Iowa Government Affairs State Coordinator Rhonda PriceRprice1060@yahoo.com (319) 530-4178 Regional Coordinator Karen L. Rustermier BSN,RN,CNOR (402) 502-2606 State Links State Board of Nursing Nurse Practice Act Nursing Association News ANA Hails Iowa Court Ruling as Nurses’ Scope of Practice Win (PDF) » RN Circulator Laws and Language Hospital IOWA ADMINISTRATIVE CODE NURSING BOARD CHAPTER 6: NURSING PRACTICE FOR REGISTERED NURSES/LICENSED PRACTICAL NURSES 655-6.3(152) Minimum standards of practice for licensed practical nurses d. Operating rooms. (A licensed practical nurse may assist with circulating duties when supervised by a registered nurse circulating in the same room.) 655-6.7(152) Specific nursing practice for registered nurses. A registered nurse, while circulating in the operating room, shall provide supervision only to persons in the same operating room. ASC None » Registered Nurse First Assistants (RNFAs) Reimbursement: None Definition: None Scope: Iowa Board of Nursing Position Statement, Registered Nurse First Assistants, Last Revised 2006 RN first assistant behaviors in the perioperative arena may include: * preoperative patient management with other health care providers, including but not limited to, - performing preoperative evaluation focused nursing assessment, - communicating/collaborating with other health care providers regarding the patient plan of care, and - writing preoperative orders according to established protocols of the physician and/or facility * intraoperative surgical first-assisting, including but not limited to, - using instruments/medical devices, - providing exposure, - handling and/or cutting tissue, - suturing; and - harvesting veins * postoperative patient management with other health care providers in the immediate postoperative period and beyond, including but not limited to, - writing postoperative orders/operative notes according to established protocols of the physician and/or facility, - participating in postoperative rounds, and - assisting with discharge planning and identifying appropriate community resources as needed.