Theory of IV Therapy

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The theory portion of this course is designed to prepare qualified License Practical
Nurses to perform the expanded role of IV therapy as outlined in the Ohio Nursing Practice Law,
Rules and Regulations.

At the completion this course, the Licensed Practical Nurse shall be able to:
1. Summarize the major legal implications of IV therapy relative to state regulations

and agency policy.
2. Summarize the major legal requirements of the nurse.
3. Identify and locate peripheral veins used for venipuncture and list factors that
influence their size and condition.
4. Identify IV equipment used in administering IV solutions; indicate the criteria for
use, and list precautions and complications of each.
5. Discuss and demonstrate nursing responsibilities in preparation for and during
venipuncture.
6. Discuss and demonstrate nursing care of the patient with an IV infusion.
7. Summarize the fundamentals of fluid and electrolyte balance in relation to IV
therapy.
8. Demonstrate understanding of fluid and electrolyte balance and classifications of IV
fluids.
9. Discuss and demonstrate appropriate aseptic technique in IV therapy.
10. Compare and contrast the hazards and complications of IV infusions, their
prevention, and nursing interventions.
11. Report and record all pertinent information related to IV therapy.
12. Apply correct principles for administering IV antibiotics by using reference
material, scheduling administration of IV antibiotics, and calculating drug doses.
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The LPN must score at least 80% on each theory examination and at least 80%
on the final comprehensive theory examination.
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ÊMinimum 40 hours
The clinical portion of this course is designed to develop proficiency in IV therapy

according to the scope of practice outlined in the Ohio Nursing Practice Law, Rules and
Regulations and in conjunction with agency policy.

At the completion of this course, the License Practical Nurse shall be able to:
1. Correctly initiate peripheral IV therapy.
2. Correctly calculate prescribed IV infusion rate.
3. Provide ongoing care to the IV site.
4. Maintain patency of peripheral IV therapy lines using a flush solution.
5. Assist the Registered Nurse with central venous infusion by checking the
infusion rate and changing the site dressing.
6. Observe and report patient responses to IV therapy.
7. Report, record and properly respond to complications or contraindications of IV
therapy.
8. Discontinue peripheral IV therapy.

ÊDuring an affiliation with a clinical laboratory, the LPN must observe and then
practice sticking peripheral veins for the purpose imitating peripheral IV therapy until the LPN
is proficient in the procedure. No medications or fluids may be injected into the vein
during this time.
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Following a period of observation, the LPN must participate in all
phases of IV therapy which are within the scope of practice as outlined in the Ohio Board of
Nursing Rules and Regulations. The LPN must demonstrate proficiency in each step of each
procedure.
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The LPN must perform satisfactorily on each clinical procedure and must
implement all phases of IV Therapy to the satisfaction of the instructor. Three (3) unsatisfactory
performances in any portion of any procedure shall result in the LPN¶s termination from
the IV Therapy course.
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UNIT I MINIMUM TIME ALLOTMENT
LEGAL ASPECTS AND PRACTICES 1 HOUR
OBJECTIVES: Upon the completion of this unit, the LPN shall be able to:
1. Identify the major legal implications of IV therapy.

2. Demonstrate understanding of the Nursing Practice Law, Rules and Regulations
regarding the role of the LPN in IV therapy.
3. Discuss IV therapy policies of selected health care agencies.
CONTENT:
1. Course overview
2. Legal aspects of IV therapy
3. Expanded role of the LPN²Practice Law, Rules and Regulations
4. Scope of practice in IV therapy for the Expanded Role LPN
5. Health agency policies
EVALUATION: The LPN must score at least 80% on each examination administered in this
unit.
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UNIT II MINIMUM TIME ALLOTMENT
REVIEW OF ANATOMY AND PHYSIOLOGY 6 HOURS
OBJECTIVES:
Upon the completion of this unit, the LPN shall be able to:
1. Demonstrate understanding of structure and function of the integumentary

