An RN on a medical-surgical floor is preparing to assist in a central line insertion. The nurse has not received specialized training for central line insertions. The provider asks the nurse to prepare the client and assist with the procedure. Which activity is appropriate for the nurse to perform in this situation?
Delegate the central line insertion to an LPN.
Prescribe a prophylactic antibiotic to the client prior to the procedure.
Prepare the sterile field and hand the provider sterile equipment during the procedure.
Perform the central line insertion under provider supervision and with verbal instructions.
Preparing the sterile field and assisting by handing the provider sterile equipment fall within the scope of practice for an RN who has not undergone specialized training for central line insertions. While an RN with proper training and certification can independently insert central lines, performing the procedure without that training is outside their scope. Prescribing medications is not within an RN's scope, as this is reserved for providers such as physicians and APRNs. Additionally, central line insertions are beyond the legal scope of practice for an LPN, making it inappropriate to delegate this task to them.
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