A nurse is asked by a health care provider to insert a CVC. The nurse has not been trained in this procedure and is unsure if it is within their scope of practice. What is the most appropriate action for the nurse to take?
Refuse the task and clarify with the health care provider.
Attempt the placement using prior nursing school training.
Proceed with the insertion after consulting a trained nurse.
Perform the procedure because it was ordered by a provider.
The correct answer is for the nurse to refuse the task and clarify with the health care provider. Performing a CVC insertion without proper training violates the Nurse Practice Act, which outlines the legal scope of nursing practice. Nurses are obligated to act within their competence level to protect patient safety and their professional license. Attempting the procedure without training, even under a provider's order or with advice from a colleague, is unsafe and legally indefensible. Similarly, relying solely on knowledge gained in nursing school without specific competence in the skill is inadequate for safe practice.
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