Florida Board of Nursing Approved IV Education

For a complete list of accreditations for this course, please see the accreditation information box below the author’s bio.  All states (with the exception of Hawaii) recognize our courses for accredited continuing nursing education, CNE, contact hours.

Pedagogy Inc.’s Florida Board of Nursing Approved I.V. Education Curriculum has been designed to fulfill the Florida Board of Nursing’s education components required for the Licensed Practical Nurse to practice infusion therapy. The Florida Board of Nursing has delineated very specific content to be included in the LPN infusion curriculum and specifics may be viewed in the Florida BON Rules, Chapter: 64B9-12.005 Competency and Knowledge Requirements Necessary to Qualify the LPN to Administer IV Therapy. This comprehensive 30 hour online education program meets the Florida Board of Nursing IV Therapy requirements for LPN’s, as well as, provides an excellent refresher course for the Registered Nurse or as a primer for new RN’s. 

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.

This 30 hour online continuing education provides a low stress, convenient method of obtaining quality infusion education incorporating various educational techniques designed for the adult learner. The program is comprised of the 30 hour didactic portion completed on your time schedule. Upon successful completion of the course exam, with a score of 80% or greater, the student may instantly print a “Certificate of Completion” for the didactic portion of the course. Within the course content, Pedagogy Inc. provides a complete set of skills competency checklists for completion by a Florida licensed Registered Nurse preceptor or employer.

Objectives

Objectives for Section 1: Peripheral IV Therapy
Upon completion of this curriculum, the nurse will be able to:
List specific measures that will protect against malpractice
Identify infusion related complications, causes and appropriate treatment
Demonstrate the correct calculation of an IV flow rate
Identify methods of infection control related to IV therapy
List the components of accurate and complete documentation of IV procedures and complications
Demonstrate IV and Infusion related procedures  
Objectives for Section 2: Central Venous Access Devices (CVAD)
Upon completion of this curriculum, the nurse will be able to:
Describe protective measures to guard against malpractice suits.
List 3 reasons for use and advantages of central lines.
List 4 veins used for central venous device placement and proper tip position.
Identify the various types of central lines.
Identify symptoms and prevention of complications.
Describe assessment criteria and documentation required for patients with central venous catheters.
Objectives for Section 3: Catheter Related Blood Stream Infections (CRBSI)
Upon completion of this curriculum, the nurse will be able to:
Identify at least three negative effects of central line related bloodstream infections.
Identify at least two methods by which central lines become colonized.
Identify at least three strategies to reduce the risk of CRBSI at the time of catheter insertion.
Recognize the proper time intervals and procedures for dressing change, injection port change, and site    observation.
State the recommended methods for obtaining blood cultures for CRBSI diagnosis.
State the recommended methods for treating CRBSI. 
Objectives for Section 4: Hypodermoclysis (Clysis)
Upon completion of this curriculum, the nurse will be able to:
Identify at least 3 factors that contribute to dehydration in the elderly.
Define hypodermoclysis.
Describe the advantages, disadvantages, indications, and contraindications of hypodermoclysis.
Describe the appropriate sites, solutions, volumes and rates for hypodermoclysis.
Describe the procedure for hypodermoclysis administration.
State at least 3 potential complications of hypodermoclysis.
Objectives for Section 5: Total Parenteral Nutrition (TPN)
Upon completion of this curriculum, the nurse will be able to:
Identify at least three medical conditions that indicate the use of TPN
Identify at least three components of TPN
Demonstrate understanding of TPN administration by recognizing the steps involved in TPN preparation and infusion
Recognize at least two potential complications of TPN
State at least four TPN monitoring measurements
Objectives for Section 6: Transfusion Therapies
Upon completion of this curriculum, the nurse will be able to:
Explain the blood grouping systems and their importance in transfusion therapy.
List available blood components and indications for each.
Describe the activities required in preparation for a transfusion.
Identify equipment used to administer a transfusion and it’s proper usage.
Describe the nursing management of a blood component infusion.
Describe signs and symptoms of transfusion reactions, and appropriate interventions for each.
Explain appropriate patient education related to transfusion therapy.
Identify the required documentation for a blood transfusion.
Objectives for Section 7: Chemotherapy
Upon completion of this curriculum, the nurse will be able to:
Define how chemotherapy is used in cancer management
List the major chemotherapy drug classifications and their general mechanisms of action
Identify the major side effects/toxicities of chemotherapeutic agents
Describe safe chemotherapy handling techniques
Describe appropriate chemotherapy administration
Recognize common psychological effects in patients receiving chemotherapy
Objectives for Section 8: Gamma Globulin (IgG)
Upon completion of this curriculum, the nurse will be able to:
Name at least three conditions for which gamma globulin is indicated
Demonstrate understanding of gamma globulin administration by recognizing the steps involved in its preparation and infusion
Recognize at least two side effects of gamma globulin infusion

