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State-by-State Regulations on Conservative Sharp Debridement by Nurses in the United States

State-by-State Regulations on Conservative Sharp Debridement by Nurses in the United States

State-by-State Regulations on Conservative Sharp Debridement by Nurses in the United States

Instructions: 1. Click on the header of each column to sort (e.g., click on "State" to sort by state in alphabetical order), or use the "search" field to find a specific state. Regulations change constantly so readers may want to check with their respective Board of Nursing for most current information.  Source: Adapted from Tomaselli N, 2015.[1]


State Board of Nursing
Regulation Summary
Alabama Alabama State Board of Nursing RNs can perform sharp debridement as long as they  have taken a course and had supervised clinical  practice. The facility policy and procedures must reflect the RN’s capacity to perform this skill
Alaska Alaska State Board of Nursing
The Nursing board determined that it is an acceptable practice only for the CETN/CWOCN to  perform sharp debridement. They must have a physician’s order and a clear policy and procedure at their place of employment.
Arizona

Arizona State Board of Nursing

RNs can perform sharp debridement as long as they  have taken a course and had supervised clinical  practice. The facility policy and procedures must reflect the RN’s capacity to perform this skill
Arkansas

Arkansas State Board of Nursing

RNs can perform sharp debridement as long as they  have taken a course and had supervised clinical  practice. The facility policy and procedures must reflect the RN’s capacity to perform this skill
California

California State Board of Registered Nursing

RNs can perform sharp debridement as long as they  have taken a course and had supervised clinical  practice. The facility policy and procedures must reflect the RN’s capacity to perform this skill
Colorado

Colorado State Board of Nursing

RNs can perform sharp debridement as long as they  have taken a course and had supervised clinical  practice. The facility policy and procedures must reflect the RN’s capacity to perform this skill
Connecticut

Connecticut State Board of Examiners for Nursing

RNs can perform sharp debridement as long as they  have taken a course and had supervised clinical  practice. The facility policy and procedures must reflect the RN’s capacity to perform this skill
Delaware

Delaware State Board of Nursing

RNs can perform sharp debridement as long as they  have taken a course and had supervised clinical  practice. The facility policy and procedures must reflect the RN’s capacity to perform this skill
Florida

Florida State Board of Nursing

RNs can perform sharp debridement as long as they  have taken a course and had supervised clinical  practice. The facility policy and procedures must reflect the RN’s capacity to perform this skill
Georgia

Georgia State Board of Nursing

RNs can perform CSWD as long as they have taken a course and had supervised clinical practice. The facility policy and procedures must reflect the RN’s capacity to perform this skill.
Hawaii

Hawaii State Board of Nursing

Per the state board, there is no definitive statement allowing or prohibiting RNs and LVNs from performing CSWD. There is no established decision-making tree to follow
Idaho

Idaho State Board of Nursing

Per the state board, RNs must use the decisionmaking tree for CSWD. LPNs may perform this procedure if delegated by an RN, and the RN deems they are competent. The board has not made a definitive decision on this matter. LPNs may not perform this procedure.
Illinois

Illinois Department of Professional Regulation

RNs can perform CSWD as long as they have taken a course and had supervised clinical practice. The facility policy and procedures must reflect the RN’s capacity to perform this skill.
Indiana

Indiana State Board of Nursing

The practice act does not address CSWD, and the board has not ruled on this procedure. The RN/LPN must check with facility/institution’s policy and procedure and/or an attorney regarding this matter.
Iowa

Iowa State Board of Nursing

RNs can perform sharp debridement as long as they  have taken a course and had supervised clinical  practice. The facility policy and procedures must reflect the RN’s capacity to perform this skill
Kansas

Kansas State Nursing Board

RNs and LPNs may not perform CSWD.
Kentucky

Kentucky State Board of Nursing

RNs and LPNs can perform CSWD as long as they have taken a course and had supervised clinical practice. The facility policy and procedures must reflect the RN’s and LPN’s capacity to perform this skill
Louisiana

