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S COPE OF P RACTICE I SSUESCheryl Koski, MN, RN, Executive DirectorThe following Advisory Opinions were issued at the April9–12, <strong>2007</strong> <strong>Board</strong> MeetingEXPEDITED PARTNER THERAPY - APRNAdvisory Opinion Number:06 - 175<strong>Board</strong> Meeting Date:April 9-12, <strong>2007</strong>The Practice Committee reviewed a request from the<strong>Wyoming</strong> Department <strong>of</strong> Health, STD/Hepatitis Programregarding Expedited Partner Therapy. Male partners <strong>of</strong>diagnosed female patients are treated using clear writtenstanding orders to follow protocol.Upon recommendation <strong>of</strong> the Practice Committee, the<strong>Board</strong> voted that it is within the scope <strong>of</strong> nursing practicefor an APRN to provide Expedited Partner Therapy. The<strong>Board</strong> recognizes that it is not a customary standard <strong>of</strong> practice,but supports the practice <strong>of</strong> Expedited Partner Therapyby APRNs as an optional form <strong>of</strong> STD case management inorder to address the national rise in gonorrhea and chlamydiamorbidity.Approved: April 11, <strong>2007</strong>Reviewed:Revised:ADMINISTRATION OF PRE-PACKAGED ANTI-VIRAL MEDICATIONS DURING A FLU PANDEMIC– LICENSED NURSESAdvisory Opinion Number:07 - 173<strong>Board</strong> Meeting Date:January 8–11, <strong>2007</strong>flu pandemic, as long as there is no mixing or repackaging<strong>of</strong> medications from the manufacturer.Approved: January 10, <strong>2007</strong>Reviewed:Revised:RESPIRATORY FIT TESTING – MEDICAL CLEAR-ANCE – RN, LPN, APRNAdvisory Opinion Number: 07 - 176<strong>Board</strong> Meeting Date: April 9-12, <strong>2007</strong>The Practice Committee reviewed a request from<strong>Wyoming</strong> Medical center regarding scope <strong>of</strong> practice <strong>of</strong>the RN and medical clearance for respiratory fit testing.Upon recommendation <strong>of</strong> the Practice Committee, the<strong>Board</strong> voted it is not within the scope <strong>of</strong> practice <strong>of</strong> anRN or LPN to clear a patient with an identified healthproblem for respiratory fit testing. However, it is withinthe scope <strong>of</strong> practice <strong>of</strong> an APRN. The RN may completethe OSNA survey, and if there are no identifiedhealth problems, may clear the patient for respiratory fittesting.Approved: April 11, <strong>2007</strong>Reviewed:Revised:The Practice Committee reviewed a request for anAdvisory Opinion from Tom Henry, RN, as to whether itis within the scope <strong>of</strong> practice for a licensed nurse toadminister a pre-packaged course <strong>of</strong> antiviral medicationsfor mass antiviral dispensing in a flu pandemic.Upon review <strong>of</strong> the information, the Practice Committeerecommended and the <strong>Board</strong> voted that it is within thescope <strong>of</strong> practice <strong>of</strong> a licensed nurse to administer prepackagedmedications under the lawful order <strong>of</strong> the county/statehealth <strong>of</strong>ficer for mass antiviral dispensing in aW Y O M I N G N U R S E R E P O R T E R 11