Can the registered nurse replace a suprapubic catheter?

It is within the scope of practice of an appropriately prepared and competent registered nurse to replace a suprapubic in an established tract under the direction of an authorized health care practitioner, following clinical practice standards. There must be an order from an authorized provider. In general, the first change in a non-established tract is usually done by an authorized provider. The registered 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.