Florida IV Therapy Education
This course fulfills the Florida Board of Nursing’s education components required for the Licensed Practical Nurse to practice infusion therapy. The Florida Board of Nursing has delineated very specific content to be included in the LPN infusion curriculum and specifics may be viewed in the Florida BON Rules, Chapter: 64B9-12.005 Competency and Knowledge Requirements Necessary to Qualify the LPN to Administer IV Therapy. This comprehensive 30-hour online education course is made for LPNs but also provides an excellent refresher course for the Registered Nurse or as a primer for new RNs.
In early 2021, the Infusion Nurses Society (INS), recognized as the global authority in infusion therapy, released the updated Infusion Therapy Standards of Practice. The INS sets the accepted standards for infusion therapy practice in all healthcare settings. This course is based on the current best practices defined by the Infusion Nursing Society and other governing agencies such as the CDC and the FDA.
This 30 hour online continuing education provides a low stress, convenient method of obtaining quality infusion education incorporating various educational techniques designed for the adult learner. Upon successful completion of the course exam, with a score of 80% or greater, the student may instantly print a “Certificate of Completion” for the didactic portion of the course. Within the course content, a complete set of skill check-off lists is provided for completion with a Florida licensed Registered Nurse preceptor or employer.
Have questions? Check out our FAQs page and our page, How Online IV Certification Works. If you need to purchase IV education for your staff, see our Learning Management System page for more information and instructions on how to get started. We offer bulk discounts!
Objectives
Objectives for Section 1: Peripheral IV Therapy
Upon completion of this curriculum, the nurse will be able to:
- List specific measures that will protect against malpractice.
- Identify infusion related complications, causes and appropriate treatment.
- Demonstrate the correct calculation of an IV flow rate.
- Identify methods of infection control related to IV therapy.
- List the components of accurate and complete documentation of IV procedures and complications.
- Demonstrate IV and Infusion related procedures .
Upon completion of this curriculum, the nurse will be able to:
- Describe protective measures to guard against malpractice suits.
- List 3 reasons for use and advantages of central lines.
- List 4 veins used for central venous device placement and proper tip position.
- Identify the various types of central lines.
- Identify symptoms and prevention of complications.
- Describe assessment criteria and documentation required for patients with central venous catheters.
Upon completion of this curriculum, the nurse will be able to:
- Identify at least three negative effects of central line related bloodstream infections.
- Identify at least two methods by which central lines become colonized.
- Identify at least three strategies to reduce the risk of CRBSI at the time of catheter insertion.
- Recognize the proper time intervals and procedures for dressing change, injection port change, and site observation.
- State the recommended methods for obtaining blood cultures for CRBSI diagnosis.
- State the recommended methods for treating CRBSI.
Upon completion of this curriculum, the nurse will be able to:
- Identify at least 3 factors that contribute to dehydration in the elderly.
- Define hypodermoclysis.
- Describe the advantages, disadvantages, indications, and contraindications of hypodermoclysis.
- Describe the appropriate sites, solutions, volumes and rates for hypodermoclysis.
- Describe the procedure for hypodermoclysis administration.
- State at least 3 potential complications of hypodermoclysis.
Objectives for Section 1: Peripheral IV Therapy
Upon completion of this curriculum, the nurse will be able to:
- List specific measures that will protect against malpractice.
- Identify infusion related complications, causes and appropriate treatment.
- Demonstrate the correct calculation of an IV flow rate.
- Identify methods of infection control related to IV therapy.
- List the components of accurate and complete documentation of IV procedures and complications.
- Demonstrate IV and Infusion related procedures.
Objectives for Section 2: Central Venous Access Devices (CVAD)
Upon completion of this curriculum, the nurse will be able to:
- Describe protective measures to guard against malpractice suits.
- List 3 reasons for use and advantages of central lines.
- List 4 veins used for central venous device placement and proper tip position.
- Identify the various types of central lines.
- Identify symptoms and prevention of complications.
- Describe assessment criteria and documentation required for patients with central venous catheters.
Objectives for Section 3: Catheter Related Blood Stream Infections (CRBSI)
Upon completion of this curriculum, the nurse will be able to:
- Identify at least three negative effects of central line related bloodstream infections.
- Identify at least two methods by which central lines become colonized.