Louisiana State Board of Nursing

RNs can perform CSWD as long as they have taken a course and had supervised clinical practice. They must also have validation of technical skills on an annual basis. The facility policy and procedures must reflect the RN’s capacity to perform this skill. LPNs may not perform this procedure.
Maine

Maine State Board of Nursing

RNs can perform sharp debridement as long as they  have taken a course and had supervised clinical  practice. The facility policy and procedures must reflect the RN’s capacity to perform this skill
Maryland

Maryland State Board of Nursing

RNs can perform sharp debridement as long as they  have taken a course and had supervised clinical  practice. The facility policy and procedures must reflect the RN’s capacity to perform this skill
Massachusetts

Massachusetts State Board of Nursing

RNs can perform CSWD as long as they have taken a course and had supervised clinical practice. The facility policy and procedures must reflect the RN’s capacity to perform this skill.
Michigan

Michigan Board of Nursing

RNs and LPNs can perform CSWD as long as they have had education and training and work under the supervision of a physician. The facility policy and procedures must reflect the RN’s and LPN’s capacity to perform this skill.
Minnesota

Minnesota State Board of Nursing

RNs can perform CSWD as long as they have taken a course and had supervised clinical practice. The facility policy and procedures must reflect the RN’s capacity to perform this skill. LPNs may perform CSWD if competent (additional education and clinical practice), and the RN delegates the task to the LPN. Facility policy and procedures should reflect the LPN’s capacity to perform this skill.
Mississippi

Mississippi State Board of Nursing

RNs can perform sharp debridement as long as they  have taken a course and had supervised clinical  practice. The facility policy and procedures must reflect the RN’s capacity to perform this skill
Missouri

Missouri State Board of Nursing

RNs can perform CSWD as long as they have taken a course and had supervised clinical practice. The facility policy and procedures must reflect the RN’s capacity to perform this skill. The board has not made a practice decision for LPNs and advises use of a decision-making tree
Montana

Montana State Board of Nursing

RNs can perform sharp debridement as long as they  have taken a course and had supervised clinical  practice. The facility policy and procedures must reflect the RN’s capacity to perform this skill
Nebraska

Nebraska Health and Human Services System

RNs and LPNs can perform CSWD as long as they have taken a course and had supervised clinical practice. The facility policy and procedures must reflect the RN’s and LPN’s capacity to perform this skill. LPNs must work under the direct supervision of the RN.
Nevada

Nevada State Board of Nursing

RNs can perform sharp debridement as long as they  have taken a course and had supervised clinical  practice. The facility policy and procedures must reflect the RN’s capacity to perform this skill
New Hampshire

New Hampshire State Board of Nursing

RNs can perform sharp debridement as long as they  have taken a course and had supervised clinical  practice. The facility policy and procedures must reflect the RN’s capacity to perform this skill
New Jersey

New Jersey State Board of Nursing

The state board has made no specific ruling regarding CSWD. RNs and LPNs must use the decision-making model algorithm.
New Mexico

New Mexico State Board of Nursing

RNs and LPNs can perform CSWD as long as they have taken a course and had supervised clinical practice. The facility policy and procedures must reflect the RN’s and LPN’s capacity to perform this skill.
New York

New York State Board of Nursing

RNs can perform sharp debridement as long as they  have taken a course and had supervised clinical  practice. The facility policy and procedures must reflect the RN’s capacity to perform this skill
North Carolina

North Carolina State Board of Nursing

RNs and LPNs can perform CSWD as long as they have taken a course and had supervised clinical practice. The facility policy and procedures must reflect the RN’s and LPN’s capacity to perform this skill
North Dakota

North Dakota State Board of Nursing

RNs can perform sharp debridement as long as they  have taken a course and had supervised clinical  practice. The facility policy and procedures must reflect the RN’s capacity to perform this skill
Ohio

Ohio State Board of Nursing

RNs can perform CSWD as long as they have taken a course and had supervised clinical practice. The facility policy and procedures must reflect the RN’s capacity to perform this skill. LPNs can also perform this procedure, if they meet the same criteria as RNs.
Oklahoma

