N.Y. Comp. Codes R. & Regs. Tit. 10 § 400.15 - The role of the licensed practical nurse in intravenous therapy procedures
(a) For purposes of
this section, facility shall mean an entity licensed pursuant
to article 28 of the Public Health Law.
(b) A facility may allow specially trained
licensed practical nurses, under the supervision of a qualified registered
professional nurse or physician, to perform all intravenous therapy procedures
except for the administration of blood and blood products, intravenous
anti-neoplastic agents, and a bolus of medication by intravenous push unless
administered for chronic hemodialysis treatment.
(c) The facility shall ensure that licensed
practical nurses allowed to perform intravenous therapy procedures have
satisfactorily completed a training program, received supervised clinical
experiences and demonstrated competence in the performance of intravenous
therapy procedures.
(d) The
training program for intravenous therapy shall include as a minimum instruction
in:
(1) the facility's policies and
procedures related to intravenous therapy;
(2) the facility's quality assurance and risk
management program;
(3) anatomy and
physiology related to intravenous therapy;
(4) the solutions and drugs used in
intravenous therapy, their pharmacological action and therapeutic
effects;
(5) procedures used for
mixing intravenous medications and solutions;
(6) the signs and symptoms of complications
and adverse reactions to intravenous therapy;
(7) the functions, use and maintenance of
intravenous devices and equipment; and
(8) infection control techniques.
(e) The facility shall ensure that
all intravenous therapy procedures performed by the licensed practical nurse
are provided in accordance with written policies and procedures which are
reviewed and updated as needed, but at least annually.
(f) The facility shall ensure that there is
documentation in the licensed practical nurse's personnel file which indicates
the training program attended, number of hours and content of the program,
supervised clinical experiences and approval to perform intravenous therapy
procedures.
(g) Inservice education
programs shall be conducted to update and inform the licensed practical nurse
of new intravenous therapy procedures, equipment and medications. The programs
shall be conducted as often as necessary but at least on an annual basis and be
documented in the personnel file of the licensed practical nurse.
(h) The licensed practical nurse approved to
perform intravenous therapy procedures shall be under the direction of a
registered professional nurse.
Notes
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