1. A
licensed practical nurse who has completed a course in intravenous therapy
approved by the Board pursuant to NAC
632.242 and who acts pursuant to
a written order issued by an advanced practice registered nurse, a licensed
physician, a licensed physician assistant, a licensed dentist or a licensed
podiatric physician and, as applicable, under the direct supervision of a
physician, physician assistant or registered nurse may:
(a) Start peripheral intravenous therapy that
does not include midline or midclavicular catheters;
(b) Introduce one or more solutions of
electrolytes, nutrients or vitamins;
(c) Administer, by adding a solution, any of
the following medications:
(1)
Antimicrobials;
(2) Blood and blood
products if under the supervision of a registered nurse;
(3) Histamine H2 receptor
antagonists;
(4) Proton pump
inhibitors; and
(5)
Steroids;
(d) Administer
intravenous fluid and medications from a container which is commercially
prepared or premixed and properly labeled by a pharmacist or a registered nurse
designated by the pharmacist;
(e)
Administer intravenous fluid and medication from a container which is
commercially prepared or premixed, but requires the breaking of a seal that
separates the intravenous fluid from the medication, does not allow
manipulation of the preset dosage strength and which is properly labeled by a
pharmacist or a registered nurse designated by the pharmacist;
(f) Flush intermittent venous access
devices;
(g) Except as otherwise
provided in paragraph (h), administer fluid by continuous or intermittent
infusion through a peripheral device which uses a mechanism to control the
flow;
(h) Administer fluid to a
patient with a central venous catheter by continuous or intermittent infusion
by an electronic mechanism to control the flow;
(i) Maintain patency of a peripheral
intermittent vascular access device, including, without limitation, a
peripherally inserted central catheter, using a nontherapeutic dose of flush
solutions;
(j) Withdraw blood from
a peripherally inserted central venous catheter if performed in accordance with
specific institutional policies and after specific institutional in-service
training;
(k) Discontinue
peripheral intravenous catheters; and
(l) Change a central venous catheter
dressing.
2. In addition
to the procedures set forth in subsection 1, a licensed practical nurse who has
completed a course in intravenous therapy approved by the Board pursuant to NAC
632.242 and who acts pursuant to
a written order of a physician and under the immediate supervision of a
registered nurse may assist the registered nurse in the intravenous
administration of blood and blood products by collecting data and performing
simple nursing tasks related to that administration of blood or blood
products.
Bd. of Nursing, §V
subsec. B, eff. 8-21-81-NAC A 3-26-90; 1-24-92; R122-01, 12-17-2001; R102-03,
10-30-2003; R091-04, 8-13-2004; R063-08, 9-18-2008; R002-10, 8-13-2010; A by
R091-15,
eff. 4/4/2016; A by
R061-22A,
eff. 12/7/2022