Curriculum

Section One: Peripheral IV Therapy

This section of the Florida I.V. Therapy curriculum has been written 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. 

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: Procedures Guides and Videos
Pre-insertion Procedures
Peripheral IV Insertion
Primary and Secondary Administration set-up
IV Push Administration
Catheter Discontinuation
Chapter 12: Assessment and Documentation
Catheter Insertion Documentation 
Catheter Removal Documentation
Assessment, Monitoring and Documentation by Therapy

Section 2: Central Venous Access Devices

This section of the Florida I.V. Therapy curriculum has been written to provide current conceptual and operational knowledge to the licensed nurse responsible for the care of patients with central venous access devices. Ever changing technologies and the evolution of the licensed nurse’s role in the management of central lines requires up to date knowledge of changes in techniques, equipment and devices in use today. This course contains current practices for best patient outcomes and provides 5.0 contact hours of continuing education.

Chapter 13: Central Line Review
Definition of a Central Line
Reasons for use of a central line
Advantages of a central line
Overview of Central Venous Access Devices
Lumens
Non‐valved and valved catheters
Non‐tunneled catheters
Tunneled catheters
Implanted ports
PICC or Peripherally Inserted Central Catheter
Chapter 14: Anatomy
Veins used for placement of central venous access devices
Catheter tip placement
Chapter 15: Assessment and Preparations for Central Venous Catheterization
Considerations for selection of the device
Preparations for central venous catheterization
Chapter 16: Vascular Access Device Management
Needleless Connectors
Filtration
Add-On Devices
CVAD Stabilization
Site Protection
Flushing and Locking
Assessment, Care, and Dressing Changes
Administration Set Changes
Blood Sampling from a CVAD
Chapter 17: Procedure Guides and Videos
Central venous catheter dressing change
Needleless access device change
Central venous catheter flushing
Blood Sampling from a CVAD
Chapter 18: Complications
Catheter related complications
Systemic complications
Insertion related complications
Chapter 19: Discontinuation of Therapy
Removal of devices
Central venous access device removal procedure
Chapter 20: Assessment and Documentation and Patient Education
Documentation of insertions, removal, infiltration or extravasations
Assessment, monitoring, documentation by type of therapy

Section 3: Catheter Related Blood Stream Infections (CRBSI)

This section of the Florida I.V. Therapy curriculum has been written to provide education to licensed clinicians regarding the national efforts in effect to reduce the number of central venous access device related blood stream infections. The Joint Commission has addressed this issue in its 2010 National Patient Safety Goals by requiring education of all medical personnel who are involved in managing central lines, both in hospitals and long term care facilities. This education is expected to be completed on hire, annually thereafter, and when involvement in these procedures is added to an individual's job responsibilities.

