does any nurse do EJ's in the ER

I've never heard of nurses allowed to do EJ's in the ER. Like intubation, it's a skill we must have but never use. I have seen a few ER's where Paramedics were allowed to do EJ's, though.

it is considered a medically delegated act in our state

Hi,

I am a transition RN (new to ER, not nursing) and still on orientation. Our policy is that we observe 2 and do 4 with assist/supervision and then we are on our own. I live in CA. We also do arterial sticks with the same training with an RT.

Nurses and paramedics do EJs in our ER after being checked off (3 times) by the MD.

EJs are easy. There's no reason a nurse shouldn't be able to do one, imo.

Yes we do.

I have done one in a code with the Dr present. He was happy I got it and so was the nursing super who responded to the code. More than that I cannot tell you.

In the state of New Hampshire the Bon says that it is NOT in an RN's scope of practice to preform EJ sticks.

I'm a new grad...can anyone tell me what an EJ is? lol

nope, we can't do them, only docs, PAs, and NPs/CNSs. Not in our scope of practice (ohio)

an EJ is a peripheral iv that goes into the external jugular vein

We do them in our ED as well. We observe 1 (or more if you would like), than are observed doing 3 and signed off by another RN. They can be a life saver (literally) with a patient who is a difficult stick. Lol, just make sure there's no pulse and then poke! ;-)