Cervidil by labor nurse

[rickdon19]

Hi, Can anyone confirm that the labor nurse is able to insert this first cervidil? I was under the impression that we could do the second. Thanks,D.

[fallinnstyle]

Am not a OB nurse, but I just had a bambino and the nurse put in the first cervidil. (and the 2nd after the first one fell out in the bathroom:uhoh3:

[sahm02]

Our docs always place the cervidil..

[Elvish, BSN, DNP, RN, NP]

I think it depends on the nurse practice act for your state. In my state, we can't place any cervical ripening agents.

[CEG]

It depends on local policy. In the past I have done all cervidil and cytotec as a staff nurse. In my current facility residents do it.

[klone, MSN, RN]

Hi, Can anyone confirm that the labor nurse is able to insert this first cervidil? I was under the impression that we could do the second. Thanks,D.

It might be doctor or hospital policy that the OB/CNM inserts the first dose, but it would make no sense for it to be a state BON law that the RN cannot place the first dose, but can place subsequent doses.

Either the RN can place them at all, or they cannot.

In both AZ and CO, the RN is allowed, by BON, to place them. Each facility may have its own policies in place though.

[CarrieRNC]

I used to work at a small community hospital where we had a lot of autonomy and we always placed cervidil and cytotec. Currently I work in a large teaching hospital and I think its just their practice to place them. There is no policy that states we can't though.

[klone, MSN, RN]

I used to work at a small community hospital where we had a lot of autonomy and we always placed cervidil and cytotec. Currently I work in a large teaching hospital and I think its just their practice to place them. There is no policy that states we can't though.

This is me, exactly. Quite a culture shock going to a large teaching hospital, isn't it?

[Sandwitch883RN]

It depends on local policy. In the past I have done all cervidil and cytotec as a staff nurse. In my current facility residents do it.

Same here!

[redbeads]

I don't believe that we have a policy ....just depends. Sometimes the nurses place it, sometimes the docs do. I've done it plenty, but usually just ask what the docs preference is. I can tell you that one advantage of the nurse being able to place it is that it gets placed a whole lot quicker! I work at a fairly large teaching hospital in Michigan.

[LDRNMOMMY, BSN, RN]

At the job I had in the U.S. RNs were allowed to place it. Sometimes the resident chose to place it. RNs had to have a competency checklist signed prior to placing it. This was a teaching hospital that did approximately 350-400 deliveries a month. At my last job we did not use cervidil. Cytotec was placed by the MD or CNM. This hospital did anywhere from 60-100 deliveries a month. LIke others have said, it depends on the state's RN practice act and facility policy.

[jerseynurse10]

Hello All,

Here in NJ, accoding to the NJ DOH Licensing Standards, an OB/CNM must examine a pt. 1 hour prior to the administration of a oxytoxic agent. I know cervidil is a pre ripening agent, but we have all seen the times it has placed a patient into labor as well. My question is for nurses in NJ, are you placing cervidil at your hospitals? Our doc would like us to, but I believe it may be bordering on the outskirts of our scope of practice, and merely a MD convenience.