IN A VARIETY OF SETTINGS

Providing quality, affordable health carE​ ​​

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Ohio APRNs

APRNs perform a variety of procedures to help diagnose, treat, and alleviate symptoms of diseases, illnesses, and injuries.  Below are some examples of procedures that may be performed by an APRN.  Not all APRNs are allowed to perform each procedure listed.  The type of procedures that an APRN is allowed to perform depends on a variety of factors - besides being medically necessary - the APRN must have the knowledge, skills, and ability (such as education and training) to perform the procedure.  In addition, the APRN must be able to show documentation that ongoing procedural competency has been maintained.


The Standard Care Arrangement may address procedures that the CNP, CNM, and CNS are allowed (or not allowed) to perform.​  APRNs who work for hospitals are required to obtain approval  (or privileges) and regular re-approval prior to performing procedures.  The approval process is through the hospitals credentialing and privileging committee.


The Ohio Revised Code and Ohio Administrative Code do not list the types of procedure that an APRN is allowed to perform, and the Board of Nursing does not require the APRN to obtain prior approval before performing new procedures.  However, the law does contain a few prohibitions related to procedures in sections 4723.43 and 4723.44 of the Ohio Revised Code: 


  • When a CNP or CNS is collaborating with a podiatrist, the CNP's or CNS's scope of practice is limited to the procedures that the podiatrist has the authority to perform under section 4731.51 of the Ohio Revised Code
  • When a CRNA is supervised by a dentist, the CRNA's scope of practice is limited to the anesthesia procedures that the dentist has the authority to perform under Chapter 4715 of the Ohio Revised Code
  • ​No CNM may perform version, deliver breech or face presentation, use forceps, do any obstetric operation, or treat any other abnormal condition, except in emergencies
  • No APRN in Ohio may perform or induce an abortion

Examples of procedures performed by APRNs


  • Suturing

  • Joint Injections

  • Pelvic Examinations

  • Epidurals (CRNAs)

  • X-ray Interpretation

Epidural Procedure

An epidural is a common procedure performed by CRNAs

Common Procedures

PROCEDURES


  • Appendicostomy Tube Management
  • Assisting in Surgery
  • Anesthesia Blocks (topical, local, digital, and pudendal nerve blocks)
  • Arterial Access/Puncture (peripheral)
  • Arterial Line (insertion)
  • Arterial Sheath (removal)
  • Arthrocentesis of the Knees
  • Baclofen Pump
  • Bone Marrow Biopsy and Aspiration
  • Bowel Irrigation
  • Cecostomy Tube Management
  • Central Venous Line (change over wire)
  • Central Venous Line (insertion)
  • Central Venous Line (removal)
  • Cerumen Disimpaction
  • Cervical Immobilization (includes cervical collar management and removal)
  • Chest Tube (insertion)
  • Chest Tube (removal)
  • Chest X-Ray Interpretation
  • Closed Reduction (casting, splinting, retraction)
  • Cryotherapy
  • Cystograms
  • Endoscopy
    • Flexible Scopes (head and neck)
  • Facet and Other Joint Injections and Aspirations
  • Colposcopy
  • Cryosurgery (skin lesions)
  • Drainage of Ear Tubes (and packing removal)
  • Electrocardiogram
  • Endotracheal Intubation
  • Enteral Feeding Tube (insertion)
  • Enteral Feeding Tube (removal)
  • Emergency Evacuation of Air Leak
  • Episiotomies
  • Endometrial Biopsies
  • Epicardial Pacing Wire (removal)
  • Epistaxis Control and Nasal Packing (e.g., nosebleeds)
  • Excision of Toenail or Fingernail
  • Fitting or Inserting Family Planning Devices
    • Including intrauterine devices (IUDs), diaphragms, and cervical caps
  • Fracture/Dislocation Immobilization
  • Gastrostomy Tube (sizing, exchange, & removal)
  • Incision, Irrigation, and Drainage of Abscesses (superficial)
  • Bartholin Cyst
  • Paronychia
  • Sebaceous Cyst
  • Intrauterine Devices (IUD) (insertion and removal)
  • Knee Joint Injections
  • Laceration Repair (simple and complex)
  • Suture (insertion and removal)
  • Wound closure with topical skin adhesive
  • Staple (insertion and removal)
  • Light-Based Medical Devices (hair removal)
  • Lumbar Puncture (spinal tap)
  • Lysis of Labial Adhesions
  • Moderate Sedation
  • Nasal CauteryNasotracheal Intubation
  • Nerve Conduction Testing
  • Order Blood and Blood Products
  • Order Intravenous (IV) Fluids
  • Order Parental Nutrition
  • Pelvic Examinations
  • Percutaneous Pin Removal
  • Peritoneal Dialysis Catheter Removal
  • PICC Line (insertion and removal)
  • Reduction of Finger/Toe Dislocations
  • Reduction of Rectal Prolapse
  • Reduction of Subluxation of the Radial Head (nursemaid elbow reduction)
  • Removal of Cervical Polyps
  • Removal of Foreign Bodies (eyes, ears, nose, and skin)
    • Fishhook Removal
    • Tick Removal
    • Removal of Ring
  • Screenings
  • Developmental
  • Audiometry Screening
  • Visual Screenings
  • Shunt Taps
  • Skin Biopsies
  • Skin Punch Biopsies
  • Skin Shave Biopsies
  • Skin Tag Removal
  • Slit Lamp Eye Examination (with or without foreign body removal)
  • Splinting of Sprains (wrist, hand, and ankle)
  • Skeletal Muscle Traction (ordering)
  • Subdural Taps
  • Surgical Drain Management and Removal (open & closed drains)
  • Tracheostomy Decannulation
  • Tracheostomy Downsize and Upsize
  • Transthoracic Catheter (Removal)
  • Trephination of Subungal Hematoma
  • Ultrasound
  • Umbilical Arterial Catheter (insertion and removal)
  • Ventricular Tap
  • Ventricular Reservoir Taps
  • Video Urodynamics
  • Wound (Complex Management)
  • Wound Care (follow-up and re-packing)
  • Burn Care
  • Ulcer Debridement
  • Wound Vac Dressing Change and Management
  • Wart Removal/Molluscum Treatment

CNP  |  CRNA   |  CNM  |  CNS