IV Therapy and Legal Concepts
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Questions and Answers

Which of the following scenarios would be considered a breach of duty in the context of IV therapy?

  • An LPN delays the administration of IV medications due to a shortage of IV tubing, but informs the physician immediately.
  • An LPN complies with a physician's order to administer IV therapy, despite the patient's explicit refusal.
  • An LPN administers IV fluids at a rate exceeding the physician's prescribed dosage. (correct)
  • An LPN administers IV therapy despite lacking the required qualifications and training. (correct)
  • Which of the following is NOT considered a source of standards for IV therapy?

  • Mississippi Board of Nursing's Nurse Practice Act
  • Occupational Safety and Health Administration (OSHA)
  • The Joint Commission
  • American Medical Association (AMA) (correct)
  • Which of the following legal concepts is MOST directly related to an LPN's liability for administering IV therapy without proper training?

  • Proximate Cause
  • Standards of Practice
  • Negligence
  • Rule of Personal Liability (correct)
  • A patient refuses IV therapy despite the physician's order. Which of the following legal principles is MOST relevant to the LPN's decision in this situation?

    <p>Battery (A)</p> Signup and view all the answers

    Which of the following scenarios demonstrates the concept of 'commission' in the context of malpractice?

    <p>An LPN administers a medication intravenously but fails to confirm the patient's allergies prior to administration. (D)</p> Signup and view all the answers

    Which legal principle is applicable when an LPN fails to document the administration of IV therapy, potentially leading to a delay in recognizing a patient's adverse reaction?

    <p>Proximate Cause (A)</p> Signup and view all the answers

    Which of the following statements about IV therapy licensing in Mississippi is TRUE?

    <p>LPNs must undergo recertification to practice IV therapy in Mississippi. (C)</p> Signup and view all the answers

    Which of the following BEST describes the evolution of IV therapy techniques?

    <p>IV therapy has become less invasive due to the development of peripheral catheters. (C)</p> Signup and view all the answers

    A patient's physician orders a bolus of IV medication for a LPN to administer. How should the LPN respond to this?

    <p>Request clarification from the physician regarding the medication and the method of administration. (C)</p> Signup and view all the answers

    An LPN is administering IV fluids to a patient with a peripherally inserted central catheter (PICC). What should the LPN avoid doing?

    <p>Administering medications through the PICC. (B)</p> Signup and view all the answers

    An LPN is working in a hospital setting and has a patient requiring IV therapy. What is the minimum supervision requirement for the LPN to perform IV therapy?

    <p>Supervision by a registered nurse (RN) physically present on the premises. (A)</p> Signup and view all the answers

    An LPN is caring for a patient who needs IV fluids. The patient's current IV bag is due to be changed. The LPN notices that the IV tubing is also due to be changed. What should the LPN do?

    <p>Change both the IV bag and IV tubing, as they are both due for replacement. (D)</p> Signup and view all the answers

    An LPN is documenting a patient's IV therapy. Which of the following is NOT a required documentation element?

    <p>Patient's preference for the type of IV fluid. (C)</p> Signup and view all the answers

    An LPN is preparing to administer an IV medication to a patient. What should the LPN do before administering the medication?

    <p>All of the above. (D)</p> Signup and view all the answers

    A new LPN is working in a hospital and observes a nurse administering IV fluids using a technique that the new LPN knows is incorrect. What should the new LPN do?

    <p>Discreetly report the situation to the nurse manager or charge nurse. (B)</p> Signup and view all the answers

    A patient on IV therapy frequently complains and questions the LPN about their care. What should the LPN do?

    <p>Explain the rationale for the IV therapy and answer the patient's questions patiently. (A)</p> Signup and view all the answers

    An LPN is administering a chemotherapy drug to a patient via IV. What should the LPN do?

    <p>Refuse to administer the chemotherapy drug, as it is outside the LPN's scope of practice. (A)</p> Signup and view all the answers

    An LPN is caring for a patient who needs intravenous fluids. The patient is experiencing shortness of breath and edema. These symptoms are most likely indicative of:

    <p>Fluid overload. (A)</p> Signup and view all the answers

    A nurse in Mississippi is preparing to administer IV therapy to a patient who has recently moved from another state. The nurse holds a valid IV Therapy license from that state. What is the most appropriate action for the nurse to take?

    <p>The nurse must recertify their IV Therapy license in Mississippi before administering any IV therapy to patients. (A)</p> Signup and view all the answers

    A patient is admitted to the hospital with a history of allergy to penicillin. The physician orders IV therapy for a bacterial infection. The LPN reviews the medication order and notices the physician has prescribed penicillin. What is the most appropriate action for the LPN to take?

