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.
Source: 26 SDR 174, effective July 4, 2000; 50 SDR 69, effective December 10, 2023.
General Authority: SDCL 36-9-21(3).
Law Implemented: SDCL 36-9-4(3)(4)(10), 36-9-4.1(1).
20:48:04:06.01. Administration of blood components by a licensed practical nurse. A registered nurse may assign the administration of blood products to a licensed practical nurse if:
(1) The licensed practical nurse has completed a program of study on the transfusion of blood products that included supervised clinical practice acquired through a pre-licensure nursing education program or a continuing education program;
(2) The licensed practical nurse demonstrates clinical competence in the administration of the specific type of blood product to be administered;
(3) The client to be administered the blood product is twelve years of age or older;
(4) The blood product will be administered to a client in a hospital licensed pursuant to SDCL chapter 34-12; and
(5) The licensed practical nurse is directly supervised during the administration of the blood product, according to § 20:48:04:01.03.
Source: 50 SDR 69, effective December 10, 2023.
General Authority: SDCL 36-9-21(3).
Law Implemented: SDCL 36-9-3(7), 36-9-4.1(1).
