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Decision Support Tools — all

CRNBC monitors and regularly revises the DSTs (at least every four years and as necessary) based on best practices. The information provided in DSTs is considered current as of the date of publication. CRNBC-certified nurses (RN(C)s) are responsible for ensuring they follow the most current DSTs.

The DSTs are not intended to replace the RN(C)'s professional responsibility to exercise independent clinical judgment and use evidence to support competent, ethical care. The RN(C) must consult with or refer to a physician or nurse practitioner as appropriate, or whenever a course of action deviates from the DST. ​​

You will find all of the DSTs for each certified practice area below. 

Contraceptive Management

Decision Support Tools

Contraceptive management assessment Combined Hormonal Contraceptives (CHCs)
Progestin-only Hormonal Contraceptives (POHCs)
Remote Nursing


Eye assessment— adult  new! Conjuntivitis— adult new!
Corneal Abrasion (minor)— adult new!

Eye Assessment— pediatric new!

Conjunctivitis — pediatric new!
Corneal Abrasion (minor) — pediatric​ new!


Ear, nose and throat assess​ment— adult    Acute Otitis Media— adult
Ceruminosis (impacted cerumen) — adult
Dental Abscess— adult
Pharyngitis — adult
Ear, nose and throat assessment— pediatric  Acute Otitis Media— pediatric
Pharyngitis— pediatric


Gastrointestinal-genitourinary assessment — adult Lower Urinary Tract Infection(UTI) — adult
Gastrointestinal-genitourinary assessmentpediatric Lower Urinary Tract Infection(UTI) — pediatric


Cardio-respiratory assessment— adult Acute Bronchitis— adult
Cardio-respiratory assessment— pediatric 


Inegumentary assessment — adult    Bites— adult
Cellulitis— adult
Impetigo— adult
Localized Abscess and Furuncle— adult
Integumentary assessment— pediatric   Bites— pediatric
Cellulitis— pediatric
Impetigo— pediatric

​​Pain ​​​management

  Use of Nitrous Oxide/Oxygen in Pain Management— adult​ new!
RN First Call


Eye assessment — adult  Conjunctivitis — adult
Corneal Abrasion (minor) — adult

Eye Assessment — pediatric

Conjunctivitis — pediatric
Corneal Abrasion (minor) — pediatric​


Ear, nose and throat assessment — adult    Acute Otitis Media — adult
Dental Abscess— adult
Pharyngitis — adult
Ear, nose and throat assessment — pediatric  Acute Otitis Media— pediatric
Pharyngitis — pediatric


Gastrointestinal-genitourinary assessment — adult new! Female Lower Urinary Tract Infection (UTI) — adult new!


Cardio-respiratory assessment — adult 
Cardio-respiratory assessment​ — pediatric 
Sexually Transmitted Infections

Decision Support Tools

STI assessment Bacterial Vaginosis (BV)
Chlamydia Trachomatis (reportable)
Genital Warts
Gonorrhea (reportable)
Lower Urinary Tract Infection (female)
Mucopurulent Cervicitis
Recurrent Urethritis (male)
Urethritis (male)
Treatment of STI contacts
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