I think it is important to mention that the parameters for who can perform and how often should a nurse be trained/certified may very from state-to-state and by hospital/clinic sites. Additionally, I have been a nurse in high-risk OB for over 28 years and and previously only RNs were approved to initiate, interpret, and actively monitor OB patients. However, some years later it was approved in WA state to have LPNs (but not Medical Assistants) who are trained to take part in Fetal Monitoring:
- Can the licensed practical nurse apply or remove an external or internal electronic fetal monitor?
-
"It is within the scope of an appropriately prepared and competent licensed practical nurse to apply or remove an external electronic fetal monitor under the direction of an authorized health care practitioner, or under the direction and supervision of the registered nurse, following clinical practice standards. It is beyond the scope of the licensed practical nurse to apply or remove an internal electronic fetal monitor. The licensed practical nurse should use the Scope of Practice Decision Tree to determine if these activities are within the nurse's legal and individual scope of practice." https://nursing.wa.gov/practicing-nurses/frequently-asked-questions#LPN-FAQ
For training we have used ACOG, AWHONN and currently use OBIX https://www.obixpoet.com/local/intellicart/view.php?id=103
At our high-risk hospital/clinic in Seattle, we make it a requirement for RNs/providers to become ANCC or NCC certified.
Sincerely,
Leondra Weiss, MN, ARNP, RN, FNP-BC, C-EFM, AMB-BC
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[Leondra Weiss MN, ARNP, FNP-BC, AMB-BC, C-EFM
Family Medicine ARNP
Vashon WA
(425) 870-0558
leondratw@gmail.com------------------------------
Original Message:
Sent: 03-14-2024 09:53
From: Kimberly Schuda
Subject: Fetal NSTs
Hi Quiere,
At our organization we have both CMAs and LPNs who set up the NSTs. The nurses only assist if needed. The doctor's do all the interpretation. The strips are just printed and brought to the provider. We are an outpatient facility and clinic run office. I hope that helps!
Kimmie
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Kimmie Vavra, MSN RN
Quality Assurance and Clinical Educator
Rush Copley Medical Group
1256 Waterford Drive, Suite 230
Aurora, IL 60504
Office: 630-499-6682
Cell: 630-456-3514
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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