LPNs and Picc lines

pa bon regs accessed 10/18/06 :

21.145. functions of the lpn.

f) the lpn may perform venipuncture and administer and withdraw intravenous fluids only if the following conditions are met:

(1) the lpn has received and satisfactorily completed a board approved educational program which requires study and supervised clinical practice intended to provide training necessary for the performance of venipuncture and the administration and withdrawal of intravenous fluids as authorized by this section.

(2) a specific written order has been issued by a licensed physician for an individual patient under the care of a licensed physician.

(3) the lpn complies with written policies and procedures which are established by a committee of nurses, physicians, pharmacists and the administration of the agency or institution employing or having jurisdiction over the lpn and which set forth standards, requirements and guidelines for the performance of venipuncture by the lpn and for the administration and withdrawal of intravenous fluids by the lpn. a current copy of the policies and procedures shall be provided to the lpn at least once every 12 months. the policies and procedures shall include standards, requirements and guidelines which:

(i) list, identify and describe the intravenous fluids which may be administered by the lpn. the lpn is not authorized to administer the following intravenous fluids:

(a) antineoplastic agents.

(b) blood and blood products.

© total parenteral nutrition.

(d) titrated medications and intravenous push medications other than heparin flush.

(ii) list, identify and describe the circumstances under which venipuncture may be performed, including technical and clinical indications.

(iii) list, identify, describe and explain principles, including technical and clinical indications, necessary for the identification and treatment of possible adverse reactions.

(iv) provide for and require inservice instruction and supervised practice to insure competent performance of venipuncture and competent administration and withdrawal of intravenous fluids.

(4) an accurate record is made concerning:

(i) the time of puncture or injection or withdrawal of the intravenous fluid.

(ii) the type of intravenous fluid injected.

(iii) the amount of intravenous fluid injected.

(iv) the site of the puncture or injection.

(v) reactions to the puncture or the intravenous fluid injected. (g) the board will issue annually to the lpn definitive information describing the nature, scope and extent of authorized functions and practice concerning immunization, skin testing, venipuncture and the administration and withdrawal of intravenous fluids.

21.414. interpretations regarding the functions of licensed practical nurses (lpn)—statement of policy.