It is within the scope of practice of an appropriately prepared and competent licensed practical nurse to replace a suprapubic in an established tract under the direction of an authorized health care practitioner, or under the direction and supervision of the registered nurse, following clinical practice standards. There must be an order from an authorized provider. It is not within the scope of the licensed practical nurse to replace a suprapubic catheter in a non-established tract. The licensed practical nurse may assist an authorized provider in replacing a suprapubic catheter in a non-established tract. The licensed practical nurse should use the Scope of Practice Decision Tree to determine if these activities are within the nurse's legal and individual scope of practice.