Separate License for IV Meds?

[PhilG]

In the Philippines, does it sound plausible that a new licensed, board-certified RN is only able to give oral meds and must take a P2k class during the 6 months of community service to earn a separate license to be able to administer IV meds, which is of course a required skill in any hospital? Our niece is a nurse in PI and we're hoping she's leveling with us about needing P2k for a 3-day training class that will result in a special (needed?) license for IV med administration. So far we have people telling us it's probably not true, so we're just curious.

[potterific_student]

some gov't hospitals don't require ivt certification. as long as you know how to prepare the correct dosage/ know the correct procedures they would allow you to perform it. maybe on your first few attempts or tries, they would supervise you to know if you are doing the right thing. i remember during our college days on our duties, we are allowed to prepare those meds as long as your preceptor is watching and supervising you. if anything goes wrong the preceptor's license will bethe one who will be at risk. but still, they would allow us to prepare it and give it the patients through iv push...some clinical preceptors even allowed us to canulate during our ER duties...

[isis17]

HMMM...I recently joined IV Training and instructors said that the ANSAP is making moves to limit IV seminars and training to institutions who have IV (IV instructors) preceptors and have passed ANSAP Hospital screening. After submission of cases and paying 300PHP you get your license. Its a separate license renewable every 3 years.I wonder if in MAkati MED you also get a license when you train there?

[mark polee]

My opinion regarding this matter are the following:

1. A student nurse is allowed to administer BT, insert IV, administer IV meds, regulation of IVF rate, and even regulation of TPN rate. FOR 2 YEARS OF RLE, HOW MANY TIMES DOES A STUDENT NURSE ENCOUNTER SUCH EXPERIENCE? and to become IV therapist, completion of number of cases is a requirement? # of BT, # of IV push, # or etc etc etc?

2. The Nursing Act of 2002, stipulates a broad scope of nursing practice which includes preparation and administration of IV meds, and IV insertion. THE LAW DOESNT REQUIRE THE RN TO BE A THERAPIST FIRST BEFORE SHE COULD PERFORM IV ADMIN. AND ETC.

3. Nursing Pharmacology in the BSN curriculum includes a topic regarding IV therapy... Even the Procedure should be covered, including demonstration and return demonstration... IF ANSAP IS CONCERN REGARDING THE SAFE PRACTICE, THEY SHOULD EMPHASIZE ON UPDATES, AND NOT TO REITERATE A SEPARATE LICENSE TO GIVE IV MEDS AND INSERT IV CANNULA.

4. IV Therapy license requirement varies in some institution... If ANSAP is really concern of what they call "safe practice" it is therefore to be concluded that NOT ALL INSTITUTIONS are confirming with the safe practice? ANSAP therefore mandate a LAW requiring ALL institutions to train their nurses regarding IV admin. practices. Besides, they can require every institution to undergo training, and train the staff for free. nevertheless, update on seminar is a must.... EVEN TO INTEGRATE THE IVT TRAINING IN THE CURRICULUM IS MUCH REASONABLE... SN's have been taught of first aid and basic CPR= which is basically BLS... In my experience, i have done CPR in about 100 patients applying the latest update by the AHA when i was still a student before i got into BLS training

5. IV therapist: special skills of inserting cannula in major veins e.g. Jugular vein, Subclavian vein, and even practices regarding Central Venous Line.

Finally, if we would like to confine ourselves into safe practice, why dont we just put these seminars and all in the BSN curriculum? Put it as a requirement before graduation? these trainings should be imposed before student nurses will be exposed sa hospitals... The BON claims the core competencies to be integrated in the BSN curriculum, and the actual concept of the NLE...

disclaimer: Opinion is my opinion... It's not my intention to degrade, insult, or in any kind those who are IVtherapists or staff/members of ANSAP, BON, RN's, etc... I've just presented the actual situation of our health care system, practice and made analysis and comparison to those what they claim "ideal"

[spongebob6286, BSN, RN]

if a nurse in the phils in a ward doesnt have an iv therapist card, who is going to administer the iv meds? the MD

[mark polee]

if a nurse in the phils in a ward doesnt have an iv therapist card, who is going to administer the iv meds? the MD

some institutions allow their ward nurses to insert IV even without license,.. their rationale? it is the frequent exposure that will make you an expert... MAKE SENSE RIGHT?

some institutions requires thier RN applicants to have an IVT license- a requirement.

[windfreakzz]

IV canulate can't be learn on school,but thru experience....

[spongebob6286, BSN, RN]

IV canulate can't be learn on school,but thru experience....

exactly.

[ThinkerBelleRN, BSN, RN]

I wasnt able to attend the IVT Training i signed up for before I left the Phil. But working in a busy hospital with frequent BTs, IV insertion, etc. helped me gain skills i need to do all those. Im not sure if overseas hospitals require the "IVT license" Phil hospitals require from their nurses.

[mark polee]

IV canulate can't be learn on school,but thru experience....

exactly... that's why nursing schools here in the Philippines are applying what we call "RLE" or "Related Learning Experience" where nursing students are exposed to different hospitals to perform nursing practice with supervision of their clinical instructors. There is a separate schedule for the students for lecture (school), and for exposure/RLE (hospitals). Through this experience, a student will learn everything as much as possible. In RLE, Student Nurses are doing "hands-on" practice... 2 years of exposure, will give the student the experience... Working in a hospital will enhance the skills what has been learned...