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

Current through Register Vol. 51, page 67, December 16, 2024

Section 20:48:04:06 - Intravenous therapy tasks that 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 a continuing education program and who has demonstrated clinical competence may perform the following intravenous therapy tasks for clients who are twelve years of age or older, 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 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 by a registered nurse, advanced practice registered nurse, physician, or other board-approved licensed health care provider;

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

(c) Administration occurs in a health care facility licensed pursuant to SDCL chapter 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, program the pump pursuant to an authorized provider's order that prescribes a specific dosage, and assist a client with self-bolus when needed;

(12) Monitor the administration of blood products and plasma volume expanders after a registered nurse or physician has administered the blood product and monitored the client for the initial fifteen minutes of the infusion;

(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 implanted venous access device 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.