 |
|
 |
|
 |
|
 |
|
 |
|
 |
|
 |
|
 |
|
 |
|
 |
|
 |
|
 |
|
Telephone:
416 928-0900
Toll Free in Ontario:
1 800 387-5526
Fax:
416 928-6507
Nursing Practice > You Asked Us Online
Page modified February 14, 2008
Nursing Standards
Outreach Program
RPNs maintaining IV infusion pumps, administering fluids, medications and blood products
Q
Can RPNs maintain an IV infusion pump and administer fluids, medications and blood products intravenously to clients?
A
The competencies to perform these acts are acquired in nursing programs and through experience. Since 2005, the four-semester Ontario practical nursing diploma program has offered both theory and practical experience in IV therapy, including:
- verifying infusion orders;
- monitoring IV fluids;
- administrating blood and blood products;
- monitoring flow rate;
- performing tubing and fluid changes;
- assessing the IV site;
- discontinuing IVs;
- assessing the client for adverse reactions; and
- documenting the client's response to infusion therapy.
RPNs who graduated from an Ontario practical nursing program after 2005 can be expected to have the basic competencies to perform IV therapy and blood administration for stable clients. RPNs who graduated before 2005 may require additional education and clinical experience to develop these basic competencies.
Currently, some Ontario practical nursing programs provide theoretical education on administrating IV medications. However, the programs do not provide practical education in this area. Therefore, an RPN will need additional education and practice opportunities to develop competencies in administering IV medications.
The technical skill of preparing and administering blood products and IV medications is only part of the role and responsibilities of the nurse. A nurse is also accountable for assessing clients during the infusion, making all of the decisions during the administration, as well as recognizing and managing potential negative outcomes. RPNs who perform activities related to IV therapy and blood administration must work with clients whose conditions are stable and predictable.
If the RPN cannot manage the outcome, or the client's condition is changing and is not predictable, an RN must be immediately available to consult with and/or assume care of the client if the care needs are beyond the competencies of the RPN.
Employers should ensure that RPNs have sufficient opportunities to maintain competence and that appropriate supports and resources are in place. A nurse who takes responsibility for performing a procedure is accountable for being competent to perform it safely and effectively.
[top]