nurses Performing Foot Care Interventions (Replaced by 98.22)
RN injecting muscle trigger-points as prescribed by a physician
Reaffirms previous opinion (96.01, RN may not delegate to an LPN IV therapy for a patient with an implanted vascular access device)
Reaffirms previous opinion (96.01, RN may not delegate to an LPN IV functions and wound care when the patient is in the acute phase of MRSA) and allows RN to delegate to LPN those IV functions approved by the Board when the acute phase has resolved
Reaffirms previous opinions (96.01) & rules, delegation to an LPN of the administration of intravenous parenteral nutrition, such as ProcalAmine
Insert a nasogastric tube for the purpose of feeding in the home setting; RN insert a flexible, small-bore feeding tube in home setting with provisos
RN delegating to an LPN IV therapy related functions and the definition of "additive", see 98.11
RN delegating to an LPN the initiation of IV therapy; and central line dressing changes, including triple lumen, PICC, Hickman, Groshong, and Port-a-cath dressings
RN delegating to LPN and/or patient care attendant the checking of vital signs, groin checks and pulse checks on post-cath lab patients
RN delegating certain functions to respiratory care practitioners
RN specially trained in pain management and treatment of spasticity to refilling and reprogramming Synchromed Infusion Systems (implanted intrathecal pumps)
RN administering Zoladex in the home health setting
RN in the Emergency Department administering sedatives, paralytics, and hypnotics for airway management in a life threatening situation (rapid sequence induction/intubation (RSI) Reaffirmed 3/8/2006. See Nurse Practice Opinion Npop06.01
RN removing a lumbar drain
Inserting staples to a laceration
RN administering medications under the order of a Nurse Practitioner (APRN) to patients in the health unit
RN performing massage therapy
RN instilling normal saline into and irrigating a drainage tube in the chest wall
Advanced practice registered nurses (APRN: NP, CRNA, and CNM) performing selected procedures listed in CPT codes
Removing an IABP catheter
RN assessing (screening) an obstetrical patient, contacting physician, and discharge to home
RN administering Diprivan (Propofol), ICU settings (see Law, R.S. 37:935)
RN performing restorative nursing functions
RN assessing (screening) to determine a non-emergent status (triage/referral)
RN delegating to an LPN in a long term care setting a continuous subcutaneous infusion
RN delegating to an LPN in the home health setting the insertion of a coude catheter
RN inserting a peripherally percutaneous central catheter (PICC), through a non-seldinger technique, in neonate and pediatric patients in the acute care setting
Family nurse practitioner (APRN) functioning independently in the ER
RN managing transient hypotension of OB patients with epidural anesthesia
Administration of a bolus dose of an anesthetic agent and adjusting the rate of an epidural infusion (superseded by Board’s rules LAC46:XLVII.3705)
RN delegating to unlicensed assistive personnel the performance of phlebotomy
RN assessing a patient's pain level and administering pain medication (dose range, order)
Determining the correct position of a central line from a chest x-ray
Delegating to the LPN the adjustment of a spinal cord stimulator
Declaratory Statement on the Role and Scope of Practice of the Registered Nurse in Dialysis Nursing in Renal Dialysis Centers and Facilities (revised npop03.16)
RN delegating the care of a ventilator dependent patient, home setting
Delegating to an LPN the performance of tracheostomy suctioning, long term care facility (see npop 97.07)
Declaratory Statement on Transmission and Acceptance of Verbal Orders (revised, see Declaratory Statement – Transmission and Acceptance of Verbal Orders)
Declaratory Statement on the Registered Nurse Transporting Critically Ill Neonates
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)
RN delegating monitoring of IV narcotic analgesics for Hospice patients in long term facilities
Nurse Practitioners suturing skin wounds
Delegation of administration of ProcalAmine to LPN
RN placing a peripherally inserted central catheter via a non-seldinger technique, with provisos.
