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Telephone: (803) 896-4550
Email: NURSEBOARD@llr.sc.gov

Nancy Murphy
Administrator

Darra Coleman
Advice Counsel




South Carolina Board of Nursing

Advisory Opinions

The following files are in portable document format (PDF) and require the Adobe Acrobat Reader to view and print.


Listed below are advisory opinions approved by the Board of Nursing in answer to certain nursing practice questions. The statements are opinions of the Board of Nursing as to what constitutes competent and safe nursing practice.

To locate advisory opinions by subject, visit the Advisory Opinion Index.

Question 1 Is it within the role & scope of responsibilities of the licensed practical nurse (LPN) to perform pulmonary artery pressure monitoring procedures?

Question 2 Is it within the role and scope of responsibilities of the registered nurse (RN) to remove pleural and mediastinal chest tubes as ordered by the physician?

Question 3 Is it within the role and scope of responsibilities of the registered nurse (RN) and licensed practical nurse (LPN) to make pronouncements of death in a health care institution or in the home as a representative of an agency where care is being provided?

Question 4 Is it within the role and scope of responsibilities of the licensed registered nurse (RN) and licensed practical nurse (LPN) to administer radio-opaque dye, via endoscope, during an endoscopic retrograde cholangiopancreatography?

Question 5 What is within the role and scope of responsibility of the registered nurse (RN) in the administration of epidural, intrathecal and peripheral nerve therapies?

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Question 6 Is it within the role and scope of the licensed nurse to perform procedures related to gastrostomy and jejunostomy tubes in the patient with a permanent gastrostomy or jejunostomy?

Question 7 Is it within the role and scope of practice of the registered nurse (RN) to administer medications, such as anti-neoplastic agents, intrathecally?

Question 8 May a registered nurse (RN) or licensed practical nurse (LPN) practice as a licensed midwife?

Question 9a What is the scope of responsibility of the registered nurse (RN) in the administration of peripheral and central intravenous therapies/procedures?

Question 9b What is the scope of responsibility of the licensed practical nurse (LPN) in the administration of peripheral and central intravenous therapies and procedures?

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Question 10 What is the appropriate policy and procedure for management of resuscitate and do not resuscitate orders ("no code" orders)?

Question 11 What is the appropriate policy and procedure for the management of physicians' telephone orders received by health care agencies from physicians' office personnel?

Question 12 May a registered nurse (RN) insert prostaglandin into the vagina to induce abortion upon a physician's order?

Question 13 Is it within the role and scope of responsibilities of the registered nurse (RN) to perform the duties of the Registered Nurse First Assistant in the operating room setting?

Question 14 Is it within the role and scope of responsibilities of the licensed practical nurse (LPN) to remove skin sutures and/or staples?

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Question 15 Is it within the role and scope of responsibilities of the registered nurse (RN) in the emergency department of a health care agency to be responsible for patient triage and discharge from the emergency department without physician order?

Question 16 Is it within the role and scope of responsibility of the registered nurse (RN) and licensed practical nurse (LPN) to inject Xylocaine (without epinephrine) intradermally, prior to the insertion of peripheral IV line, for the purpose of providing for patient comfort?

Question 17 Is it within the role and scope of responsibilities of the licensed practical nurse (LPN) to administer RhoGAM [rho (D) immune globulin (human)]?

Question 18 Is it within the role and scope of practice of the registered nurse (RN) to apply internal fetal electrodes, and to insert intrauterine monitoring devices without a physician present, and if so, may the RN perform amniotomy to apply the internal components?

Question 19 Is it within the role and scope of responsibilities of the licensed practical nurse (LPN) to verify blood or blood products with a registered nurse (RN) before infusion by the RN?

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Question 20 Is it within the role and scope of responsibilities of unlicensed personnel to perform digital intervention for the treatment of fecal impaction?

Question 21 Is it within the role and scope of responsibilities of the licensed practical nurse (LPN) to perform physical assessment?

Question 22 Is it within the role and scope of responsibility of the registered nurse (RN) to determine if a patient is in labor, and if not, to discharge the patient home, without consulting a physician?

Question 23 Is it within the role and scope of responsibilities of the registered nurse (RN) to perform endotracheal intubation and/or insertion of a laryngeal mask airway in an emergency situation?

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Question 24 Is it within the role and scope of responsibilities of the registered nurse (RN) to insert the intraosseous infusion device, and administer fluids, blood and blood products and medications?

Question 25 Is it within the role and scope of responsibilities of the registered nurse (RN) to administer pharmacological agents intravenously for sedation?

Question 26 Is it within the scope of practice of the selected licensed practical nurse (LPN) to manage existing arterial access lines/devices?

Question 27 Is it within the role and scope of responsibilities of the registered nurse (RN) and licensed practical nurse (LPN) to perform sharps debridement of necrotic tissue as ordered by the physician or APRN?

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Question 28 Is it within the scope and practice of a registered nurse (RN) to administer first dose antibiotics in the home setting?

Question 29 Is it within the role and scope of practice of a registered nurse (RN) to administer Vecuronium Bromide and other paralytic agents intravenously?

Question 30 May the selected licensed practical nurse (LPN) administer IV push medications to patients in a dialysis center?

