The Board of Nursing for the state of Arkansas has specific guidelines for what the LPN to practice IV therapy. In the documet: Guidelines for Teaching Content Related to IV Therapy for Arkansas Licensed Practical Nurses and Licensed Practical Nursing Students the board outlines the LPN scope of practice and minimal training requirements for the LPN, LPTN or LPN student to have before performing IV therapies.
This document states:
"Over time, it has become generally acceptable practice for the RN to delegate certain tasks related to intravenous therapy to LPNs and LPTNs who have completed training and have validated competencies.
RNs are prohibited from delegating tasks that require the substantial specialized skill, judgment, and knowledge required in professional nursing to an LPN or LPTN.
Minimum training for the LPN, LPTN, or LPN student who will be delegated IV therapy should include:
- Anatomy and physiology;
- Fluid & Electrolyte Balance;
- Equipment & procedures in intravenous therapy;
- Complications, prevention, and nursing interventions;
- Introducing a peripheral intravenous device on an adult client;
- Set-up, replace and remove intravenous tubing for gravity flow and/or pump infusion;
- Perform intravenous infusion calculations and adjust flow rates on intravenous fluids;
- Monitoring the administration of blood and blood products;
- Administration of medications through a peripheral intravenous catheter by intravenous piggyback or intravenous push provided the medication does not require the substantial specialized skill, judgment, and knowledge required in professional nursing."