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Is it within the scope of practice of the RN to irrigate chest tubes, mediastinal catheters and pericardial catheters with thrombolytics?

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Is it within the scope of practice of the RN to irrigate chest tubes, mediastinal catheters and pericardial catheters with thrombolytics?

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It is within the scope of practice of the appropriately prepared registered nurse to irrigate chest tubes, mediastinal catheters, and pericardial catheters with thrombolytics. In situations involving the irrigation of chest tubes, mediastinal catheters and pericardial catheters with thrombolytics, the following stipulations must be met: The registered nurse is educated and competent in the procedure. The education and competence must be documented initially and on an ongoing basis; The procedure is performed in a controlled setting where the patients are monitored according to accepted standards of practice; There is a patient specific medical order for the procedure; The initial procedure of irrigation of the mediastinal catheter and pericardial catheter is done by the physician or advanced practice registered nurse (APRN) [subsequent procedures may be performed by the registered nurse provided there are no complications]; and The facility has policies and procedures in place addressi

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