IV Therapy Midterm
Study online at https://quizlet.com/_y8ly4
1. IV therapy for 1. Adult: anyone 18 years old or older.
LPN's 2. Antibiotic: means a medication, including an anti-infective or anti-fungal,
administered to inhibit the growth of, or destroy, microorganisms in the treat-
ment
or prevention of infectious disease.
3. Initiate: means to start or to begin.
4. Maintain: means to administer or regulate an intravenous infusion according
to the
prescribed flow rate.
5. Piggyback means an intermittent or secondary intravenous infusion.
An LPN shall NOT:
1. Initiate or maintain:
• Blood or blood components.
• Solutions for TPN.
• Cancer chemotherapy or antineoplastic agents.
• Investigational or experimental medications.
• An intravenous piggyback, except an antibiotic.
2. Initiate or discontinue any catheter longer than 3 inches.
3. Discontinue a central venous, arterial, or any other line that does not terminate
in a
peripheral vein.
4. Program or set any function of a Patient Controlled Analgesic (PCA).
5. Mix, prepare or reconstitute any medication for intravenous therapy, except an
antibiotic additive.
6. Administer medications by a direct intravenous route except to inject Heparin
or normal
saline to flush an intermittent infusion device or Heparin lock.
7. Change tubing on an arterial line, or any central line, or any line that does not
terminate
An LPN may do the following:
(For individuals 18 years old and older and under the direction of a licensed
,IV Therapy Midterm
Study online at https://quizlet.com/_y8ly4
physician, dentist,
optometrist, podiatrist, or registered nurse.)
1. Administer the following solutions per a peripheral or central IV line:
• 5% dextrose and water (D5W)
• 5% dextrose and lactated ringers (D5/LR)
• 5% dextrose and normal saline (D5/NS)
• Normal Saline, (NS), (0.9%NaCl)
• Lactated Ringer's
• 0.45% sodium chloride and water (0.45% NaCl), (1/2 NS)
• 0.2% sodium chloride and water (0.2% naCl), (1/4 NS)
2. Administer any of the solutions listed above that contain vitamins or electrolytes,
AFTER
a registered nurse initiates the first solution with the added vitamins or elec-
trolytes.
3. Initiate and maintain an intermittent or secondary intravenous infusion (IVPB)
containing an antibiotic through a venous line. (peripheral or central line; this
includes
PICCs).
4. Prepare or reconstitute an antibiotic additive to be administered through a
peripheral or
central venous infusion.
5. Inject heparin or normal saline to flush an intermittent infusion device or
heparin lock,
including, but not limited to, bolus or push. This applies to the hemodialysis blood
circuit
and through a venous access.
6. Place a venous catheter, no longer than three inches in length, in the hand,
forearm, or
antecubital space, followed by the placement of a saline or heparin lock , either
for
purposes of intermittent infusions, or to initiate infusions of any of the solutions
that a
, IV Therapy Midterm
Study online at https://quizlet.com/_y8ly4
LPN can hang.
7. Stop an infusion of blood or blood component when a complication arises.
Requirements that must be met for a LPN to perform IV therapy:
1. IV therapy must be performed under the direction of a licensed physician,
dentist,
podiatrist or optometrist or under the direction of a registered nurse who has
assessed
that patient who needs the IV. This person must be present on site or readily
available.
(The RN does not have to be the one who did the assessment.)
2. If the IV therapy will occur in a home care setting or at an intermediate care
facility for
the mentally retarded, a RN must be present on site or available by some form of
telecommunication.
*This sheet was taken directly from the OBN website and the Momentum, an
official
publication of the OBN in which they use to communicate changes or clarification
of law.
(See Winter 2012 and Spring 2013 issues).
2. Compentency Determination of an individuals capability to perform expectations
3. Evidenced Based Clinically competent care based on scientific evidence; incorporates the best
Practice evidence available, nursing expertise and values and preferences of the patient.
4. Which sources of Constitution Law, Statutory Law, Administrative Law, Common Law
the law affect IV
Nursing?
5. Tort A private wrong, by act or ommission, that can result in a civil action
6. Assault The unjustifiable attempt or threat to touch a person without consent resulting in
fear of immediately harmful or threatening contact
, IV Therapy Midterm
Study online at https://quizlet.com/_y8ly4
7. Battery Unlawful, harmful, or unwarranted touching of another or carrying out of threat-
ened physical harm
Touching without consent is considered battery, regardless of intent or outcome
8. Negligence The failure to do something that a reasonable person, guided by ordinary con-
siderations, would do or Doing something that a reasonable and prudent person
would not do
9. Malpractice A type of negligence, committed by a person in a professional capacity
The form of negligence in which any professional misconduct, unreasonable lack
of professional skill or nonadherence to the accepted standard of care causes
injury to the patient
10. Standards of Standards of Care - focuses on reciepient of care and Standards of Nurse Practice
Care Vs Stan- focuses on the provider
dards of Practice
11. Breach of Duty Occurs when a nurse fails to perform a procedure according to proper standards
of care
Potential Risks:
The failure to observe
The failure to intervene
Verbal rather than written orders
12. 7 Rights of Med- Right patient, right dose, right time, right route, right documentation, right situ-
ication Adminis- ation
tration
13. Factors that in- Audits, Benchmarking, Regulatory Requirements, Sentinel Event Review, Patient
crease quality pa- Satisfaction Data
tient manage-
ment
Study online at https://quizlet.com/_y8ly4
1. IV therapy for 1. Adult: anyone 18 years old or older.
LPN's 2. Antibiotic: means a medication, including an anti-infective or anti-fungal,
administered to inhibit the growth of, or destroy, microorganisms in the treat-
ment
or prevention of infectious disease.
