Re: Scope of Practice Question

[Debbie Irwin <fishie67@yahoo.com>]

Our RN/RT team are educated in the placement of these
lines once a year. We also have the chance to perform
these in our unit whenever it is possible, in order to
keep our skills up. I have had the chance to place 2
when on transport. 
                    Debbie Irwin RN 
                 St Josephs Neonate Team
--- Ken Lawson-Williams <Macgyver@FlightMedicMail.com>
wrote:
> QUESTION: Is UVC and/or UAC line placement during
> the mid to late stages of a Neonatal Resuscitation
> (per NRP algorhythm/course) within basic Paramedic
> or RN scope of practice in your service? Or would it
> be considered to be the initiation of a central line
> and thus out of scope? 
> 
> By strict dictionary/legal definition they could be
> interpreted as central lines as both access
> core/central vessels. I have placed them only 3
> times in 11 years (18 field deliveries) so it likely
> is not all that common an intervention for providers
> as an overall part of their practice despite it's
> 17% useage in my delivery experience. None of my
> medical directors have had any concerns/problem with
> the placements as were clinically indicated and/or
> covered within a protocol. However, they may not
> have looked at the scope of practice issues since
> the skill is a fundamental part of NRP. After all,
> it isn't a "central line placement" in the same
> sense as it would be on an infant/pede/adult
> (subclavian or internal jug spring to mind). More
> like a femoral access.
> 
> Just curious to see how the issue is dealt with in
> different parts of the world - or if it is even
> considered at all....
> 
> Fly Safe. 
> Ken L-W CCEMT-P/WMT
> 
> "If in the last few years you haven't discarded a
> major opinion or 
> acquired a new one, check your pulse. You may be
> dead."
> - Gelett Burgess
> 
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