Endotracheal intubation of a neonate in less than life-threatening situations is an advanced nursing function - reaffirmation of previous opinion
RN screening for and administering Hepatitis B vaccine
RN performing waived lab tests (moderate and high complexity if competent; superseded by Declaratory Statement – Clinical laboratory Testing)
RN administering analgesic dose of sublimaze (fentanyl, with provisos) Administration of Innovar reserved to CRNA (see Declaratory Statement – Procedural Sedation)
GUIDELINES FOR INTERPRETATION OF LAC 46:XLVII.3705.A.1 and .2
RN ARNP student requirements
Inappropriate for RN involved in a direct nurse/patient relationship with the inmates, prior to the hearing, to serve on a disciplinary committee
Delegating the removal of arterial sheaths to the LPN
RN case manager in Louisiana must possess a current non-encumbered Louisiana RN license. The need for a visual assessment of the patient shall be determined on an individual basis
RN, in a life-threatening situation, inserting an external jugular vein catheter. Therapeutic line provisos
Certified advanced practice nurse who has had additional specialized education and supervised clinical practice performing: 1) cervical, vaginal, and vulvar biopsy; and 2) endocervical curettage
CNM performing selected procedures listed in CPT codes
RN using 1% Xylocaine as diluent for compatible IM medications (see Law, R.S. 37:930.D.)
RN performing Rapid Sequential Induction (RSI) in life-threatening situations in prehospital setting when assigned to Life Air Rescue helicopter
RN at Schumpert Pain Care Center refilling and reprogramming implanted intrathecal drug infusion systems in the home setting
RN at Schumpert Pain Care Center reprogramming implanted spinal cord stimulation systems in Pain Center
Delegation of reinsertion of gastrostomy tube
RN inserting an EMG electrode into the striated muscle of the pelvic floor for the purpose of EMG, with provisos
Nursing tasks performed by Patient Care Technicians at Schumpert Medical Center, Shreveport, as presented to the Nursing Practice Committee are in compliance with LAC 46:XLVII.3703.A.12
RN delegating subcutaneous site care and rotation of site utilizing a PCA narcotic pump - may not delegate initial setup, nor changing flow rates, nor filling/changing medication reservoirs in home setting. Reaffirmed by Npop05.13.
Advanced practitioners of nursing inserting and removing Norplant contraceptive
RN (ACLS certified) in a psychiatric hospital performing intubation in an emergency situation
Delegating insertion of a gastrostomy tube to LPN (nursing home)
Endotracheal intubation using the tracheal-bronchial fiberscope
RN delegating postural drainage, percussion, suctioning of pharynx and of a well-healed and mature tracheostomy to unlicensed person at Padua Pediatric Residential Program
Delegating gastrostomy tube feedings to unlicensed personnel at Padua Pediatric Residential Program
Delegating the administration of medications via a gastrostomy tube to Certified Medication Attendant
RN FAXing information to physician
RN selecting site, applying electrodes, adjusting settings and monitoring response to Transcutaneous Electrical Nerve Stimulators (TENS)
RN delegating non-complex tasks (and only non-comples) to nurse externs
Interpretation of LAC 46:XLVII.4001-4007
Definition of "medical regimes" in a forensic facility
Delegation of monitoring TPN in a nursing facility
Delegation of nursing care functions to PCA and respite workers in home setting
Nurses leaving or refusing assignments - reaffirm Dec. Statement on Accountability and/or Responsibility for Patient Care Assignments and Nursing Care Delivery
RN removing and replacing outer cannula of a mature tracheostomy in acute care setting
RN delegating to home health aide the obtaining of a urine specimen from port of indwelling catheter
RN applying Unna Boot -- may not be delegated
RN injecting Xylocaine around femoral sheath site prior to removal of sheath (see Law, R.S. 37:930.D.)