Oklahoma State Board of Nursing

RNs can perform CSWD as long as they have taken a course and had supervised clinical practice. The facility policy and procedures must reflect the RN’s capacity to perform this skill. LPNs may perform this procedure under the direct supervision of an RN or physician as well as meeting the RN criteria.
Oregon

Oregon State Board of Nursing

RNs can perform sharp debridement as long as they  have taken a course and had supervised clinical  practice. The facility policy and procedures must reflect the RN’s capacity to perform this skill
Pennsylvania

Pennsylvania State Board of Nursing

RNs can perform CSWD as long as they have taken a course and had supervised clinical practice. The facility policy and procedures must reflect the RN’s capacity to perform this skill.The LPN practice act has no definitive statement, and no ruling has been made by the board. If the LPN chooses to engage in this skill, they should at least meet the criteria of an RN.
Rhode Island

Rhode Island State Board of Nursing

RNs and LPNs may not perform CSWD.
South Carolina

South Carolina State Board of Nursing

RNs can perform sharp debridement as long as they  have taken a course and had supervised clinical  practice. The facility policy and procedures must reflect the RN’s capacity to perform this skill
South Dakota

South Dakota State Board of Nursing

RNs and LPNs can perform CSWD as long as they have taken a course and had supervised clinical practice. The facility policy and procedures must reflect the RN’s and LPN’s capacity to perform this skill
Tennessee

Tennessee State Board of Nursing

RNs and LPNs may not perform CSWD.
Texas

Texas Board of Nurse Examiners

RNs and LPNs can perform CSWD as long as they have taken a course and had supervised clinical practice. The facility policy and procedures must reflect the RN’s and LPN’s capacity to perform this skill
Utah

Utah State Board of Nursing

RNs and LPNs may only perform CSWD under the direct and visual supervision of a physician who is delegating the task.
Vermont

Vermont State Board of Nursing

RNs can perform sharp debridement as long as they  have taken a course and had supervised clinical  practice. The facility policy and procedures must reflect the RN’s capacity to perform this skill
Virginia

Virginia State Board of Nursing

RNs and LPNs can perform CSWD as long as they have taken a course and had supervised clinical practice. The facility policy and procedures must reflect the RN’s and LPN’s capacity to perform this skill
Washington

Washington State Nursing Care Quality Assurance Commission

RNs can perform CSWD as long as they have taken a course and had supervised clinical practice. The facility policy and procedures must reflect the RN’s capacity to perform this skill. The LPN practice act does not address this skill. If the LPN chooses to perform this procedure, they should meet the same criteria as an RN and work under supervision of an RN or MD.
West Virginia

West Virginia Board of Examiners for Registered Professional Nurses

The board has not made a definitive statement regarding RNs or LPNs performing CSWD. They recommend using the decision-making model.
Wisconsin

Wisconsin Department of Safety and Professional Services

RNs can perform sharp debridement as long as they  have taken a course and had supervised clinical  practice. The facility policy and procedures must reflect the RN’s capacity to perform this skill
Wyoming

Wyoming State Board of Nursing

RNs can perform sharp debridement as long as they  have taken a course and had supervised clinical  practice. The facility policy and procedures must reflect the RN’s capacity to perform this skill
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NOTE: This is a controlled document. This document is not a substitute for proper training, experience, and exercising of professional judgment. While every effort has been made to ensure the accuracy of the contents, neither the authors nor the Wound Reference, Inc. give any guarantee as to the accuracy of the information contained in them nor accept any liability, with respect to loss, damage, injury or expense arising from any such errors or omissions in the contents of the work.

REFERENCES

  1. Centers for Medicare and Medicaid Services. FY 2020 Final Rule and Correction Notice Tables .;.
  2. Tomaselli N. Regulations for Conservative Sharp Debridement for Nurses in the USA In: Téot L., Meaume S., Akita S., Ennis W.J., del Marmol V. (eds) Skin Necrosis Springer, Vienna. 2015;.
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