Chapter 21: Scope of Problem
Morbidity / Mortality
Cost
Surveillance
Chapter 22: Catheter Insertion
Site Selection
Sterile Technique
Antimicrobial Impregnated Catheters 
Chapter 23: Catheter Site Maintenance
Dressing
Needleless Connector
Observation
 Chapter 24: Medication Administration
Infusate
Administration Set
Flushing 
Chapter 25: Diagnosis and Treatment
Clinical Findings
Cultures
Treatment

Section 4: Hypodermoclysis (Clysis)

This section of the Florida I.V. Therapy curriculum has been written to provide information regarding the use of hypodermoclysis, also known simply as clysis, to achieve rehydration in patients who might otherwise require hospitalization. Dehydration is a common occurrence, especially in the older population. Clysis is an optimal means of administering non-emergent parenteral fluids in a familiar, comfortable environment. This intervention is cost-effective, easy to administer, and safer than intravenous rehydration, but many nurses are unfamiliar with the therapy. This course will prepare the licensed clinician to provide this valuable intervention, thereby decreasing the risk of hospitalization with its associated risks and costs. “Clysis” or subcutaneous rehydration intervention is cost-effective, easy to administer, and safer than intravenous rehydration, but many clinicians are unfamiliar with the therapy. This course will prepare the licensed clinician to provide this valuable intervention, thereby decreasing the risk of hospitalization with its associated risks and costs.

Chapter 26: Dehydration
Scope of Problem
Contributing Factors
Signs and Symptoms
Assessment
Chapter 27: Hypodermoclysis Introduction
Advantages
Disadvantage
Indications
Contraindications
Use in Terminally Ill Patients
Chapter 28: Infusion Parameters
Sites
Solutions
Volume and Rate
Hyaluronidase
Chapter 29: Administration
Equipment
Procedures
Chapter 30: Complications
Systemic Complications
Local Complications
Chapter 31: Communication and Documentation

 
Section 5: Total Parenteral Nutrition in the Adult Patient

This section of the Florida I.V. Therapy curriculum has been written to provide current conceptual and operational knowledge to nurses and other healthcare providers interested in the provision of parenteral nutrition therapy. The understanding and use of TPN has evolved since its entry into mainstream healthcare several decades ago. 

Chapter 32: Indications for Parenteral Nutrition
Altered Absorption Capacity
GI Disorders Requiring Complete Bowel Rest
Intractable Vomiting or Diarrhea
Hypermetabolic States
Anorexia Nervosa
Chapter 33: Goals
Maintenance of Normal Body Weight and Protein Status
Restoration of Normal Body Weight and Protein Status
Maintenance or Restoration of Normal Micronutritional Status
Chapter 34: Normal Nutritional Requirements
Protein
Carbohydrate
Lipid
Vitamins
Minerals
Trace elements
Chapter 35: Nutritional Assessment
Anthropometrics
Biochemical
Clinical
Dietary
Chapter 36: Composition of Parenteral Nutrition
Dextrose
Amino Acids
Lipids
Water
Electrolytes
Vitamins
Trace Elements
Other Additives
Chapter 37: Administration
Central Venous Access Devices
Electronic Infusion Devices
TPN and Lipids
Preparing the TPN for Infusion
Initiating the Infusion
Chapter 38: Complications
Metabolic Complications
Vascular Access Device-Related Complications
Chapter 39: Monitoring and Documentation
Vital Signs
Glucose
Weight
Intake and Output
Laboratory Values
TPN Administration
IV Catheter Care

Section 6 Transfusion Therapy

 
This section of the Florida I.V. Therapy curriculum has been written to provide clinicians caring for the adult patient receiving transfusion therapy. There are various blood components infused for very specific purposes, and each component requires knowledge related to that specific product. This specialized type of therapy requires advanced clinical knowledge beyond that required for the provision of general infusion therapy. Therefore, education related specifically to the administration of blood products is crucial to the safe and effective use of these components. This course will provide information necessary for administering these life saving infusions.

