Kentucky Administrative Regulations › Title 201 - GENERAL GOVERNMENT CABINET › Chapter 20 - Board of Nursing › Section 201 KAR 20:490 - Licensed practical nurse infusion therapy scope of practice

Current through Register Vol. 51, No. 1, July 1, 2024
RELATES TO:
				KRS
				314.011(10)(a), (c)
NECESSITY, FUNCTION, AND CONFORMITY:
				KRS
				314.131(1) authorizes the
				Board of Nursing to promulgate administrative regulations as may be necessary
				to enable it to carry into effect the provisions of KRS Chapter 314.
				KRS
				314.011(10)(c) authorizes
				the board to promulgate an administrative regulation to establish the scope of
				practice for administering medicine or treatment by a licensed practical nurse.
				KRS
				314.011(10)(a) requires that
				licensed practical nurses practice under the direction of a registered nurse,
				advanced practice registered nurse, physician assistant, licensed physician, or
				dentist. This administrative regulation establishes the scope of that practice
				as it relates to infusion therapy.
Section
			 1. Definitions.
(1)
			 "Administration" means to initiate and maintain infusion therapy.
(2) "Antineoplastic agent" means a medication
			 that prevents the development, growth, or proliferation of malignant
			 cells.
(3) "Central venous access
			 device" means a catheter inserted into a peripheral or centrally located vein
			 with the tip residing in the superior or inferior vena cava. This includes
			 peripherally inserted central catheters.
(4) "Direction" means a communication of a
			 plan of care that is based upon assessment of a patient by an advanced practice
			 registered nurse, a registered nurse, physician assistant, licensed physician,
			 or dentist that establishes the parameters for the provision of care or for the
			 performance of a procedure.
(5)
			 "Peripheral venous access device" means a peripherally-inserted intravenous
			 catheter or needle that is less than or equal to three (3) inches in
			 length.
(6) "Pharmacology" means
			 information on the classification of intravenous drugs, indications for use,
			 pharmacological properties, monitoring parameters, contraindications, dosing,
			 clinical mathematics, anticipated side effects, potential complications,
			 antidotal therapy, compatibilities, stabilities, specific considerations for
			 select intravenous drugs, and administration of intravenous medications to
			 pediatric, adult, and geriatric populations.
(7) "Procedural sedation" means the
			 administration of intravenous medications to produce a decreased level of
			 consciousness.
(8) "Supervision"
			 means the provision of guidance by a registered nurse, advanced practice
			 registered nurse, physician assistant, licensed physician, or dentist for the
			 accomplishment of a nursing task with periodic observation and evaluation of
			 the performance of the task including validation that the nursing task has been
			 performed in a safe manner.
(9)
			 "Supervisor" means the registered nurse, advanced practice registered nurse,
			 physician assistant, licensed physician, or dentist who provides supervision of
			 the licensed practical nurse's practice as defined in this section.
(10) "Therapeutic phlebotomy" means removal
			 of a specific volume of blood from a patient as ordered for the treatment of a
			 specific condition or disease.
(11)
			 "Unstable" means inconsistent, unpredictable, or consistently
			 fluctuating.