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Scope of Practice for Starting IV's



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Aug 05, 2009 08:28 PM

Scope of Practice for Starting IV's

by wowzem

I am wondering exactly who can start an IV line. I know an RN and MD can. Specifically, can a phlebotomist, nursing assistant, LPN, or lab tech? Also, in an ambulatory surgery center setting, can anyone other than an RN do patient assessment or teaching? Thanks!!


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6 Comments
No. 1
Old Aug 09, 2009, 07:15 PM

Default Re: Scope of Practice for Starting IV's
i have never been able to find info like that. ive seen medical assistants giving TB tests before and it really made me wonder
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No. 2
from DonaldJ
Old Aug 09, 2009, 09:48 PM

Default Re: Scope of Practice for Starting IV's
I'm assuming you're strictly talking about starting the line and not asking about specific IV meds/fluids/blood products/etc.

LPN can start a line, but is technically supposed to be certified by their facility or via a state-sponsored IV therapy program (some Tennessee Technology Centers host these).

In some cases, an ED tech/ER tech can start a line (depends on facility policy), but I believe they have to be an EMT-IV and not a CNA/MA/etc to do this.

Phlebotomist/MLT/CNA/MA can not legally start an IV, despite the phleb's/MLT's comprehensive training in vampirism.

In order to start an IV line, you should be within your scope of practice to administer IV medication (even if it's just normal saline). Phleb/MLT/CNA/MA are not licensed/certified to administer IV medication.
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No. 3
Old Aug 10, 2009, 02:46 PM

Default Re: Scope of Practice for Starting IV's
Originally Posted by DonaldJ View Post
In order to start an IV line, you should be within your scope of practice to administer IV medication (even if it's just normal saline). Phleb/MLT/CNA/MA are not licensed/certified to administer IV medication.

Medical assistants can and do start lines in TN based on the practice setting.
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No. 4
from DonaldJ
Old Aug 10, 2009, 05:35 PM

Default Re: Scope of Practice for Starting IV's
Originally Posted by meandragonbrett View Post
Medical assistants can and do start lines in TN based on the practice setting.
I would be interested in reading the Tennessee Code that allows this. According to the AAMA, CMA's do not prepare or administer IV medication.
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No. 5
Old Aug 12, 2009, 04:57 PM

Default Re: Scope of Practice for Starting IV's
We have been taught that only RN's can do any kind of assesment and/or teaching!
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No. 6
Old Aug 12, 2009, 05:07 PM

Default Re: Scope of Practice for Starting IV's
Originally Posted by ~FutureNurse~ View Post
We have been taught that only RN's can do any kind of assesment and/or teaching!
LPNs CAN and do assess in the state of TN. RNs must complete the initial health assessment on admission but LPNs are able to collect and document data.
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