S.D. Admin. R. 20:48:04:06

Current through Register Vol. 50, page 159, June 17, 2024

Section 20:48:04:06 - Intravenous therapy functions which may be performed by licensed practical nurses

A licensed practical nurse who has completed a program of study that included supervised clinical practice, acquired through a pre-licensure nursing education program or other forms of continuing education, and who has demonstrated clinical competence, may perform the following intravenous therapy tasks for clients who are at least 12 years of age, as ordered by a legally authorized medical prescriber, and as supervised in accordance with 20:48:04:01.03:

(1) Insert peripheral venous access devices, using a needle or a catheter not to exceed three inches in length;

(2) Administer local anesthetics by the intradermal, subcutaneous, or topical routes for the purpose of pain control when inserting a peripheral catheter;

(3) Obtain blood samples through a peripheral or a central line;

(4) Assemble and maintain peripheral line and central line infusion equipment;

(5) Administer intravenous fluids, with or without out added medication, that have been prepared and labeled by a pharmacist, registered nurse, physician, dentist, or manufacturer, via a peripheral or a central line, excluding the medications listed in 20:48:04:07;

(6) Calculate and adjust infusion rates using standard formulas for peripheral and central lines;

(7) Reconstitute medications by activation of a manufacturer's prepared bag and vial system;

(8) Administer peripheral intravenous push medications, if:

(a) Direct supervision is provided;

(b) The medication is not listed in 20:48:04:07; and

(c) The licensed practical nurse administers the medication in a healthcare facility licensed pursuant to SDCL 34-12;

(9) Flush peripheral or central catheter lines with heparin or saline solutions;

(10) Administer total parenteral nutrition and fat emulsion solutions via a central line;

(11) Assemble and maintain patient controlled analgesia infusion equipment, including programming the pump pursuant to an authorized provider's order that prescribes a specific dosage, and assisting a client with self-bolus when needed;

(12) Monitor the administration of blood products, including plasma volume expanders, after the registered nurse or physician has initiated and monitored the client for fifteen minutes;

(13) Discontinue intravenous therapy infusion, blood products, and plasma volume expanders;

(14) Perform routine peripheral and central line intravenous site dressing changes;

(15) Remove peripheral intravenous therapy catheters that do not exceed three inches in length; and

(16) Remove port-a-cath needles.

S.D. Admin. R. 20:48:04:06

26 SDR 174, effective 7/4/2000; 50 SDR 069, effective 12/10/2023

General Authority: SDCL 36-9-21.

Law Implemented: SDCL 36-9-1.1, 36-9-4, 36-9-4.1.