The institution may require the perioperative RN to complete the credentialing and privileging process to function in the role of the RNFA. Credentialing is the process of assessing and confirming the license or certification, education, training, and other qualifications or a licensed or certified healthcare practitioner. Privileging is the process of authorizing a health care practitioner’s specific scope and content of patient care services. The nursing laws and rules do not require credentialing and privileging. Other state facility laws/rules, federal requirements/regulations (such as the Centers for Medicare & Medicaid Services), and accreditation standards (such as Joint Commission) may require certification, credentialing, and privileging of the RN performing in the RNFA role. The Washington State Board of Nursing (WABON) recommends the registered nurse use the Scope of Practice Decision Tree to determine if an activity is within the nurse’s scope of practice.