    <p>Contact the physician to clarify the medication order, as penicillin is contraindicated due to the patient's allergy. (C)</p> Signup and view all the answers

    A nurse is administering IV fluids to a patient with a central venous catheter. The patient complains of sudden chest pain and shortness of breath. The nurse immediately discontinues the IV infusion and assesses the patient's vital signs. What is the most likely cause of the patient's symptoms?

    <p>Air embolism, a serious complication that can occur when air enters the bloodstream. (A)</p> Signup and view all the answers

    An LPN is preparing to administer an IV medication to a patient. The physician has ordered a specific dosage of the medication, but the ordered dose is significantly higher than the LPN's knowledge of typical dosages for this drug. What is the most appropriate action for the LPN to take?

    <p>Consult with a registered nurse (RN) to determine if the dosage is appropriate for the patient. (D)</p> Signup and view all the answers

    An LPN is working in a hospital setting and is responsible for administering IV therapy to a patient. The LPN notices that the IV site is red, swollen, and tender. What is the most appropriate action for the LPN to take?

    <p>Discontinue the IV infusion and document the findings in the patient's medical record. (A)</p> Signup and view all the answers

    A patient is undergoing IV therapy for fluid replacement. The patient informs the LPN that they have been experiencing intense itching and difficulty breathing. The LPN suspects an allergic reaction to the IV fluids. What is the most immediate action the LPN should take?

    <p>Stop the IV infusion immediately and notify the registered nurse (RN). (D)</p> Signup and view all the answers

    An LPN observes a registered nurse (RN) performing an IV insertion using a technique that the LPN knows is not in accordance with the hospital protocol. What is the most appropriate action for the LPN to take?

    <p>Discreetly report the incident to the charge nurse after the procedure is completed. (B)</p> Signup and view all the answers

    A patient is receiving IV therapy for a prolonged period. The LPN assesses the patient and notes signs of infiltration (swelling, redness, and coolness around the IV site). What is the most appropriate action for the LPN to take?

    <p>Immediately discontinue the IV infusion and document the findings in the patient's medical record. (A)</p> Signup and view all the answers

    A patient receiving IV therapy complains of pain at the IV site. The LPN assesses the site and notes that the IV catheter appears to have slipped out of the vein. What is the most appropriate action for the LPN to take?

    <p>Discontinue the IV infusion and document the findings in the patient's medical record. (B)</p> Signup and view all the answers

    An LPN is administering IV fluids to a patient with a peripherally inserted central catheter (PICC). The patient begins to complain of pain and redness at the insertion site. The LPN notices the site is slightly swollen. What is the MOST appropriate action for the LPN to take?

    <p>Discontinue the IV fluids and notify the RN immediately. (A)</p> Signup and view all the answers

    In the context of IV therapy, a nurse is documenting the administration of medication. What component of the documentation is most crucial to ensure the patient's safety and adherence to legal standards?

    <p>The dose of medication administered. (C)</p> Signup and view all the answers

    An LPN is working in a hospital setting and is asked to administer an IV bolus of medication to a patient. What should the LPN do?

    <p>Refuse to administer the medication as LPNs are not permitted to administer IV medications via bolus or push. (D)</p> Signup and view all the answers

    An LPN is working in a physician's office and needs to initiate IV fluids on a patient. The physician has ordered D5 1/2 NS with 20 mEq of potassium chloride per liter. Is this order within the LPN's scope of practice?

    <p>No, the potassium chloride dose exceeds the maximum allowable dose by the LPN. (A)</p> Signup and view all the answers

    An LPN is documenting a patient's IV therapy and observes that the patient's IV site has been accessed for 72 hours. The facility policy states that the IV site should be changed every 72 hours. What should the LPN do?

    <p>Contact the RN to assess the IV site and determine if a site change is necessary. (D)</p> Signup and view all the answers

    An LPN is administering IV fluids to a patient with a peripheral IV. The IV fluid bag is due to be changed at 10:00 AM. The LPN is called away to attend to another patient at 09:30 AM. What is the MOST appropriate action for the LPN to take?

    <p>Request the RN to change the IV bag before leaving for the other patient. (D)</p> Signup and view all the answers

    An LPN is working in a hospital setting and notices a colleague, a registered nurse (RN), accidentally administering a medication via IV push instead of IV infusion. What is the MOST appropriate action for the LPN to take?

