Are RNs allowed to insert external jugular lines?
The appropriately prepared registered nurse may insert an external jugular line provided: The registered nurse is educated and competent in the procedure. This education should contain all components of a formal certification course, including insertion, use, care and maintenance; The registered nurse’s education and competence are documented initially and on an ongoing basis; There is a medical order for the procedure; All the necessary resources are available; and The facility or agency has policies and procedures in place addressing all aspects of this issue including, but not limited to: Specific guidelines/criteria for candidates for this procedure; A mechanism of data collection for quality control; and Guidelines for maintenance, use and care.