Essentials Content - Pedagogy
Essential Course Content
IV THERAPY FOR LICENSED PRACTICAL NURSES*
LEGAL ASPECTS AND PRACTICE OF IV THERAPY
A. New York Nursing Practice Act
B. New York State Regulations – 10 NYCRR 400.25; The role of the licensed practical nurse in intravenous therapy procedures
C. New York State Regulation – 10 NYCRR 700.4, The role of the licensed practical nurse in intravenous therapy procedures
D. New York State Education Guidelines for The Practice of IV Therapy by LPNs in Long Term Care and/or Acute Care
E. National Patient Safety Goals from JCAHO (see: and click onto Patient Safety Goals and then onto type of facility)
F. Standards of Practice re: Prescribing Practitioners’ IV Orders
1. Solution (additives, when applicable)
2. Medication
3. Dosage
4. Volume (total amount to be administered)
5. Rate of flow
6. Frequency
7. Route
8. Any special precautions if applicable
G. Appropriate Agency Policies & Procedures for IV Therapy
(for example: verbal orders, transcription of orders, LPNs & blood administration, LPNs & IV push, etc.)
I. REVIEW OF ANATOMY AND PHYSIOLOGY
A. Vascular System
B. Integumentary
FLUID AND ELECTROLYTE BALANCE
C. Body’s reaction to dehydration and over hydration
D. Types of IV fluids
II. EQUIPMENT AND NURSING CARE IN IV THERAPY
A. Review facilities’ policy and procedure
B. Terminology – Scope of Infusion Therapy
C. Infection Control (Asepsis)
D. Equipment and supplies
1. Pumps
2. Delivery Systems
3. Insulin Devices
E. Drip Rate Calculation
F. Sites
G. Techniques
1. Peripheral venous lines
a. Preparing and labeling IV
b. Initiating IV
c. Monitoring and discontinuing
d. Recording and reporting
2. Central venous lines
a. Preparing IV and labeling IV
b. Initiating IV
c. Monitoring and discontinuing
c. Recording and reporting
3. Modes of Administration
a. Continuous
(1) Medicated
(2) Unmedicated
b. Intermittent
(1) IV push
(2) Medicated secondary IV
(3) Blood Components
III. COMPLICATIONS
A. Signs and symptoms of complications, side effects or untoward reactions.
1. Peripheral venous lines
2. Central venous lines
B. Factors related to complications
C. Nursing Intervention
D. Reporting to the RN Supervisor
IV. MEDICATIONS
A. Terms and abbreviations associated with IV medication
B. Sound-alike-look-alike-drugs (SALAD)
C. Drug Incompatibility
V. DOCUMENTATION
Facility specific documentation required for IV Therapy
VIII. DEMONSTRATION OF COMPETANCY IN IV THERAPY
A. Initial
B. Annual review
*Please refer to the Office of the Profession’s web site at: op.nurseissues.htm for copies of The Practice of IV Therapy by Licensed Practical Nurses in Long Term Care Facilities and The Practice of IV Therapy by Licensed Practical Nurses in Acute Care Facilities.
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