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Center for Curriculum and Transfer Articulation
LPN-IV Therapy and Medication Skills
Course: NCE223

First Term: 2018 Fall
 Lec + Lab   2.5 Credit(s)   2.5 Period(s)   2.5 Load  
Subject Type: Occupational
Load Formula: T - Lab Load


Description: Terminology and anatomy related to intravenous therapy. Drug response factors, dosage, calculations, intravenous site dressing change, intravenous administration equipment, and initiating intravenous therapy. Documentation and procedures for laboratory check lists. Meets state nursing board requirements for initiating intravenous therapy and administrating intravenous medications.



MCCCD Official Course Competencies
1. Explain the advantages and disadvantages of intravenous therapy, drug response factors, drug/mixture stability, and modes of administration. (I)
2. Describe the anatomy and physiology of the skin, four structures of a vein, and location of veins in the upper extremity and torso. (II)
3. Explain homeostasis, three major organs affecting homeostasis, and functions of electrolytes. (II)
4. Demonstrate the ability to safely perform IV Insertions with selected equipment. (II,V)
5. Demonstrate the ability to correctly calculate flow rate and regulate selected infusions. (III)
6. Calculate the correct volume and dosage for a prescribed intravenous medication dose. (III)
7. Describe signs and symptoms of adverse drug reactions and nursing interventions for local and systematic complications related to intravenous therapy. (IV)
8. Explain the necessary reporting and documentation for adverse drug reactions. (IV)
9. Define specific terms related to intravenous administration equipment. (V)
10. Demonstrate the placement of an over-the-needle intravenous catheter. (V)
11. Describe the procedures for administration of intravenous piggyback medications. (V)
12.Explain psychological factors and specific nursing approaches for emotional support of the intravenous patient. (VI)
13. Describe principles of nursing care related to pediatric and geriatric patients undergoing intravenous therapy. (VII)
14. State factors that determine the intravenous site dressing change schedule. (VIII)
15. Describe the care of infusion sites and a peripheral flush. (VIII)
16. List the specific elements of documenting intravenous therapy and document specific procedures accurately. (IX)
17. Describe procedures for specific laboratory check lists including care of infusion site, piggyback administrations, and discontinuance of intravenous infusion. (X)
18. Identify the standards of care as they relate to legal implications in intravenous therapy. (X)
MCCCD Official Course Competencies must be coordinated with the content outline so that each major point in the outline serves one or more competencies. MCCCD faculty retains authority in determining the pedagogical approach, methodology, content sequencing, and assessment metrics for student work. Please see individual course syllabi for additional information, including specific course requirements.
 
MCCCD Official Course Outline
I. Intravenous therapy overviews
   A. Key terms and definitions
   B. Objectives
   C. Intravenous route
      1. Advantages
      2. Disadvantages
   D. Drug response factors
      1. Incompatibilities
      2. Interactions
   E. Drug/mixture stability
   F. Rights of drug administration
   G. Modes of intravenous administration

II. Anatomy, Physiology, Homeostasis, and Electrolytes
   A. Anatomy and physiology
      1. Skin
      2. Veins
      3. Cardiopulmonary system
   B. Electrolytes
   C. Homeostasis
   D. Selection for intravenous therapy

III. Dosage and Volume
   A. Terms and abbreviations
   B. Equivalencies
   C. Calculations
      1. Volume
      2. Dosage

IV. Complications of Intravenous Therapy
   A. Local and systemic complications
      1. Terms
      2. Symptoms
      3. Interventions
   B. Contamination and infections
   C. Adverse drug reactions
      1. Signs and symptoms
      2. Emergency interventions
      3. Reporting and documentation

V. Equipment and venipuncture procedure
   A. Specific terms
      1. Gauge
      2. Length
      3. Lumen
      4. Minidrip
      5. Macrodrip
      6. Y set tubing
      7. Electronic infusing devices
      8. Other
   B. Piggyback medications
      1. Intravenous infusion set
      2. Secondary line/established primary line
   C. Flow rate
      1. Factors altering
      2. Hazards
      3. Calculations
   D. Venipuncture procedure
      1. Initiating intravenous therapy
      2. Types of catheter

VI. Psychological - Client Preparation
   A. Psychological factors
      1. Anxiety
      2. Psychosocial resources
      3. Effects of stress
   B. Nursing approaches
      1. Emotional support
      2. Uncooperative patient

VII. Pediatric and Geriatric Patients
   A. Pediatric
      1. Pediatric fluid/electrolyte balance
      2. Nursing care
   B. Geriatric
      1. Differences - age
      2. Psychological
      3. Risks

VIII. Site dressings and peripheral flush
   A. Site dress change
      1. Purpose
      2. Factors - schedule
      3. Complications on site
      4. Care
   B. Peripheral flush
      1. Purpose
      2. Factors - schedule

IX. Documentation
   A. Elements
   B. Laboratory checklists
   C. Discontinuance of infusion

X. Legal implications
   A. Nursing implications
   B. Legal implications

 
MCCCD Governing Board Approval Date: June 27, 2017

All information published is subject to change without notice. Every effort has been made to ensure the accuracy of information presented, but based on the dynamic nature of the curricular process, course and program information is subject to change in order to reflect the most current information available.