(1) The course
necessary to qualify a licensed practical nurse or graduate practical nurse to
administer IV therapy shall be not less than a thirty (30) hour post-graduation
level course teaching aspects of IV therapy. The didactic intravenous therapy
education must contain the following components:
(a) Policies and procedures of both the Nurse
Practice Act and the employing agency in regard to intravenous therapy. This
includes legalities of both the Licensed Practical Nurse role and the
administration of safe care. Principles of charting are also
included.
(b) Psychological
preparation and support for the patient receiving IV therapy as well as the
appropriate family members/significant others.
(c) Site and function of the peripheral veins
used for veinpuncture.
(d)
Procedure for veinpuncture, including physical and psychological preparation,
site selection, skin preparation, palpation of veins, and collection of
equipment.
(e) Relationship between
intravenous therapy and the body's homeostatic and regulatory functions, with
attention to the clinical manifestations of fluid and electrolyte
imbalance.
(f) Signs and symptoms
of local and systemic complications in the delivery of fluids and medications
and the preventive and treatment measures for these complications.
(g) Identification of various types of
equipment used in administering intravenous therapy with content related to
criteria for use of each and means of troubleshooting for
malfunction.
(h) Formulas used to
calculate fluid and drug administration rate.
(i) Methods of administering drugs
intravenously and advantages and disadvantages of each.
(j) Principles of compatibility and
incompatibility of drugs and solutions.
(k) Nursing management of the patient
receiving drug therapy, including principles of chemotherapy, protocols,
actions, and side effects.
(l)
Nursing management of the patient receiving blood and blood components,
following institutional protocol. Include indications and contraindications for
use; identification of adverse reactions.
(m) Nursing management of the patient
receiving parenteral nutrition, including principles of metabolism, potential
complications, and physical and psychological measures to ensure the desired
therapeutic effect.
(n) Principles
of infection control in IV therapy, including aseptic technique and prevention
and treatment of iatrogenic infection.
(o) Nursing management of special IV therapy
procedures that are commonly used in the clinical setting, such as heparin
lock, central lines, and arterial lines.
(p) Glossary of common terminology pertinent
to IV fluid therapy.
(q)
Performance check list by which to evaluate clinical application of knowledge
and skills.
(2) Clinical
Competence. The course must be followed by supervised clinical practice in
intravenous therapy to demonstrate clinical competence. Verification of
clinical competence shall be the responsibility of each institution employing a
licensed practical nurse based on institutional protocol. Such verification
shall be given through a signed statement of a licensed registered
nurse.
(3) Central Venous Lines
(CVL) and Peripherally Inserted Central Catherer (PICC) Lines. The Board
recognizes that through appropriate education and training, a Licensed
Practical Nurse is capable of performing intravenous therapy via central and
PICC lines under the direction of a registered nurse or other health care
practitioner as defined in subsection
64B9-12.002, F.A.C. Appropriate
education and training requires a minimum of four (4) hours of instruction. The
requisite four (4) hours of instruction may be included as part of the thirty
(30) hours required for intravenous therapy education specified in subsection
(4) of this rule. The education and training required in this subsection shall
include, at a minimum, didactic and clinical practicum instruction in the
following areas:
(a) Central venous anatomy
and physiology;
(b) CVL and PICC
site assessment;
(c) CVL and PICC
dressing and cap changes;
(d) CVL
and PICC flushing;
(e) CVL and PICC
medication and fluid administration;
(f) CVL and PICC blood drawing; and,
(g) CVL and PICC complications and
remedial measures.
Upon completion of the intravenous therapy training via
central and PICC lines, the Licensed Practical Nurse shall be assessed on both
theoretical knowledge and practice, as well as clinical practice and
competence. The clinical practice assessment must be witnessed by a Registered
Nurse who shall file a proficiency statement regarding the Licensed Practical
Nurse's ability to perform intravenous therapy via central lines. The
proficiency statement shall be kept in the Licensed Practical Nurse's personnel
file.
(4)
Providers: The LPN/IV education must be sponsored by a provider of continuing
education courses approved by the Board pursuant to Rule
64B9-5.005, F.A.C. To be
qualified to teach any such course, the instructor must be a currently licensed
registered nurse in good standing in this state, have teaching experience, and
have professional nursing experience, including IV therapy. The provider will
be responsible for issuing a certificate verifying completion of the requisite
number of hours and course content.
Notes
Fla. Admin.
Code Ann. R. 64B9-12.005
Rulemaking Authority
464.006 FS. Law Implemented
464.003(18)
FS.
New 1-16-91, Formerly
21O-21.005, 61F7-12.005, Amended 7-15-96, Formerly 59S-12.005, Amended
11-17-10, Amended by
Florida
Register Volume 49, Number 129, July 5, 2023 effective
7/20/2023.
New 1-16-91, Formerly 21O-21.005, 61F7-12.005, Amended
7-15-96, Formerly 59S-12.005, Amended 11-17-10,
7-20-23.