system as relates to IV therapy.
2. Demonstrate understanding of structure and function of the circulatory system as
relates to IV therapy.
3. Demonstrate understanding of structure and function of the respiratory system as
4. Demonstrate understanding of structure and function of the urinary system as
5. Identify and locate peripheral veins used for venipuncture.
6. Differentiate the anatomic characteristics of veins and arteries.
7. Identify signs of an inadvertent arterial puncture.
8. Identify factors that influence the size and condition of the veins.
CONTENT:
1. Integumentary system
2. Circulatory system
3. Respiratory system
4. Urinary system
5. Vein structure and location (peripheral)
a. Structure and function
(1) Endothelial lining
(2) Valves
(3) Carry blood toward heart
(4) Thinner than arteries
b. Location
(1) Arm²deep and superficial
(2) Leg²deep and superficial
EVALUATION: The LPN must score at least 80% on each examination administered in this unit
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UNIT III MINIMUM TIME ALLOTMENT
FLUID AND ELECTROLYTE BALANCE 10 HOURS
OBJECTIVE:
1. Identify body fluid compartments and electrolyte compositions.
2. Define fluid deficit, fluid maintenance and fluid replacement.
3. List effects of isotonic, hypotonic, and hypertonic IV fluids.
4. List and classify common parenteral fluids.
5. Identify electrolyte norms in laboratory reports on blood samples.
6. Discuss the normal methods of fluid and electrolyte intake and output.
CONTENT:
1. Elements found in intracellular and extracellular fluid.

2. Passage of substances through membranes
a. Osmosis
b. Diffusion
3. Types of IV fluids
a. Isotonic
b. Hypotonic
c. Hypertonic
4. Body¶s reaction to dehydration and overhydation
5. Functions of electrolytes, with emphasis on potassium, sodium and chloride
6. Electrolyte norms in blood tests
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UNIT IV MINIMUM TIME ALLOTMENT
EQUIPMENT AND PROCEDURES IN IV THERAPY 14 HOURS
OBJECTIVES:
Upon completion of this unit, the LPN shall be able to:
1. Demonstrate appropriate medical and surgical aseptic technique.

2. Explain the purpose of infection control.
3. Identify the types of organisms that cause infections of IV sites and fluids.
4. List factors that contribute to the growth of microorganisms.
5. Correctly interpret orders for initiating and discontinuing IV therapy.
6. Demonstrate skill in documenting and reporting promptly all pertinent
information.
7. Evaluate and accurately describe patient observations during and following IV
infusion.
8. Discuss legal responsibilities and other important considerations in maintaining
proper records.
9. Identify various types of equipment and supplies available for use in IV therapy.
10. Discuss the responsibility of the nurse in preparing the patient psychologically
for venipuncture.
11. Select veins suitable for venipuncture.
12. List factors to be considered in selection of a vein.
13. Describe dangers associated with the use of veins of the lower extremities.
14. List factors to be considered in selecting a cannula for venipuncture.
15. Demonstrate technique and discuss the possible adverse reactions related to the
administration of subcutaneous xylocaine as a local anesthetic prior to
venipuncture.
16. Demonstrate technique of venipuncture using various devices.
17. Demonstrate and discuss securing a device, tubing and extremity for IV therapy.
18. Discuss the nurse¶s role in maintaining the infusion.
19. Identify methods of distending veins.
20. Demonstrate skill in calculation of IV infusion rates.
21. Identify factors which influence rate of infusion.
22. Safely discontinue IV infusion.
23. Observe and provide care for IV equipment and site.
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CONTENT:
1. Terminology
2. Infection control
3. Safe technique in preparing, initiating, monitoring and discontinuing IV therapy
4. Equipment and supplies
a. Types
b. Advantages and disadvantages
c. Packaging of solutions
d. Labeling (including expiration dates)
e. Safe handling
5. Solutions
a. Types
b. Reading labels
6. Asepsis²Medical and surgical procedures review
7. Sites
8. Techniques
a. Preparing IV
(1) Equipment, supplies, solutions
(2) Bubbles in tubing
(3) Patient¶s clothing
(4) Height of IV pole
b. Initiating IV
(1) Administration of subcutaneous xylocaine
(2) Insertion of IV²needles, catheters, butterflies
(3) Securing IV and site dressing
c. Monitoring
(1) Infusion rate
(2) Patient
(3) Intake and output
d. Site care
(1) Peripheral lines
(2) Central lines
e. Recording and reporting
NOTE: LPN must practice skill of initiating IV on training arm until proficient.
EVALUATION: The LPN must score at least 80% on each examination administered in this
unit.
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UNIT V MINIMUM TIME ALLOTMENT
6 HOURS
COMPLICATIONS, PREVENTION AND NURSING INTERVENTIONS
OBJECTIVES:
1. List complications of IV therapy.
2. List and describe symptoms of each complication.
3. Discuss preventive measures in systemic and local complications.
4. Discuss appropriate nursing interventions for complications of IV therapy.
CONTENT:
1. Signs and symptoms of complications

