MCCCD Official Course Competencies:

NCE223  2001 Summer I – 2009 Summer II

LPN-IV Therapy and Medication Skills

1.

Explain the advantages and disadvantages of intravenous therapy, drug response factors, drug/mixture stability, and modes of administration. (I)

2.

Describe the anatomy and physiology of the skin, four structures of a vein, and location of veins in the upper extremity and torso. (II)

3.

Explain homeostasis, three major organs affecting homeostasis, and functions of electrolytes. (II)

4.

Calculate the correct volume and dosage for a prescribed intravenous medication dose. (III)

5.

Describe signs and symptoms of adverse drug reactions and nursing interventions for local and systematic complications related to intravenous therapy. (IV)

6.

Explain the necessary reporting and documentation for adverse drug reactions. (IV)

7.

Define specific terms related to intravenous administration equipment. (V)

8.

Demonstrate the placement of an over-the-needle intravenous catheter. (V)

9.

Describe the procedures for administration of intravenous piggyback medications using continuums flowtubing, peripheral well, and secondary line with established primary line. (V)

10.

Explain psychological factors and specific nursing approaches for emotional support of the intravenous patient. (VI)

11.

Describe principles of nursing care related to pediatric and geriatric patients undergoing intravenous therapy. (VII)

12.

State factors that determine the peripheral and central line intravenous site dressing change schedule. (VIII)

13.

Describe the care of infusion sites along with central line and peripheral well flushed. (VIII)

14.

List the specific elements of documenting intravenous therapy and document specific procedures accurately. (IX)

15.

Describe procedures for specific laboratory check lists including care of infusion site, piggyback administrations, and discontinuance of intravenous infusion. (X)

16.

Identify the standards of care as they relate to legal implications in intravenous therapy. (X)

MCCCD Official Course Outline:

NCE223  2001 Summer I – 2009 Summer II

LPN-IV Therapy and Medication Skills

I. Intravenous therapy overviews

A. Key terms and definitions

B. Objectives

C. Intravenous route

1. advantages

2. disadvantages

D. Drug response factors

1. incompatibilities

2. interactions

E. drug/mixture stability

F. rights of drug administration

G. modes of intravenous administration

II. Anatomy, Physiology, Homeostasis, and Electrolytes

A. Anatomy and physiology

1. skin

2. veins

3. cardiopulmonary system

B. Electrolytes

C. Homeostasis

D. Selection for intravenous therapy

III. Dosage and Volume

A. Terms and abbreviations

B. Equivalencies

C. Calculations

1. volume

2. dosage

IV. Complications of Intravenous Therapy

A. Local and systemic complications

1. Terms

2. Symptoms

3. Interventions

B. Contamination and infections

C. Adverse drug reactions

1. signs and symptoms

2. emergency interventions

3. reporting and documentation

V. Equipment and venipuncture procedure

A. Specific terms

1. gauge

2. length

3. lumen

4. minidrip

5. macrodrip

6. Y set tubing

7. electronic infusing devices

8. other

B. Piggyback medications

1. continuums flow tubing

2. peripheral well

3. secondary line/established primary line

C. Flow rate

1. factors altering

2. hazards

3. calculations

D. Venipuncture procedure

1. initiating intravenous therapy

2. types of catheter

VI. Psychological - Client Preparation

A. Psychological factors

1. anxiety

2. psychosocial resources

3. effects of stress

B. Nursing approaches

1. emotional support

2. uncooperative patient

VII. Pediatric and Geriatric Patients

A. Pediatric

1. pediatric fluid/electrolyte balance

2. nursing care

B. Geriatric

1. differences - age

2. psychological

3. risks

VIII. Central Line and Peripheral Site Dressings and Flushes

A Central line and peripheral site dressings changes

1. purpose

2. factor - schedule

3. complications on site

4. care

B. Central line and peripheral flushes

1. purpose

2. factors - schedule

IX. Documentation

A. Elements

B. Procedures

C. Laboratory checklists

D. Discontinuance of infusion

X. Legal implications

A. Standards of care

B. Nursing implications

C. Legal implications