Can nurses suture? - page 2

by amanda sue 32,547 Views | 38 Comments

Under their legal scope of practice, can any nurses suture? LPNs, RNs, NPs, etc? Or is suturing only "allowed" by doctors and physician assitants. I ask because you often hear about military corpsmen and medics suturing (they... Read More


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    We used to do simple suturing to assist the MD such as suturing arterial lines post insertion (which we did also) and assisting in the suturing of indwelling lines the Doc inserted in either the ER or the ICU. You had to be specifically trained to do so and we were covered under our hospital policy. This was in KY.
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    Quote from jer_sd
    Depends on state law, all NPs should be able suture as that a basic part of primary and specilaty care.

    RNFAs can suture for surgical procedures only, I dont think an ER could have a RNFA on staff just to suture lacerations. Technically they can but it woudl go against the advisory opinions and statutes in most states.

    In California RNs can suture if the work in a department that has standardized procedures allowing it.

    Jeremy
    The real issue is reimbursement in my opinion. The NP or PA is going to get reimbursed. Most others will not.

    David Carpenter, PA-C
  3. 0
    Unless you are in an urgent care and it is billed incident to the physician or provider (NP or PA).

    Jeremy

    Quote from core0
    The real issue is reimbursement in my opinion. The NP or PA is going to get reimbursed. Most others will not.

    David Carpenter, PA-C
  4. 0
    Thanks, everyone!

    I was always curious about how that worked...and now I know!
  5. 0
    Quote from jer_sd
    Unless you are in an urgent care and it is billed incident to the physician or provider (NP or PA).

    Jeremy
    I'm confused. Not sure this is on track, but are you saying that a nurse can bill incident to for suturing? You really can't bill incident to for suturing anyway since the Physician needs to do the initial encounter to bill that way for NPP's. You could bill for an OV1 nurse visit but that won't even cover your material costs.

    David Carpenter, PA-C
  6. 0
    I work in a NICU in Washington State. Our advanced skills nurses can suture after they place UACs and UVCs, also with PICC placements.
  7. 0
    Patient show up to urgent care with a simple laceration. PA-C needs to see 5 patients an hour, looks at the wound, orders the RN to suture the wound and the suturing is billed incident to the PA freeing the PA to see three more URI or medication refill patients in the same time frame. Just as if you deligate prefomance of an EKG to someone you still bill for it even if you don't do the EKG.

    Personaly I would never deligate this since I like suturing, and it has more risk than other procedures such as EKG or splinting. But if state law allows it it could be done and billed for as long as a provider was seeing the patient and orders it to be done.

    Jeremy

    Quote from core0
    I'm confused. Not sure this is on track, but are you saying that a nurse can bill incident to for suturing? You really can't bill incident to for suturing anyway since the Physician needs to do the initial encounter to bill that way for NPP's. You could bill for an OV1 nurse visit but that won't even cover your material costs.

    David Carpenter, PA-C
  8. 0
    Yup - NP's in Texas can definately suture - among other things.
  9. 0
    I was suturing long before a lot of these doctors I work with were even born. As a Corpsman back 68 to 72
  10. 0
    CNMs can suture. All the NPs I've worked with (urgent care/family med) have sutured. As an RN, I would never suture-I wasn't trained to and feel it would be incredibly selfish to do that to a Pt. Not to mention insurence fraud billing the procedure to someone else. I don't care who it frees up-this is my license.


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