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.
 
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 4: Hypodermoclysis (Clysis)
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 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
                                    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
 
	- Rules specific to the Florida
 
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
	- 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, Tonicity, Compatibility
	- 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: Peripheral IV Site Selection and 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:  Peripheral VAD 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: Peripheral IV Guides and Videos
	- Pre-insertion Procedures
 
	- Peripheral IV Insertion
 
	- Primary and Secondary Administration set-up
 
	- IV Push Administration
 
	- Catheter Discontinuation
 
Chapter 12: Peripheral IV Assessment and Documentation
	- Catheter Insertion Documentation 
 
	- Catheter Removal Documentation
 
	- Assessment, Monitoring and Documentation by Therapy
 
Chapter 13: Central Line Review
	- Definition of a Central Line:
	
		- Reasons for Use
 
		- Advantages
 
	
	 
	- 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: Anatomy
	- Veins Used for Placement
 
	- Catheter Tip Placement
 
Chapter 15: Assessment and Preparations for Central Venous Catheterization
	- Considerations for the Selection of the Device
 
	- Preparations for Central Venous Catheterization
 
Chapter 16: Vascular Access Device Management
	- Needleless Connectors
 
	- CVAD Stabilization
 
	- Site Protection
 
	- Flushing and Locking
 
	- Assessment, Care, and Dressing Changes
 
	- Administration Set Changes
 
	- Blood Sampling from a CVAD
 
Chapter 17: Complications
	- Catheter-related Complications
 
	- Systemic Complications
 
	- Insertion-related Complications
 
Chapter 18: Discontinuation of Therapy
	- Removal of Devices
 
	- CVAD Removal Procedure
 
Chapter 19: Assessment, Documentation, and Patient Education
	- Documentation of Insertion, Removal, Infiltration, or Extravasations
 
	- Assessment, Monitoring, and Documentation
 
Chapter 20: Scope of Problem
	- Morbidity / Mortality
 
	- Cost
 
	- Surveillance
 
Chapter 21: Catheter Insertion
	- Site Selection
 
	- Sterile Technique
 
	- Antimicrobial Impregnated Catheters 
 
Chapter 22: Catheter Site Maintenance
	-  Dressing
 
	-  Needleless Connector
 
	-  Observation
 
 Chapter 23: Medication Administration
	-  Infusate
 
	-  Administration Set
 
	-  Flushing 
 
Chapter 24: Diagnosis and Treatment
	- Clinical Findings
 
	- Cultures
 
	- Treatment
 
Chapter 25: Dehydration
	- Scope of Problem
 
	- Contributing Factors
 
	- Signs and Symptoms
 
	- Assessment
 
Chapter 26: Hypodermoclysis Introduction
	- Advantages
 
	- Disadvantage
 
	- Indications
 
	- Contraindications
 
	- Use in Terminally Ill Patients
 
Chapter 27: Infusion Parameters
	- Sites
 
	- Solutions
 
	- Volume and Rate
 
	- Hyaluronidase
 
Chapter 28: Administration
Chapter 29: Complications
	- Systemic Complications
 
	- Local Complications
 
Chapter 30: Communication and Documentation
Chapter 31: Indications for Parenteral Nutrition
	- Altered Absorption Capacity
 
	- GI Disorders Requiring Complete Bowel Rest
 
	- Intractable Vomiting or Diarrhea
 
	- Hypermetabolic States
 
	- Anorexia Nervosa
 
Chapter 32: 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 33: Normal Nutritional Requirements
	- Protein
 
