RN Scope of Practice - Automatic Implanted Cardioverter Defibrillator (AICD)

October 2011


It was the advisory opinion of the Board that it is within the scope of registered nursing practice for the registered nurse who is educationally prepared and clinically competent to apply a magnet to temporarily disable an Automatic Implanted Cardioverter Defibrillator (AICD) when the following conditions are met:


Health Care Setting:


A patient specific order is written by an appropriate prescriber:


  1. A physician or APRN is in attendance the entire time that the magnet is attached to the patient
  2. Cardiac monitoring is continuously performed
  3. An emergency cart must be immediately available
  4. There must be written institutional policy and procedure describing the role of the registered nurse in this procedure
  5. The registered nurse must be able to document the completion of appropriate education and clinical competence in the procedure
  6. A complete nursing assessment must be performed and documented prior to each treatment
  7. The AICD should be evaluated by the appropriate cardiac provider post procedure

Hospice Setting:


Nurses in the hospice setting are referred to the National Hospice and    Palliative Care Organization (NHPCO) for their Position Statement on the Care of Hospice Patients with Automatic Implantable Cardioverter Defibrillators, (NHOCO) May, 2008. 




National Hospice & Palliative Care Organization:  Position Statement on the Care of Hospice Patients with Automatic Implantable Cardioverter-Defibrillators. [PDF Format - 362 KB]