Is it within the scope of practice of the RN to perform intraosseous cannulation and infusions?
The appropriately prepared registered nurse may perform intraosseous cannulation and infusion provided: The registered nurse is educated and competent in the procedure; The registered nurse’s education and competence are documented initially and on an ongoing basis; There is a medical order for the procedure; There is an emergent situation necessitating that the registered nurse performs intraosseous cannulation; The registered nurse is the most qualified person available; All the necessary resources are available; and The facility or agency has policies and procedures in place addressing all aspects of this issue to include, but not limited to: Specific guidelines/criteria for candidates for the procedure; A mechanism of data collection for quality control; and Guidelines for maintenance, use and care There is no specific reference to or distinction between the types of devices which may be utilized to perform the procedure. As with any nursing procedure, the nurse must be competent t