Carolyn McCune, RN, MSN, CRNP

Teresa Peck RN, BSN

Review syllabus and course requirements
Answers any questions related to class
www.emprocedures.com/index.htm
Then go to Peripheral IV access

4723.171 Intravenous therapy procedures.
(A) A licensed practical nurse may perform on any person any of the intravenous
therapy procedures specified in division (B) of this section without receiving
authorization to perform intravenous therapy from the board of nursing under section
4723.17 of the Revised Code, if both of the following apply:
(1) The licensed practical nurse acts at the direction of a registered nurse or a licensed
physician, dentist, optometrist, or podiatrist and the registered nurse, physician,
dentist, optometrist, or podiatrist is on the premises where the procedure is to be
performed or accessible by some form of telecommunication.
(2) The licensed practical nurse can demonstrate the knowledge, skills, and ability to
perform the procedure safely.
(B) The intravenous therapy procedures that a licensed practical nurse may perform
pursuant to division (A) of this section are limited to the following:
(1) Verification of the type of peripheral intravenous solution being administered;
(2) Examination of a peripheral infusion site and the extremity for possible infiltration;
(3) Regulation of a peripheral intravenous infusion according to the prescribed flow
rate;
(4) Discontinuation of a peripheral intravenous device at the appropriate time;
(5) Performance of routine dressing changes at the insertion site of a peripheral
venous or arterial infusion, peripherally inserted central catheter infusion, or central
venous pressure subclavian infusion.
Effective Date: 04-10-2001
First began in the 17
th
century
19
th
century-infection control procedures
mid 1950s-used for surgery and
hydration(20%)
Today approximately 90 % of pts in hospital
receive IVs
Skilled nursing homes, doctors office and
home
Fluid and electrolyte maintenance,
restoration and replacement
Administer medications and nutritional
feedings
Give blood and blood products
Chemotherapy
Patient controlled analgesics
KVO for quick access
Oral medications-absorbed in the digestive
tract
IV- faster acting and distributed throughout
the bloodstream immediately after giving
Unconscious pt:
Unable to swallow:
Vomiting:
Nutrition:
Others?

Slides 3-6-material from Fulcher and
Frazier(2007)

Pre-existing vascular compromise
Regional infection
Adult:
Antibiotic:
Arterial Line:
Aspirate:
Central Line:
Central Venous Access Device: (CVADS)

Continuous Infusions:
Controlled Analgesic:
Drip Factor:
Electronic Pumps and Controllers:
Flow Rate:ml/hr or gtts/min
Infiltration:
Infusion Devices:






Thru peripheral IV sites-depend on gravity
for administration- must be 24-36 inches
above IV sites
If patient changes positions volume
decreases-back pressure greater, rate slows
or stops
Simplest controllers-roller or slide clamp
Use to speed up or slow, counts gtts in drip
chamber

Apply external pressure to administration set
tubing to run at specified rate
Specific volume/time
More accurate
Alarm systems-kinks, air, occlusion
Disadvantage-Cost of equipment,
maintenance, more serious infiltration.


SYRINGE PUMPS
Holds prefilled syringe
Positive pressure to plunger delivers specific
volume
Used for small volume
Insulin pumps, PCA pumps
Safer, preprogramming to prevent calculator
errors

Initiate:
Intermittent Infusion: (Piggyback)
Intravenous: (IV)
IV Bolus:
IV Push:
Maintain





Nurse Practice Act: (Ohio)
Palpation:
Peripheral:
Peripherally Inserted Central Catheters:
(PICCs)
Phlebitis:


Piggyback:
Roller clamp:
Tourniquet:
TPN:
Transparent Dressing:
Venipuncture:
Other Terms:
Questions????????

Apparatus that connects large volume
parenteral solution with IV access device into
patient veins
Insertion spikes
Clip chamber
Plastic tubing with rate control clamp
Rubber injection port
Needle adapter and protective cap on needle
adapter



Over needle cath left in for medical
administration
Flush every 8 hours
Flush before/after meds
See Handout from OBN website
Chapter 4723-17

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