David Cavins is an ER nurse for TRS Healthcare with 14 years of experience as a flight nurse. “I’m not your typical ER nurse,” Cavins said. During his career, he performed sonograms and handled duties of a respiratory therapist such as intubation. He also has experience in operating rooms and intensive care units.

Cavins is working his first contract with TRS at Oklahoma State University Medical Center in Tulsa, and he currently lives in Fayetteville, Ark.

Earlier this year, the Arkansas State Board of Nursing approved registered nurses to use staples, sutures or tissue adhesive to close superficial wounds as delegated by the attending provider in the emergency department. This dramatically changed the scope of practice from a 1997 position statement, which allowed RN’s to do this only if directed by the surgeon in the operating room.

Cavins’ experience as a flight nurse has given him the necessary training in closing superficial wounds with adhesive or sutures.

“I already have that training,” he said. “I know how to do it.”

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