- Identify at least three strategies to reduce the risk of CRBSI at the time of catheter insertion.
- Recognize the proper time intervals and procedures for dressing change, injection port change, and site observation.
- State the recommended methods for obtaining blood cultures for CRBSI diagnosis.
- State the recommended methods for treating CRBSI.
Objectives for Section 4: Hypodermoclysis (Clysis)
Upon completion of this curriculum, the nurse will be able to:
- Identify at least 3 factors that contribute to dehydration in the elderly.
- Define hypodermoclysis.
- Describe the advantages, disadvantages, indications, and contraindications of hypodermoclysis.
- Describe the appropriate sites, solutions, volumes and rates for hypodermoclysis.
- Describe the procedure for hypodermoclysis administration.
- State at least 3 potential complications of hypodermoclysis.
Objectives for Section 5: Total Parenteral Nutrition (TPN)
Upon completion of this curriculum, the nurse will be able to:
- Identify at least three medical conditions that indicate the use of TPN.
- Identify at least three components of TPN.
- Demonstrate understanding of TPN administration by recognizing the steps involved in TPN preparation and infusion.
- Recognize at least two potential complications of TPN.
- State at least four TPN monitoring measurements.
Objectives for Section 6: Transfusion Therapies
Upon completion of this curriculum, the nurse will be able to:
- Explain the blood grouping systems and their importance in transfusion therapy.
- List available blood components and indications for each.
- Describe the activities required in preparation for a transfusion.
- Identify equipment used to administer a transfusion and it’s proper usage.
- Describe the nursing management of a blood component infusion.
- Describe signs and symptoms of transfusion reactions, and appropriate interventions for each.
- Explain appropriate patient education related to transfusion therapy.
- Identify the required documentation for a blood transfusion.
Objectives for Section 7: Chemotherapy
Upon completion of this curriculum, the nurse will be able to:
- Define how chemotherapy is used in cancer management.
- List the major chemotherapy drug classifications and their general mechanisms of action.
- Identify the major side effects/toxicities of chemotherapeutic agents.
- Describe safe chemotherapy handling techniques.
- Describe appropriate chemotherapy administration.
- Recognize common psychological effects in patients receiving chemotherapy.
Objectives for Section 8: Gamma Globulin (IgG)
Upon completion of this curriculum, the nurse will be able to:
- Name at least three conditions for which gamma globulin is indicated.
- Demonstrate understanding of gamma globulin administration by recognizing the steps involved in its preparation and infusion.
- Recognize at least two side effects of gamma globulin infusion.
Curriculum
Section One - Peripheral IV Therapy
This section of the Florida IV Therapy curriculum has been written to provide basic conceptual and operational knowledge to healthcare clinicians who have had limited exposure to infusion therapy principals and practice. As the science of infusion therapy advances and technology expands, it is imperative that all healthcare clinicians and nurses practicing infusion therapy remain current in their knowledge of infusion therapies, principles, techniques, equipment and the latest in infusion evidence based practices.