Declaratory Statement on the Employment of Nursing Students and Unsuccessful Candidates for NCLEX-RN
RN delegating digital stimulation of the rectum to home health aides (dysreflexia)
Determining if an emergency room (ER) patient has an "emergency medical condition"
RN providing emergency care and performing nursing functions as a member of an ambulance team (EMS)
RN removing drains in home care
Inserting PICC in selected home care situations
RN inserting a coude tip catheter in a male patient
RN performing arterial punctures for blood gases in home health
RN delegating selected routine respiratory care functions to unlicensed person in community home (suctioning pharynx and a well-healed, mature tracheostomy)
RN inserting catheters for urodynamic studies Insertion of wire probes into muscle tissue for urodynamic studies reserved to Advanced Practitioner of Nursing
RN delegating to LPN the setting up and activating a patient controlled analgesia pump (does not include IV bolus)
Injecting antibiotics intrathecally
RN injecting narcotics and/or administering continuous infusion of analgesia agents intrathecally per catheter technique
Declaratory Statement on the Relationship of the RN and the EMT
RN executing orders of psychologist as provided by Acts 120 and 321 of 1992
RN removing valvuloplasty and CPS pump sheaths
RN performing speculum examinations (with provisos)
RN performing sharp wound debridement
RN accepting verbal or telephone orders from a social worker (see Declaratory Statement – Transmission and Acceptance of Verbal Orders)
RN delegating the administration of Rho-Gam to LPN
Advanced practitioner of nursing performing peripheral insertion of a percutaneous central catheter in a neonate
Advanced practitioner of nursing programming permanent pacemakers after implantation
RN in VOA group homes delegating gastrostomy tube (GI) feedings to direct care personnel
Endotracheal intubation of a neonate in less than life-threatening situations--adv. nursing function by clinical nurse specialist and neonatal primary nurse associate -- not within practice of RN who is not an advanced practitioner
RN removing small silastic, uncuffed endobronchial tube used for placement of irridium source once the irridium source is removed, provided tube is free floating in the bronchus
CNM inserting and removing the Norplant contraceptive implant
RN inserting a midline catheter
RN implanting pigment into the upper dermis (tatoo)
Instillation of vesicant agents into the bladder
Performance of tasks related to low dose administration of epidural Marcaine (see Board rules, LAC46:XLVII.3705)
Delegation, to a licensed practical nurse, of the flushing of and administration of medications into an extension tube connected to a subcutaneously implanted venous access device (see Board rules, LAC46:XLVII.3703)
Delegation of venipunctures (blood specimens) to nurse's aides in public health clinics (see Declaratory Statement – Clinical Laboratory Testing)
Delegation of nursing functions in school nursing to an LPN employed as a nurse aide--rules for unlicensed persons apply
Delegation of gastrostomy feedings (GI) to unlicensed personnel in ICF/MR facilities in conflict with rules on delegation
RN in a critical care setting removing chest tubes, with provisos; Removal of pacemaker wires not within the realm of RN practice
Approval of selected CRNA functions in the CPT 4 codes for reimbursement by DHH-HCFA
Allow RNs in Schumpert Medical Center's Acute Pain Management Service to continue adjusting epidural infusion rates as provided in the proposal presented to LSBN
RN responsibility for overall care of patients (Opinion regarding job description from Charter Forest Hospital)
RN administering analgesic doses of anesthetic agents: criteria for guidelines/policies which shall be met (Superseded by npop90.22 and Board rules, LAC46:XLVII.3705)
RN performing endotracheal intubation in a transport setting
RN placing indwelling radial arterial catheter (with provisos, life-threatening)
RN at Hammond State School may delegate gastrostomy tube feedings to unlicensed personnel, with provisos
RN practicing in prehospital setting
Programming permanent pacemakers after implantation
Changing tracheostomy tube on ventilator dependent patient in home setting
Delegation of insertion of nasogastric feeding tube (GI) to LPN in home setting
RN delegating clean intermittent catheterization (urinary) to health assistants in group homes (with conditions)
RN administering conscious sedation – guidelines (superseded by Declaratory Statement – Procedural Sedation)
Removal of subclavian and triple lumen catheters (central venous catheters, CVC)in the home setting
