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Infusion
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Capra Garrison

Capra Garrison, Registered Nurse, has more than 33 years of experience in infusion therapy and the instruction of licensed nurses in infusion therapy continuing education. Her experience comes from multiple infusion settings: acute care, ambulatory infusion centers, home infusion, long term care continuing education provider, and long term care pharmacy quality assurance consultant.

Read Capra Garrison's Full Bio...

Class Accreditation

All states recognize our courses for accredited continuing nursing education, CNE, contact hours. This course is accredited by the following boards:

Provider approved by the California Board of Registered Nursing, Provider # CEP 15467.

Provider approved by the Arkansas, District of Columbia, Florida, Georgia, New Mexico, South Carolina, and West Virginia Boards of Nursing through CE Broker, CE Provider #: 50-13256.  

Basics of Peripheral IV Therapy; Current Standards of Practice

Contact Hours: 8
Cost: $80.00

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Basics of Peripheral IV Therapy; Current Standards of Practice
For a complete list of accreditations for this course, please see the accreditation information box below the author’s bio.  All states recognize our courses for accredited continuing nursing education, CNE, contact hours.

This course has been designed to provide basic conceptual and operational knowledge to healthcare clinicians who have had limited exposure to infusion therapy principals and practice.  As the science of infusion therapy advances and technology expands, it is imperative that all healthcare clinicians and nurses practicing infusion therapy remain current in their knowledge of infusion therapies, principles, techniques, equipment and the latest in infusion evidence based practices. 

In early 2016, the Infusion Nurses Society (INS), recognized as the global authority in infusion therapy, released the updated Infusion Therapy Standards of Practice. The INS sets the accepted standards for infusion therapy practice for all healthcare settings. This course is based on the current best practices as defined by the Infusion Nursing Society and other governing agencies such as the CDC, and FDA.

Many governing boards require nurses, nursing assistive personnel, radiology technicians, EMT’s, paramedics and respiratory therapist to have additional infusion therapy education after licensure. These requirements vary by state and governing board.  To view each state's Board of Nursing you may reference the resources section of the website or click here. Competency requirements are obtained and maintained through the healthcare provider's employer, facility or institution, with a preceptor. The number of times a procedure must be repeated to demonstrate competency will be determined by the employer or as stipulated by the Board of Nursing or other governing agency of the profession.  Pedagogy has developed skills competency checklists for all infusion related procedures and these are available in the course, for print out and completion with a preceptor.

Objectives

Upon completion of this course, the participant will be able to:
  1. List specific measures that will protect against malpractice.
  2. Identify infusion related complications, causes and appropriate treatment.
  3. Demonstrate the correct calculation of an IV flow rate.
  4. Identify methods of infection control related to IV therapy.
  5. List the components of accurate and complete documentation of IV procedures and complications.
  6. Demonstrate IV and Infusion related procedures .
 

Curriculum

Basics of Peripheral Intravenous Therapy; Current Standards of Practice 

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
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 of the IV Patient
  • 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, Osmolality and Incompatibilities of Solutions and Medications
  • 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: Site Selection and Device 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: Vascular Access Device 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: Complications
  • Local Complications 
  • Hematoma
  • Infiltration
  • Extravasation
  • Phlebitis
  • Site Infection
  • Catheter Occlusion
  • MARSI
  • Nerves and Nerve Damage
  • Compartment Syndrome
  • Systemic Complications
Chapter 12: Procedures Guides and Videos
  • Pre-insertion Procedures
  • Peripheral IV Insertion
  • Primary and Secondary Administration set-up
  • IV Push Administration
  • Catheter Discontinuation
Chapter 13: Assessment and Documentation
  • Catheter Insertion Documentation 
  • Catheter Removal Documentation
  • Assessment, Monitoring and Documentation by Therapy
Chapter 14: Resources
  • Skill Competency Checklists
  • Peripheral IV Insertion
  • Medication Administration
  • Large Volume Electronic Infusion Device Peripheral IV Catheter Insertion
  • IV Push
  • Administration of Infusate via an Ambulatory Infusion Pump