Iowa Board of Nursing

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Board Information

Iowa Board of Nursing
RiverPoint Business Park
400 S.W. 8th Street, Suite B
Des Moines, IA 50309-4685
Tel: 515/281-3255
Fax: 515/281-4825

Office Hours:
8:00 a.m.–4:30 p.m.
Monday – Friday

Declaratory Ruling/Order Index

No. Date Issued Subject
1 2-27-84 Refusal to Issue Declaratory Ruling (Re: George Harpole)
2 5-6-85 Refusal to Issue Declaratory Ruling (Re: Certified Nurse Midwives)
3 7-25-85 Administration of O-T-C Medications by School
4 10-11-85 LPN Homemaker Health Aide Director
5 7-18-86 Nursing Referrals
6 8-21-86 Administering Intravenous Brevital Sodium
7 11-3-86 Initiating Arterial Lines
8 1-22-87 Inflating PTCA Balloons
9 5-5-87 LPN/Gastrostomy Tubes
10 5-7-87 Role of Nursing Students When Employed
11 7-23-87 OB-GYN Practitioner/STD
12 7-23-87 LPN/Clinic Setting
13 7-23-87 Removal of Swan-Ganz Catheters/Extubtaion
14 7-23-87 Heparin Administration Via Hickman Catheters
15 7-23-87 LPN/Esophageal Dilation
16 8-18-87 Insertion of Nasogastric Tubes
17 1-27-88 LPN/Gastrostomy
18 2-16-88 LPN/Arterial Blood Drawing
19 1-27-88 Removal of NG Tube
20 1-26-88 Intubation (Rescinded 3-3-89)
21 2-10-88 Refusal to Issue Declaratory Ruling(Re: Low Dose Intraspinal Anesthesia
22 3-21-88 LPN Reinserting Tracheostomy Appliance
23 3-22-88 RN Prescribing TED Hose (Rescinded 1-20-89)
24 3-31-88 Paraffin Bath Treatments
25 5-31-88 RN Inserting Intrasil Catheters
26 5-31-88 RN Administering Intranasal Sufentanil
27 5-31-88 Role of Nurses in GIFT and IVF-ET
28 5-31-88 Removal of Intra Aortic Balloon Pumps
29 7-22-88 LPNs Administering IV Medications
30 8-2-88 LPN Home Hemodialysis
31 9-30-88 RNs Administering Anesthetic Agents
  12-6-90 Amendment to Declaratory Ruling 31
32 11-18-88 RNs Administering IV Versed (Rescinded 3-3-89)
33 11-18-88 RNs Educating & Supervising Radiologic Technologists to Administer IV Medications
34 1-20-89 RN Prescribing TED Hose (Rescinds No. 23)
35 3-3-89 RN Starting Intraosseous Infusion
36 3-3-89 RNs Administering IV Versed (Rescinds No. 32)
37 3-3-89 Intubation (Rescinds No. 20)
38 3-3-89 Certified Aides Administering Gastrostomy Feedings
39 5-19-89 RN Removing Hemovac, Jackson-Pratt, PenroseDrain and Paracentesis Catheter
40 5-19-89 RNs Advancing and Withdrawing Endoscope and Colonscope (Rescinded 9/21/89)
41 6-29-89 Role of LPN in Teaching Certified Nurse Aide Course
42 9-21-89 Nonlicensed Personnel Administering Gastrostomy Tube Feeding in Comprehensive Residential Facility (Rescinded 4/20/90)
43 9-21-89 LPNs & RNs Advancing and Withdrawing Endoscope and Colonscope (Rescinds No. 40)
44 9-21-89 RNs Performing Thoracic Needle Decompression
45 9-21-89 RNs Removing Temporary TransvenousTransthoracic Pacemaker Wires
46 9-21-89 RN Performing Sclerotherapy on Superficial Varicose Veins
47 12-7-89 Teacher Inserting Gastrostomy Tube in a Continent Gastrostomy
48 4-20-90 Nonlicensed Personnel Administering GastrostomyTube Feeding in Comprehensive Residential Care Facility (Rescinds No. 42)
49 6-28-90 Nonlicensed Personnel Administering Medications via Gastrostomy Tube Feedings in Comprehensive Residential Care Facility
50 9-4-90 Refusal to Issue Declaratory Ruling Re:Contested Case #87-066
51 12-6-90 Insertion & Maintenance of Percutaneous Intravenous Central Catheters (PICC)(Rescinded--See Declaratory Ruling No. 53)
52 12-6-90 Regulation and Monitoring of Analgesia via Epidural Route (Rescinded 6/20/91)
53 3-6-91 Insertion & Maintenance of Percutaneous Intravenous Central Catheters (PICC)(Rescinds Declaratory Ruling No. 51)
54 6-20-91 Delegation of Oxygen Administration in Residential Care Facilities
55 12-5-91 Nonlicensed Personnel Administering Feedings and Medications via Gastrostomy Tube in an Intermediate Care Facility for Mentally Retarded
  9-22-94 Amendment to Declaratory Ruling No. 55
56 3-5-92 Delegation of Inhalation Medication Administration in a Residential Care Facility
57 9-17-92 RN Delegating to Unlicensed Personnel Assisting the Physician With Advancing and Withdrawing a Flexible Sigmoidoscope
