intrauterine pressure catheter(IUPC)

[nurse955]

Do nurses in your unit insert IUPC?

is it within scope of practice for a nurse to insert IUPC or FSE. If anyone has supporting documentation or link from licensing board, please post.

Thanks.

[tablefor9, RN]

At my current facility, RNs may insert FSEs once trained (AWHONN class) and signed off (3 successful observed insertions).

IUPCs are CNM/MD only. Last Florida facility was RN FSE and IUPC, same requirements. Yearly AWHONN course/competency and skills checkoff are required for all family birth center RNs.

[Mec_Happens]

At my facility in CA RN's place IUPC's and FSE's. We have to be signed off on 3 of each by another competent RN.

[NearlyNurseLuke]

https://www.azbn.gov/sites/default/files/advisory-opinions/new/AO Intrauterine Pressure Catheters rev.07.2019.pdf

It depends on your state's BON, and your facility. AZBON has decided:

"It is within the scope of practice for a Registered Nurse (RN) to insert an intrauterine pressure catheter (IUPC) if the following requirements are met:
I. GENERAL REQUIREMENTS
A. Written policy and procedures are maintained by the agency/employer.
B. Only RNs who have satisfactorily completed an agency's instructional program, and
have had supervised clinical practice may insert an IUPC.
C. Documentation of satisfactory completion of the instructional program and
demonstrated clinical proficiency is on file with the employer.
II. COURSE OF INSTRUCTION includes but is not limited to:
A. Anatomy and physiology of the pregnant woman, including the placenta, membranes, and
fetal presentation.
B. Indicationsfordirectmeasurementofuterinecontractions.
C. Relative and absolute contraindications to direct, invasive intrauterine contraction
monitoring.
D. Recognition of and evaluation for inappropriate catheter placement.
E. Potential adverse reactions.
F. Technique for safe insertion of an intrauterine pressure catheter.
G. Documentation.
H. Post IUPC insertion nursing care responsibilities.
III. RATIONALE
The IUPC provides a direct method for measurement of uterine activity during labor and is
the only objective method for measuring uterine intensity. This procedure can be performed by RNs with validated competency in order to provide assessment data on which to base interpretation and appropriate nursing actions.”