3. Initiate: means to start or to begin.
4. Maintain: means to administer or regulate an intravenous infusion according
to the
prescribed flow rate.
5. Piggyback means an intermittent or secondary intravenous infusion.
An LPN shall NOT:
1. Initiate or maintain:
• Blood or blood components.
• Solutions for TPN.
• Cancer chemotherapy or antineoplastic agents.
• Investigational or experimental medications.
• An intravenous piggyback, except an antibiotic.
2. Initiate or discontinue any catheter longer than 3 inches.
3. Discontinue a central venous, arterial, or any other line that does not terminate
in a
peripheral vein.
4. Program or set any function of a Patient Controlled Analgesic (PCA).
5. Mix, prepare or reconstitute any medication for intravenous therapy, except an
antibiotic additive.
6. Administer medications by a direct intravenous route except to inject Heparin
or normal
saline to flush an intermittent infusion device or Heparin lock.
7. Change tubing on an arterial line, or any central line, or any line that does not
terminate
An LPN may do the following:
(For individuals 18 years old and older and under the direction of a licensed
,IV Therapy Midterm
Study online at https://quizlet.com/_y8ly4
physician, dentist,
optometrist, podiatrist, or registered nurse.)
1. Administer the following solutions per a peripheral or central IV line:
• 5% dextrose and water (D5W)
• 5% dextrose and lactated ringers (D5/LR)
• 5% dextrose and normal saline (D5/NS)
• Normal Saline, (NS), (0.9%NaCl)
• Lactated Ringer's
• 0.45% sodium chloride and water (0.45% NaCl), (1/2 NS)
• 0.2% sodium chloride and water (0.2% naCl), (1/4 NS)
2. Administer any of the solutions listed above that contain vitamins or electrolytes,
AFTER
a registered nurse initiates the first solution with the added vitamins or elec-
trolytes.
3. Initiate and maintain an intermittent or secondary intravenous infusion (IVPB)
containing an antibiotic through a venous line. (peripheral or central line; this
includes
PICCs).
4. Prepare or reconstitute an antibiotic additive to be administered through a
peripheral or
central venous infusion.
5. Inject heparin or normal saline to flush an intermittent infusion device or
heparin lock,
including, but not limited to, bolus or push. This applies to the hemodialysis blood
circuit
and through a venous access.
6. Place a venous catheter, no longer than three inches in length, in the hand,
forearm, or
antecubital space, followed by the placement of a saline or heparin lock , either
for
purposes of intermittent infusions, or to initiate infusions of any of the solutions
that a
, IV Therapy Midterm
Study online at https://quizlet.com/_y8ly4
LPN can hang.
7. Stop an infusion of blood or blood component when a complication arises.
Requirements that must be met for a LPN to perform IV therapy:
1. IV therapy must be performed under the direction of a licensed physician,
dentist,
podiatrist or optometrist or under the direction of a registered nurse who has
assessed
that patient who needs the IV. This person must be present on site or readily
available.
(The RN does not have to be the one who did the assessment.)
2. If the IV therapy will occur in a home care setting or at an intermediate care
facility for
the mentally retarded, a RN must be present on site or available by some form of
telecommunication.
*This sheet was taken directly from the OBN website and the Momentum, an
official
publication of the OBN in which they use to communicate changes or clarification
of law.
(See Winter 2012 and Spring 2013 issues).
2. Compentency Determination of an individuals capability to perform expectations
3. Evidenced Based Clinically competent care based on scientific evidence; incorporates the best
Practice evidence available, nursing expertise and values and preferences of the patient.
4. Which sources of Constitution Law, Statutory Law, Administrative Law, Common Law
the law affect IV
Nursing?
5. Tort A private wrong, by act or ommission, that can result in a civil action
6. Assault The unjustifiable attempt or threat to touch a person without consent resulting in
fear of immediately harmful or threatening contact
, IV Therapy Midterm
Study online at https://quizlet.com/_y8ly4
7. Battery Unlawful, harmful, or unwarranted touching of another or carrying out of threat-
ened physical harm
Touching without consent is considered battery, regardless of intent or outcome
8. Negligence The failure to do something that a reasonable person, guided by ordinary con-
siderations, would do or Doing something that a reasonable and prudent person
would not do
9. Malpractice A type of negligence, committed by a person in a professional capacity
The form of negligence in which any professional misconduct, unreasonable lack
of professional skill or nonadherence to the accepted standard of care causes
injury to the patient
10. Standards of Standards of Care - focuses on reciepient of care and Standards of Nurse Practice
Care Vs Stan- focuses on the provider
dards of Practice
11. Breach of Duty Occurs when a nurse fails to perform a procedure according to proper standards
of care
Potential Risks:
The failure to observe
The failure to intervene
Verbal rather than written orders
12. 7 Rights of Med- Right patient, right dose, right time, right route, right documentation, right situ-
ication Adminis- ation
tration
13. Factors that in- Audits, Benchmarking, Regulatory Requirements, Sentinel Event Review, Patient
crease quality pa- Satisfaction Data
tient manage-
ment