    <p>Report the incident to the nurse manager immediately, documenting the details of the event. (D)</p> Signup and view all the answers

    An LPN is administering IV fluids to a patient and notices the IV tubing is kinked. The patient complains of discomfort and reports feeling a burning sensation at the IV site. What is the MOST appropriate action for the LPN to take?

    <p>Discontinue the IV fluids and document the findings, then notify the RN immediately. (C)</p> Signup and view all the answers

    An LPN is administering IV fluids to a patient with a history of heart failure. During the infusion, the patient starts to experience shortness of breath and edema. What is the MOST appropriate action for the LPN to take?

    <p>Discontinue the IV fluids and contact the RN immediately to assess the patient. (A)</p> Signup and view all the answers

    An LPN is providing patient and family education regarding a patient's IV therapy. Which of the following is NOT an appropriate topic for education?

    <p>Provide detailed instructions on how to perform the IV therapy at home. (A)</p> Signup and view all the answers

    A patient expresses strong dissatisfaction with the LPN's care and frequently questions the LPN about the IV therapy process. What is the MOST appropriate action for the LPN to take?

    <p>Respond to the patient's questions and concerns with patience and professionalism, emphasizing patient safety. (C)</p> Signup and view all the answers

    An LPN observing a fellow nurse perform an IV insertion using a technique not in line with hospital protocol, should take which action?

    <p>Inform the charge nurse, providing a detailed description of the observed technique. (A)</p> Signup and view all the answers

    Which of the following scenarios would be considered a breach of duty in the context of IV therapy, based on the provided content?

    <p>An LPN fails to obtain informed consent from a patient before administering IV therapy. (A)</p> Signup and view all the answers

    If an LPN is administering IV fluids and notices the IV tubing is kinked, resulting in discomfort to the patient, what should the LPN do?

    <p>Attempt to unkink the tubing themselves, ensuring patient comfort. (D)</p> Signup and view all the answers

    A physician prescribes IV therapy, but the LPN recognizes the medication ordered is contraindicated due to the patient's allergy history. Which of the following is the MOST appropriate action?

    <p>Question the physician about the prescription, highlighting the patient's allergy history. (A)</p> Signup and view all the answers

    An LPN is asked to administer an IV bolus of medication, but has not been trained in this specific procedure. What is the most appropriate response?

    <p>Refuse the task, explaining that they are not trained in this procedure. (A)</p> Signup and view all the answers

    A patient receiving IV therapy develops a noticeable infiltration, which of the following actions is the MOST appropriate and immediate action?

    <p>Immediately discontinue the infusion and assess the site. (B)</p> Signup and view all the answers

    An LPN is administering IV fluids to a patient with a peripheral IV. The patient reports a sudden onset of pain and redness at the IV site, and the site appears swollen. The LPN notes that the IV bag is due to be changed in three hours. What is the MOST appropriate action for the LPN to take?

    <p>Discontinue the infusion and document the findings in the patient’s chart, and notify the physician directly of the new observations. (D)</p> Signup and view all the answers

    An LPN is working in a hospital setting and has a patient requiring IV therapy. The patient is receiving a continuous infusion of D5 1/2 NS with potassium chloride at 40 mEq per liter. The patient’s potassium level is not within the normal range. What is the MOST appropriate action for the LPN to take?

    <p>Discontinue the current IV infusion and notify the physician to obtain an order for a potassium supplement. (B)</p> Signup and view all the answers

    An LPN is providing IV therapy to a patient with a PICC line. The physician has ordered a continuous infusion of an antibiotic. Which of the following can the LPN perform?

    <p>Change the PICC line dressing based on facility policy and patient needs. (C)</p> Signup and view all the answers

    An LPN is administering IV fluids to a patient. The patient has a history of allergies, and the LPN notices an order for a medication that is known to have a high potential for allergic reactions. What is the MOST appropriate action for the LPN to take?

    <p>Contact the physician to clarify the medication order and inquire about any potential allergy concerns. (C)</p> Signup and view all the answers

    An LPN is working in an outpatient clinic and is asked to initiate IV fluids on a new patient. The physician's order calls for D5 1/4 NS with 40 mEq of potassium chloride per liter. The patient is 2 years old. What is the most appropriate action for the LPN to take?

    <p>Contact the physician to modify the order, as potassium chloride is not within the LPN's scope of practice for this patient age. (B)</p> Signup and view all the answers

    An LPN is working in a hospital setting and is asked to administer an IV bolus of medication to a patient. The physician orders a bolus of 100 mg morphine sulfate intravenously. What is the LPN's MOST appropriate action?

