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Title: Section 700.4 - The role of the licensed practical nurse in intravenous therapy procedures

Effective Date


700.4 The role of the licensed practical nurse in intravenous therapy procedures.

(a) For purposes of this section, agency shall mean an entity licensed, authorized or certified to operate pursuant to Articles 36 or 40 of the Public Health Law.

(b) An agency 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, a bolus of medication by intravenous push unless it is administered in the course of chronic hemodialysis treatment as permitted in this chapter and procedures involving central venous lines.

(c) In order to utilize a licensed practical nurse to perform intravenous therapy procedures in a home setting, the agency shall require that:

(1) the licensed practical nurse has satisfactorily completed a training program and supervised clinical experience in intravenous therapy procedures in a general hospital and is assigned to perform such procedures only for patients who are considered to be medically stable;

(2) a registered professional nurse initiates and monitors all new intravenous therapy medications the patient receives and continues to administer subsequent doses if it is determined to be necessary by the registered professional nurse;

(3) a registered professional nurse who is competent and knowledgeable about the administration of intravenous medications and familiar with the patient's condition be available immediately to the licensed practical nurse by telephone for consultation; and

(4) licensed practical nurses not be assigned to handle any central venous line procedure.

(d) The agency 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.

(e) The training program for intravenous therapy shall include as a minimum instruction in:

(1) the agency's policies and procedures related to intravenous therapy;

(2) the agency'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.

(f) The agency 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.

(g) The agency 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.

(h) 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.


VOLUME D (Title 10)