Quote from eborgelt
I can start and maintain in Michigan, but cannot start or maintain in Ohio.
Actually, yes you can start IV's in Ohio (granted you have taken the required 40 hour class set by the state). I was given the class less then 2 months after graduation from LPN school, I started plenty of IV's in an acute setting and in the nursing home, both in Ohio.
Here is a list of laws for Ohio...
1. Prepare an adult for IV therapy and select the peripheral intravenous site in the hand, forearm and/or antecubital fossa
area only. (Adult means anyone who has reached the age of majority, eighteen.)
2. Assemble and maintain equipment for:
a. Gravity drip infusion
b. Electronic controlling devices, excluding patient controlled devises
3. Perform venipuncture with a needle or catheter into a peripheral vein of the hand, foreann and/or antecubital fossa area.
4. Initiate (i.e. start or begin) the infusion of authorized IV solutions as directed by a licensed physician, dentist, optometrist or podiatrist, using only the vein of the hand,forearm, antecubital fossa and calculate infusion rate using standard formulas.
Authorized solutions are IV infusions containing one or a combination of the
a. Dextrose 5%
b. Normal Saline
c. Lactated Ringers
d. Sodium Chloride .45%
e. Sodium Chloride 0.2%
f. Sterile water
(**For example, the LPN could start D5/Water or D51LR. Note: "Water" must always be sterile and used in
conjunction with other fluids.)
5. Maintain an infusion of the authorized solutions, listed in #4 above, that are being administered through a pre-existing
central venous or peripherally inserted central venous catheter (PICC) (Note: Maintain means to administer or
regulate IV infusions according to the prescribed flow rate.)
6. Verify the type of peripheral solution being administered.
7. Regulate a peripheral IV infusion according to the prescribed flow rate.
8. Perform routine IV administration set changes on a peripheral IV line.
9. Perform routine dressing changes at the insertion site of a peripheral venous or arterial infusion, peripherally inserted
central venous catheter or central venous pressure subclavian infusion.
10. Initiate, convert and flush peripheral intermittent infusion devices/heparin locks. The peripheral intermittent infusion
devices may be flushed with normal saline and/or heparin to maintain peripheral venous patency of an intermittent infusion device when the heparin does not alter and individual's clotting time and is a nontherapeutic strength. The flushing technique includes, but is not limited to, bolus or push.
11. Prepare or reconstitute an antibiotic additive only.
12. Initiate or maintain an intermittent IV infusion (piggyback) containing only an antibiotic additive. (No other additive may be administered via piggyback; the IV line being used must terminate in a peripheral vein.)
13. Discontinue a peripheral IV device.
14. Examine a peripheral infusion site. (Implied is reporting and recording significant observations.)
15. Hang subsequent containers of specified solutions (dextrose, 5%; normal saline; lactated ringers; sodium chloride .45%; sodium chloride .2%; or sterile water) that contain vitamins or electrolytes if a registered nurse initiated the same infusion.
Now Kentucky laws are alittle different, I know they changed the LPN's scope of practice in reguards to IV therapy. I know we are going to be allowed to do alot more IV pushes and stuff like that. I am just waiting for the "special" classes to be able to do that. I hate bothering down an RN to push decadron on my patients...