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Capra Garrison

Capra Garrison, Registered Nurse, has more than 33 years of experience in infusion therapy and the instruction of licensed nurses in infusion therapy continuing education. Her experience comes from multiple infusion settings: acute care, ambulatory infusion centers, home infusion, long term care continuing education provider, and long term care pharmacy quality assurance consultant.

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Class Accreditation
All states recognize our courses for accredited continuing nursing education (CNE) contact hours.

This course is accredited by the following boards:

Provider approved by the California Board of Registered Nursing, Provider #: CEP 15467.

Provider approved by the Arkansas, District of Columbia, Florida, Georgia, South Carolina, West Virginia and New Mexico through CE Broker, CE Provider #: 50-13256. 

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New Mexico LPN IV Education

Contact Hours: 14
Cost: $112.50
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New Mexico LPN IV Education

Section 1 - New Mexico Legalities of Infusion Therapies

It is imperative that all nurses understand the rules and regulations set forth by the state that governs the nurse’s practice. Each state has rules and regulations that differ from one another, therefore it is necessary for each nurse to know the specific state(s) in which he or she practices; guidelines, rules and laws. The following information guides facilities, organizations, and all licensed nurses regarding the New Mexico's State Board of Nursing's guidelines pertaining to infusion therapy practices. The New Mexico State Board of Nursing, through the nurse practice act, practice mandates very specifically the requirements that must be followed to practice infusion therapy.  This course will guide you through the New Mexico State Board of Nursing website to all documents that impact the provision of infusion therapies by nurses.  It is always recommended that the Board’s website be checked independently as any state board can append, amend and change the rules and regulations that nurses are expected to follow.

Section 2 - Basics of Peripheral Intravenous Therapy; Current Standards of Practice 

This section has been designed 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.

Section 3 - Management of Central Lines; Current Standards of Practice

This section has been designed to provide basic conceptual and operational knowledge to healthcare clinicians responsible for the care of patients with central venous access devices.  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.

In early 2016, 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 for all healthcare settings. This course is based on the current best practices as defined by the Infusion Nursing Society and other governing agencies such as the CDC, and FDA.

Many governing boards require nurses, nursing assistive personnel, radiology technicians, EMT’s, paramedics and respiratory therapist to have additional infusion therapy education after licensure. These requirements vary by state and governing board.  To view each state's Board of Nursing you may reference the resources section of the website or click here. Competency requirements are obtained and maintained through the healthcare provider's employer, facility or institution, with a preceptor. The number of times a procedure must be repeated to demonstrate competency will be determined by the employer or as stipulated by the Board of Nursing or other governing agency of the profession.  Pedagogy has developed skills competency checklists for all infusion related procedures and these are available in the course, for print out and completion with a preceptor.




Objectives


Upon completion of this course, the participant will be able to:

  1. List the 2 components required for the LVN to practice IV therapy in the state of New Mexico.
  2. Describe delegation procedures for New Mexico nurses
  3. List specific measures that will protect against malpractice.
  4. Identify infusion related complications, causes and appropriate treatment.
  5. Demonstrate the correct calculation of an IV flow rate.
  6. Identify methods of infection control related to IV therapy.
  7. List the components of accurate and complete documentation of IV procedures and complications.
  8. Demonstrate IV and Infusion related procedures.
  9. Describe protective measures to guard against malpractice suits.
  10. List reasons for use and advantages of central lines.
  11. List veins used for central venous device placement and proper tip position.
  12. Identify the various types of central lines.
  13. Identify symptoms and prevention of complications.
  14. Describe assessment criteria and documentation required for patients with central venous catheters.

Curriculum


Chapter 1: Nursing Regulations and State Boards of Nursing

  • Boards of Nursing
  • Nurse Practice Acts
  • Licensure

Chapter 2: New Mexico State Board of Nursing

  • Mission
  • Board Meetings
  • New Mexico Board of Nursing Bulletin

Chapter 3: Nurse Practice Act

  • Nurse Licensure Compact

Chapter 4: Scope of Practice

  • Licensed Vocational Nurse Scope of Practice
  • Registered Nurse Scope of Practice
  • Advanced Practice Registered Nurse Scope of Practice

Chapter 5: Delegation

Chapter 6: Standards of Nursing Practice

  • General Standards
  • LPN Standards
  • RN Standards

Chapter 7: Legal Issues

  • Regulatory Agencies and Governing Bodies 
  • Components of a Complete Order 
  • Legal Terms and Applications 
  • Protective Measures for Guarding Against Malpractice Lawsuits

Chapter 8: 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 9: Psychological Needs of the IV Patient

  • Age Specific Needs
  • Elderly Patient Needs 
  • Cultural Aspects
  • Patients with Sensory Deficits 
  • Methods of Reducing Patient Anxiety 
  • Patient Teaching/Education

Chapter 10: 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 11: pH, Osmolality and Incompatibilities of Solutions and Medications

  • pH of Intravenous Solutions and Medications
  • Tonicity: Isotonic Solutions, Hypotonic Solutions and Hypertonic Solutions Incompatibilities

Chapter 12: 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 13: Infection Prevention and Safety Compliance

  • Hand Hygiene
  • Sharps Management
  • Medical Waste Disposal
  • Durable Medical Equipment Disinfection
  • Standard Precautions
  • Transmission-Based Precautions

Chapter 14: Vascular Visualization

  • Trans-illuminator Technology
  • Near Infrared Technology
  • Ultrasound

Chapter 15: 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 16: 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 17: Complications

  • Local Complications 
  • Hematoma
  • Infiltration
  • Extravasation
  • Phlebitis
  • Site Infection
  • Catheter Occlusion
  • MARSI
  • Nerves—Avoiding Damage
  • Compartment Syndrome
    Systemic Complications

Chapter 18: Procedures Guides and Videos

  • Pre-insertion Procedures
  • Peripheral IV Insertion
  • Primary and Secondary Administration Set-up
  • IV Push Administration
  • Catheter Discontinuation

Chapter 19: Assessment and Documentation

  • Catheter Insertion Documentation 
  • Catheter Removal Documentation
  • Assessment, Monitoring and Documentation by Therapy

Chapter 20: Resources

  • Skill Competency Checklists
  • Peripheral IV Insertion
  • Medication Administration
  • Large Volume Electronic Infusion Device
  • IV Push
  • Administration of Infusate via an Ambulatory Infusion Pump

Chapter 21: Central Line 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 22: Anatomy

  • Veins used for placement of central venous access devices
  • Catheter tip placement

Chapter 23: Assessment and Preparations for Central Venous Catheterization

  • Considerations for selection of the device
  • Preparations for central venous catheterization

Chapter 24: 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 25: Procedure Guides and Videos

  • Central venous catheter dressing change
  • Needleless access device change
  • Central venous catheter flushing
  • Blood Sampling from a CVAD

Chapter 26: Complications

  • Catheter related complications
  • Systemic complications
  • Insertion related complications

Chapter 27: Discontinuation of Therapy

  • Removal of devices
  • Central venous access device removal procedure

Chapter 28: Assessment and Documentation and Patient Education

  • Documentation of insertions, removal, infiltration or extravasations
  • Assessment, monitoring, documentation by type of therapy

Chapter 29: Resources

  • Skill competency checklists:
    • Accessing a port
    • Administration of infusate via an ambulatory infusion pump 
    • Blood specimen collection from a CVAD
    • De-accessing an implanted port 
    • IV Push
    • Large volume electronic infusion device 
    • Medication administration
    • Midline or central line dressing change 
    • Needleless connector device change
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