New York Codes, Rules and Regulations
Title 10 - DEPARTMENT OF HEALTH
Chapter V - Medical Facilities
Subchapter A - Medical Facilities-minimum Standards
Article 1 - General
Part 400 - All Facilities-General Requirements
Section 400.15 - The role of the licensed practical nurse in intravenous therapy procedures

Universal Citation: 10 NY Comp Codes Rules and Regs § 400.15

Current through Register Vol. 46, No. 39, September 25, 2024

(a) For purposes of this section, facility shall mean an entity licensed pursuant to article 28 of the Public Health Law.

(b) A facility may allow specially trained licensed practical nurses, under the supervision of a qualified registered professional nurse or physician, to perform all intravenous therapy procedures except for the administration of blood and blood products, intravenous anti-neoplastic agents, and a bolus of medication by intravenous push unless administered for chronic hemodialysis treatment.

(c) The facility shall ensure that licensed practical nurses allowed to perform intravenous therapy procedures have satisfactorily completed a training program, received supervised clinical experiences and demonstrated competence in the performance of intravenous therapy procedures.

(d) The training program for intravenous therapy shall include as a minimum instruction in:

(1) the facility's policies and procedures related to intravenous therapy;

(2) the facility's quality assurance and risk management program;

(3) anatomy and physiology related to intravenous therapy;

(4) the solutions and drugs used in intravenous therapy, their pharmacological action and therapeutic effects;

(5) procedures used for mixing intravenous medications and solutions;

(6) the signs and symptoms of complications and adverse reactions to intravenous therapy;

(7) the functions, use and maintenance of intravenous devices and equipment; and

(8) infection control techniques.

(e) The facility shall ensure that all intravenous therapy procedures performed by the licensed practical nurse are provided in accordance with written policies and procedures which are reviewed and updated as needed, but at least annually.

(f) The facility shall ensure that there is documentation in the licensed practical nurse's personnel file which indicates the training program attended, number of hours and content of the program, supervised clinical experiences and approval to perform intravenous therapy procedures.

(g) Inservice education programs shall be conducted to update and inform the licensed practical nurse of new intravenous therapy procedures, equipment and medications. The programs shall be conducted as often as necessary but at least on an annual basis and be documented in the personnel file of the licensed practical nurse.

(h) The licensed practical nurse approved to perform intravenous therapy procedures shall be under the direction of a registered professional nurse.

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