Rule 4723-4-02. Intravenous therapy procedures for licensed practical nurses

119.03 (A) Except as provided in paragraph (B) of this rule, a licensed practical nurse shall not perform any of the following intravenous therapy procedures: (1) Initiate or maintain any of the following: (a) Blood or blood components; (b) Solutions for total parenteral nutrition; (c) Cancer therapeutic medications including, but not limited to, cancer chemotherapy or an anti-neoplastic agents; (d) Investigational or experimental medications; (e) Solutions administered through any central venous line or arterial line or any other line that does not terminate in a peripheral vein, except as provided in paragraph (B)(1) of this rule; (f) An intravenous piggyback infusion, except as provided in paragraph (B)(3) of this rule. (2) Discontinue a central venous, arterial, or any other line that does not terminate in a peripheral vein; (3) Initiate or discontinue a peripherally inserted central catheter, or any catheter that is longer than three inches; (4) Program or set any function of a patient controlled analgesic; (5) Mix, prepare or reconstitute any medication for intravenous therapy, except as provided in paragraph (B)(4) of this rule; (6) Administer medications by an intravenous route, except as provided in paragraph (B)(3) of this rule; (7) Inject medications by a direct intravenous route, except as provided in paragraph (B)(5) of this rule; (8) Change tubing on an arterial line, a central venous line, or on any line that does not terminate in a peripheral vein; (9) Change an intermittent infusion device, unless the tip of the connected intravenous catheter terminates in a peripheral vein. (B) A licensed practical nurse may perform the following procedures only for individuals aged eighteen or older and only when directed to do so by a licensed physician, physician assistant, dentist, optometrist, podiatrist, or registered nurse in accordance with section 4723.18 of the Revised Code: (1) Administer the following solutions, or combinations of the solutions, through a venous line: (a) Five per cent dextrose and water; (b) Five per cent dextrose and lactated ringers; (c) Five per cent dextrose and normal saline; (d) Normal saline; (e) Lactated ringers; (f) 0.45 per cent sodium chloride and water; (g) 0.2 per cent sodium chloride and water; or (h) 0.3 per cent sodium chloride and water. (2) Administer any of the solutions set forth in paragraph (B)(1) of this rule that contain vitamins or electrolytes after a registered nurse initiates the first infusion of the solution containing vitamins or electrolytes. (3) Initiate or maintain an intermittent or secondary intravenous infusion containing an antibiotic; (4) Prepare or reconstitute an antibiotic additive to be administered through an intravenous infusion; (5) Inject heparin or normal saline to flush an intermittent infusion device or heparin lock, including, but not limited to, bolus or push; (6) Change tubing on an intermittent infusion device and on an intravenous line if the line terminates in a peripheral vein; (7) Place a venous access catheter, no longer than three inches in length, in the hand, forearm or antecubital space, followed by the placement of a saline or heparin lock, either for purposes of intermittent infusions, or to initiate infusions of any of the solutions set forth in paragraph (B)(1) of this rule; or (8) Stop an infusion of blood or blood component, or turn off the function of a patient-controlled analgesic device when a complication arises. (C) A licensed practical nurse may perform the procedures set forth in paragraph (B) of this rule only if one of the following requirements are met: (1) The licensed practical nurse is directed to perform intravenous therapy by a licensed physician, physician assistant, dentist, optometrist, or podiatrist who is present and readily available at the facility where the intravenous therapy procedure is performed; (2) The licensed practical nurse is directed to perform intravenous therapy by a registered nurse who has personally performed an on-site assessment of the individual to receive intravenous therapy, and that registered nurse or another registered nurse is readily available at the site where the intravenous therapy procedure is performed; or (3) If the intravenous therapy procedures are performed in a home as defined in section 3721.01 of the Revised Code, or in an intermediate care facility for individuals with intellectual disabilities as defined in section 5124.01 of the Revised Code, a registered nurse who directs the authorized licensed practical nurse to perform intravenous therapy is either: (a) On the premises of the home or facility; or (b) Accessible by some form of telecommunication. Last updated February 1, 2024 at 9:29 AM Supplemental Information Authorized By: 4723.07 Amplifies: 4723.18 , 4723.181 2/1/2029 2/1/2014, 2/1/2020