2. Preventive measures
3. Treatment measures
4. Nursing interventions
EVALUATION:
The LPN must score at least 80% on each examination administered in this unit

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UNIT VI MINIMUM TIME ALLOTMENT
MEDICATIONS 3 HOURS
OBJECTIVES:
1. Match terms and abbreviations associated with IV medications.
2. Distinguish among ways IV antibiotics are used.
3. State the five ³rights´ of administering medications and additional ³rights´
associated with administration of IVantibiotic medications.
4. List facts to determine regarding an IV antibiotic medication before
administration.
5. Identify safety measures to observe when administering IV antibiotic
medications.
6. List medication information to be obtained in a nursing history.
7. Distinguish among methods of administering IV antibiotic medications.
8. State nursing responsibilities and interventions with regard to the administration
of IV antibiotic medications.
9. List the effects of drug incompatibilities.
10. Describe types of drug incompatibilities.
11. Discuss factors that affect compatibilities.
12. State nursing responsibilities and interventions with regard to avoiding
incompatibilities.
13. Define and describe potential untoward reactions and side effects.
14. Name the body systems affected by untoward reactions.
15. Identify nursing responsibilities and interventions with regard to untoward
reactions and side effects.
16. State the formula for calculation of drug doses.
17. Schedule the administration of IV antibiotic medications.
18. Calculate drug doses and dilutions.
CONTENT:
1. Terms and abbreviations associated with IV medications

2. Ways drugs are used
a. Diagnostic
b. Prophylactic
c. Therapeutic
3. ³Rights´ of administering IV antibiotics
a. Medication, dose, route, time, patient
b. Method or mode; length of infusion time; incompatibilities
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4. Facts to determine about an IV antibiotic before administration

a. Average dose
b. Route of administration
c. Length of time of infusion
d. Expected action (effect)
e. Common untoward reactions (side effects)
f. Incompatibilities
5. Safety measures to observe when administering IV antibiotics
6. Medication information to be obtained in a nursing history
7. Methods of administering IV antibiotic medications
a. Intermittent infusion
b. Continuous infusion
8. Nursing responsibilities and interventions with regard to administration of IV
antibiotic medications
9. Incompatibilities
a. Effects
b. Types
c. Nursing responsibilities and interventions
10. Factors that affect compatibilities
11. Untoward reactions or side effects
a. Terms
b. Types
c. Body systems affected
d. Nursing responsibilities and interventions
12. Calculation of drug doses
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1. Check the medical order
2. Gather equipment
a. tourniquet
b. antiseptic swabs
c. butterfly needle or angiocath
d. tape
e. anti-microbial ointment
f. dressing materials
3. Identify the patient
4. Explain the procedure
5. Adjust lighting
6. Wash hands
7. Prepare the patient physically

a. provide for privacy
b. provide hospital gown
c. place patient in comfortable position
d. place towel under the arm
e. remove jewelry
8. Wash hands
9. Position self for comfort
10. Select a site
11. Put on gloves
12. Place a tourniquet above site selected
13. Locate a peripheral vein on correct patient
14. Clean the area using a circular motion with antiseptic swab
15. Insert the sterile IV needle/angiocath
16. Suggested procedure:

a. hold at a 20-45 degree angle
b. insert the needle with the bevel up
c. lower hub of needle close to skin for insertion into vein
d. observe tubing/flash back chamber for blood return
e. allow blood to displace air in butterfly tubing
f. thread cannula into vein if angiocath used
g. release tourniquet prior to infusing primary fluid
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h. secure with a piece of tape
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(CONT.)
17. Connect IV solution if ordered, maintaining sterility
18. Start the correct IV solution to the correct patient at a KVO rate
19. Tape securely leaving site open for assessment
20. Apply sterile dressing
21. Tape arm board in position if necessary
22. Review movement restrictions with patient
23. Regulate IV infusion according to medical order
24. Dispose of used equipment
25. Wash hands
26. Record procedure
27. Suggested data to record:

