Can the licensed practical nurse re-insert a dislodged gastrostomy tube?

It is within the scope of practice of an appropriately trained and competent licensed practical nurse to re-insert a gastrostomy tube in a mature stoma site under the direction of an authorized health care practitioner, or under the direction and supervision of the registered nurse, following clinical practice standards. If there are signs of infection or other concerns, the licensed practical nurse should seek advice from an authorized provider or the registered nurse before attempting to re-insert. The licensed practical nurse should use the Scope of Practice Decision Tree to determine if these activities are within the registered nurse's legal and individual scope of practice.