Nursery privileging for pediatric nurse practitioners

Developing a nursery privileging policy for pediatric nurse practitioners (PNPs) in a hospital that has not previously used PNPs in this capacity requires a clear understanding of the issues, a well-thought-out plan, and a win-win approach. Current trends in privileging of PNPs are summarized. The credentialing and privileging processes are defined, and the relationships that PNPs must establish with medical and administrative staff are explored. Five steps PNPs should take before requesting nursery privileges along with approaches to managing conflict are suggested. A case example involving the creation of a nursery privileging policy is included.