Nursing scope of practice regarding arterial line insertion.

[rntnlee]

Can anyone list those states under Nursing Practice Act/ Scope of Nursing practice that allows arterial line insertion for nurses? (and website of documented information) I am most interested whether Georgia Nursing Practice Act provide any regulation on this subject..... currently, I have found nothing regarding on this subject.

I have found two that are documented under there State Board of Nursing. (apparently it's pretty hidden information.....)

1. Nebraska

(http://dhhs.ne.gov/publichealth/Pages/crl_nursing_rn-lpn_advisory.aspx#ARTERIAL)

2. Mississippi

(http://www.msbn.state.ms.us/FAQs.htm#Paline)

Thanks.

[CC-RN-EMTP]

I can't quote specific areas for my states Scope of Practice but can say that in my ICU RN and RT's are allowed to start arterial lines in the radial arteries. Femorals are reserved for the physicians. To the best of my knowledge there is one other hospital here that lets ICU RN's place a-lines.

[NicuGal, MSN, RN]

We can place them in our unit also, but we have a certification process we go thru and have to do so many sticks a year to keep it. All of our CC nurses can do this, but it is usually the fellow on call.

[Stephen Rietschel]

On 6/3/2012 at 5:20 PM, NicuGal said:

We can place them in our unit also, but we have a certification process we go thru and have to do so many sticks a year to keep it. All of our CC nurses can do this, but it is usually the fellow on call.

Would you be willing to share your hospitals arterial catheter insertion certification and competency information and process?

[chare]

A registered nurse in North Carolina can place an arterial catheter.  I know our transport team can place them, but am unsure of the verification process.

 

infusion-therapy (1).pdf

[Corey Narry, MSN, RN, NP]

I wish RN's place radial arterial lines where I work...that would save me from the calls I get for an "a-line accidentally getting pulled out".  I've worked per diem in an ICU that allows RT's to place radial arterial lines but not RN's.  Arterial lines are billable procedures for providers, however, which probably explains why there is less of a push for RN's to place them. For new NP's, our requirement is 10 arterial lines placed independently prior to being allowed to do them without a preceptor. That rule could be applied to an RN presumably.

[RapidRN, ADN, BSN]

We are currently in the process of approval for this. Our Rapid Response team is also our vascular team. 240 bed hospital. We can already place midlines, PIV, US guided PIV, and PICC lines. With our frequent turnover of CRNA's we sought the approval for it. Unfortunately Missouri doesn't list anywhere whether it is in the scope of practice or not. We are a "decision tree" state, meaning if you have the appropriate training, supervision, and policy, it is up to your facility. So we are gathering research about it currently to present to admin.

[RapidRN, ADN, BSN]

Also if anyone is willing to share their hospitals training criteria or policy on this, that would be a huge resource.