a. IV site
b. Size of needle/angiocath
c. Date and time
d. Signature of nurse
e. Patient¶s response and/or number of attempts
CLINICAL PRACTICE:
The LPN must successfully demonstrate the procedure a minimum of three (3) times. Additional successful
demonstrations may be required at the instructor¶s discretion. Three (3) unsatisfactory performances in technique
shall result in the LPN¶s termination from the IV Therapy course.
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PERFORMANCE CHECKLIST: VENIPUNCTURE
STUDENT: _____________________________________________________
STUDENT ID #:__________________________________________________
DATE: __________________________________________________________
SATISFACTORY UNSATISFACTORY
1. Checked medical order ______________ _______________
2. Calculated IV infusion rate ______________ _______________
3. Washed hands ______________ _______________
4. Located a peripheral vein on correct patient ______________ _______________
5. Cleaned the area using a circular motion with ______________ _______________
antiseptic swab
6. Inserted the sterile IV needle/angiocath ______________ _______________
7. Released tourniquet prior to infusing primary ______________ _______________

Fluid
8. Connected IV solution if ordered, maintaining ______________ _______________

Sterility
9. Taped securely, leaving site open for assessment ______________ _______________
10. Applied sterile dressing ______________ _______________
11. Regulated IV infusion according to medical order ______________ _______________
12. Recorded procedure ______________ _______________
13. Performed satisfactorily within the allotted time ______________ _______________
PERFORMANCE CHECKLIST: VENIPUNCTURE
PASS FAIL
(MUST HAVE 100% SATISFACTORY PERFORMANCE)
COMMENTS:
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SIGNATURE ___________________________________________
PROCEDURE: INITIAL IV SITE
a. Type solution
b. Amount of solution
c. Infusion rate
d. Sequence of solution if applicable
2. Calculate correct IV flow rate
3. Wash hands
4. Gather equipment

a. Solution
b. Tubing
c. Tape
d. IV pole
e. Antiseptic swab
5. Identify patient
6. Explain procedure
7. Set up equipment
a. Examine solution for:
(1) Cloudiness
(2) Particles
(3) Leakage
(4) Cracks in bottle or bag
(5) Expiration date
b. Open the package containing the tubing, maintaining sterility of all connectors.
c. Close regulator on the tubing
d. Open the entry area of the fluid container, maintaining sterility of the entry port
e. Clean the entry port with antiseptic swab if necessary
f. Insert the tubing spike into the fluid container through the correct entry port
g. Invert the bottle or bag with the tubing hanging down
h. Hang solution on IV pole
i. Fill the drip chamber half full with fluid
j. Displace air in tubing with fluid and close regulator
8. Examine the site for signs and symptoms of inflammation/infiltration
9. Put on gloves
10. Connect the end of the IV tubing to the hub of the needle, maintaining sterility
12. Tape securely, leaving site open for assessment

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PROCEDURE: INITIAL IV SITE

(CONT.)
16. Regulate IV infusion according to physician¶s order
18. Wash hands
20. Recommended data to record

a. Date and time
b. Type of solution
c. Amount of solution
d. Infusion rate
e. Tubing change
f. Assessment of needle site
g. Dressing change
h. Signature
CLINICAL PRACTICE:
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PERFORMANCE CHECKLIST: INITIAL IV SITE
STUDENT: __________________________________________________
STUDENT ID#: ______________________________________________
DATE: _____________________________________________________
1. Checked the medical order
a. Type solution
c. Infusion rate
2. Examined the site for signs and symptoms of

inflammation/infiltration
3. Checked solution. Connected tubing and expelled

air from tubing, maintaining sterility
4. Connected the end of the IV tubing to the hub of

the needle, maintaining sterility
5. Started the correct IV solution to the correct

patient at a KVO rate
6. Taped securely, leaving site open for assessment
7. Applied sterile dressing
8. Regulated IV infusion according to medical order
9. Washed hands
10. Recorded procedure
11. Performed satisfactorily within allotted time
PERFORMANCE CHECKLIST: INITIAL IV SITE PASS FAIL