58 12-3-92 Nonlicensed Personnel Performing Clean Intermittent Catheterization in a Residential Care Facility for the Mentally Retarded
59 12-3-92 Refusal to Issue Declaratory Ruling
(Re: Supervision of Nonlicensed Personnel Administering Feedings and Medications Via Gastrostomy Tube in Comprehensive Residential Care Facility for the Mentally Retarded
60 1-18-94 Nonlicensed Personnel Administering Feedings & Medications Via Foley Catheter Type Tube to a Child an an Intermediate Care Facility for Mentally Retarded
  3-23-94 Amendment to Declaratory Ruling No. 60
61 3-23-94 Delegation to Nonlicensed Personnel by the RN the Tasks of Assisting An Adult Client Residing in a Residential Care Facility in Self-Administration of Tube Feedings and Medications Via a Percutaneous Endoscope Gastrostomy Tube
62 6-2-94 Nonlicensed Personnel Administering Feedings Via Button-Type Gastrostomy Tube to Children in Intermediate Care Facilities for the Mentally Retarded
63 9-22-94 RN Delegation of Care of a Ventilator -Dependent Child by a School Nurse
64 9-22-94 Nonlicensed Personnel Administering Medications and Feedings Via Tube or Button to Children and Young Adults in Intermediate Care Facilities For the Mentally Retarded
65 9-22-94 RN Delegation to a Certified Medication Aide the Application of Oxygen in a Non-crisis Situation to An Adult Male With a Congenital Heart Defect Residing in an Intermediate Care Facility
  9-19-96 Amendment to Declaratory Ruling No. 65
66 9-22-94 RN Delegation of the Care of Two Well-established Tracheostomies to Nonlicensed Personnel Employed in a Residential Care Facility
67 12-1-94 RN Employed in An Intermediate Care Facility For the Mentally Retarded Delegating to a Residential Attendant the Task of Assisting a Mentally Retarded Adult to Self-administer Albuterol Via Nebulizer at Times When There is Not a Nurse on Duty
68 12-1-94 RN Delegation to a Nonlicensed Health Associate Employed in the Same School District the Clean, Intermittent Catheterization With Instillation of Neomycin Sulfate 1% Solution to a Student in the School
69 12-1-94 RN Delegation to Nonlicensed Health Care Associates, Administration of Rectal Diazepam (Valium) to Students in the School When the Students Demonstrate Seizure Activity
70 1-9-95 RN Delegation to Certified Medication Aides the Administration of Medications and Feedings Via a Button-Type Gastrostomy Tube to a Twenty-one-year-old Male in a Residential Care Facility When a Licensed Nurse is Not in the Facility
  3-2-95 Amendment to Declaratory Ruling No. 70
71 3-2-95 RN Delegation to Nonlicensed Personnel the Task of Monitoring a Client in an Eight-Bed Residential ICF/MR Who Utilizes a BiPAP S Airway Management System While Sleeping
72 3-2-95 RN Delegation to Nonlicensed Personnel the Administration of Medications Via Button Gastrostomy to a Child in the School Setting
73 3-3-95 RN Delegation to Nonlicensed Personnel Administration of Medications and Feedings Via Tube or Button to Children and Young Adults in Intermediate Care Facilities for the Mentally Retarded
74 6-8-95 RN Performing Radiological Interpretation of Placement of Small Bore Feeding Tubes During the Hours of 2400 to 0600 Prior to Initiating Feedings or Administration of Medications by Feeding Tube
75 6-8-95 RN Employed in the Dialysis Unit Replacing the Anchoring Suture of the Central Line Catheter
76 6-8-95 Delegation by an RN or LPN to a Certified Medication Aide the Administration of Medications and Feedings Via the Catheter-type Gastrostomy Tube to a Specific Resident During Off-campus Outings
77 6-8-95 LPN Delegation to Certified Medication Aides Assessment of the Mentally Retarded Client Who is a Brittle Diabetic
78 9-14-95 RN Employed by an ICF/MR Delegating to a Certified Medication Aide, the Administration of Albuterol (Proventil) With Intal Per Nebulizer in a Non-crisis Situation to a Sixty-eight-year-old Female With Asthma Variant
