Missouri Code of State Regulations › Title 20 - DEPARTMENT OF COMMERCE AND INSURANCE › Division 2200 - State Board of Nursing › Chapter 6 - Intravenous Infusion Treatment Administration › Section 20 CSR 2200-6.020 - Definitions

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule defines the terms used throughout
				  this chapter.
(1)
				Administer-to carry out comprehensive activities involved in intravenous
				infusion treatment modalities that include, but are not limited to, the
				following: observing; performing; monitoring; discontinuing; maintaining;
				regulating; adjusting; documenting; assessing; diagnosing; planning;
				intervening; and evaluating.
(2)
				Board-the Missouri State Board of Nursing.
(3) Central venous catheter-a catheter that
				is advanced through the internal jugular vein, cephalic or basilic vein in the
				antecubital fossa, or subclavian vein, with the catheter tip terminating in the
				superior vena cava. A central venous catheter may also be inserted into a
				femoral vein with the catheter tip then terminating in the inferior vena cava.
				Central venous catheters may be used to administer prescribed intravenous
				infusion treatment modalities or to perform prescribed intravenous infusion
				diagnostic procedures and include, but are not limited to, peripherally
				inserted central catheters (PICCs), external percutaneously placed central
				venous catheters, tunneled central venous catheters, and implanted central
				venous catheters with a portal reservoir.
(4) Cognitive and psychomotor instruction-
				the process of acquiring the knowledge and related physical activities
				associated with a specific skill or operation.
(5) Cognitive and psychomotor competency
				verification-the confirmation that an individual possesses the needed cognitive
				and psychomotor abilities to perform a specific procedure or skill.
(6) Delivery system-a product that allows for
				the intravenous administration of a drug or parenteral fluid. The delivery
				system may be integral or may have component parts, and includes all products
				used in the administration of intravenous infusion treatment modalities, from
				the solution container to the catheter.
(7) Initiate-the performance of activities
				involved in starting a prescribed intravenous infusion treatment
				modality.
(8) Injection/access
				port-a resealable cap or other component part designed to accommodate needles
				or needleless devices for the administration of solutions into the vascular
				system.
(9) Intermittent-an
				intravenous infusion treatment modality administered at prescribed intervals
				with periods of infusion cessation.
(10) Intravenous administration-prescribed
				intravenous infusion treatment modalities involving the venous system that may
				include, but are not limited to, the performance of such nursing interventions
				as the insertion of a peripheral needle or a peripheral catheter, the removal
				of venous blood, and/or the administration of an intravenous injection or
				parenteral fluid infusion.
(11)
				Intravenous catheter or cannula-a hollow tube made of silastic, plastic, or
				metal used for accessing the venous system.
(12) Intravenous drug administration-any
				prescribed therapeutic or diagnostic substance delivered into the bloodstream
				via a vein including, but not limited to, medications, nutrients, contrast
				media, blood, blood products, or other fluid solutions.
(13) Intravenous infusion treatment
				modality-refers to a variety of means/methods utilized in the introduction of a
				prescribed substance and/or solution into an individual's venous
				system.
(14) Intravenous piggyback
				administration-a secondary infusion into an established patent primary
				intravenous line for the intermittent delivery of medications.
(15) Intravenous bolus or push drug
				administration-the administration of medication rapidly into a vein, to enter
				the blood stream in a short period of time, and to provide a specific systemic
				effect.
(16) Licensed practical
				nurse (LPN)-a licensed practical nurse as defined in section
				335.016, RSMo, and
				licensed to practice in the state of Missouri and referred to as LPN throughout
				this chapter.
(17) Life threatening
				circumstances-refers to a physiologic crisis situation wherein prescribed drug
				administration via manual intravenous bolus or push drug administration is
				immediately essential to preserve respiration and/or heartbeat.
(18) Mid-line catheter-a catheter that is
				inserted into a vein in the antecubital fossa and then advanced three inches to
				twelve inches (3"-12") into the proximal upper arm.
(19) Needleless system-a substitute for a
				needle or other sharp access device, which may be available in blunt, recessed,
				or valve designs.
(20) Packaged
				drug systems-use-activated containers which are compartmentalized and have
				pre-measured ingredients that form a solution when mixed.
(21) Parenteral nutrition-the intravenous
				administration of total nutritional needs for a patient who is unable to take
				appropriate amounts of food enterally.
(22) Peripheral venous catheter-a catheter
				that begins and terminates in a vein in an extremity (i.e., arm, hand, leg, or
				foot) or in a vein in the scalp.
(23) Policy-a written statement of a
				recommended course of action intended to guide decision making.
(24) Premixed drugs for intravenous
				administration-those drugs compounded or prepared by a pharmacy department,
				parenteral fluid or drug manufacturer, or mixed by a licensed registered
				professional nurse who possesses documented evidence of the necessary cognitive
				and psychomotor instruction by a licensed pharmacist.
(25) Procedure-a written statement of steps
				required to complete an action.
(26) Qualified practical nurses-for the
				purpose of this chapter, this term includes:
(A) Graduate practical nurses practicing in
				Missouri within the time frame as defined in
				20 CSR
				2200-4.020(3);
(B) Practical nurses with temporary permits
				to practice in Missouri; and
(C)
				Practical nurses currently licensed to practice in Missouri, unless
				specifically stated otherwise within the text of the specific rule.