It is within the scope of practice of an appropriately trained and competent licensed practical nurse to perform ostomy care under the direction of an authorized provider or under the direction and supervision of a registered nurse, following clinical practice standards. A prescription or order from an authorized provider may be necessary if complications occur or if medical treatment is required. Generally, a prescription from an authorized health care practitioner is required for reimbursement of medical supplies. The licensed practical nurse should use the Scope of Practice Decision Tree to determine if these activities are within the licensed practical nurse's legal and individual scope of practice.