Chapter 1: Legal Issues
- Regulatory Agencies and Governing Bodies
- Components of a Complete Physicians Order
- Legal Terms and Applications in Nursing
- Protective Measures for Guarding against Malpractice Lawsuits
Chapter 2: Anatomy and Physiology
- The Vascular System: Veins, Arteries and Bone Marrow
- The Three Layers of the Vessels and Their Function
- Differentiating Arteries from Veins
- Veins used in Peripheral Intravenous Therapy for Pediatrics and Adults
- Intraosseous
- Skin: Anatomy and Physiology
Chapter 3: Psychological Needs of the IV Patient
- Age Specific Needs of Children
- Elderly Patient Needs
- Cultural Aspects
- Patients with Sensory Deficits
- Methods of Reducing Patient Anxiety
- Patient Teaching/Education
Chapter 4: Fluid and Electrolyte Balance
- Water: The Primary Fluid of the Body
- Hypovolemia—Dehydration: Assessment, Causes, Treatments
- Hypervolemia—Fluid Overload: Assessment, Causes, Treatments
- Fluid Compartments
- Electrolyte Imbalances: Assessment, Causes, Treatments
Chapter 5: pH, Osmolality and Incompatibilities of Solutions and Medications
- pH of Intravenous Solutions and Medications
- Tonicity: Isotonic solutions, Hypotonic solutions and Hypertonic Solutions Incompatibilities
Chapter 6: Fluid Regulation
- Methods of Fluid Regulation
- Patient Considerations in Fluid Regulation
- External Factors that Affect the Rate of Flow
- Calculation of IV flow rates
Chapter 7: Infection Prevention and Safety Compliance
- Hand Hygiene
- Sharps Management
- Medical Waste Disposal
- Durable Medical Equipment Disinfection
- Standard Precautions
- Transmission-Based Precautions
Chapter 8: Vascular Visualization
- Trans-illuminator Technology
- Near Infrared Technology
- Ultrasound
Chapter 9: Site Selection and Device Placement
- Criteria For Peripheral Devices
- 3 Types Of Peripheral Access And Criteria For Placement
- Special Considerations Of The Specific Age Groups
- General Considerations Of Short Peripheral Access
- Veins To Avoid
Chapter 10: Vascular Access Device Management
- Needleless Connectors
- Filtration
- Add-on Devices
- VAD Stabilization
- Joint Stabilization
- Site Protection
- Flushing and Locking
- Assessment, Care, and Dressing Changes
- Administration Set Changes
Chapter 11: Procedures Guides and Videos
- Pre-insertion Procedures
- Peripheral IV Insertion
- Primary and Secondary Administration set-up
- IV Push Administration
- Catheter Discontinuation
Chapter 12: Assessment and Documentation
- Catheter Insertion Documentation
- Catheter Removal Documentation
- Assessment, Monitoring and Documentation by Therapy
Section 2 - Central Venous Access Devices
This section of the Florida IV Therapy curriculum has been written to provide current conceptual and operational knowledge to the licensed nurse responsible for the care of patients with central venous access devices. Ever changing technologies and the evolution of the licensed nurse’s role in the management of central lines requires up to date knowledge of changes in techniques, equipment and devices in use today. This course contains current practices for best patient outcomes and provides 5.0 contact hours of continuing education.
Chapter 13: Central Venous Access Device Review
- Definition of a Central Line
- Reasons for use of a central line
- Advantages of a central line
- Overview of Central Venous Access Devices
- Lumens
- Non‐valved and valved catheters
- Non‐tunneled catheters
- Tunneled catheters
- Implanted ports
- PICC or Peripherally Inserted Central Catheter
Chapter 14: CVAD Anatomy
- Veins used for placement of central venous access devices
- Catheter tip placement
Chapter 15: CVAD Assessment and Preparations
- Considerations for selection of the device
- Preparations for central venous catheterization
Chapter 16: CVAD Management
- Needleless Connectors
- Filtration
- Add-On Devices
- CVAD Stabilization
- Site Protection
- Flushing and Locking
- Assessment, Care, and Dressing Changes
- Administration Set Changes
- Blood Sampling from a CVAD
Chapter 17: CVAD Guides and Videos
- Central venous catheter dressing change
- Needleless access device change
- Central venous catheter flushing
- Blood Sampling from a CVAD
Chapter 18: Peripheral and CVAD Complications
- Catheter related complications
- Systemic complications
- Insertion related complications
Chapter 19: CVAD Discontinuation of Therapy
- Removal of devices
- Central venous access device removal procedure
Chapter 20: CVAD Documentation and Patient Education
- Documentation of insertions, removal, infiltration or extravasations
- Assessment, monitoring, documentation by type of therapy
Section 3 - Catheter Related Blood Stream Infections (CRBSI)
This section of the Florida IV Therapy curriculum has been written to provide education to licensed clinicians regarding the national efforts in effect to reduce the number of central venous access device related blood stream infections. The Joint Commission has addressed this issue in its 2010 National Patient Safety Goals by requiring education of all medical personnel who are involved in managing central lines, both in hospitals and long term care facilities. This education is expected to be completed on hire, annually thereafter, and when involvement in these procedures is added to an individual's job responsibilities.
