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          20:48:04:06.  Intravenous therapy functions which may be performed by licensed practical nurses. A licensed practical nurse may perform the following intravenous therapy functions:

          (1)  Peripheral intravenous therapy to adults and adolescents, as follows:

               (a)  Perform venipuncture to administer intravenous fluids in peripheral veins, excluding midline catheters;

               (b)  Assemble and maintain equipment for:

                      (i)         Gravity drip infusion; and

                      (ii)Electronic controlling devices, excluding client-controlled devices;

               (c)  Calculate and adjust infusion rates using standard formulas;

               (d)  Perform routine intravenous tubing set changes;

               (e)  Administer, by peripheral route, standard solutions at a defined flow rate, with or without admixtures, mixed and labeled by a pharmacist, registered nurse, or physician. The admixture, potassium chloride, may not be administered at a concentration that exceeds 20 meq/liter or at a rate that exceeds 10 meq/hour;

               (f)  Administer vitamins, antibiotics, corticosteroids, and H2 antagonists by the intravenous piggyback route, that are mixed and labeled by a pharmacist, registered nurse, or physician, excluding the first dose which must be administered by a registered nurse;

               (g)  Convert and flush heparin or saline intermittent infusion devices;

               (h)  Perform routine intravenous site dressing changes;

               (i)  Discontinue peripheral intravenous therapy, excluding midline catheters;

          (2)  Intravenous therapy via an externally accessed centrally placed catheter to adults and adolescents, as follows:

               (a)  Assemble and maintain equipment for:

                      (i)         Gravity drip infusion; and

                      (ii)Electronic controlling devices, excluding client-controlled devices;

               (b)  Calculate and adjust infusion rates using standard formulas;

               (c)  Perform routine intravenous tubing set changes;

               (d)  Administer standard solutions at a defined flow rate, with or without admixtures, mixed and labeled by a pharmacist, registered nurse, or physician. The admixture, potassium chloride, may not be administered at a concentration that exceeds 20 meq/liter or at a rate that exceeds 10 meq/hour;

               (e)  Administer vitamins, antibiotics, corticosteroids, and H2 antagonists by the intravenous piggyback route, that are mixed and labeled by a pharmacist, registered nurse, or physician, excluding the first dose which must be administered by a registered nurse;

               (f)  Perform routine heparin or saline flushes; and

               (g)  Perform central line dressing changes.

          Source: 26 SDR 174, effective July 4, 2000.

          General Authority:SDCL 36-9-21.

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


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