    <p>Contact the physician to clarify the order, as LPNs are not authorized to administer intravenous medications via bolus or push. (D)</p> Signup and view all the answers

    An LPN is observing a registered nurse (RN) administer IV fluids to a patient receiving chemotherapy. The RN uses a technique outside the accepted protocols for administration of chemotherapy agents. What is the MOST appropriate action for the LPN to take?

    <p>Report the RN's actions to the nurse manager or a supervisor. (D)</p> Signup and view all the answers

    An LPN is working in a hospital setting and is responsible for administering IV therapy to a patient receiving IV fluids via a peripheral line. The patient reports pain and swelling at the site, the skin around the site is red and warm, and the vein above the site is hard and cord-like. The LPN assesses that the IV fluid is infiltrating the surrounding tissues. Which of the following is the MOST appropriate action for the LPN to take?

    <p>Discontinue the present infusion, elevate the patient’s arm, apply a warm compress, and notify a Registered Nurse (RN). (A)</p> Signup and view all the answers

    An LPN is working in a hospital setting and is responsible for administering IV fluids to a patient. The patient has a history of heart failure. The patient is experiencing shortness of breath and edema. What is the MOST appropriate action for the LPN to take?

    <p>Discontinue the IV infusion, elevate the patient’s head, and contact the physician. (C)</p> Signup and view all the answers

    An LPN is working in a hospital setting and has a patient requiring IV therapy. The patient's current IV bag is due to be changed. The LPN notices that the IV tubing is also due to be changed according to the facility's protocol. What is the MOST appropriate action for the LPN to take?

    <p>Change both the IV bag and the IV tubing, as changing both concurrently ensures patient safety. (A)</p> Signup and view all the answers

    Flashcards

    History of IV Therapy

    IV therapy has been widely used since the 1950s, starting with the first peripheral catheter in 1960.

    Criminal Law

    Legal framework addressing acts against society, prosecuted in court for public offenses.

    Civil Law

    Legal framework addressing acts against individuals, focusing on compensating the injured party.

    Torts

    Civil wrongs against a person or property, includes negligence, assault, and defamation.

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    Malpractice

    Professional negligence by not meeting care standards, either by commission or omission.

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    Elements of Malpractice

    Includes duty, breach of duty, harm, and proximate cause in negligence cases.

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    Federal Standards for IV Therapy

    Regulations by OSHA for safety and DEA for controlled substances related to IV use.

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    Refusal to Perform IV Therapy

    LPNs can refuse IV therapy based on qualifications, patient harm, or patient refusal.

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    LPN IV Therapy Eligibility

    LPNs can perform IV therapy on patients 2 years and older.

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    LPN Responsibilities for PICCs

    LPNs can maintain PICCs but cannot administer medications or flush.

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    Initiating IV Fluids

    LPNs can initiate IV fluids via peripheral route, not central lines.

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    Administering IV Fluids

    LPNs can administer specific IV fluids like D5W and magnesium.

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    IV Therapy Supervision

    LPNs must have RN supervision present for IV therapy.

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    Documenting IV Therapy

    LPNs must document patient response and type of infusion.

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    Delegation of IV Therapy

    LPN IV Therapy cannot be delegated to unlicensed personnel.

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    Legal Responsibilities in IV Therapy

    LPNs must monitor vital signs and use aseptic techniques to prevent errors.

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    Seven Rights of IV Therapy

    Right patient, medicine, dose, route, time, documentation, and compatibility.

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    Three Checks of Medication Administration

    Check medication label with MAR, against the prescriber, and again before hanging.

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    Peripheral Catheter Introduction

    The first peripheral catheter for IV therapy was introduced in 1960.

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    Torts Examples

    Torts include negligence, assault, battery, defamation, false imprisonment, and invasion of privacy.

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    Assault Definition

    Assault is an intentional threat causing apprehension of harm without physical contact.

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    Battery Definition

    Battery is unlawful touching of another person without informed consent.

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    Malpractice in Nursing

    Malpractice is professional negligence, either by doing something wrong or failing to do something.

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    Duty in Malpractice

    Duty exists when a nurse assumes responsibility for a patient's care.

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    Breach of Duty

    Breach of Duty means failing to meet the required standard of care.

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    Harm in Malpractice

    Harm in malpractice can be physical or mental, resulting from a breach of duty.

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    Proximate Cause

    Proximate Cause means the breach of duty directly caused the harm.