Chapter 21: CRBSI - Scope of Problem
- Morbidity / Mortality
- Cost
- Surveillance
Chapter 22: CRBSI - Catheter Insertion
- Site Selection
- Sterile Technique
- Antimicrobial Impregnated Catheters
Chapter 23: Catheter Site Maintenance
- Dressing
- Needleless Connector
- Observation
Chapter 24: CRBSI - Medication Administration
- Infusate
- Administration Set
- Flushing
Chapter 25: CRBSI - Diagnosis and Treatment
- Clinical Findings
- Cultures
- Treatment
Section 4 - Hypodermoclysis (Clysis)
This section of the Florida IV Therapy curriculum has been written to provide information regarding the use of hypodermoclysis, also known simply as clysis, to achieve rehydration in patients who might otherwise require hospitalization. Dehydration is a common occurrence, especially in the older population. Clysis is an optimal means of administering non-emergent parenteral fluids in a familiar, comfortable environment. This intervention is cost-effective, easy to administer, and safer than intravenous rehydration, but many nurses are unfamiliar with the therapy. This course section will prepare the licensed clinician to provide this valuable intervention, thereby decreasing the risk of hospitalization with its associated risks and costs.
Chapter 26: Dehydration
- Scope of Problem
- Contributing Factors
- Signs and Symptoms
- Assessment
Chapter 27: Hypodermoclysis Introduction
- Advantages
- Disadvantage
- Indications
- Contraindications
- Use in Terminally Ill Patients
Chapter 28: Clysis Infusion Parameters
- Sites
- Solutions
- Volume and Rate
- Hyaluronidase
Chapter 29: Clysis Administration
- Equipment
- Procedures
Chapter 30: Clysis Complications
- Systemic Complications
- Local Complications
Chapter 31: Clysis Communication and Documentation
Section 5 - Total Parenteral Nutrition in the Adult Patient
This section of the Florida IV Therapy curriculum has been written to provide current conceptual and operational knowledge to nurses and other healthcare providers interested in the provision of parenteral nutrition therapy. The understanding and use of TPN has evolved since its entry into mainstream healthcare several decades ago.
Chapter 32: Indications for Parenteral Nutrition
- Altered Absorption Capacity
- GI Disorders Requiring Complete Bowel Rest
- Intractable Vomiting or Diarrhea
- Hypermetabolic States
- Anorexia Nervosa
Chapter 33: TPN Goals
- Maintenance of Normal Body Weight and Protein Status
- Restoration of Normal Body Weight and Protein Status
- Maintenance or Restoration of Normal Micronutritional Status
Chapter 34: Normal Nutritional Requirements
- Protein
- Carbohydrate
- Lipid
- Vitamins
- Minerals
- Trace elements
Chapter 35: Nutritional Assessment
- Anthropometrics
- Biochemical
- Clinical
- Dietary
Chapter 36: Composition of Parenteral Nutrition
- Dextrose
- Amino Acids
- Lipids
- Water
- Electrolytes
- Vitamins
- Trace Elements
- Other Additives
Chapter 37: TPN Administration
- Central Venous Access Devices
- Electronic Infusion Devices
- TPN and Lipids
- Preparing the TPN for Infusion
- Initiating the Infusion
Chapter 38: TPN Complications
- Metabolic Complications
- Vascular Access Device-Related Complications
Chapter 39: TPN Monitoring and Documentation
- Vital Signs
- Glucose
- Weight
- Intake and Output
- Laboratory Values
- TPN Administration
- IV Catheter Care
Section 6 - Transfusion Therapy
This section of the Florida IV Therapy curriculum has been written to provide clinicians caring for the adult patient receiving transfusion therapy. There are various blood components infused for very specific purposes, and each component requires knowledge related to that specific product. This specialized type of therapy requires advanced clinical knowledge beyond that required for the provision of general infusion therapy. Therefore, education related specifically to the administration of blood products is crucial to the safe and effective use of these components. This course section will provide information necessary for administering these life saving infusions.
