Foot and Nail Care Online Course - pending creation and 30 contact hours
To be accredited by the American Nurses Credentialing Center's Commission on Accreditation (ANCC)
This online course will offer 30 contact hours of Continuing Nursing Education, which fulfills the educational requirement to take the Wound, Ostomy, and Continence Nursing Certification Board (WOCNCB) exam to become a Certified Foot Care Nurse as well as the American Foot Care Nurses Association (AFCNA) exam to become a Certified Foot Care Specialist. Continuing Nursing Education specific to Foot and Nail Care is still required by every state if you decide to not pursue certification.
The purpose of this course is to increase knowledge, application, and analysis of content as advised by WOCNCB and AFCNA for competent care as a foot care nurse/specialist. This content is open to view, but may not be copied, redistributed, or adapted.
This course is learner paced. Upon successful completion of the eight (8) modules and quizzes, you may take a cumulative exam for a fee. You will receive a certificate of completion for 30 contact hours with a passing score of 80-100.
Regulations regarding foot care performed by nurses:
Most states have adopted a position that follows the Scope of Nursing Practice Decision-Making Framework. After reviewing your state's Nurse Practice Act and other Rules/Regulations that may prohibit specific actions, if you have not had the education and training, it is not within your scope of practice to perform foot and nail care. Some states require certification, some states require evidence of education and training, most states use the above referenced framework (which calls for education and training), and some states have limited the foot care services that nurses can perform. Contact your state board of nursing for confirmation/clarification. Many states consider this a legal issue and refuse to give specific direction, at least one state requires an order to perform foot and nail care, while another does not allow nurses to perform routine nail care.
Most states do not declare the specifics of what a nurse can or cannot do, but will in cases where it puts the public in danger. The purpose of a state's board of nursing is to protect the public. It is our job as nurses to protect the public as well. Certification Boards have the expertise to determine what concepts nurses should know, or be skilled in, to be considered competent. Regardless of certification requirements, nurses must have education and training. Certification is verification that you are compliant with state regulations and value your clients' well-being.
Below is a list of states and a starting point for your research.
Alabama - Approved Standardized Procedures
Arizona - Advisory Opinion
California - Understanding the Role of the Registered Nurse
Connecticut - Nursing Scope of Practice questions (860) 509-7555
Florida - Petition for Declaratory Statement
Georgia - Scope of Practice Decision-Making Model
Idaho - Rules of the Board > 04. Practice > a. Perform Acts. (p. 17)
Iowa - Iowa Administrative Code pending response
Kentucky - Advisory Opinion Statement
Maryland - Proposed Concepts for Possible Regulation
Massachusetts - Advisory Ruling
Mississippi - Frequently Asked Questions (FAQs) > Wound & Foot Care > Can a RN perform nail/foot care?
Missouri - Scope of Practice Decision Making Model
Montana - Scope of Practice
New Jersey - Decision-Making Model Algorithms
North Dakota - Scope of Nursing Practice Decision-Making Framework
Oregon - Interpretive Statements, Policies, and Information Regarding Nursing Practice > All Licensed Nurses > Foot Care Provided by RNs and LPNs
Pennsylvania - Board Laws & Regulations, pending response
Rhode Island - outside nursing scope of practice
South Carolina - Advisory Opinion # 57
Washington - Decision Tree
West Virginia - Scope of Practice for Licensed Nurses
Wisconsin - Standards of Practice for Registered Nurses