LPN IV therapy question in ohio? - page 2
I'm in LPN school and i have to take my IV therapy cert. on weds. Well i keep getting different answers reguarding hanging IV antibiotics...so here's my question... Can an LPN in the state of... Read More
Sep 23, '06Lpn's in the state of Ohio can hang initial bags of ATB's-but they are Not allowed to hang anti_fungals, iv protonix and of course k, blood etc-and yes, it must be a peripheral line only.
Oct 4, '06Quote from DR2004RNI'm an LPN that just finished the lecture portion of IV therapy (waiting to get my sticks before I can practice IV's). We CANNOT hang potassium. We can hang D5, NS, LR, sodium chloride 0.45%, sodium chloride 0.2% and sterile water. We can initiate antibiotic additives. We can maintain any solution an RN has hung first. That is quoted straight out of Ohio Revised Code 4723. Hope that clears this up for everyone, including the LPN who thinks she can hang potassium!!tashaLPN2006,
could you please show me the link to the BON's website that gives the specifics on I.V. Abx? At our hospital we are all confused as to what LPN's can/cannot hang. Of course blood, blood products, chemo are obviously out of the question. But one of our LPN's says she can hang I.V. potassium and I don't think she can. I went to the BON's website and looked at the scope of practice for LPN's and I thought the I.V. part was pretty vague. If you could let me know where you found that info. I would love to read it. Thanks so much.
Oct 5, '06Quote from casey12873I'm an LPN that just finished the lecture portion of IV therapy (waiting to get my sticks before I can practice IV's). We CANNOT hang potassium. We can hang D5, NS, LR, sodium chloride 0.45%, sodium chloride 0.2% and sterile water. We can initiate antibiotic additives. We can maintain any solution an RN has hung first. That is quoted straight out of Ohio Revised Code 4723. Hope that clears this up for everyone, including the LPN who thinks she can hang potassium!!
I visited the OBN website and gained quite a different perspective. If one reads under Ohio Revised Code, LPNs are allowed to hang subsequent bags of vitamins and electrolytes. Since potassium is an electrolyte, the LPN who thought she could hang it is not wrong, provided she realized that the RN must initiate the first bag. Just so nobody gets confused, I am referring to solutions with potassium in them, such as Dextrose 5% and 0.45% NS, NOT
concentrated electrolytes intended to treat severe electrolyte imbalances (K+, Mg2+, Ca2+, 3% NaCl). Under Ohio Revised Code, it also mentions
vitamins, so it can reasonably be interpreted to mean that an LPN may hang
multivitamins after an RN has initiated the first bag. This law covers PICC,
central venous, and peripheral lines, although, it is out of LPN scope of practice to change the tubing or flush CVCs and PICCs, so only spiking a new bag without disconnection is acceptable. An LPN may administer the initial and subsequent doses of antibiotics via a peripheral line ONLY. All the
above laws apply to clients aged 18 or older. If anyone is still unsure after reading the Ohio Revised Code, contact the OBN directly.
Oct 8, '06It is my understanding that, if certified to do so...we can initiate and maintain, D5W, NS, 1/2 NS, 0.2% NaCl, LR, sterile H20& ABX (not antiviral or antifungal) in a peripheral vein. We cannot initiate vitamins and lytes but can maintain and hang subsequent solutions containing them (again, only in a line ending in the periphery). We can't touch blood and blood products or chemo. agents. Insofar as PICC lines, Central lines, etc., we can only do dressing changes. We cannot mess with PCA's except to verify proper med, etc. and cannot do IV push. Also, the client must be 18 or older.....Last edit by charebec65 on Oct 8, '06
Jul 27, '12this is really helpful, I am a new grad and just last night I informed my night supervisor that I couldn't hang an antibiotic in a midline, I know now that I can. Thanks
Jul 31, '12Here is a link to an article in the Winter 2012 issue of Momentum (The Ohio BON magazine)
It spells out in plain language what we IV certified LPNs can and can not do Re: Hanging / maintaining IV infusions through either peripheral or central lines.
Scroll to page 20.
FWIW, this article says that we CAN flush a PICC that is being used for intermittent infusion with NS.