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    Credentialing

    Credentialing is the process of verifying qualifications and certifications of healthcare professionals.

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    LPN IV Therapy Restrictions

    LPNs cannot initiate, regulate, or administer central line IVs.

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    Age Limit for LPN IV Therapy

    LPNs can perform IV therapy on patients 2 years or older.

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    IV Fluids LPN Can Administer

    LPNs can give fluids like D5W and normal saline.

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    Supervision Requirement for LPNs

    LPNs must have an RN or physician/dentist present for IV therapy.

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    Types of IV Medications Not Allowed

    LPNs cannot administer IV push medications or parenteral nutrition.

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    Documentation for IV Therapy

    LPNs must document patient response and type of IV infusion.

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    Legal Perils of IV Therapy

    Monitor for fluid overload and prevent infection during IV therapy.

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    Signs of Potential Lawsuit

    Complaints, hostility, or request for medical records may indicate problems.

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    Seven Rights of IV Therapy Administration

    Ensure right patient, medicine, dose, route, time, documentation, and compatibility.

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    Negligence in Law

    Failure to act reasonably, leading to harm through inaction or inappropriate action.

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    Duty of Care

    Legal obligation of a nurse to provide responsible care to patients.

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    Assault vs Battery

    Assault is a threat of harm; battery is actual harmful contact without consent.

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    Legal Terminology: Incident Report

    Documentation of an error or unexpected event in healthcare settings.

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    Malpractice Elements

    Includes duty, breach of duty, harm, and proximate cause in negligence cases.

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    LPN IV Therapy Age Limit

    LPNs can perform IV therapy on patients aged 2 years and older.

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    PICCs Maintenance by LPNs

    LPNs can maintain PICCs but cannot flush or administer medications.

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    Restrictions on Central Lines

    LPNs cannot initiate, regulate, or administer from central lines.

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    IV Therapy Supervision Requirement

    LPNs must have an RN present to perform IV therapy.

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    Study Notes

    History of IV Therapy

    • Widely used since the 1950s
    • First peripheral catheter introduced in 1960
    • Prior to that, surgical incisions were made to access veins

    Criminal Law vs Civil Law

    • Criminal Law: Acts against society, prosecuted in court
    • Civil Law: Acts against an individual, seeks to compensate the individual

    Torts

    • Torts are civil wrongs against a person or property.
    • Included torts are negligence, assault, battery, defamation, false imprisonment, and invasion of privacy
    • Assault is an intentional threat causing apprehension of imminent harm, even without physical contact.
    • Battery is unlawful touching of another person without informed consent.
    • Malpractice is professional negligence, involving failure to meet standards of care, either by commission (doing something wrong) or omission (not doing something)

    Elements of Malpractice

    • Duty: Exists when a nurse assumes responsibility for a client's care
    • Breach of Duty: Failing to meet the required standard of care
    • Harm: Resulting from the breach of duty, can be physical or mental.
    • Proximate Cause: The breach of duty directly caused the harm.
    • Rule of Personal Liability: Holds individuals accountable for their own actions.
    • Observation: Noticing, seeing, and witnessing something.
    • Credentialing: The process of verifying qualifications and certifications.
    • Incident Report: Documenting an error or unexpected event that occurs.
    • Negligence: Failure to act reasonably, either through inaction (omission) or an inappropriate action (commission).
    • Standards of Practice: State-specific guidelines defining nurses' scope of practice.

    Sources of Standards for IV Therapy

    • Federal Standards: Occupational Safety and Health Administration (OSHA) - Includes regulations for handling bloodborne pathogens and cytotoxic drugs. Drug Enforcement Administration (DEA): Regulates controlled substances.
    • State Statutes: Mississippi Department of Health laws and regulations. Mississippi Board of Nursing's Nurse Practice Act.
    • Private and Professional Agencies: The Joint Commission (accreditation standards) and American Nurses Association (standards of nursing practice).

    Refusal to Perform IV Therapy

    • LPNs can refuse IV Therapy if they lack the necessary qualifications, it is harmful to the patient, or the patient refuses.
    • In Mississippi, IV Therapy licenses are not transferable from other states; recertification is required.