COMMENTS:
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SIGNATURE:___________________________________________________________________________
PROCEDURE: DISCONTINUING IV FLUIDS AND/OR INT
1. Check the medical orders
2. Wash hands
3. Collect equipment
a. Alcohol prep or 2 x 2
b. Band-Aid
c. Antibiotic ointment (if required)
d. Adhesive remover
4. Identify patient
5. Explain procedure to patient
6. Wash hands
7. Turn off intravenous fluid flow with regulator clamp
8. Put on gloves
9. Untape the intravenous needle and remove dressing
10. Withdraw the needle/angiocath
11. Apply pressure to the puncture site with the alcohol prep until hemostasis occurs
12. Observe needle and/or angiocath for intactness, frayed edges
13. Observe puncture area for signs and symptoms of inflammation, infection, bleeding
14. Apply Band-Aid to puncture site (hospital policy may require antibiotic ointment)
15. Observe amount and type of intravenous fluid remaining in bottle/bag
16. Make patient comfortable
17. Discard used equipment
18. Wash hands

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PROCEDURE: DISCONTINUING IV FLUIDS AND/OR INT

(CONT.)
a. Amount and type of fluid remaining in bottle/bag

b. Amount and type of fluid received by patient
c. Condition of angiocath or needle (intact, frayed edge)
d. Appearance of puncture site
e. Patient tolerance of procedure
f. Date
g. Name
h. Time
CLINICAL PRACTICE:
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PERFORMANCE CHECKLIST: DISCONTINUING IV FLUIDS AND/OR INT
STUDENT: ____________________________________________________________
STUDENT ID#: ______________
DATE:
1. Checked the medical orders
2. Washed hands
3. Collected equipment
a. Alcohol prep or 2 x 2
b. Band-Aid
c. Antibiotic ointment (if required)
d. Adhesive remover
4. Identified patient
5. Explained procedure to patient
6. Washed hands
7. Turned off intravenous fluid flow with regulator clamp
8. Put on gloves
9. Untaped the intravenous needle and removed dressing
10. Withdrew the needle/angiocath
11. Applied pressure to the puncture site with the alcohol

prep until hemostasis occurred
12. Observed needle and/or angiocath for intactness, frayed edges
13. Observed puncture area for signs and symptoms of

inflammation, infection, bleeding
14. Applied Band-Aid to puncture site (hospital policy may

require antibiotic ointment
15. Observed amount and type of intravenous fluid remaining in

bottle/bag
16. Made patient comfortable

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17. Discarded used equipment
PERFORMANCE CHECKLIST: DISCONTINUING IV FLUIDS AND/OR INT

(CONT.)
18. Washed hands
a. Amount and type of fluid remaining in bottle

b. Amount and type of fluids received by patient
c. Condition of angiocath or needle (intact, frayed edge)
d. Appearance of puncture site
e. Patient tolerance of procedure
f. Date
g. Name
h. Time
PASS FAI.L
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COMMENTS:
SIGNATURE: _________________________________________________________________________
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PROCEDURE: EXISTING IV SITE ± NEW SOLUTION AND NEW TUBING

a. Type solution
c. Infusion rate
3. Wash hands
4. Gather equipment
a. Solution
b. Tubing
c. Tape
d. IV pole
e. Antiseptic swab
5. Identify patient
7. Set up equipment
a. Examine solutions for:
(1) Cloudiness
(2) Particles
(3) Leakage
(4) Cracks in bottle or bag
(5) Expiration date
b. Open the package containing the tubing, maintaining sterility of all connectors
c. Close regulators on the tubing
d. Open the entry area of the fluid container, maintaining sterility of the entry port
e. Clean the entry port with antiseptic swab if necessary
f. Insert the tubing spike into the fluid container through the correct entry port
g. Invert the bottle or bag with the tubing hanging down
h. Hang solution on IV pole
i. Fill the drip chamber half full with fluid
j. Displace air in tubing with fluid and close regulator
9. Put on gloves
10. Connect the end of the IV tubing to the hub of the needle, maintaining sterility
12. Tape securely, leaving site open for assessment

