Section 632.450 - Procedures delegable to licensed practical nurses1. 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:(2) Blood and blood products if under the supervision of a registered nurse;(3) Histamine H2 receptor antagonists;(4) Proton pump inhibitors; and(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.Nev. Admin. Code § 632.450
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