Seward County Community College
Course Syllabus

1. TITLE OF COURSE: NR1113 - IV Therapy for the LPN - Fall 2008
2. COURSE DESCRIPTION: Three credit hours. A classroom and clinical course designed to prepare the licensed practical nurse to perform limited and expanded administration of IV therapy under the supervision of a registered professional nurse. Prerequisite: To be eligible to enroll in the IV fluid therapy course, the individual shall be a nurse with a current Kansas license.
3. DIVISION/DEPT/PROGRAM MISSION STATEMENT: The Nursing Program at Seward County Community College prepares competent practical and associate degree nurses to assist in meeting the health care needs of clients by delivering quality wholistic care.
4. TEXTBOOK AND MATERIALS:
   • Gahart, B. (2008). Intravenous medications. (24th ed.). St. Louis: Mosby.
   • Josephson, D. (2004). Intravenous infusion therapy for nurses. Albany, NY: Delmar Publishers.
5. SCCC OUTCOMES: Students who successfully complete this course will demonstrate the ability to do the following SCCC Outcomes.
   • Outcome #1 Read with comprehension, be critical of what they read, and apply knowledge gained to real life situations.
   • Outcome #4 Demonstrate mathematical skills using a variety of techniques and technologies.
   • Outcome #5 Demonstrate the ability to think critically by gathering facts, generating insights, analyzing data, and evaluating information.
   • Outcome #6 Exhibit skills in information and technological literacy.
6. GENERAL COURSE OUTCOMES: Upon successful completion of this course, participants should be able to:
   • Relate the Kansas Nurse Practice Act to the role of the licensed practical nurse in performing limited and expanded fluid treatment.
   • Function according to the policies and procedures of the employing institution and within the rules and regulations set forth by the Kansas State Board of Nursing, recognizing his/her responsibility to the patient, institution and the nursing profession in the provision of intravenous therapy.
   • State the relationship between intravenous fluid administration and the body's homeostatic and regulatory functions.
   • Correlate fluid and electrolyte imbalances with the associated clinical manifestations.
   • Demonstrate knowledge of drug and solution compatibility and incompatibility.
   • Identify indications for performing intravenous therapy.
   • Relate drug actions, interactions, adverse reactions, methods of administration, admixing, and assessment to the nursing management of the patient receiving intravenous fluid treatment.
   • Select appropriate equipment as indicated by the particular intravenous therapy ordered by the physician and delegated by the registered professional nurse.
   • Describe the anatomical structures and functions of veins utilized as venipuncture sites.
   • Differentiate various venipuncture sites and use selectivity in the choice of sites, based on ordered intravenous therapy.
   • Aseptically prepare a site for venipuncture.
   • Demonstrate aseptic technique in the administration of intravenous medication peripherally with devices not to exceed three (3) inches in length.
   • Demonstrate the venipuncture procedure, via return demonstration, including the psychological preparation of the patient, site selection, collection and preparation of equipment, skin preparation, venipuncture, anchor of devices, and concise, legible documentation of entire procedure.
   • Demonstrate maintenance techniques for intravenous therapy and perform concise, legible documentation of same.
   • Recognize the signs and symptoms of local and systemic complications of intravenous fluid and drug therapy.
   • Perform concise, legible documentation of signs and symptoms of local and systemic complications of intravenous fluid and drug therapy, stating appropriate actions.
   • Accurately calculate the rate of flow of intravenous fluid infusion and drug dosages.
   • Perform all procedures involved in the maintenance of an intravenous fluid treatment administration system with special emphasis on monitoring rate of infusion, care of site, changing of containers, adding parenteral solutions to existing patent central and peripheral intravenous access devices or administration sets, changing of tubing, changing dressings on peripheral and central venous access devices, discontinuing infusions, administering continuous intravenous drip analgesics and antibiotics, and document treatment in a concise and legible manner.
   • Add designated premixed medication to existing patent central and peripheral intravenous access devices or administration sets via continuous or intermittent methods.
   • State the rationale for special intravenous fluid treatment, such as heparin/saline lock.
   • Demonstrate the procedure for insertion and maintenance of heparin/saline locks.
   • Perform concise, legible documentation of insertion and maintenance of patency of heparin/saline locks.
   • Administer by direct intravenous push analgesics, antibiotics, antiemetics, diuretics and corticosteroids in any facility having continuous on-site registered professional nurse supervision.
   • Perform accurate, concise, legible documentation of drugs administered IVP.
   • Identify preventive measures utilized for IV therapy complications.
   • Discuss treatment measures (nursing interventions) for IV therapy complications.
   • Discuss trouble-shooting measures for malfunction of IV therapy equipment.
7. COURSE COMPETENCIES: See Kansas Occupational Profile - IV Therapist - LPN handout
8. TOPICAL COURSE OUTLINE:
   • Introduction
   • Documentation
   • Anatomy and Physiology as Applied to Intravenous Therapy
   • Fundamental Aspects of Fluid and Electrolyte Balance
   • Recognition and Prevention of IV Therapy Related Complications
   • Administration of Intravenous Fluid Therapy
   • Intravenous Fluid Therapy Maintenance
   • Pharmacological Considerations
     
9. INSTRUCTIONAL METHODS:
   • Lecture - discussion
   • Demonstration - return demonstration
   • Clinical experiences
10. INSTRUCTIONAL AND RESOURCE MATERIALS:
    • Handouts
    • Supplies and equipment used in clinical settings
    • Selected reference readings
11. METHODS OF ASSESSMENT:
    • Classroom
      • Evaluation of theory content will be as follows:
        • 25% Assignments
        • 10% Skills Lab
        • 15% Clinicals
        • 25% Unit Exams
        • 20% Final Exam (must achieve a passing grade of 80%)
        • 05% Attendance
    • Clinical
      • Satisfactory completion of 80% of all clinical outcomes experienced as listed on the Kansas Occupational Profile - IV Therapist - LPN.
      • The student shall achieve a one-hundred (100%) percent accuracy on the final clinical competency examination to be administered by the clinical instructor at a cooperating health care agency.
    • Grading Scale
      • A = 90 -100%
      • B = 83 - 89%
      • C = 78 - 82%
      • D = 70 - 77%
      • F = 69% or below
      • Passing grade = C (78%) or above
    • Methods of assessing the general course outcomes and the specific course competencies include tests, class attendance, and clinical experiences.
      • SCCC Outcome #1 will be assessed and measured by class participation and course examinations.
      • SCCC Outcome #4 will be assessed and measured by class participation, worksheets, course examinations, and clinical experiences.
      • SCCC Outcome #5 will be assessed and measured by class participation and course examinations.
      • SCCC Outcome #6 will be assessed and measured by students ability to utilize IV equipment and supplies.
12. ADA STATEMENT: If you believe that you are entitled to special accommodations under the Americans with Disabilities Act, please contact the Dean of Student Services at 620-417-1016 or visit the office located in the Hobble Academic Building.
    
    03/2006; 8/07; 8/08