Clarification of statement on the administration of analgesic doses of anesthetic agents -- epidural only, reaffirmed 98.09 (see Board rules, LAC46:XLVII.3705)
Amendment to Guidelines Relative to LRS 37:930 and LAC 46:XLVII.3711, paragraph 2 (RN may not monitor effects of anesthetic during the preoperative phase or operative procedure)
RN inserting a Keofeed transpyloric feeding tube (GI) in infants in a neonatal intensive care unit
Administration of synthetic lung surfactant by intratracheal instillation into a neonate by neonatal clinical nurse specialist and neonatal primary nurse associate -- not within practice of RN who is not an advanced practitioner
RN changing the outer cannula of a tracheostomy in a home setting (with provisos--mature tract = 90 days)
Delegation of cleansing of wounds with Betadine, Peroxide and Phisohex to unlicensed personnel in a long-term care facility
Verbal orders vs written orders, time for signing verbal orders; DNR order negated by patient--nurse's response---not under jurisdiction of LSBN
RN functions in Breast Cancer Screening Program (proviso)
Monitoring vital signs (BP, pulse, respirations, neurologic status, etc.) on patients who have had regional anesthetic administered by anesthesiologist in PACU in preparation for surgery
Schumpert Medical Center be allowed to continue utilization and practice of those RNs currently credentialed in the removal of epidural catheters and with protocols they have in effect until the Nursing Practice Committee meets and comes up with recommendations to the Board concerning this matter
RN administering bolus of Pavulon
RN removing abdominal drains--not chest tubes (Jackson Pratt)
Guidelines Relative to LRS 37:930 and LAC 46:XLVII.3711 (includes removal of epidural catheters)
RN administering hyperbaric treatment to limbs
Delegating reinsertion of gastrostomy tube
Discontinuing CPR (resuscitation) pursuant to telephone order with no written documentation prior to event
RN delegating selected procedures to home health aides
RN aspirating/irrigating a ventricular catheter in a life-threatening situation
Declaratory Statement on Nursing Accountability and/or Responsibility for Patient Care Assignments and Nursing Care Delivery
Red Cross disaster nursing services--licensure exemption
Disaster relief in hospitals--licensure exemption
Peripheral insertion of silastic IV catheter in patient's home or physician's office
Compounding/Dispensing medications in a clinic situation
Administering low dose intraspinal anesthetic agents for analgesia in home care patients not within realm of RN practice (may administer analgesic agents)
Delegating monitoring of IVs in intermediate care nursing homes when RN is not present
RN performing a carotid massage on a patient either in the presence or absence of the physician
RN removing a Swan Ganz catheter with pacing leads no longer being used either as a pulmonary artery pressure monitoring line or pacing catheter
RN disconnecting an auto transfusion device from a mediastinal chest tube and reconnecting the tube to a closed chest drainage system
RN administering intra-arterial medication
RN delegating monitoring of IVs without medication or additives in ICF when registered nurse is not present in the facility
Monitoring regional anesthesia
Delegating nursing functions by school nurses
RN setting up and performing timing parameters of the intra-aortic balloon pump upon initial insertion
RN setting up a cardiopulmonary support system
Reaffirmation of opinion regarding RN not compounding/dispensing medicaitons in a clinic situation
RN administering, reading and documentation of the results of intradermal injections and CMI anergy panels and application of rules on delegation
Insertion and removal of suprapubic catheters (superseded by 88.18)
RN performing carotid massage--reconsideration
RN neonatal transport nursing functions and preparation (see Declaratory Statement – Transport)
RN reinserting and removing suprapubic catheters
RN administering intraosseous IV
RN injecting phenol for a nerve block (when physician directs and holds needle in place)
Declotting a dialysis A-V shunt using a Fogarty arterial embolectomy catheter
Declaratory Statement on the Registered Nurse Transporting Critically Ill Neonates (revised)
Calibration of the Intracranial Pressure (ICP) Gaeltec Probe
R.N. inserting feeding tube (GI) with guide wire
Administering nitrous oxide-oxygen analgesia in emergency room (ER)
Monitoring patients under selected regional anesthetics administered by operating physician (see Declaratory Statement on the Role and Scope of Practice of the Registered Nurse in the Administration of Medication and Monitoring of Patients During Levels of Procedural Sedation (Minimal, Moderate, Deep, and Anesthesia) as Defined Herein)
