clomicka

Thank you for the information Medic/Nurse for your feedback.There is no specific protocol in place with education requirements and there has been a possible legal implication approaching the practice. I was investigating the circumstances to determine how we could protect the practice. Appreciate your feedback.

AceOfHearts

There has been an incident in the office; after researching very gray area scope of practice and calling the board of nursing left me to believe it is not an issue (no liability insurance for this RN) - AORN mentioned with Medical Boardhas ruled in legal matters in previous declaratory statements filed in the state ruled against the RN to perform incisions and and this was either MD,RNFA's, CNS's and NPs and required training of First surgical assists. So what tasks are you RNs performing similar to this ?

Also, doesn't RN tasks usually need a supervising MD/ARNP/DO in the room to perform these tasks ?

I agree it is not FDA supported but more clinics are performing these procedures and training classes only train MD, DO, ARNP, PA to do the procedure since it is considered a surgical instrument. The tricker part is the RN is able to adjust the dosage of the medication based on the patient's symptoms even though dose of medication ordered by MD is done by labs. I was just trying to verify what education is normally required and how many hours for an RN with 2 year degree to use a surgical instrument and deliver medication that is being dosed by RN not MD/ARNP. Thanks for the feedback

Did ask them and they wanted the RN to submit a Declaratory statement to them. Thanks

Would like consensus from fellow nurses whether they believe this falls under the scope of practice for RN in Florida without peri-op or RNFA program (additional certification). Job entails the RN without direct supervision of a MD/PA/NP/DO in a office practice to perform the following: application of injectable anesthetic under the skin, clean site, insert surgical trocar instrument subcutaneously parallel to skin, insert medication through trocar then remove instrument, maintain hemostasis, use of steri-strips/suture. Example procedure can be found Hormone Pellet Insertion Procedure | Trocarkit – Trocarkit.com. Comments appreciated.

congrats nycmom, I just took my exam for second time today at 8am don't know the results, test turned off at 93 ish questions and I had 21 SATAs and lot's of prioritization, only 3 math problems, so I am hoping for the best... Now its time for you to celebrate :clpty:

I am interviewing also with NICU as a new GN; taking NCLEX exam first week of January due to holidays. Good Luck. All hospitals are going to situational questions to better compare applicants. I just helped my hospital with their new format. I was the test student. It really helped me with my interviews. I have been offered a position critical care internship for adult care hospital, I currently work for pediatric hospital as patient care assistant, but did my management hours in NICU so l must have shown them some ability to perform well in ICU environment. Best wishes Carolyn;)