License: Expanded Role LPN Intravenous Therapy

MS Board of Nursing external site

713 Pear Orchard Road

Plaza II Suite 300

Ridgeland, MS 39157

(601) 957-6300

General information and definitions related to licensing information: The “practice of nursing” by a licensed practical nurse means the performance for compensation of services requiring basic knowledge of the biological, physical, behavioral, psychological and sociological sciences and of nursing procedures which do not require the substantial skill, judgment and knowledge required of a registered nurse. These services are performed under the direction of a registered nurse or a licensed physician or licensed dentist and utilize standardized procedures in the observation and care of the ill, injured and infirm; in the maintenance of health; in action to safeguard life and health; and in the administration of medications and treatments prescribed by any licensed physician or licensed dentist authorized by state law to prescribe. On a selected basis, and within safe limits, the role of the licensed practical nurse shall be expanded by the board under its rule-making authority to more complex procedures and settings commensurate with additional preparation and experience. A “license” means an authorization to practice nursing as a registered nurse or a licensed practical nurse. A “licensed practical nurse” is a person who is licensed or holds the privilege to practice under this article and who practices practical nursing as defined herein. “L.P.N.” is the abbreviation for the title of Licensed Practical Nurse. “Privilege to practice” means the authorization to practice nursing in the state as described in the Nurse Licensure Compact provided for in Section 73-15-22. “Licensee” is a person who has been issued a license to practice nursing in the state or who holds the privilege to practice nursing in the state. License Requirements: Expanded Role for the Licensed Practical Nurse in I.V. Therapy Rule: Certification, Renewal, Reinstatement: Initial certification: Prior to board certification allowing the LPN to practice in the expanded role, the LPN must: 1) Be currently licensed as a LPN in Mississippi or hold a temporary permit to practice as a LPN in Mississippi, or a graduate of a state approved practical nursing program that included an I.V. integrated curriculum after the year 2008; 2) Submit a completed board application and pay the required nonrefundable fee to the board; 3) Submit an official transcript of graduation from a board-approved state practical nursing program with an integrated I.V. curriculum, or submit official written evidence of completion of a board-approved I.V. therapy curriculum program. 4) Licensed LPNs that have not graduated from an I.V. therapy integrated nursing program, must have one (1) year of clinical experience as a LPN within the past three (3) years if the approved I.V. certification educational program is completed after graduation from an approved practical nursing program. 5) Graduates of state approved practical nursing programs that included an I.V. integrated curriculum after the year 2008 must submit an application for the I.V. therapy expanded role within one (1) year of completion of the educational program. If the application is not received in the board’s office within one year of completion of the licensed practical nurse educational program the applicant must complete a board-approved I.V. therapy certification educational program. Renewal of certification: Expanded role LPNs shall renew I.V. certification in conjunction with renewal of the LPN license and shall submit the following: 1) Renewal application and fee; and 2) Documentation of completion of a minimum of ten (10) contact hours of continuing education and/or in service education in I.V. therapy within the previous two (2) year period. Reinstatement of lapsed certification: Expanded role LPNs may reinstate a lapsed certification upon: 1) Documentation of a current, active LPN license; and 2) Submission of the LPN expanded role reinstatement application and fee; and 3) Submission of documentation of completion of a minimum of ten (10) contact hours of continuing education and/or in service education in I.V. therapy within the previous two (2) year period if lapsed for less than two (2) years; or 4) Submission of evidence of successful completion of a board-approved I.V. therapy update if lapsed for more than two (2) years. This update must include both theory and clinical components. Disciplinary action: Any expanded role LPN who is in violation of the Mississippi Nursing Practice Law and/or Rules and Regulations shall be subject to disciplinary action by the board. Scope of Practice: A. In addition to IV-related activities within the scope of any LPN, the LPN certified in IV therapy may perform the following advanced acts of IV therapy: 1) Initiate the administration of board-approved IV fluids and medications via a peripheral route; (a) The peripheral route does not include midline or midclavicular catheters. (b) Approved IV fluids and medications include electrolyte solutions with vitamins and/or potassium, IVPB antibiotics, IVPB anti-fungals H2 blockers and proton pump inhibitors (PPIs) provided such fluids and medications are appropriate for IV administration; (c) IV fluids and medications must be commercially prepared or premixed and labeled by a RN or registered pharmacist; 2) Maintain patency of a peripheral intermittent vascular access device using a nontherapeutic dose of a flush solution; 3) Assist the RN in the administration of midline, midclavicular or central venous infusion of approved IV fluids by checking the flow rate and changing the site dressing. B. the LPN certified in IV therapy may NOT: 1) Initiate, regulate, add or administer medications to or discontinue a midline, midclavicular or central venous line; 2) Administer or add the following to a peripheral venous line: (a) IV push or bolus medications; (b) IV medications other than those in Part 2840, Chapter 3, Rule 3.3 A. 1) (b); (c) Parenteral nutritional agents other than vitamins; (d) Blood, blood components, plasma, plasma expanders; (e) Chemotherapeutic agents. 3) Perform any advanced acts of IV therapy listed in Part 2840, Chapter 3, Rule 3.3 A. 1) (b) with patients under two (2) years of age; 4) Perform any advanced acts of IV therapy listed in Part 2840, Chapter 3, Rule 3.3 A. 1) (b) with pediatric patients age two (2) years and older unless: (a) The patient is on a unit solely and specifically for pediatric patients; and (b) The LPN certified in IV therapy is experienced and competent in the provision of care to pediatric patients; and (c) A registered nurse is physically present on the pediatric patient care unit where IV therapy is being administered and is readily available to respond as needed. C. Advanced acts, as defined in Part 2840, Chapter 3, Rule 3.3 A. 1) (b) may be delegated to the LPN certified in IV therapy by a RN, licensed physician or licensed dentist. D. Unless otherwise specified in these regulations, the LPN certified in IV therapy may perform advanced acts of IV therapy if the supervisor is physically on the premises where the patient is having nursing care provided. The physician or dentist may provide supervision in the medical or dental office. In all other settings, supervision and delegation must be by a registered nurse. E. Advanced acts of IV therapy as listed in Part 2840, Chapter 3, Rule 3.3 A. may not be performed by the LPN in the home setting.