R.N. preceptors for EMT students
R.N. administering Streptokinase to increase the patency of central lines
RN delegating tube feeding per gastrostomy tube (GI)to home health aide; Delegating tube feeding per nasogastric tube in home health
R.N. performing hyperthermia treatments on cancer patients
Delegating home care nursing tasks (see opinion 96.01)
Definition of "in the presence of a physician"
R.N. injecting Duramorph into Omaya reservoir connected to catheter in ventricle in brain
RN First Assistant in O.R.--revised to add suturing (see Declaratory Statement for Registered Nurse First Assistants)
Administering (and delegating to LPN) eye medications ordered by optometrist
Delegating 1st Assistant function to certified scrub tech
R.N. executing orders of physician transmitted through another RN, (see Declaratory Statement on Transmission and Acceptance of Verbal Orders)
RN member of Pediatric Transport Team inserting indwelling arterial catheters and indwelling venous femoral and jugular catheters while on pediatric transport or in an extreme emergency
Performing Irridium Wire Placement (see npop91.06)
Delegating administration of medications to an "employee of the court" in a juvenile detention center
Use of designation CRNA when one does not maintain CRNA recertification
RN delegating to LPN the acceptance of verbal order from a physician for said LPN's patient
RN administering Streptokinase in therapeutic doses on the order of a physician
RN circulating for a tissue procurement procedure if a physician's assistant is performing the retrieval without a physician present
Differentiation between role of neonatal nurse and advanced practitioner of neonatal nursing
Delegating administration of investigational drugs by inhalation
RN delegating administration of investigational biological topical preparation to LPN in Tulane research project
Delegating irrigation of Hickman and Quinton catheters in ICF I facility with an RN in house only part of time
Over-the-counter drugs administered by unlicensed personnel in accordance with protocols established by physicians
RN performing assessments and diagnosis (nursing) of juveniles in custody of Family Court, omitting delegation of administration of prescription drugs to attendants
RN removing arterial catheters and sheaths
Disconnecting mediastinal tube from connecting tube to facilitate drainage
Zeroing Intracranial Pressure (ICP) Gaeltic Probe
Transmission and acceptance of verbal orders of a physician (see revisved opinion 96.32, and Declaratory Statement)
Adding medications to TPN solution prior to administration in the home
Inflating and deflating gastric and esophageal balloons of the Sengstaken/Blakemore Tube (GI) initially and on a routine basis
RN removing a temporary epidural catheter (research project by Dr. Walter Ledet, Jr.)
RN administering morphine sulfate (with preservative) via epidural catheter provided medical evaluation approves
Delegating to LPN the act of accessing by means of a Huber needle, subcutaneously implanted ports (see Board’s rules, LAC46:XLVII.3703)
RN delegating catheterization (urinary) to nursing assistants
RN removing tunnelled IV catheters without cuffed devices
RN delegating nursing functions to LPN and facility trained unlicensed technicians in outpatient dialysis facilities (see Declaratory Statement - Dialysis)
Use of designation "CRNA-non-practicing" when not currently re-certified by NA
Compounding medicines, specifically allergy extracts
Delegating LPN to start IV fluids in a Skilled Nursing Facility
RN administering prostaglandin suppositories
Removal of epidural catheter (superseded by npop8907; also see Board’s rules LAC46:XLVII.3705)
RN taking X-rays in physician's office
RN removing arterial catheter
RN releasing body of decedent (death) to a funeral home in non-acute care setting
RN irrigating intra-abdominal drains
Reinserting intra-abdominal drain or saratoga sump
Definition of "adequately trained" in R.N. 3.02 (1) (l)
Insertion of guidewire via an arterial catheter into aorta for catheter removal
Triage patients with intent to refer to other health care facilities (see npop96.18 & 97.17)
RN injecting contrast media by IV push method for use in radiologic testing procedures
RN administering non-therapeutic dose of Urokinase for declotting
Delegating nursing tasks to LPNs in home health Initial assessment of client: Venipunctures; Arterial punctures; Administration of IV medications
Peripheral insertion of central venous catheters (IV Therapy)
Removal of epidural catheter (superseded by npop89.07)
RN removing a caudal (spine) catheter
RN administering intermittent injections of morphine into an epidural catheter post-operatively
RN inserting a mercury weighted feeding tube (GI)
