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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
Provider approved by the AR,DC,FL,GA,SC Boards of Nursing, CE Broker Tracking 20-605871, CE Provider #: 50-13256.  Course provides 12.50 contact hours.
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South Dakota LPN IV Education

Contact Hours: 12.5
Cost: $112.50
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South Dakota LPN IV Education

For a complete list of accreditations for this course, please see the accreditation information box below the author’s bio.  All states (with the exception of Hawaii) recognize our courses for accredited continuing nursing education, CNE, contact hours.

South Dakota LPN IV Education is designed to fulfill the requirements of the South Dakota State Board of Nursing as it pertains to LPN's and the practice of IV therapy.  Each state board has differing requirements that the LPN/LVN must meet in regards to infusion therapies. The nurse must be aware of the rules provided by the board for the state in which he/she practices as every state's rules vary slightly. South Dakota LPN’s who graduated prior to 2001 and who have not been trained in the initiation and administration of IV therapy do not have these skills within their scope of practice, and so must obtain the knowledge and skills prior to the performance of IV therapy functions.

The purpose of this course is to serve as the educational basis to prepare South Dakota LPN’s educated prior to 2001 in the performance of IV therapy functions in accordance with SDCL 36-9-1.1, 36-9-4.1 and ARSD 20:48:04:06 and as well as provides an excellent refresher course for the LPN and RN who has not had recent experience and/or is not familiar with the current infusion therapy standards of care, which have changed significantly over the years. This course is also a great resource as a primer for new RN’s or nurses that will be moving or traveling to work within the state.

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.


Section 1 - South Dakota Legalities of Infusion Therapy 

South Dakota Legalities of Infusion Therapy is a review of the legalities of practicing IV therapy within the state of South Dakota. This section provides the RN and LPN with the specific rules set forth by the South Dakota State Board of Nursing through the Nurse Practice Act and additional guidance provided through the Board's Advisory Opinions. 

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 board’s guidelines pertaining to infusion therapy practices.  This course will guide you through the South Dakota 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 - The Basics of Peripheral IV Therapy; Current Standards of 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.

The Basics of Peripheral IV Therapy in Adults; Current Standard of Practice is basic level education designed to provide conceptual and operational knowledge nurses who have had limited exposure to infusion therapy principals and practice. 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. 

Competency requirements are obtained and maintained through the nurse’s employer, facility or institution. The number of times a procedure must be repeated to demonstrate competency will be determined by the employer. Pedagogy has developed skills competency checklists for all infusion related procedures and are available in the "Resources" chapter of the course.

Section 3 - Current Practices in Management of Central Lines

The Current Practices in the Management of Central Lines section has been designed 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 based on Infusion Nurses Society standards. 

Competency requirements are obtained and maintained through the nurse’s employer, facility or institution.  Our infusion and IV Therapy education courses contain the skill competency checklists, that may be used by employers, facilities and institutions to complete the skills verification of IV related procedures and facilitate the completion of the skills portion of infusion education.  The central venous access device related checklists are found in the "Resource" chapter of this section.


Have questions about how Online IV Certification/Education works? Click Here to view our Online IV FAQ.


Objectives


Section 1: South Dakota Legalities of Infusion Therapy 

Upon completion of this section, the participant will be able to:
  1. Name 3 specific IV related tasks the South Dakota BON states may not be performed by licensed practical nurses.
  2. Identify the role of the registered nurse and in the performance of IV Therapy.
  3. Discuss principles of delegation.

Section 2: The Basics of Peripheral IV Therapy in Adults; Current Standards of Practice

Upon completion of this section, the participant will be able to:
  1. List specific measures that will protect against malpractice suits
  2. Describe the differences in a vein and artery
  3. List the veins used to deliver peripheral IV therapy in adults and older adults
  4. State the signs, symptoms, treatment and prevention of nerve damage related to IV therapy
  5. Describe the signs, symptoms, causes, treatment and prevention of hyper/hypovolemia
  6. State the causes and treatments of electrolyte imbalances
  7. Describe how each solution: isotonic, hypotonic and hypertonic, effects the recipient
  8. Identify methods of fluid regulation
  9. List external factors that can influence the rate of flow
  10. Demonstrate the correct calculation of an IV flow rate
  11. Identify methods of infection control related to IV therapy
  12. State the appropriate peripheral device for the therapy ordered
  13. List the 3 types of peripheral devices
  14. List the veins to avoid for peripheral access in the adult and older adult
  15. Identify complications of IV therapy; it’s cause, prevention and treatment

Section 3: Current Practices in Management of Central Lines

Upon completion of this course, the participant will be able to:
  1. Describe protective measures to guard against malpractice suits.
  2. List reasons for use and advantages of central lines.
  3. List veins used for central venous device placement and proper tip position.
  4. Identify the various types of central lines.
  5. Identify symptoms and prevention of complications.
  6. Describe assessment criteria and documentation required for patients with central venous catheters.

Curriculum


Section 1 - South Dakota Legalities of Infusion Therapy

This section of the South Dakota I.V. Therapy curriculum guides facilities, organizations, and all licensed nurses regarding the board’s guidelines pertaining to infusion therapy practices.  This course will guide you through the South Dakota 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.

Chapter 1: Nursing Regulations and State Boards of Nursing

  • Boards of Nursing
  • Nurse Practice Acts
  • Licensure

Chapter 2: South Dakota State Board of Nursing

  • Mission
  • Board Meetings
  • Journal

Chapter 3: Nurse Practice Act

  • Statutes and Rules

Chapter 4: Scope of Practice
Chapter 5: Delegation
Chapter 6: Advisory Statements or Opinions

  • Advisory statements pertaining to intravascular and infusion therapies

 
Section 2 -Peripheral IV Therapy

This section of the South Dakota I.V. 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 7: 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 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 of Children
  • 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, Tonicity, Compatibility

  • 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-iluminator 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: Procedures Guides and Videos

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

Chapter 18: Assessment and Documentation

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


Section 3 - Central Venous Access Devices

This section of the South Dakota’s 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 19: 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 20: CVAD Anatomy

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

Chapter 21: CVAD Assessment and Preparations

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

Chapter 22: 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 23: CVAD Procedure Guides and Videos

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

Chapter 24: Peripheral and CVAD Complications

  • Catheter related complications
  • Systemic complications
  • Insertion related complications

Chapter 25: Discontinuation of Therapy

  • Removal of devices
  • Central venous access device removal procedure

Chapter 26: Assessment, Documentation and Patient Education

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

Chapter 27: Resources

  • Skill Competency Checklist
  • Medication Administration via Primary Continuous or Intermittent Infusion
  • 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
  • De-accessing an Implanted Port
  • Large Volume Electronic Infusion Device
  • Midline or Central Line Dressing Change
  • Needleless Connector Device Change
     
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