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PROCEDURE: EXISTING IV SITE ± NEW SOLUTION AND NEW TUBING

(CONT.)
16. Regulate IV infusion according to medical order
18. Wash hands
20. Recommended date to record:

a. Date and time
b. Type of solution
d. Infusion rate
e. Tubing change
f. Assessment of needle site
g. Dressing change
h. Signature
CLINICAL PRACTICE:
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PERFORMANCE CHECKLIST: EXISTING IV SITE²NEW SOLUTION AND NEW TUBING
STUDENT: ________________________________________________
STUDENT ID #:______________________
DATE:______________________________
1. Checked the medical order

a. Type solution
c. Infusion rate
2. Examined the site for signs and symptoms

of inflammation/infiltration
3. Checked solution. Connected tubing and expelled air

from tubing, maintaining sterility
4. Connected the end of the IV tubing to the hub of the

needle, maintained sterility
5. Started the correct IV solution to the correct patient at

a KVO rate
6. Taped securely, leaving site open for assessment
8. Regulated IV infusion according to medical order
9. Washed hands
PASS FAIL
COMMENTS:
SIGNATURE______________________________________________________________________________
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PROCEDURE: PIGGYBACK ADMINISTRATION OF PRE-MIXED ANTIBIOTIC MEDICATIONS
1. Check MAR and Kardex against the medical order

a. Patient¶s name
b. Type of medication
c. Dose
d. Time
e. Date of order
f. Allergies
g. Route
2. Report inconsistencies to charge nurse
3. Verify the compatibility of all antibiotic medications and fluids being mixed
4. Wash hands
5. Gather equipment
a. Solution
b. Secondary tubing
c. Antiseptic swab
d. Needle and syringe
6. Secure correct antibiotic medication
7. Calculate correct infusion rate for IVPB
8. Open the package containing the tubing, maintaining sterility of all connectors
9. Close slide clamp
10. Attach tubing spike to solution using sterile technique
11. Apply needle to distal end of tubing using sterile technique
12. Fill drip chamber half full
13. Open side clamp
14. Displace air in IVPB tubing and closing slide clamp
15. Identify patient
17. Hang solution on IV pole
18. Lower primary bottle with extension hook

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PROCEDURE: PIGGYBACK ADMINISTRATION OF PRE-MIXED ANTIBIOTIC MEDICATIONS

(CONT.)
19. Check to see that existing IV is functioning properly
20. Clean the injection port on primary line with an antiseptic swab and insert needle
a. COMPATIBLE MEDICATIONS:
(1) Open IVPB slide clamp

(2) Administer correct dose of correct IVPB antibiotic medicine to the correct patient at the correct
rate maintaining sterility
(3) After completion of IVPB, close slide clamp on IVPB tubing and raise primary solution to
previous level
b. INCOMPATIBLE MEDICATIONS:
(1) Clamp tubing and flush with normal saline

(2) Administer correct dose of correct IVPB antibiotic medicine to the correct patient at the correct
rate maintaining sterility
(3) After completion of IVPB, flush with normal saline
(4) Unclamp primary tubing
21. Regulate primary line according to medical order
22. Administer antibiotic medication ± 30 minutes of scheduled time
24. Wash hands

a. Medication
b. Dose
c. Route
d. Patient¶s response
e. Infusion rate
f. Signature
g. Time
CLINICAL PRACTICE:
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PERFORMANCE CHECKLIST: PIGGYBACK ADMINISTRATION OF PRE-MIXED ANTIBIOTIC

MEDICATION
STUDENT: ___________________________________________
STUDENT ID #:______________________________________
DATE:_____________________________________
1. Checked MAR and Kardex against the medical order

a. Patient¶s name
c. Dose
d. Time
e. Date of order
f. Allergies
g. Route
2. Reported inconsistencies to charge nurse
3. Verified the compatibility of all medications

and fluids being mixed
4. Washed hands
5. Checked to see that existing IV was functioning

properly.
6. Cleaned the injection port on primary line with

an antiseptic swab and inserted needle
7. a. COMPATIBLE MEDICATIONS:
(1) Opened IVPB slide clamp
(2) Administered correct dose of correct
IVPB antibiotic medicine to the correct
patient at the correct rate maintaining
sterility
(3) After completion of IVPB, closed slide
clamp on IVPB tubing and raised primary
solution to previous level
b. INCOMPATIBLE MEDICATIONS:
(1) Clamped tubing and flushed with normal saline
(2) Administered correct dose of correct IVPB antibiotic
medicine to the correct patient at the correct rate
maintaining sterility
(3) After completion of IVPB, flushed with normal saline
(4) Unclamped primary tubing
8. Regulated primary line according to medical order

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PERFORMANCE CHECKLIST: PIGGYBACK ADMINISTRATION OF PRE-MIXED ANTIBIOTIC