Advanced Practitioner inserting and anchoring a peripheral Intrasil catheter
RN delegating flushing of a Hickman catheter to LPN in clinic setting (superseded by the Declaratory Statement on the Role and Scope of Practice of Registered Nurses Delegating Intravenous Therapy Interventions)
RN delegating venipuncture for laboratory studies to LPN in home health (see Declaratory Statement on the Role and Scope of Practice of Registered Nurses Performing Clinical Laboratory Testing)
Clarification of amendment to rules on delegation (superseded by revised rules, LAC46:XLVII.3703)
RN performing acupressure and moxibustion
Removal of Hickman or Broviac catheter (CVC, central venous catheter; superseded by npop99.01)
RN performing pap smears
RN First Assistants revised and reaffirmed (see Declaratory Statement)
Discontinuing temporary transvenous atrial and ventricular pacing electrodes not within realm of nursing
RN First Assistants revised (see Declaratory Statement)
RN assisting physician to biopsy lesions through colonscope, gastroscope and sigmoidoscope
RN assisting physician with advancement and withdrawal of arterial guide wires within arterial catheters
Advancing endoscopes (see also, npop85.13)
Removal of post-PTCA arterial sheaths
Staffing of special care units
RN performing breast cancer screening
Delegating nursing functions in school nursing
Inserting Medicut catheter percutaneously into stomach
RN assisting physician with advancement, withdrawing and rotation of endoscopes
Release of a patient to funeral home without pronouncement of death by M.D. (superseded by npop86.04)
RN accepting verbal or telephone order from physician for a no code[DNR](with provisos)
Removal of arterial sheath following angiographic procedure
Removal of arterial catheter following angiographic procedure (Superseded by npop86.03)
RN monitoring and nursing care of patients with the I.A.B.P. (intra-aortic balloon pump)
RN practicing hypnosis
Ochsner Neonatal Nurse Practitioner Program commensurate with educational criteria for PNA
Monitoring and clinical supervision of EMT doing invasive procedures (superseded by later opinion)
Neonatal Nursing: Chest tube insertion, umbilical artery catheterization, umbilical venous catheterization, percutaneous central venous catheter insertion, peripheral arterial line insertion, and peripheral venous cutdown under less than life threatening circumstances Lumbar puncture and suprapubic bladder aspiration
Monitoring or participating in the regulation of tourniquets during a Bier Block Anesthetic
Judgment in carrying out physician's order (RN removing the inner and outer cannulas of a tracheostomy in a home situation)
RN removing an umbilical catheter from a nursery newborn
Irrigating intrathoracic chest tubes
RN activity of nursing diagnosis is included in LRS 37:913 (3)
Reaffirmed that the administration of regional anesthesia is within the realm of practice of qualified CRNA
Bone marrow aspirations and skin punch biopsies (see npop85.05)
Instillation of medication into chest tubes
Initiation of arterial lines (Superseded by npop98.18; also see npop90.13 & 92.07)
RN changing tracheostomy tubes in a hospital situation
Administration of pentothal reserved to CRNA (See also opinions on ketamine--npop83.03 & 83.04)
Instillation of medication into ventriculostomy tube or shunt
RN performing finger pricks for Dextrometer (glucose) and hemoglobin 3 readings considered part of nursing assessment by clinical practitioner faculty of USL within their established nursing clinics
RN delegating nursing functions in school nursing
Removal of chest tubes (Superseded by npopn90.07, critical care settings with provisos)
Administration of Ketamine (see the Law Governing the Practice of Nursing, R.S.37:930)
RN monitoring patient having received analgesic/sedative dose of Ketamine (See Board’s Declaratory Statement on the Role and Scope of Practice of the Registered Nurse in the Administration of Medication and Monitoring of Patients During the Levels of Procedural Sedation (Minimal, Moderate, Deep, and Anesthesia) as Defined Herein)
Drawing blood for chiropractor
Dispensing medications
Removal of atrial and ventricular pacing wires, suturing, cauterizing and harvesting saphenous veins
RN administering maintenance dose of analgesic via epidural catheter joined to an indwelling subcutaneous reservoir for the relief of intractible pain (see Board rules, LAC46:XLVII.3705)
Removal of mediastinal tubes
Performance of lymphangiograms
Insertion of subclavian line
RN administering generic medication when substitution is made by pharmacist
RN 1st Assistant (Superseded by Board’s Declaratory Statement for Registered Nurse First Assistants )