	- Carbohydrate
 
	- Lipid
 
	- Vitamins
 
	- Minerals
 
	- Trace Elements
 
Chapter 34: Nutritional Assessment
	- Anthropometrics
 
	- Biochemical
 
	- Clinical
 
	- Dietary
 
Chapter 35: Composition of Parenteral Nutrition
	- Dextrose
 
	- Amino Acids
 
	- Lipids
 
	- Water
 
	- Electrolytes
 
	- Vitamins
 
	- Trace Elements
 
	- Other Additives
 
Chapter 36: TPN Administration
	- Central Venous Access Devices
 
	- Electronic Infusion Devices
 
	- TPN and Lipids
 
	- Preparing the TPN for Infusion
 
	- Initiating the Infusion
 
Chapter 37: TPN Complications
	- Metabolic Complications
 
	- Vascular Access Device-Related Complications
 
Chapter 38: Monitoring and Documentation
	- Vital Signs
 
	- Glucose
 
	- Weight
 
	- Intake and Output
 
	- Laboratory Values
 
	- TPN Administration
 
	- IV Catheter Care
 
Chapter 31: Introduction to Transfusion Therapy
	- Blood Components
 
	- ABO Blood Group System
 
	- Rh Blood Group System
 
	- Other Blood Group Antigens
 
	- HLA System
 
Chapter 32: Whole Blood
Chapter 33: Packed Red Blood Cells
	- Description
 
	- Indications
 
	- Donation and Testing
 
	- Red Blood Cell Subsets
 
Chapter 34: Platelets
	- Description
 
	- Indications
 
	- Donation and Testing
 
	- Platelet Subsets
 
Chapter 35: Plasma
	- Description
 
	- Indications
 
	- Donation and Testing
 
Chapter 36: Granulocytes
	- Description
 
	- Indications
 
	- Donation and Testing
 
Chapter 37: Clotting Factors
	- Cryoprecipitate
 
	- Factor Concentrates
 
Chapter 38: Pre-transfusion Activities
	- Licensed Independent Prescriber Order
 
	- Patient Consent
 
	- Type and Crossmatch
 
	- Vascular Access
 
	- Baseline Vital Signs
 
Chapter 39: Administration
	- Component Transport and Storage
 
	- Equipment
 
	- Pre-medication
 
	- Identification
 
	- Administration
 
	- Monitoring
 
	- Patient Education
 
	- Documentation
 
Chapter 40: Complications
	- Immune Complications
	
		- Hemolytic Reactions
 
		- Non-Hemolytic Reactions
 
	
	 
	- Non-immune Complications
	
		- Infectious Complications
 
		- Transfusion Associated Fluid Overload (TACO)
 
	
	 
	- Complications of Massive Transfusion
 
Chapter 49: Introduction to Chemotherapy
	- Definition
 
	- Goals of Chemotherapy
 
	- Cell Cycle
 
	- Chemotherapy Approaches
 
Chapter 50: Chemotherapy Drug Classifications
	- Cell-cycle Specificity
 
	- Mechanism of Action
 
	- Alkylating Agents
 
	- Antimetabolites
 
	- Antitumor Antibiotics
 
	- Histone Deacetylase Inhibitors
 
	- Mitotic Inhibitors
 
	- Proteasome Inhibitors
 
	- Topoisomerase Inhibitors
 
	- Miscellaneous
 
	- Cytoprotective Agents
 
	- Uricolytic Agents
 
	- Biphosphonates
 
	- Pyrimidine Analogs
 
	- Growth Factors
 
	- Trilaciclib
 
Chapter 51: Chemotherapy Side Effects
	- Myelosuppression
 
	- Gastrointestinal
 
	- Integumentary
 
	- Cardiovascular
 
	- Respiratory
 
	- Renal
 
	- Neurologic
 
	- Reproductive
 
Chapter 52: Safe Handling
	- USP <800>
 
	- Preparation
 
	- Administration
 
	- Disposal
 
	- Bodily Discharges
 
Chapter 53: Administration
	- Pre-administration Activities
 
	- Routes of Administration
 
Chapter 54: Psychological Effects
	- Grief
 
	- Loss of Status
 
	- Desirability
 
	- Long-term Concerns
 
Chapter 55: Introduction to Gamma Globulin
	- Definition
 
	- Indications
 
	- Products
 
Chapter 56: Administration
Chapter 57: Possible Adverse Events
	- Common Side Effect
 
	- Uncommon Side Effects
 
	- Anaphylaxis
 
Chapter 58: Patient Education
	- Nurse Administration
 
	- Patient Administration
 
Chapter 59: Assessment and Documentation
Chapter 60: Skill Checklists
Chapter 61: References