MEDICATIONS
(continued)
9. Administered medication 30 minutes of scheduled time
11. Performed satisfactorily within the allotted time
PASS FAIL
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COMMENTS
SIGNATURE____________________________________________________________
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PROCEDURE: ADMINISTRATION OF PRE-MIXED ANTIBIOTIC MEDICATION PER INT
1. Check the MAR or medicine card and Kardex against the medical order
a. Patient¶s name
c. Dose
d. Time
e. Date of order
f. Allergies
g. Route
2. Report inconsistencies to charge nurse
3. Verify the compatibility of all antibiotic medications and fluids being mixed
4. Wash hands
5. Gather equipment
a. Medication
b. Saline flush
c. Heparin flush
d. Antiseptic swabs
6. Prepare the correct antibiotic medication
7. Identify patient
8. Identify injection port
9. Clean the port with an antiseptic swab
10. Check to see that INT is functioning properly
11. Administer correct dose of correct medicine to the correct patient at the correct rate, maintaining sterility
12. Flush INT with appropriate amount of saline and/or heparinized saline according to hospital policy, at the correct
rate
13. Withdraw needle, maintaining positive pressure
14. Observe the patient during procedure

15. Administer medication 30 minutes of scheduled time
17. Wash hands

è
Ê ÊÊÊÊ

Ê
Ê
Ê
Ê
PROCEDURE: ADMINISTRATION OF PRE-MIXED ANTIBIOTIC MEDICATION PER INT

(cont.)
19. Suggested data to record

a. Medication
b. Dose
c. Route
d. Patient response
e. Rate, if indicated
f. INT flushed
g. Nurse¶s signature
h. Time
CLINICAL PRACTICE:
shall result in the LPN¶s termination from the IV therapy course.
ÿ
Ê ÊÊÊÊ

Ê
Ê
Ê
Ê
PERFORMANCE CHECKLIST: ADMINISTRATION OF PRE-MIXED ANTIBIOTIC MEDICATION PER INT
STUDENT: _______________________________________________________
STUDENT ID ______________________________
DATE:____________________________________
1. Checked the MAR or medicine card and Kardex

against the medical order
a. Patient¶s name
c. Dose
d. Time
e. Date of order
f. Allergies
g. Route
2. Reported inconsistencies to charge nurse
3. Verified the compatibility of all antibiotic

medications and fluid being mixed
4. Washed hands
5. Cleaned the port with an antiseptic swab
6. Checked to see that the INT was functioning properly

a. Examined the INT site for signs and symptoms of
inflammation/infiltration
b. Flushed INT with appropriate amount of saline
c. If resistance met, did not flush
7. Administered correct dose of correct medication to

the correct patient at the correct rate, maintaining
sterility.
8. Flushed INT with appropriate amount of saline,

flush solution, or heparinized saline according to
hospital policy, at the correct rate
9. Observed the patient during procedure
10. Administered medication + 30 minutes of scheduled

Time

ÿc
Ê ÊÊÊÊ

Ê
Ê
Ê
Ê
PERFORMANCE CHECKLIST: ADMINISTRATION OF PRE-MIXED ANTIBIOTIC MEDICATION PER INT

(CONT.)
12. Performed satisfactorily within the allotted time
PASS FAIL
" Ê#$Ê
Ê Ê%

COMMENTS:
SIGNATURE ______________________________________________________________________________
ÿè
Ê ÊÊÊÊ

Ê
Ê
Ê
Ê
PROCEDURE: ASSIST RN WITH CENTRAL VENOUS INFUSION ± CHECKING INFUSION RATE AND
CHANGING SITE DRESSING

a. Type solution
c. Infusion rate
3. Wash hands
4. Identify patient
7. Put on gloves
10. Check rate according to medical orders (do not change rate)
11. Dispose of used equipment and supplies
12. Wash hands
13. Record procedure and report to R.N.
14. Recommended data to record:

a. Date and time
b. Type of solution
d. Infusion rate
e. Appearance of site
f. Dressing change
g. Signature
CLINICAL PRACTICE:
ÿÿ
Ê ÊÊÊÊ