Chapter 40: Introduction to Transfusion Therapy
- Blood Components
- ABO Blood Group System
- Rh Blood Group System
- Other Blood Group Antigens
- HLA System
Chapter 41: Whole Blood
- Description
- Indications
Chapter 42: Packed Red Blood Cells
- Description
- Indications
- Donation and Testing
- Red Blood Cell Subsets
Chapter 43: Platelets
- Description
- Indications
- Donation and Testing
- Platelet Subsets
Chapter 44: Plasma
- Description
- Indications
- Donation and Testing
Chapter 45: Granulocytes
- Description
- Indications
- Donation and Testing
Chapter 46: Clotting Factors
- Cryoprecipitate
- Factor Concentrates
Chapter 47: Pre-transfusion Activities
- Licensed Independent Prescriber Order
- Patient Consent
- Type and Crossmatch
- Vascular Access
- Baseline Vital Signs
Chapter 48: Transfusion Administration
- Component Transport and Storage
- Equipment
- Pre-medication
- Identification
- Administration
- Monitoring
- Patient Education
- Documentation
Chapter 49: Transfusion Complications
- Immune Complications
- Hemolytic Reactions
- Non-Hemolytic Reactions
- Non-immune Complications
- Infectious Complications
- Transfusion Associated Fluid Overload (TACO)
- Complications of Massive Transfusion
Section 7 - Chemotherapy
This section of the Florida IV Therapy curriculum has been written to provide clinicians administering and/or caring for the patient receiving chemotherapy. Both clinicians involved in infusing chemotherapeutic agents and those caring for patients receiving these medications need a working knowledge of the diagnoses for which they are given, side effects of the drugs, appropriate nursing interventions, and the psychological implications of having these diseases and receiving treatment for them. These drugs are double-edged swords. They can both cure cancer and cause cancer. They are associated with more side effects and more serious side effects than most other medications clinicians administer. Therefore, education related specifically to chemotherapy is crucial to the safe and effective use of these drugs.
Chapter 50: Introduction to Chemotherapy
- Definition
- Goals of Chemotherapy
- Cell Cycle
- Chemotherapy Approaches
Chapter 51: Chemotherapy Drug Classifications
- Cell-cycle Specificity
- Mechanism of Action
- Alkylating Agents
- Antimetabolites
- Antitumor Antibiotics
- Mitotic Inhibitors
- Topoisomerase Inhibitors
- Miscellaneous
- Cytoprotective Agents
Chapter 52: Chemotherapy Side Effects
- Myelosuppression
- Gastrointestinal
- Integumentary
- Cardiovascular
- Respiratory
- Renal
- Neurologic
- Reproductive
Chapter 53: Safe Handling of Chemotherapeutics
- Preparation
- Administration
- Disposal
- Bodily Discharges
Chapter 54: Chemotherapy Administration
- Pre-administration Activities
- Routes of Administration
Chapter 55: Psychological Effects of Chemotherapy
- Grief
- Loss of Status
- Desirability
- Long-term Concerns
Section 8 - Gamma Globulin
This section of the Florida IV Therapy curriculum has been written to provide current conceptual and operational knowledge to the licensed clinician interested in the provision of gamma globulin therapy. The understanding and use of gamma globulin has evolved since its entry into mainstream healthcare.
Chapter 56: Introduction to Gamma Globulin
- Definition
- Indications
- Products
Chapter 57: IgG Administration
- Intravenous
- Subcutaneous
Chapter 58: Possible Adverse Events of IgG
- Common Side Effects
- Uncommon Side Effects
- Anaphylaxis
Chapter 59: IgG - Patient Education
- Nurse Administration
- Patient Administration
Chapter 60: IgG - Assessment and Documentation
Chapter 61: Resources and Skill Check-Off Lists
- Skill Check-Off Lists:
- Peripheral IV Insertion
- Medication Administration
- Large Volume Electronic Infusion Device Peripheral IV Catheter Insertion
- IV Push
- Accessing a Port
- Administration of Infusate via an Ambulatory Infusion Pump
- Blood specimen collection from a CVAD
- Deaccessing an Implanted Port
- IV Push
- Large Volume Electronic Infusion Device
- Medication Administration
- Midline or Central Line Dressing Change
- Needleless Connector Device Change
Price: $199.00
Contact Hours: 30
Course Author
Pamela Clark
Pamela Clark, CRNI, is an infusion nurse with the Houston Methodist Sugar Land Hospital. She has more than 35 years of experience in infusion therapy and infusion education with both licensed nurses and patients. Her experience spans multiple infusion settings including: acute care, long-term care, home infusion, and ambulatory infusion care. She also has experience in oncology and oncology research.
Read Full BioCourse Accreditation
Provider approved by the Florida Board of Nursing through CE Broker, CE Provider #: 50-13256.