Agreed---we only allow MAs and LPNs to place the monitor. RNs have to be specifically credentialed and privileged to monitor. In the situation that a clinic does not have an RN, the provider's must monitor the NST throughout the tracing. We also use ECRI training as this is required for all staff involved with caring for prenatal patients in the FQHC world. For the credentialing & privileging, we have the RN attend a training program at one of our local hospitals who offers NST monitoring training. They submit their certificate as proof of competency for the privilege.
ECRI training is free for all FQHC staff members, and I think look-a-likes...if you are not either of those (or do not know what I am talking about), then you can still access the training, but I think you have to pay for an account. ECRI is created in partnership with the FTCA (who provides the federal malpractice insurance for all FQHC providers).
Hope that helps!
Mary
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Mary Blankson DNP APRN FNP-C FAAN
Chief Nursing Officer
Community Health Center, Inc.
Middletown CT
(860)227-5432
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Original Message:
Sent: 03-06-2024 08:18
From: Carrie Lemke
Subject: Fetal NSTs
we allow MAs and LPNs to apply equipment, that is all. the provider or trained and validated competent RN would be verifying equipment placement and interpretation. we follow EBSCO/Dynamic Health's RN procedure for the RNs.
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Carrie Lemke DNP RN NPD-S BC
Advocate Aurora Health
Denmark WI
(920)655-7795
Original Message:
Sent: 06-15-2023 13:33
From: Quiere Robinson
Subject: Fetal NSTs
Does anyone work in an organization where LPNs can hook patients up for prenatal NSTs? I am aware of AWOHNNs position statement on EFM, but it seems very inpatient driven and clinical staff would only set up the NST and print the strip, the provider will interpret. Thoughts?
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Quiere Robinson MSN, RN, AMB-BC
Ambulatory Nurse Clinician
VCU Health
Richmond VA
(804)773-9273
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