perform simple calculation adjust flow rates a peripheral infusion a mechanical infusion pump
perform simple calculation adjust flow rates a peripheral infusion a mechanical infusion pump
perform simple calculation adjust flow rates a peripheral infusion a mechanical infusion pump
DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
SUMMARY: This chapter identifies the roles of licensed nurses in the administration of intravenous therapy. It also includes the approved course outlines for the administration of intravenous therapy by the licensed practical nurse, who works with the adult and/or pediatric patient. 1. Roles of Licensed Nurses
A. Definitions
For the purposes of this chapter of the Rules and Regulations, the following definitions pertain:
(1) supervision - shall mean that the registered nurse is on-site and immediately available to assess and evaluate nurse performance
(2) on-site - the registered nurse is physically present within the facility when intravenous therapy is being administered by the licensed practical nurse
(3) except as limited - those procedures that shall NOT be performed by the licensed practical nurse
(4) pediatric patient - shall mean a child twelve (12) years of age and under, EXCLUDING newborn (under 28 days of age) and premature infants
(5) theory - classroom teaching in a formal class setting presented by an instructor this shall not be conducted as independent study
(6) return demonstration - individualized laboratory practice
(7) clinical - individualized supervised practice, including at least three (3) observed, successful venipunctures or until proficiency is determined acceptable and competency has been validated through facility’s competency assessment program
(8) peripheral - beginning and ending in an extremity. For the purpose of this chapter, midlines (beginning peripheral and ending in the axilla) and midclaviculars (beginning peripheral and ending midclavicular) are included.
(9) central catheter/line-is one whose tip is located in a central venous vessel. This includes peripherally inserted central lines (PICC). A peripherally inserted central catheter is a catheter that begins in a peripheral site and ends in a central vessel.
B. Category I
Because of the knowledge and skills acquired in approved educational programs practical nursing, the licensed practical nurse may perform the following procedures upon successful completion of a state-approved practical nursing program, under the delegation and supervision of a registered nurse:
(1) perform simple calculation, and adjust flow rates of a peripheral infusion by a mechanical infusion pump, gravity, or other rate controller device
(2) observe, report and document subjective and objective signs of adverse reactions to intravenous administration
(3) inspect insertion site, change dressing and remove intravenous needle or catheter from peripheral veins, except as limited by the board. (Removal of the intravenous needle does not include midlines and midclaviculars.)
C. Category II
Because the curricula taught in approved educational programs in practical nursing provide the basic background knowledge for the licensed practical nurse to develop new skills and upgrade knowledge through continuing education, the licensed practical nurse may perform the following procedures, except as limited by the board, only upon successful completion of a board-approved continuing education course for intravenous therapy/procedures, under the delegation and supervision of a registered nurse:
(1) perform venipuncture to administer intravenous fluids in peripheral veins of the upper extremities (Venipuncture does not include midlines and midclaviculars.)
(2) change or add premixed fluid container and tubing
(3) administer I.V. fluids without added medication and/or administer commercially prepared intravenous solutions via peripheral or central lines
(4) administer intravenous fluids containing medications that have been prepared and labeled by a pharmacist, registered nurse, physician, dentist or manufacturer via peripheral or central lines
(5) reconstitute and administer unit dose medication for I.V. therapy, e.g., ADD- vantage, Mini-Bag Plus
(6) flush peripheral or central intravenous catheter and intermittent device with premixed heparin solution or saline
(7) change a patient controlled analgesia (PCA) cassette, program the PCA pump pursuant to a physician order that prescribes a specific dosage and assist patient with self-bolus when necessary
(8) administer solution for total parenteral nutrition
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