NAC632.450. Procedures delegable to licensed practical nurses.

     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 issued by an advanced practitioner of nursing, a licensed physician, a licensed physician assistant, a licensed dentist or a licensed podiatric physician and under the immediate supervision of a physician, physician assistant or registered nurse may:

     (a) Start peripheral intravenous therapy using devices which act like needles and are not longer than 3 inches;

     (b) Introduce one or more solutions of electrolytes, nutrients or vitamins;

     (c) Piggyback solutions of electrolytes, nutrients and vitamins;

     (d) Administer any of the following medications by adding a solution by piggyback:

          (1) Antibiotics;

          (2) Steroids; and

          (3) Histamine H2 receptor antagonists;

     (e) Administer fluid from a container which is properly labeled and contains antibiotics, steroids or histamine H2 receptor antagonists that were added by a pharmacist or a registered nurse designated by the pharmacist;

     (f) Flush locks;

     (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 temporary central venous catheter by continuous or intermittent infusion through a peripheral device which uses an electronic mechanism to control the flow;

     (i) Withdraw blood from a peripherally inserted central venous catheter;

     (j) Discontinue peripheral intravenous catheters which are not longer than 3 inches; and

     (k) 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 direct 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.

     [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)