79 9-14-95 Licensed Nurse Employed by an ICF/MR Delegating the Task of Assisting a Mentally Retarded Adult to Self Administer Inhalant Medication Via Nebulizer/Compressor to a Certified Medication Aide
80 11-30-95 RN Delegation to a Home Care Aide, the Administration of PRN Bolus Tube Feedings Via a Button Gastrostomy to a Nine-month-old Female With a Hypoplastic Pulmonary Artery and Ventricular Septal Defect
81 2-29-96 Administration of Natural Remedies and Supplements to School Children at the Request of Their Parents or Guardians by RNs During the School Day
82 2-29-96 RN Delegation to Certified Medication Aides, the Task of Administering Medications and Feedings Via Button Gastrostomy
83 2-29-96 RN Delegation to Certified Medication Aides, the Task of Performing Intermittent, Clean Urinary Catheterization and Instillation of Neomycin Solution to a Twenty-year-old Male
84 6-6-96 Delegation to Nonlicensed Persons, Specifically Certified Nursing Assistants, the Performance of Continuous Ambulatory Dialysis Exchanges and Dressing Changes in the Acute Care Setting
85 6-6-96 RN Delegation to Nonlicensed Persons, the Care of a Well-established Tracheostomy Tube for a Resident Living in an ICF/MR or RCF/MR
86 6-6-96 RN Delegation to Unlicensed Assistive Personnel, the Administration of Topical Medications to Persons With Physical and/or Mental Disabilities
87 6-6-96 RN Delegation of Administration of Medications and Feedings Via Gastrostomy Tube to an Adult Male in a Day Program
88 9-19-96 RN Delegation to Certified Medication Aides the Administration of Medications and Tube Feedings Via a Gastrostomy Tube to Two Persons With Mental Retardation and/or Physical Disabilities
89 12-5-96 LPN Delegation to Certified Medication Aides, the Tasks of Administration of Medications and Gastrostomy Tube Feedings for Clients Residing in an ICF/MR
90 12-5-96 LPN Delegation to Certified Medication Aides, the Task of Performing Blood Glucose Testing for Clients Residing in an ICF/MR
91 3-6-97 RNs Who Specialize in Wound Care Performing Sharp Debridement of Dermal Wounds at the Bedside
92 3-6-97 RN Suturing a PICC in Place
93 5-6-97 LPN, under the Direct Supervision of the Physician, Assisting With Cannulation, Passing Wites and Balloons and Stenting During Endoscopic Retrograde Cholangiopancreatography and Injecting Medication Through the Catheter During a Gastric Schlerotherapy Procedure
94 5-6-97 RN Delegation of Medication Administration and Feedings Via PEG Tube to Certified Medication Aides and Certified Medication Managers
95 9-18-97 RN Delegation to Certified Medication Managers Who Have Demonstrated Competency in the Task, the Administration of Fleet Enemas to a Wheelchair-Bound Enema-Dependent Adult
96 12-11-97 RN Delegation to an Unlicensed Health Assistant, the Administration of Medication, Via Gastrostomy Tube, to a Child in the School Setting
97 9-3-98 RN Delegation to Certified Medication Aides and Certified Medication Managers, the Administration of Glucagon Injections to a Client With Severe Hypoglycemia
98 12-10-98 RN Delegation to a Certified Medication Aide, the Task of Performing Intermittent, Clean Urinary Catheterization of a 43-year-old Male With Multiple Health Problems
  03-02-00 Amendment to Declaratory Ruling No. 98
99 12-10-98 Scope of Practice of the LPN in Providing Care to a Child With Multiple Health Problems in the Home Setting
100 12-10-98 Request to Affirm That an RN Level of Care is Required For the Entire 16 Hours of Private Duty Nursing Services Being Provided for a Client
101 3-4-99 Scope of Practice of the RN in the Hospital or in the Ambulance En Route to a Referral Center, Administering a Neuromuscular Blocking Agent (Rescinded 12-7-00)
102 6-3-99 RN Delegation to a Home Health Aide, Wound Care Which Includes Packing Acetic Soaked Gauze Into a Stage IV Pressure Ulcer on the Heel of a Diabetic Client
103 12-9-99 RN Applying Topical Skin Adhesive to Close Simple Skin Lacerations
104 09-21-01 ARNP/CNM Pronouncement of Fetal Death
105 03-07-03 RN Supervision of Consumer-directed Attendant Care