Chapter 40: Introduction to Transfusion Therapy
Blood Components
ABO Blood Group System
Rh Blood Group System
Other Blood Group Antigens
HLA System
Chapter 41: Whole Blood
Description
Indications
Chapter 42: Packed Red Blood Cells
Description
Indications
Donation and Testing
Red Blood Cell Subsets
Chapter 43: Platelets
Description
Indications
Donation and Testing
Platelet Subsets
Chapter 44: Plasma
Description
Indications
Donation and Testing
Chapter 45: Granulocytes
Description
Indications
Donation and Testing
Chapter 46: Clotting Factors
Cryoprecipitate
Factor Concentrates
Chapter 47: Pre-transfusion Activities
Licensed Independent Prescriber Order
Patient Consent
Type and Crossmatch
Vascular Access
Baseline Vital Signs
Chapter 48: Transfusion Administration
Component Transport and Storage
Equipment
Pre-medication
Identification
Administration
Monitoring
Patient Education
Documentation
Chapter 49: Complications
Immune Complications
Hemolytic Reactions
Non-Hemolytic Reactions
Non-immune Complications
Infectious Complications
Transfusion Associated Fluid Overload (TACO)
Complications of Massive Transfusion

Section 7 Chemotherapy

This section of the Florida I.V. Therapy curriculum has been written to provide clinicians administering and/or caring for the patient receiving chemotherapy. Both clinicians involved in infusing chemotherapeutic agents and those caring for patients receiving these medications need a working knowledge of the diagnoses for which they are given, side effects of the drugs, appropriate nursing interventions, and the psychological implications of having these diseases and receiving treatment for them. These drugs are double-edged swords. They can both cure cancer and cause cancer. They are associated with more side effects and more serious side effects than most other medications clinicians administer. Therefore, education related specifically to chemotherapy is crucial to the safe and effective use of these drugs. 

Chapter 50: Introduction to Chemotherapy
Definition
Goals of Chemotherapy
Cell Cycle
Chemotherapy Approaches
Chapter 51: Chemotherapy Drug Classifications
Cell-cycle Specificity
Mechanism of Action
Alkylating Agents
Antimetabolites
Antitumor Antibiotics
Mitotic Inhibitors
Topoisomerase Inhibitors
Miscellaneous
Cytoprotective Agents
Chapter 52: Chemotherapy Side Effects
Myelosuppression
Gastrointestinal
Integumentary
Cardiovascular
Respiratory
Renal
Neurologic
Reproductive
Chapter 53: Safe Handling
Preparation
Administration
Disposal
Bodily Discharges
Chapter 54: Administration
Pre-administration Activities
Routes of Administration
Chapter 55: Psychological Effects
Grief
Loss of Status
Desirability
Long-term Concerns

Section 8 Gamma Globulin

This section of the Florida I.V. Therapy curriculum has been written to provide current conceptual and operational knowledge to the licensed clinician interested in the provision of gamma globulin therapy. The understanding and use of gamma globulin has evolved since its entry into mainstream healthcare. 

Chapter 56: Introduction to Gamma Globulin
Definition
Indications
Products
Chapter 57: Administration
Intravenous
Subcutaneous
Chapter 58: Possible Adverse Events
Common Side Effects
Uncommon Side Effects
Anaphylaxis
Chapter 59: Patient Education
Nurse Administration
Patient Administration
Chapter 60: Assessment and Documentation
Chapter 61: Resources and Skills Checklist
Skill Competency Checklists:
Peripheral IV Insertion
Medication Administration
Large Volume Electronic Infusion Device Peripheral IV Catheter Insertion
IV Push
Accessing a Port
Administration of Infusate via an Ambulatory Infusion Pump 
Blood specimen collection from a CVAD
Deaccessing an Implanted Port 
IV Push
Large Volume Electronic Infusion Device 
Medication Administration
Midline or Central Line Dressing Change 
Needleless Connector Device Change