Are registered nurses (RNs) allowed to insert non-tunneled devices such as Quinton catheters?

Are registered nurses (RNs) allowed to insert non-tunneled devices such as Quinton catheters?

• A. Yes, they can.
• B. No, they cannot.
• C. Only with supervision.
• D. Only in emergencies.

Answer: (B)

Registered nurses (RNs) typically do not have the authority to insert non-tunneled devices such as Quinton catheters independently due to the complexity and risks involved in the procedure. The insertion of these central venous access devices usually falls under the scope of practice for advanced practitioners or physicians who have received specialized training. The rationale for this restriction includes the need for advanced knowledge regarding anatomy, vascular access, and the potential complications that can arise from improper placement, such as pneumothorax or arterial injury. RNs may assist with the procedure or provide care around the maintenance and management of the catheter once it has been placed, but the initial insertion is reserved for those with the requisite expertise and clinical judgment. In clinical practice, policies may vary by institution, and some facilities might allow RNs to perform such procedures under certain conditions, but these typically require additional certification or training. Therefore, the most accurate answer reflects the general consensus and regulations governing nursing practice regarding the insertion of these devices.

Registered nurses (RNs) typically do not have the authority to insert non-tunneled devices such as Quinton catheters independently due to the complexity and risks involved in the procedure. The insertion of these central venous access devices usually falls under the scope of practice for advanced practitioners or physicians who have received specialized training.

The rationale for this restriction includes the need for advanced knowledge regarding anatomy, vascular access, and the potential complications that can arise from improper placement, such as pneumothorax or arterial injury. RNs may assist with the procedure or provide care around the maintenance and management of the catheter once it has been placed, but the initial insertion is reserved for those with the requisite expertise and clinical judgment.

In clinical practice, policies may vary by institution, and some facilities might allow RNs to perform such procedures under certain conditions, but these typically require additional certification or training. Therefore, the most accurate answer reflects the general consensus and regulations governing nursing practice regarding the insertion of these devices.