QUESTION: Is it within the Scope of Practice for the Licensed Practical Nurse (LPN) to change a low profile gastrostomy tube or other type of gastrostomy feeding tube?

ANSWER: It is within the Scope of Practice for the LPN to replace gastrostomy tubes, under the direction of an RN, if the following parameters are met: The stoma must be completely healed (i.e. complete epithelialization of the stoma has occurred, there are no signs of infection, and the healing ridge is well defined), and a new tube/device must be inserted. (Do not re-use old device). The LPN also has received training specific to the type of device being used.

If the tube was recently inserted, the stoma has not completely healed and/or there are signs of infection that would require an RN assessment, an LPN may not change the tube.

RATIONALE: Licensed Practical nursing includes performing additional acts that require education and training as prescribed by the Board and that are recognized by the nursing profession as proper to be performed by the LPN, under the supervision of the physician or Registered Nurse.

LPN’s must adhere to their employers/agency’s written policy and procedures.

REFERENCES:

Article 1. Board of Nursing; 32-1601. Definition16(g)

Trexler, R.A., (2011) Assessment of surgical wounds in the Home Health patient: Definitions and accuracy with OASIS-C. Home Health Nurse 29;9. October 2011. 550-559.

Arizona State Board of Nursing - Nursing Regulatory Journal
Wednesday, August 15, 2018
Scheduled System Upgrade
Wednesday, June 06, 2018
FAQ Recently Enacted 2018 Arizona Opioid Epidemic Legislation: June 2018
Friday, May 18, 2018
Notice to Nurses - Change of Address
If you would like to change your address with the Arizona State Board of Nursing, please click here to retrieve the Change of Address form, fill it ou...
Wednesday, May 02, 2018
Notice of Proposed NLC Rulemaking.
https://www.ncsbn.org/enlcrules.htm

DISCLOSURE STATEMENT

Statement of locations where all notices of the meetings of the Arizona State Board of Nursing will be posted.

Pursuant to A.R.S. §38-431.02(A)(1)(a), the Arizona State Board of Nursing will post all notices of the meetings of the Arizona State Board of Nursing Meetings and any of its committees and subcommittees on the Board's website at www.azbn.gov. Notices will indicate the date, time, and place of the meeting and will include an agenda or information concerning the manner in which the public may obtain an agenda for the meeting.

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