As far as I understand it, kelly, you can start, hang, monitor, flush IV's that are premixed. You cant mix or you cant do central lines. I find it pretty vague myselsf, but I did find this though.....Advisory: Pursuant to the Board's regulations at 244 Code of Massachusetts Regulations (CMR) 3.02 & 3.04, the RN and LPN shall bear full and ultimate responsibility for the quality of nursing care she/he provides to individuals and groups. Pursuant to 244 CMR 9.03 (9), a nurse licensed by the Board shall be responsible and accountable for his or her nursing judgements, actions, and competency. Competency is defined as the application of knowledge and the use of affective, Cognitive, and psychomotor skills required for the role of a nurse licensed by the Board and for the delivery of safe nursing care in accordance with accepted Standards of practice (244 CMR 9.02: Definitions). The determination of when, and to what extent a RN or LPN assumes Responsibility for any aspect of infusion therapy is based upon the nurse's Education, experience and clinical competency and in compliance with established institutional/agency policy and procedures. RNs or LPNs who perform infusion therapy shall have documented evidence of such competencies through independently obtained continuing educational programs certificate or as inservice educational programs of the institution/agency employing the licensed nurse. I've never worked for a place that didnt have you checked off before you perform procedures anyway. And I've had to get recertified each year. I'm curious as to what the board told you?