Nurse practice act (NPA) is the law that delineates the legal scope of practice of nurses. Nurse practice acts vary state by state. During IV infusion therapy, RNs, LPNs and LVNs must comply with the rules and regulations of the board of nursing. Some states have specific guidelines for infusion therapy education, training and competency validation called as IV Therapy Certification for LPNs. Most jurisdictions allow “IV Certified” LPNs to insert and infuse through short peripheral catheters, but not through a central vascular catheter / central line.
If you need to review your scope of practice, visit your Board of Nursing website. Also, https://www.ncsbn.org/npa.htm will direct you to the state board of nursing website where you can locate the NPA via the State Statute or code. The rules/regulations are found in the sections or chapters of the state administrative code.
This 2-day IV therapy training program teaches to insert, use, maintain and manage short peripheral IV catheters. RNs and LPNs with little or no experience in IV infusion therapy should attend this hands-on IV infusion therapy training. This meets the mandate set forth by most state boards of nursing for intravenous therapy certification for LPNs and LVNs.
Who should attend the IV Therapy Certificate Program?
- Licensed practical nurses (LPNs) and licensed vocational nurses requiring “IV infusion therapy certification”
- Registered nurses (RNs) with little or no experience in intravenous therapy
- New graduates before or after taking the national council licensing (NCLX) examination and preparing to enter the nursing practice
- Nursing students starting clinicals
Day-1, 8:30 am – 4:30 PM
- Describe purpose and methods of infusion therapy
- Review legal implications and delegation of IV therapy to LPNs/LVNs
- Review fluids and electrolytes as it applies to IV infusion therapy
- Infection prevention guidelines as it applies to Peripheral IV Therapy
- IV drip calculations and overview of flow control devices
- Preventing oversights during IV infusion therapy
- pH and osmolarity of infusates irritant and vesicant medications
- Differences between midline, PICC line, non-tunneled, tunneled, and implanted central vascular access device CVADs
- Vascular access device selection criteria for IV infusion theapy
- Management of patients receiving IV infusions of
IV antibiotic, antiviral, and antifungal infusions
Parenteral nutrition administration
High alert and inotropic medications
Cytotoxic infusion therapies
Biologics and immunotherapies
Day-2, 8:30 am – 4:30 PM
- Equipment selection and initiating peripheral IV therapy
- Setting up primary infusin and secondary lines, converting a continuous IV infusion to a saline lock
- Venous anatomy and PIV catheter insertion site selection criteria
- Methods to palpate and locate deep and healthy veins
- Venipuncture, peripheral catheter insertion and troubleshooting technique
- Nursing measures to prevent and manage PIV therapy complications
- Routine care and maintenance of peripheral infusion therapy
- Short peripheral catheter removal guidelines
- Documentation guidelines
Demonstration and practice session: Attendees palpate, locate, and identify veins on each other, and then practice PIV catheter insertion and troubleshooting techniques on an advanced venipuncture training aid, under the supervision of an experienced IV preceptor.
Post-test: Passing score 80%
Certificate of Completion and Competency Validation
Upon successful completion of the IV therapy class, attendees receive a certificate of completion and a competency validation form. Competency validation is done at your place of employment according to the institution’s policy and procedures.
Use, Care and Maintenance of Central Vascular Access Devices / central line catheters
- Recommended for all RNs.
- LPNs working in jurisdictions with a scope of practice allowing LPNs to infuse through central vascular catheters should attend this program
Generally, RN scope of practices allow RNs to use, maintain and manage all types of central vascular access devices often referred as central venous catheters or central lines. Following the 2-day program, all RNs, and LPNs working in jurisdictions with a scope of practice that allowing LPNs to infuse through central venous catheters should attend the 3rd day class: use, Care and Maintenance of central vascular access devices.
- Registered Nurses (RNs)
- LPNs working in jurisdictions with a scope of practice that allowing LPNs to infuse through central vascular catheters / central lines
Program out line:
Differences between midline, PICC, non-tunneled, tunneled, and implanted central vascular access device CVADs
Discuss measures to prevent catheter related blood stream infections (CLABSI)
Prevention, early detection and management of CVAD related complications
Explanation, illustration, demonstration and practice sessions of CVAD
- Flushing and locking protocols
- Site care and dressing change
- Accessing and de-accessing implanted venous ports
- Blood specimen collection through CVADs
- Prevention and management of thrombotic occlusions
- De-clotting clotted CVADs with Cathflo Activase (tPA)
- Removing PICC and non-tunneled CVCs
- Documentation Guidelines
Following demonstration, attendees get an opportunity to practice above procedures related to CVADs