    LPN IV Therapy Scope of Practice in Mississippi

    • LPNs can maintain patency of peripheral intermittent vascular access devices with non-therapeutic flush solutions.
    • LPNs can perform IV Therapy on patients 2 years of age and older, but not under 2 years of age.
    • LPNs can maintain peripherally inserted central catheters (PICCs) but cannot administer medications or flush.
    • LPNs can initiate IV fluids and medications via the peripheral route, but not for midline, central venous catheters, or PICCs.
    • LPNs can administer the following IV fluids:
      • 1/4 NS, 1/2 NS, NS
      • D5W
      • D5 1/4 NS, D5 1/2 NS, D5 NS
      • D5 LR
      • Magnesium (maximum 2g-5g per 1,000 ml of fluid)
      • Potassium (maximum 40 mEq per liter of fluid)
      • Vitamin additives (only for peripheral infusion)
      • Thiamine (2-500mg daily)
      • Antibiotics, antifungals, antivirals (per pharmaceutical protocol)
      • H2 blockers, proton pump inhibitors, antiemetics (per pharmaceutical protocol)
      • LPNs cannot administer IV medications via bolus or push

    Restrictions for LPN IV Therapy in Mississippi

    • LPNs cannot initiate, regulate, add, administer, or discontinue central venous lines.
    • LPNs cannot administer or add the following through peripheral lines:
      • IV piggyback medications (except those approved by the board)
      • Parenteral nutrition (other than vitamins)
      • Blood, blood components, plasma expanders, or chemotherapy agents

    Supervision Requirements for LPN IV Therapy in Mississippi

    • LPNs may only perform IV Therapy if a registered nurse (RN) is physically present on the premises.
    • Physicians or dentists may supervise in medical or dental offices, but in other settings, supervision must be by an RN.
    • LPNs cannot perform IV Therapy in the home.

    Documentation for IV Therapy

    • Document patient response to IV Therapy, safety precautions taken, type of infusion, lab data, notifications to providers, and new orders.
    • Document type of venous access device, condition of the access site and dressing, and any physical restrictions related to IV therapy.
    • Follow facility policies for flushing IVs (typically every 8 hours) and changing the site and tubing (typically every 72 hours).
    • IV fluids must be changed every 24 hours.
    • Provide patient and family education on the rationale for IV therapy, expected outcomes, and potential side effects.

    Delegation of IV Therapy

    • LPN IV Therapy cannot be delegated to unlicensed personnel.
    • Only PN students and LPNs with IV Therapy certification can initiate or administer medications intravenously via the approved routes.
    • If any nurse demonstrates inadequate IV Therapy competency, report it to the nurse manager immediately.
    • Failure to Monitor and Assess: Monitor vital signs carefully and be vigilant for signs of fluid overload (edema, adventitious lung sounds).
    • Failure to Prevent Infection: Strict adherence to aseptic technique is vital.
    • Failure to Use Equipment Properly. Never reuse needles or inject into a bed.
    • Failure to Protect the Patient From Avoidable Injury: Following the appropriate procedures helps prevent complications.

    Contributors to IV Infusion Medical Errors

    • Illegible Orders: Clarify any unclear orders.
    • Pump Programming Errors: Double-check pump settings.
    • Distracted or Fatigued Nurses: Prioritize patient safety and avoid distractions when administering IV medications.
    • Math Errors: Double-check calculations.
    • Inadequate Staffing : Seek additional support if workload does not allow for safe medication administration.
    • Lack of 24/7 Pharmacy Availability: Prioritize timely medication preparation from the pharmacy.

    Seven Rights of IV Therapy Administration

    • Right Patient: Verify patient identity before administering medication.
    • Right Medicine: Verify the medication ordered.
    • Right Dose: Double-check the dosage.
    • Right Route: Verify the route of administration is IV.
    • Right Time: Administer the medication at the prescribed time.
    • Right Documentation: Document the medication, dose, time, and route.
    • Right Compatibility: Check for drug and fluid compatibility.

    Three Checks of Medication Administration

    • Check the medication label against the MAR when removing it from the medication area.
    • Check the medication against the prescriber's order.
    • Check the medication again before hanging it.

    Signs Suggesting Potential Lawsuit

    • Habitual complaining or questioning of everything.
    • Open hostility toward the staff.
    • Requesting staff names or taking notes of conversations.
    • Combativeness, non-compliance, or uncooperativeness.
    • Requesting the chart before discharge.

    Avoiding Lawsuits

    • Adhere to IV Therapy standards of practice meticulously.
    • Maintain a calm, polite, and professional demeanor.
    • Strive to meet the client's needs.

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    Description

    This quiz covers the essential history of intravenous therapy and contrasts criminal law with civil law. It also delves into the intricacies of torts and the critical elements of malpractice involving professional care. Test your knowledge on these fundamental healthcare and legal concepts.

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