Yes, Licensed Vocational Nurses (LVNs) in California are authorized to initiate certain intravenous (IV) procedures, specifically peripheral I.V.s, provided they meet the specific training and competency requirements.
LVN Scope of Practice for Intravenous Therapy in California
In California, the scope of practice for LVNs regarding IV therapy is clearly defined by the state's nursing practice act, allowing them to perform several key tasks related to IV administration. This expanded role empowers LVNs to contribute significantly to patient care within their designated competencies.
Permitted IV Therapy Procedures for LVNs
LVNs who have completed a board-approved IV therapy and blood withdrawal certification course are permitted to perform a range of IV-related activities. These include:
- Starting Peripheral I.V.s: LVNs may initiate intravenous therapy by inserting peripheral catheters. This is a foundational skill that allows for the administration of fluids and medications through a peripheral vein.
- Converting Continuous I.V.s to Intermittent Infusion Locks: They are authorized to convert a continuous intravenous infusion to an intermittent infusion lock (often referred to as a saline lock). This provides greater patient mobility and flexibility once a continuous infusion is no longer necessary.
- Flushing Intermittent Infusion Locks: Maintaining the patency of intermittent infusion locks is crucial to prevent clotting and ensure they are ready for subsequent use. LVNs are permitted to flush these devices.
- Hanging I.V. Solutions: LVNs may hang IV solutions that contain electrolytes, nutrients, and vitamins. This includes preparing and attaching the solution bags to the patient's IV line, ensuring proper flow and administration.
- Removing Catheters: They are also permitted to remove butterfly and peripheral catheters once IV therapy is complete or no longer needed.
It is important for LVNs to practice strictly within their defined scope of practice and adhere to facility policies and procedures, which often require initial competency validation and ongoing education. For detailed information on the vocational nursing scope of practice in California, refer to the official regulations set forth by the California Board of Vocational Nursing and Psychiatric Technicians (BVNPT).
Training and Competency Requirements
To perform these IV therapy functions, an LVN must successfully complete an IV therapy and blood withdrawal certification course that has been approved by the California Board of Vocational Nursing and Psychiatric Technicians (BVNPT). This ensures they possess the necessary knowledge and skills to safely and effectively administer intravenous therapy, understand potential complications, and respond appropriately. Continuous education and demonstrated competency are crucial for maintaining this specialized skill set in clinical practice.
