Current through Register Vol. 6, March 22, 2024
(1) Prior to
performing IV therapy, the practical nurse must have successfully completed a
course of study that includes a process for evaluation, demonstration, and
documentation of the knowledge, skills, and abilities required for safe
administration of IV therapy procedures. Education and competency may be
obtained through a board-approved, prelicensure nursing education program or a
course of study utilizing appropriate education methods and qualified
faculty.
(2) The practical nurse
who has met the education and competency requirements of this rule may perform
the following functions with venous access devices (central, midline, and
peripheral) under the appropriate level of supervision:
(a) calculate and adjust IV infusion flow
rate, including monitoring and discontinuing infusions;
(b) observe and report subjective and
objective signs of adverse reactions to any IV administration and initiate
appropriate nursing interventions;
(c) draw blood;
(d) monitor access site and perform site care
and maintenance;
(e) monitor
infusion equipment;
(f) change
administration set, including add-on device and tubing;
(g) perform intermittent flushes for line
patency maintenance;
(h) convert a
continuous infusion to an intermittent infusion;
(i) insert or remove a peripheral venous
access device, except central or midline catheters;
(j) initiate and administer IV medications
and fluids with the exception of the medications specifically prohibited in ARM
24.159.1011;
(k) administer the following classifications
of medications for adult clients via push or bolus:
(i) analgesics (including opiates);
(ii) antiemetics;
(iii) analgesic antagonists;
(iv) diuretics;
(v) corticosteroids;
(vi) standard flush solutions (heparin or
saline); or
(vii)
glucose.
(l) administer,
monitor, and discontinue parenteral nutrition, fat emulsion
solutions;
(m) assume monitoring of
the administration of blood, blood components, or plasma volume expanders after
the registered nurse has initiated and monitored the client for fifteen
minutes; and
(n) discontinue the
infusion of blood, blood components, or plasma volume expanders.
(3) Under the direct supervision
of a dialysis registered nurse, the following hemodialysis procedures may be
performed by a competent practical nurse:
(a)
insert an arterio-venous fistula/graft needle;
(b) administer prescribed local anesthesia as
needed prior to dialysis needle insertion;
(c) access, draw blood, flush with a normal
saline solution or a specific heparin flush solution, and change dressings of
hemodialysis central venous catheters; and
(d) administer prescribed doses of routine
dialysis heparin.
AUTH:
37-1-131,
37-8-202,
MCA; IMP:
37-1-131,
37-8-202,
MCA