RN/CPA roles mutually exclusive
Criteria for determining execution of verbal physician order (superseded by Declaratory Statement on Transmission and Acceptance of Verbal Orders)
RN delegating flushing of IV tube (See Declaratory Statement on the Role and Scope of Practice of Registered Nurses Delegating Intravenous Therapy Interventions)
RN delegating delegatable IV tasks to LPN when site is subclavian (See Declaratory Statement on the Role and Scope of Practice of Registered Nurses Delegating Intravenous Therapy Interventions)
RN removing Swan Ganz catheter (also see npop88.05)
Interpretation of RN Applicant (new graduate) rules (See Board’s rules LAC46:XLVII.3353.A. Tempory Permit)
Elective cardioversion
RN performing emergency needle thoracentesis on neonates(see Declaratory Statement on the Registered Nurses Transporting Critically Ill Neonates)
RN executing orders of podiatric physicians
Delegating process of circulation in OR
RN reinserting gastrostomy tube in uncomplicated situations (may not be delegated to an LPN)
Removal of femoral arterial sheaths (Superseded by npop87.29; also see npop94.13 & 97.03)
RN administering TB Tine test
Interpretation of "prepared registered nurse"
Administering a drug for the purpose of anesthesia (See Board’s Declaratory Statement on the Role and Scope of Practice of the Registered Nurse in the Administration of Medication and Monitoring of Patients During the Levels of Procedural Sedation (Minimal, Moderate, Deep, and Anesthesia) as Defined Herein)
CRNA administering regional anesthetics (see the Law Governing the Practice of Nursing, R.S.37:930)
RN retracting, suctioning, tying and cutting sutures in OR (superseded by Board’s Declaratory Statement for Registered Nurse First Assistants)
Administration of local and pudental anesthesia (see the Law Governing the Practice of Nursing, R.S.37:930)
RN removing sutures (superseded by npop97.04)
Removal of atrial and ventricular pacing wires, suturing and cauterizing (see also 87.12 for suturing)
Guidelines for Legal Standards of Nursing Practice (Board’s rules, LAC46:XLVII.3901)
Delegating therapeutic plasma exchange ("blood and blood products" include patient's own blood, also see Board’s rules, LAC46:XLVII.3703)
Private duty not within realm of RN Applicant
RN delegating maintenance of heparin lock to LPN (see Declaratory Statement on the Role and Scope of Practice of Registered Nurses Delegating Intravenous Therapy Interventions)
RN performing arterial punctures
RN inserting esophageal obturator
RN performing venipuncture and/or injecting medication into external jugular vein
Performance of invasive pressure monitoring (see npop80.04)
RN teaching unlicensed persons to provide emergency services offshore
RN copying physicians' orders
RN obtaining pulmonary capillary wedge pressures
Verbal orders of physician transmitted through physician's employee (superseded by Declaratory Statement on Transmission and Acceptance of Verbal Orders)
Interpretation of "licensed physician or dentist"
Assuming partial responsibility for nursing care rendered by self or by personnel under one's supervision (See Board’s rules, LAC46:XLVII.3703)
RN delegating insertion of Levin tube to LPN in a nursing home (see complete opinion)
RN performing endotracheal intubation
Interpretation of "emergency situation" in LRS 37:929 and 930
Execution of orders of licensed podiatrists (Superseded by npop82.11)
RN delegating "finger sticks" for hemoglobin tests in public health clinics (also see the Declaratory Statement Regarding The Role and Scope of Practice of Registered Nurses Performing Clinical Laboratory Testing)
RN instilling nitrogen mustard into the abdominal cavity via an angio cath, rotating the catheter and removing the catheter
Delegating of prefilling of insulin syringes - administration of medications (reaffirmed npop76.01)
RN delegating injection of heparin and saline into dialysis machine (see Declaratory Statement on the Role and Scope of Practice of the Registered Nurse in Dialysis Nursing in Renal Dialysis Centers and Facilities, revised 12/03/03)
RN administering oxytocin for labor induction
RN affixing fetal electrodes for fetal monitoring (Labor & Delivery, Superseded by npop95.20)
Insertion of intrauterine catheters for fetal monitoring (Labor & Delivery, Superseded by npop95.20)
Performing a Hollander's Test
Reinjecting epidural anesthetics (see Board rules, LAC46:XLVII.3705)
RN functioning as member of neonatal transport team (see Declaratory Statement on the Registered Nurses Transporting Critically Ill Neonates)
RN functions regarding medication administration (also see Board’s rules, LAC46:XLVII.3703)
Delegating administration of medication to unlicensed persons
RN independent nursing practice
