Is it within the scope of practice of the RN or LPN to perform ear stapling for weight loss, treatment of migraines, treatment of insomnia, etc.?
On April 7, 2006, the Board of Nursing completed its review of a request for clarification of the role of the registered nurse in performing ear stapling for weight loss, treatment of migraine headaches, treatment of insomnia, etc. It was determined that it is within the scope of practice of the appropriately prepared registered nurse to perform ear stapling provided: The registered nurse is educated and competent in the procedure. The registered nurse must have satisfactorily completed a documented special education program on applicable techniques and device safety, which includes supervised practice and clinical skills competency. This education and competency must be documented initially and on an ongoing basis; There is a medical order for the procedure; The ordering physician or advanced practice registered nurse must have expertise in the specific therapy and be readily available for consultation and able to respond to any question or adverse event; The ordering physician or adv
