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Can I.V. certified LVN's hang "K-RIDERS"?



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Dec 18, 2003 09:01 AM

Can I.V. certified LVN's hang "K-RIDERS"?

by mssrf

I am in the state of California and this question comes up among
my peers, instructors and co-workers. If you are a I.V. Certified
"LVN" can you hang a K-rider? Since potassium is an electrolyte
some say yes but most say no because it is considered as an
like an I.V. push drug which LVN's cannot do. Potassium also has
its dangers with heart arrythmia's when being administered.
I am a new grad from Vocational Nursing School and this is one
of my make-up assignments.

Is there any Board Certified help out there? Any RN's or I.V.
instructors who can help? This question only applies per California Law. Thanks!! :


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12 Comments
No. 1
from BarbPick
Old Dec 18, 2003, 09:21 AM

Default In Florida
Lpns can hange anything except blood, which they can check, if an RN is supervising on the same floor. Independantly, like Home Health, they are not allowed to add any medication to an infusion, it has to be pre made or a vial that was attached at a pharmacy, they can break the little plastic gizmo and reconstitute the drug in the piggy back. They are only allowed to push saline and hep lock solution. If a patient need IV Lasix, it has to be put in a 25 or 50 cc bag and given that way by an LPN.
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No. 2
from mssrf
Old Dec 18, 2003, 11:55 AM

Thanks Florida,

for your response. I am polling The Supervising "RN's" from
different hospitals here in California and so far I am told
"LVN's" cannot under any circumstances hang K-riders.

Anybody else out there that can help me from Caifornia?

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No. 3
from featherzRN
Old Dec 18, 2003, 12:40 PM

Don't know about the official word, but at my last job (we don't have LVN's where I am now), an LVN could hang blood (with an RN to double check the ID) and premade IV fluids with low dose e-lytes (including banana bags). . No K-riders or any other type of piggyback was allowed.
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No. 4
from jnette
Old Dec 18, 2003, 01:04 PM

This certainly does vary from state to state.

Where I live LPN/LVNs do hang blood ...all the time. As well as do IV pushes, and everything the RN does with the exception of initial pt. admission assessments.

So you would be wise to inquire specifically of California, as you have mentioned.
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No. 5
from mssrf
Old Dec 18, 2003, 01:41 PM

THANKS FOR ALL THE RESPONSES...CAN YOU TELL ME THE
CITY AND STATES YOU ARE RESPONDING FROM WHEN REPLYING.
I AM TRYING TO FIND OUT THE CALIF. LAW OR PROTOCOLS VERSUS OTHER STATES/COUNTRIES..ETC

THIS IS ALL HELPFUL TO ME AND I REALLY APPRECIATE ALL
OF THE KNOWLEDGEABLE "RN'S" OUT THERE. ANY PHARMACISTS?
INSTRUCTORS? STATE BOARD PERSONNEL?
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No. 6
from BarbPick
Old Dec 18, 2003, 02:30 PM

I am from Miami, but what does that have to do with IV's and the Florida Nurse Practice Act?
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No. 7
from mssrf
Old Dec 23, 2003, 04:03 AM

Nurse Laws governing LVn's/LPN's vary from State to State
The reason I inquired to the States the answers are coming from is because California Law governing LVN/LPN's are not the same as Laws in other states. I wanted to know if anyone in Calif
or anyone who knows the Calif Protocol on this
question could give me the answer/rationale since
this question is one that is slightly different
even from Hospital to hospital here in Calif.
A couple of Hospitals that I called here in Southern Calif responded that if the LVN is
IV certified under the supv of the Rn on the floor
a k-rider can be hung. However, The hospital where i work told me they weren't sure and would have to check with the new hospital policy because
only 2 years ago they start letting LVN's hang
blood/blood products if IV certified and they
didn't do this for a long time. I haven't yet
got there answer back about k-riders. I also
wanted to know what other states protocol was,
these are the reasons i wanted to know where the
answers were coming from. I appreciate all of the
interesing responses I am getting.
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No. 8
from waves
Old Dec 24, 2004, 09:29 PM

Default state practice act
Originally Posted by mssrf
I am in the state of California and this question comes up among
my peers, instructors and co-workers. If you are a I.V. Certified
"LVN" can you hang a K-rider? Since potassium is an electrolyte
some say yes but most say no because it is considered as an
like an I.V. push drug which LVN's cannot do. Potassium also has
its dangers with heart arrythmia's when being administered.
I am a new grad from Vocational Nursing School and this is one
of my make-up assignments.

Is there any Board Certified help out there? Any RN's or I.V.
instructors who can help? This question only applies per California Law. Thanks!! :
in cali- iv cert means blood and saline but no K. the rationale is that the K requires the RN training to recognize issues...due to cardiac, ie. possible death, effects.
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No. 9
from Brita01
Old Dec 25, 2004, 12:20 AM

In California LVNs can't hang ANY type of piggyback. When I came to Lousiana, the LPNs do hang piggybacks and I felt so stupid because I didn't even know how to mix the vial of powder in with the little bag of fluid. It amazes me how the practice act in states can differ so much.
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