Question 31 May the registered nurse (RN) administer red blood cells and platelets in the home setting?

Question 32 Is it within the role and scope of the licensed practical nurse (LPN) to perform additional acts: as (1) Charge Nurse or (2) in an Intensive Care Unit?

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Question 33 Is it within the role and scope of a licensed practical nurse (LPN) to practice without on-site registered nurse (RN) supervision under certain circumstances?

Question 34 Is it within the scope of practice of the licensed nurse to perform auricular acupuncture?

Question 35 Is it within the role and scope of responsibilities of the registered nurse (RN) to deploy extravascular collagen hemostasis devices?

Question 36 Is it within the role and scope of responsibilities for the registered nurse (RN) trained as a Sexual Assault Nurse Examiner (SANE) to use colposcopy for forensic evidence collection?

Question 37 Is it within the role and scope of practice for the registered nurse (RN) and licensed practical nurse (LPN) to remove, reposition or reinsert tracheostomy tubes in children and adults with well established stomas in the home or school setting?

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Question 38 Is it within the role and scope of responsibilities of the registered nurse (RN) to perform needle decompression for tension pneumothorax?

Question 39 Is it within the role and scope of responsibilities for a licensed nurse to perform certain cosmetic procedures?

Question 40 Is it within the role and scope of the registered nurse (RN) to perform Department of Transportation (DOT) medical examinations for the purpose of determining qualifications for driving in accordance with the Federal Motor Carrier Safety Regulations (49 CFR 391.41-391.49)?

Question 41 Is it within the role and scope of practice for the registered nurse (RN) to insert prostaglandin analogs (e.g., misoprostol) into the vagina for cervical ripening or induction of labor with a viable fetus?

Question 42 Is it within the role and scope of responsibilities of the registered nurse (RN) to deploy suture mediated vascular hemostasis closure devices?

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Question 43 Is it within the role and scope of practice for the Certified Registered Nurse Anesthetist (CRNA) to insert invasive cardiovascular monitoring lines?

Question 44 Is it in the scope of practice for a licensed nurse to be responsible for marking the surgical site for correct procedure verification?

Question 45 Is it within the role and scope of practice for a licensed nurse who is not an Advanced Practice Registered Nurse to obtain a pap smear?

Question 46 Is it within the role and scope of responsibilities of the licensed practical nurse (LPN) to evaluate and/or stage vascular, diabetic or pressure ulcers?

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Question 47 Is it within the role and scope of practice for the licensed registered nurse (RN) to perform an OSHA Respiratory evaluation questionnaire and approve Respirator use?

Question 48 Is it within the scope of practice of the Registered Nurse (RN) to remove trans-thoracic (epicardial) pacing wire following open-heart surgery?

Question 49 Is it within the role and scope for a Registered Nurse or Licensed Practical Nurse to supervise Emergency Medical Technicians (EMT's) and Paramedics in the Emergency Department (ED) of an agency functioning as EMT's and Paramedics?

Question 50 Is it within the role and scope of a licensed nurse practicing in a school setting to select, train, determine competency and evaluate unlicensed school personnel in the provision of treatments and the administration of medications required to meet a specific student's needs in the event that a medical emergency occurs when a licensed nurse is not readily available?

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Question 51 Is it within the role and scope of a licensed nurse practicing in a school setting to select, train, determine competency of and evaluate unlicensed school personnel in the provision of select nursing tasks required in order for a student to attend school?

Question 52 Is it within the role and scope of a registered nurse (RN) or licensed practical nurse (LPN) practicing in a school setting to select, train, determine the competency of and evaluate unlicensed school personnel for assisting students with medications taken on a routine schedule?

Question 53 Is it within the role and scope of responsibilities of the registered nurse (RN) to advance the endoscope while assisting the physician during endoscopy procedures?

Question 55 What is the role and scope of responsibilities for the registered nurse (RN) to administer fentanyl intravenously for pain management?

Question 56 Is it within the role and scope of responsibilities of the registered nurse (RN) to remove the SAVI (Strut Assisted Volume Implant) applicator device?

Question 57 Is it within the role and scope of responsibility of the registered nurse (RN) and licensed practical nurse (LPN) to perform basic (Level I), intermediate (Level II) and advanced (Level III) foot and nail care?

Question 58 Is it within the role and scope of practice for APRNs to conduct assessments without physician collaboration or preceptors?

Question 59 Is it within the role and scope of the Registered Nurse (RN) to utilize ultrasound guidance and assistance for peripheral IV catheter placement?

Question 60 May an Advanced Practice Registered Nurse (APRN) with prescriptive authority prescribe medications for members of his or her immediate family who do not have an established APRN/patient relationship?

Question 61 If a licensed nurse has received a private reprimand from this Board or another Board charged with regulating the profession of nursing in another jurisdiction, is the nurse subject to discipline if the nurse affirmatively states on an employment application that s/he has not been subject to any discipline by a licensing board or fails to disclose the existence of a private reprimand?”

 

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The S.C. Department of Labor, Licensing and Regulation is pleased to provide various publications in portable document format (PDF).
You will need Adobe Reader to view and print these publications.