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Discussion

Invasive procedures in ED

Besides foleys and ng tubes what other procedures can ER nurses do? can nurses start central lines, suture deep wound packing?

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  • Moderator

This varies by location (RN scope of practice) as well as by hospital policy. Some places I can do EJs, others I can't, for example. Here in Afghanistan I can do chest tubes, but I can't do those at home! Check with your BON and hospital.

I know you are probably expecting a more detailed response but it really varies by location and how strict the policies are enforced/what the physician allows (in terms of overstepping typical boundaries).

First you have to check the state SOP for RNs. Then the facilities policies. Finally, the provider.

  • Author

What are some typical procedures or some not so typical that an RN can do?

IVs, Foleys, Some places let you do ABGs (I do them at my job). NG/OG tubes, wound care. Meds-IV, IV blood products. If your thinking more task based career you might want to do Physician's Assistant or perhaps paramedic. I believe they do more suturing, etc. But they also tend to not do the other stuff that I listed. Honestly I think the Physician's in my ER get to do most of the fun stuff, chest tube placements, intubations, etc.

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