South Carolina - Select LPNs may perform procedures and administer ordered treatments via peripheral and central venous access devices (under direct supervision of an RN) and lines if facility meets criteria for policy and procedures by the board of nursing. The LPN must also document completion of an IV certification course. The LPN may not begin blood, blood products/components hyperalimentation or chemotherapeutic agents. The LPN may not give medications directly into the vein (intravenous
push). Specific guidelines may be found at www.llr.state.sc.us/pol/nursing/forms/JanFebMar2004Newsletter.pdf
South Dakota - By peripheral route or externally accessed centrally placed catheter, may administer standard solutions at a defined flow rate, with or without admixtures, mixed and labeled by a pharmacist, RN or physician. May also administer vitamins antibiotics, corticosteroids and H2 antagonists mixed and labeled by a pharmacist, RN or MD by IV piggyback, excluding first dose administration. May not administer hemodialysis.
Tennessee - The BON has taken the position that it's beyond the LPN scope of practice to be delegated the following tasks: administration of certain IV push medications, blood or blood products, experimental drugs or IV chemotherapeutic agents; insertion of PIC or central lines. (source: Tennessee Board of Nursing)
Texas - May administer IV meds both peripherally and via central lines. May not administer hemodialysis.
Utah - May administer IV meds after taking a post-graduate certification course. May not administer hemodialysis.
Vermont - IV therapy not addressed in scope of practice, but BON issued the following info. in a position statement (which isn't legally binding, but represents board's position on the matter): LPNs have appropriate knowledge and skill to perform selected interventions in management of IV therapy if delegated and directed by an RN. These procedures include: initiating an IV using peripheral veins; monitoring and regulating infusion of prescribed IV solutions; monitoring patients' responses to blood and blood products; flushing peripheral intermittent devices with physiological saline or a heparin solution; and administering medication by intermittent infusion via peripheral lines. The following skills may not be delegated to an LPN: initiating a PCA pump; administering medication via IV push or solutions via a venous central line (including PICC lines); inserting central lines; drawing blood from a central or arterial line; administrating blood and blood products; changing a central line dressing; and mixing medications requiring reconstitution. LPNs whose practice includes IV therapy management must have documentation of completing formal IV therapy program which includes a theory and clinical component; documentation of continuing competency; policies and procedures of healthcare agency supporting the practice of LPNs in IV therapy; and resources necessary to provide "safe implementation" of these procedures. (source: Vermont Board of Nursing)
Virginia - May administer IVs including all meds utilized in dialysis. Cannot administer blood without an RN signature.
Washington - May administer IV meds and fluids under RN supervision after completing "appropriate continuing education and practice." May perform administration of fluids, meds, total parenteral nutrition, blood or blood products via central venous catheters or central lines, access these lines for blood draws and administration of emergency cardiac meds via IV push "if there are strict guidelines and protocols in place." May not administer hemodialysis.
West Virginia - Can administer IV meds if delegated. May not administer hemodialysis.
Wisconsin - IV therapy, including administration of IV meds, "are considered either delegated medical acts or delegated nursing acts from an RN. Cannot administer hemodialysis.
Wyoming - May administer IV meds after completing an IV therapy certification course. Cannot administer hemodialysis.