*Next Class Schedule: Sept. 29,
30 Oct. 6, 7 2012
(8:00am - 5:30pm)
36 HOURS OF INSTRUCTION
(THEORY: 27 HRS. / CLINICAL: 9 HRS.)
Fee: $200 for Homestead students, $240 for all others
Additionally, each student must complete a minimum of three (3) individually supervised successful venipunctures on live subjects and at least three (3) individually supervised skin punctures on live subjects.
The course is designed to prepare Licensed Vocational Nurses (LVNs) to start and superimpose intravenous fluid via primary or secondary infusion lines and perform blood withdrawal. The course will cover psychological preparation of the patient, legal aspect in IV therapy & blood withdrawal, infection control, indications for IV therapy, types of venipuncture devices, delivery systems, intravenous fluids, venipuncture sites, observation of the patient, regulation of the fluid flow, selection of equipment, complications of IV therapy, methods of blood withdrawal, method selection, safety measures, complications and preparation of withdrawal sites.
Students will perform simulated and actual intravenous catheterizations and blood withdrawals. LVNs will receive 36 contact hours upon successful course completion.
COURSE OBJECTIVES (THEORY)
At the completion of the intravenous therapy/blood withdrawal course, each participant shall be able to:
1. Discuss the legal requirements pertaining to starting and/or
superimposing intravenous fluids withdrawing blood
2. Discuss the legal requirements pertaining to performing arterial punctures for the purpose of withdrawing blood.
3. Differentiate types of parenteral fluids and blood components.
4. Correlate intravenous fluids with fluid and electrolyte imbalances.
5. Identify clinical manifestations associated with fluid and blood component infusion.
6. State indications for TPN therapy.
7. Discuss potential complications from TPN therapy.
8. Explain the rationale for blood withdrawal and arterial punctures.
9. Explain the rationale for initiation of an intravenous infusion or transfusion of blood or blood products.
10. Identify types of skin puncture, arterial puncture, and venipuncture devices.
11. Describe correct use of each skin puncture, arterial puncture, and venipuncture device.
12. Identify types of fluid delivery system devices.
13. Describe correct use of each fluid delivery system device including regulation of infusion flow rate.
14. Describe accurate techniques for performing skin punctures, arterial punctures, and venipunctures; including direct and indirect methods.
15. Discuss psychological preparation of a patient/client which should be completed prior to treatment.
16. Correlate relevant anatomy and physiology with criteria for selection of venipuncture, skin puncture, or arterial puncture sites.
17. Identify the safety precautions utilized when administering intravenous therapy, withdrawing blood and testing for adequate circulation pertaining to arterial puncture site.
18. Discuss potential local and systemic complications of intravenous therapy and blood withdrawal and include correct nursing observations and preventive measures.
CLINICAL PERFORMANCE OBJECTIVES
During clinical experience, the participant shall be able to:
Explain the procedure to the patient and provide adequate
2. Select correct venipuncture, skin puncture, arterial puncture, and infusion equipment and correctly assemble for use.
3. Select and correctly prepare an appropriate site for venipuncture, blood withdrawal or arterial puncture.
4. Perform three (3) successful venipunctures and three (3) successful skin punctures on live subjects while adhering to universal precautions.
5. Observe the patient for adverse reactions.
6. Demonstrate appropriate safety measures when performing venipuncture, blood withdrawal or arterial puncture, including universal precautions.
7. Safely secure the venipuncture device.
8. Adjust the flow rate to the prescribed rate.
Legal Aspects of IV Therapy
IV Infusion Preparations
Fluids and Electrolytes
Fluid Delivery System
Infusion Flow Rate
Total Parenteral Nutrition
Review of Anatomy & Physiology
Safety Measures & Complications in IV Therapy
Skill #1: Preparing the Infusion Set-up
Skill #2: Starting an IV: Over the Needle Catheter
Skill #3 Starting an IV: Insertion of Winged Infusion Set
Skill #4: Discontinuation of IV
Legal Aspects of Blood Withdrawal
Blood & Blood Product Administration/Arterial Punctures Blood Collection Equipment & Techniques
Safety Precautions & Complications in Blood Withdrawal
Skill #5: Skin Puncture
Skill #6: Venipuncture by the Evacuated Tube Method
Skill #7: Venipuncture by Winged Infusion (Butterfly) Method
Skill #8: Venipuncture by Syringe Method
Skill #9: Radial Arterial Blood Gas Collection (optional)
METHODS OF INSTRUCTION
The objectives of the course will be achieved through lecture, discussion, demonstration, and clinical practice to include content on IV infusion therapy & blood withdrawal.
Strategies utilized in this course include classroom discussion, demonstrations, review questions, critical thinking skills (case studies), oral presentation, return demonstration, group discussion, role play, use of audio-visuals, concept mapping, computer-assisted activities and hands-on skills. Evaluation includes quizzes, skill lab test, and comprehensive exam. A simulated lab component is included.
75% is required to pass this course.
THEORY: Quizzes: 25% Comprehensive Exam: 75%
CLINICAL: The student must pass Clinical Performance Evaluation on the following areas:
Preparation and assembly of equipment and device for
intravenous therapy, venipuncture, skin puncture and arterial puncture
2. Patient preparation
3. Safety measures , including universal precautions, relative to intravenous fluid administration and blood withdrawal
4. Site Preparation for venipuncture, skin puncture and arterial puncture
5. Techniques of venipuncture, skin punctute and arterial puncture
6. Regulation of flow rate
Additionally, each participant must complete a minimum of three (3) individually supervised successful venipunctures on live subjects and at least three (3) individually supervised skin punctures on live subjects.
Josephson, D. (2004). Intravenous Infusion Therapy for Nurses: Principles and Practice. New York: Delmar
1. Philipps, Lynn Dianne. Manual of IV Therapeutics (2005) PA: FA Davis Co.
2. Becan-McBride, K, & Garza, D. Phlebotomy Handbook (2005.) New Jersey, Prentice Hall.
3. Berry, R.K. Intravenous Therapy: Clinical Principles and Practice (1995), Edited by Terry J, Baranowski L, Lonsway RA, and Hedrick C. Philadelphia, PA: Saunders.
4. Corrigan Ann, Pelletier G, Alexander M. Core Curriculum for Intravenous Nursing (2000). Maryland: Lippincott.
5. Elkin, M., Perry, A., & Potter, P., (1999). Nursing Interventions and Clinical Skills (2nd ed.) St. Louis: Mosby.
6. Sommer, SR, Warekois, RS. Phlebotomy Worktext and Procedures Manual (2002) W.B. Saunders Company.
7. Garza, Diana; Becan-McBride, Kathleen, Phlebotomy Q & A Review, 5th edition, 2001, Prentice Hall.
8. Fremgen, B, Blume W. Phlebotomy Basics With Other Laboratory Techniques (2001). Prentice Hall.
9. Kee, J. & Hayes, E., (1997). Pharmacology: A Nursing Approach (2nd ed.). Philadelphia: W.B. Saunders.
10. Potter, P., & Perry, A., (1998). Fundamentals of Nursing: Concepts, Process and Practice (4th ed.). St. Louis: Mosby.
11. Clayton B, Stock Y. Basic Phamacology for Nurses (2004) St. Louis: Mosby.
12. Cohen B, Wood D. The Human Body in Health and Disease (2000). Philadelphia: Lippincott Williams.
Note: This course is not included within the institution's grant of ABHES accreditation.