Ê
Ê
Ê
Ê
PERFORMANCE CHECKLIST: ASSIST RN WITH CENTRAL VENOUS INFUSION²CHECKING INFUSION

RATE
AND CHANGING SITE DRESSING
STUDENT:_______________________________________________________
STUDENT ID #:____________________
DATE: ____________________
1. Checked medical order

a. Type of solution
c. Infusion rate
2. Calculated correct IV flow rate
3. Washed hands
4. Examined the site for signs and symptoms

of inflammation/infiltration
6. Checked rate according to medical orders

(do not change rate)
7. Washed hands
8. Recorded procedure and reported to RN
PASS FAIL
" Ê#$Ê
Ê Ê%

COMMENTS
SIGNATURE: _______________________________________________________________________________________
ÿ@
Ê ÊÊÊÊ

Ê
Ê
Ê
Ê

Theory of IV Therapy

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1. Summarize the major legal implications of IV therapy relative to state regulations

 The clinical portion of this course is designed to develop proficiency in IV therapy

UNIT I MINIMUM TIME ALLOTMENT

LEGAL ASPECTS AND PRACTICES 1 HOUR

1. Identify the major legal implications of IV therapy.

UNIT II MINIMUM TIME ALLOTMENT

REVIEW OF ANATOMY AND PHYSIOLOGY 6 HOURS

1. Demonstrate understanding of structure and function of the integumentary

UNIT III MINIMUM TIME ALLOTMENT

FLUID AND ELECTROLYTE BALANCE 10 HOURS

1. Elements found in intracellular and extracellular fluid.

UNIT IV MINIMUM TIME ALLOTMENT

EQUIPMENT AND PROCEDURES IN IV THERAPY 14 HOURS

Upon completion of this unit, the LPN shall be able to:

1. Demonstrate appropriate medical and surgical aseptic technique.

UNIT V MINIMUM TIME ALLOTMENT

COMPLICATIONS, PREVENTION AND NURSING INTERVENTIONS

1. Signs and symptoms of complications

UNIT VI MINIMUM TIME ALLOTMENT

1. Terms and abbreviations associated with IV medications

4. Facts to determine about an IV antibiotic before administration

  !

3. Identify the patient

4. Explain the procedure

7. Prepare the patient physically

9. Position self for comfort

10. Select a site

11. Put on gloves

12. Place a tourniquet above site selected

13. Locate a peripheral vein on correct patient

15. Insert the sterile IV needle/angiocath

16. Suggested procedure:

  !

17. Connect IV solution if ordered, maintaining sterility

19. Tape securely leaving site open for assessment

20. Apply sterile dressing

21. Tape arm board in position if necessary

22. Review movement restrictions with patient

23. Regulate IV infusion according to medical order

24. Dispose of used equipment

25. Wash hands

26. Record procedure

27. Suggested data to record:

PERFORMANCE CHECKLIST: VENIPUNCTURE

1. Checked medical order ______________ _______________

2. Calculated IV infusion rate ______________ _______________

3. Washed hands ______________ _______________

4. Located a peripheral vein on correct patient ______________ _______________

6. Inserted the sterile IV needle/angiocath ______________ _______________

7. Released tourniquet prior to infusing primary ______________ _______________

8. Connected IV solution if ordered, maintaining ______________ _______________

9. Taped securely, leaving site open for assessment ______________ _______________

10. Applied sterile dressing ______________ _______________

11. Regulated IV infusion according to medical order ______________ _______________

12. Recorded procedure ______________ _______________

13. Performed satisfactorily within the allotted time ______________ _______________

PERFORMANCE CHECKLIST: VENIPUNCTURE

(MUST HAVE 100% SATISFACTORY PERFORMANCE)

PROCEDURE: INITIAL IV SITE

The clinical portion of this course is designed to develop proficiency in IV therapy

!

!

1. Checked medical order _

2. Calculated IV infusion rate _

3. Washed hands _

4. Located a peripheral vein on correct patient _

6. Inserted the sterile IV needle/angiocath _

7. Released tourniquet prior to infusing primary _

8. Connected IV solution if ordered, maintaining _

9. Taped securely, leaving site open for assessment _

10. Applied sterile dressing _

11. Regulated IV infusion according to medical order _

12. Recorded procedure _

13. Performed satisfactorily within the allotted time _

1. Check the medical order

2. Calculate correct IV flow rate

3. Wash hands

4. Gather equipment

5. Identify patient

6. Explain procedure