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Questions
Related to Registered Nurse- First
Assistant (RNFA)
Registered
Nurse - First Assistant (RNFA)
At
its December, 1995 meeting, the
Board adopted the Association of
Operating Room Nurses (AORN) Recommended
Education Standards for RN First
Assistant Programs, and determined
that an advanced practice registered
nurse does not automatically qualify
as a registered nurse first assistant
in the operating room but must meet
the same requirements as set forth
in the AORN's recommended standards.
Endoscopic
Gastrostomy
The
Board at its February 16-17, 1994
meeting reiterated its position
with respect to RN First Assistants
and percutaneous endoscopic gastrostomy.
The RN First Assist may assist during
surgery, but may NOT perform this
procedure.
History
and Physical
The
Board at its June 15-16, 1993 meeting
determined that it is not within
the scope of practice of a RN First
Assistants to (1) take histories
and perform physical exams; (2)
make patient rounds; and (3) write
medical orders.
The
Board at its February 16-17, 1994
meeting clarified that the intent
of the Board was to disallow the
RN First Assistant in the O.R. from
being utilized as a physician extender,
i.e. performing the history and
physical examination that is clearly
the physician's responsibility.
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