IN A VARIETY OF SETTINGS
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advanceD practice registereD nurseS
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:
An epidural is a common procedure performed by CRNAs