Can nurses suture? - page 3

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... Read More

  1. by   core0
    Quote from KellNY
    yep, definitely.
    CNM's are non physician providers under medicare guidelines for providers and can suture. As far as I know any NPP can suture (and bill for it). The question (as I interpret it) was can RN's (or LPN's) suture. The answer is depends on your state. For the answer on billing for this see my other post.

    David Carpenter, PA-C
  2. by   PANurseRN1
    Suturing? No thanks, I have enough to do already.
  3. by   rigmedic
    I am an offshore medic, currently 45 miles offshore from a third world country. I suture all the time. After I finish nursing school, get my BSN and then my CNOR and RNFA perhaps I can suture onshore also. LOL
  4. by   platon20
    Of course NPs can suture. But for RNs to suture is dangerous. They dont teach that in RN school and 99% of them are not trained to do it. I have NEVER seen a doc let an RN suture anybody in the ED. Its always an NP that does it.
  5. by   puggymae
    I am a family practice NP and I can suture.
  6. by   niccikatie
    I know that my daughter was seen in an ER and the 'suture nurse' sutured her wound and the MD came in at the end to check everything out. Im not 100% sure if she was an RN or an NP. This is in MN.

    Also, on the subject of billing. I'm an RN in an ENT office. As an RN, I can see post op patients and 'bill' (post ops have global days, so they're included in the cost of the surgery) for them even if I'm the only one to see a pt. Usually, I do first post ops where packing or suture removal is required. I have to dictate a note into our EMR and fill out an MSR to accurately document the visit. We can also bill for 'nurse only' visits if the pt needs something that is in the scope of our practice such as a wound check or nasal packing removal.
  7. by   pghfoxfan
    Sorry so late to this discussion but... I have wondered this for many years in PA

    7 years ago, the RNs In the Electrophysiology Lab, sutured (closed) pacemaker and ICD pockets while the Doctor dictated or was writing orders. There were 4 of us. 3 different Doctors supervised us till they felt we were competent. Again, the Doctor was still in the room. About 3 years ago, we hired an RN who did not want to suture, and went to administration saying that it was against the PA nurse practice act. NO ONE could find in ANYWHERE that it was against the Nurse Practice Act. Our Administration finally told us to stop suturing since it was a "gray area". IMO, It would be ridiculous for us to become an RNFA just to suture 2 layers of the skin 2-3 inches long and for only pacemakers or ICDs .
  8. by   reeta
    In my hometown you ll never see any GP suturing, the registered nurses do their job.
  9. by   HappyNurse2005
    CNM's suture perineal lacerations....
  10. by   kachidekuyua
    I have done it before in a lacerated wound and during circumscision, but I was under Doctor's supervision and guidance.. I don't know about legalities but the doctor was the one who signed on the procedure I have done. I think I'm safe doing it...
  11. by   diane227
    It is generally done by physicians, ARNP's, and PA's but when I was working as an ER nurse in a large county hospital we would get a lot of people in the suture room at once and the residents, medical students and I would suture patients because there were so many and we had to get them done. The surgery residents taught me simple, non complicated suturing technique.
  12. by   ZippyGBR
    Quote from platon20
    Of course NPs can suture. But for RNs to suture is dangerous. They dont teach that in RN school and 99% of them are not trained to do it. I have NEVER seen a doc let an RN suture anybody in the ED. Its always an NP that does it.
    What an utterly ridiculous answer, as an RN who sutures this is a ridiculous answer to say the least... No one said just go ahead and do it, yes it's not a pre-registration skill but it doesn't mean that it cannot be taught and consolidated in clinical practice; unless there is particular problem with the way in which Nursing scope of practice is defined where you are - this kind of idiocy makes me thankful i am in the UK where the boundaries of Clinical practice for any health professional are defined by demonstrating and maintaining appropriate standards of practice rather than arbitrary delination in to silos of different people's tasks.

    The billing stuff is just a distraction and a symptom of the messed up way in which the USA conducts it's clinical practice.
  13. by   LuxCalidaNP
    I find it facinating that there is so much alarm about this subject...
    Many RNs who complete a standardized competency training in uncomplicated suturing provide safe wound closure in many settings. Many ambulatory and urgent care facilities have policy-procedures in place to ensure that the procedure meets the needed criteria for RNs to suture. If an RN can complete a training to be an RNFA (an skill-intensive roll), or insert a PICC line, they sure as heck can learn and execute simple wound closure techniques.