Nurse Education

Under construction

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.


AlabamaApproved Standardized Procedures

AlaskaAdvisory Opinions: Scope > Scope foot care

Arizona - Advisory Opinion

Arkansas - Nurse Practice Act and Decision Making Model

California - Understanding the Role of the Registered Nurse

ColoradoScope of Practice Statements > Scope of Practice Algorithm

ConnecticutNursing Scope of Practice questions (860) 509-7555

Delaware - Board of Nursing > Scope of Practice

FloridaPetition for Declaratory Statement

GeorgiaScope of Practice Decision-Making Model

HawaiiScope of Practice Decision Making Framework

Idaho - Rules of the Board > 04. Practice > a. Perform Acts. (p. 17)

IllinoisState of Illinois Nursing Rules > Joint Committee on Administrative Rules > RN Scope of Practice

IndianaFrequently Asked QuestionsStatutes and Rules and Indiana Administrative CodeArticle 2. Standards for the Competent Practice of Registered and Licensed Practical Nursing

IowaIowa Administrative Code pending response

KansasNPA by Statute or Rules and Regulations > Requirements for Licensure and Standards of Practice > Standards of practice pending response


KentuckyAdvisory Opinion Statement 

LouisianaScope of PracticeRN Scope of Practice Guidelines 

Maine - PracticeScope of Practice Decision Tree 

MarylandProposed Concepts for Possible Regulation

Massachusetts - Advisory Ruling

Michigan - no specific nurse practice act - Public Health CodePublic Health Code (Excerpt), and Board of Nursing - General Rules

MinnesotaScope of Nursing Practice Decision-Making Framework 

MississippiFrequently Asked Questions (FAQs) > Wound & Foot Care > Can a RN perform nail/foot care?

Missouri - Scope of Practice Decision Making Model

Montana - Scope of Practice

Nebraska - Advisory Opinion: Safe Practice: Nursing Roles and Assignments: Competency and Nurse Licensing Scope of Practice

NevadaPractice Decision Request and Scope of Nursing Practice Decision Making Framework

New HampshireScope of Practice and Position Statement

New JerseyDecision-Making Model Algorithms

New Mexico - Practice Acts > Nursing Practice Act 

New YorkPractice Information, requires an order, and restrictions apply, contact

North CarolinaScope of Practice Decision Tree, Practice, and Position Statement

North DakotaScope of Nursing Practice Decision-Making Framework 

OhioPractice RN & LPN > RN and LPN Decision Making Model and The Nurse Practice Act - Ohio Revised Code (ORC)  pending response

OklahomaGuidelines, Position Statements > Decision-Making Model for Scope of Nursing Practice Decisions

OregonInterpretive Statements, Policies, and Information Regarding Nursing Practice > All Licensed Nurses > Foot Care Provided by RNs and LPNs

PennsylvaniaBoard Laws & Regulations, pending response

Rhode Island - outside nursing scope of practice

South CarolinaAdvisory Opinion # 57  

South DakotaPractice and Delegation Decisioning GuidesScope of Nursing Practice Decision-making Framework

Tennessee - Nursing Practice Code and Rules > Standards of Nursing Competence and Position Statements > Decision making Guidlines (pp. 19-20) 

TexasDecision Making for Determining Nursing Scope of Practice and Scope of Practice Decision‐Making Model 

Utah - R156-31b-703b. Scope of Nursing Practice Implementation and Section 801 Practice within limits of competency

Vermont - Position StatementsAPRN/RN/LPN Scope of Practice plus Decision Tree, and Nursing Foot Care (retired)

Virginia - Nurse Practice Act and Decision Making Model

Washington - Decision Tree 

West VirginiaScope of Practice for Licensed Nurses 

Wisconsin - Standards of Practice for Registered Nurses 

Wyoming - Advisory Opinion RN Scope of Practice and Decision Making Model

© 2021 Cape Cod Foot Care, LLC. All rights reserved. 

    • LinkedIn - Grey Circle
    • Facebook - Grey Circle
    • Grey YouTube Icon
    • Amazon - Grey Circle