Maricopa Community Colleges  NCE218   19962-20086 
Official Course Description: MCCCD Approval: 07/22/08
NCE218 19962-20086 L+L 1 Credit(s) 2 Period(s)
Concepts of Intravenous Therapy
Intravenous therapy, including legal implications, equipment, fluids and vein selection. Documentation, complications and problem solving techniques. Clinical application skills.
Prerequisites: Registered nurse or Licensed Practical Nurse.
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MCCCD Official Course Competencies:
 
NCE218   19962-20086 Concepts of Intravenous Therapy
1. Identify the standards of care as they relate to legal implications in intravenous therapy. (I)
2. Identify standards of care related to safe use of intravenous equipment. (II)
3. List steps involved in venous site solution including site preparation and management. (III)
4. Classify the tonicity of intravenous fluids as it relates to fluid and electrolyte balance. (IV)
5. Document all phases of intravenous therapy. (V)
6. Identify complications of intravenous therapy including related nursing interventions. (VI)
7. State major nursing responsibilities related to safe administration of intravenous medications. (VI)
8. Describe the major nursing responsibilities related to safe administration of total parenteral nutrition and lipids. (VIII)
9. State major nursing responsibilities in administration of all blood products including nursing assessment. (IX)
10. Explain the concept of long-term vascular access catheters including patient assessment. (X)
11. Demonstrate safe placement of an over the needle intravenous catheter in the clinical setting. (XI)
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MCCCD Official Course Outline:
 
NCE218   19962-20086 Concepts of Intravenous Therapy
    I. Legal implications
        A. Standards of care
        B. Nursing considerations
      II. Intravenous equipment
          A. Fluid containers
          B. Administration sets
          C. Infusion pumps
          D. Catheters
        III. Vein selection
            A. Considerations in the site selection and management
            B. Vein distention
            C. Inadvertent arterial puncture
            D. Pediatric vascular access
          IV. Intravenous fluids
              A. Fluids and electrolyte balance
              B. Classification
              C. Calculating flow rates
            V. Documentation of IV therapy
                A. Initiating IV's
                B. Assessing IV's
                C. Discontinuing IV's
                D. Documentation
              VI. Complications of IV therapy
                  A. Local vs. systemic infections
                  B. Phlebitis
                  C. Infiltration
                  D. Pyrogenic reactions
                  E. Circulatory overload
                  F. Catheter and air embolism
                  G. Problem solving techniques
                VII. Intravenous medications
                    A. Advantages
                    B. Disadvantages
                    C. Types of incompatibilities
                    D. Factors affecting incompatibilities
                    E. Nursing responsibilities
                    F. Methods of administration
                  VIII. Total parenteral nutrition and lipids
                      A. Definition and purpose
                      B. Initiation of TPN
                      C. Maintenance of TPN
                      D. Advantages
                      E. Nursing responsibilities
                    IX. Blood transfusions
                        A. Nursing responsibilities
                        B. Patient assessments
                        C. Adverse effects
                      X. Long-term vascular access catheters
                          A. Types
                          B. Maintenance
                          C. Patient assessment
                        XI. Intravenous skills
                            A. Venipuncture skills
                            B. Initiating IV therapy - types of catheters
                            C. Adding medications to IV bottles/bags
                            D. Administering IV medications with controlled volume pumps
                            E. Administering IV medications piggyback
                            F. Administering IV minibottle medications per Heparin lock
                            G. Administering IV medications by direct push
                            H. Clinical application
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