PURPOSE: This rule specifies the processes by which practical nurses can be recognized as IV-Certified in the state of Missouri.

1. (1) A practical nurse who is currently licensed to practice in Missouri and who is not Intravenous (IV)-Certified in Missouri can obtain IV-Certification upon the successful completion of a board approved venous access and intravenous infusion treatment modalities course.

   1. (A) Upon receipt of confirmation of successful completion of an approved course, the board shall issue a verification of IV-Certification letter stamped with the board seal.
   2. (B) Upon receipt of the verification of IV- Certification letter from the board, the licensed practical nurse may engage in practical nursing care acts involving venous access and intravenous infusion treatment modalities as specified in the provisions of section 335.016, RSMo, 20 CSR 2200-5.010, and this chapter.
   3. (C) The practical nurse’s next issued license shall state LPN IV-Certified.

2. (2) A practical nurse who is currently licensed to practice in another state or territory of the United States, who is an applicant for licensure by endorsement in Missouri and has been issued a temporary permit to practice in Missouri and is not IV-Certified in another state or territory can obtain IV-Certification upon successful completion of a boardapproved venous access and intravenous infusion treatment modalities course.

   1. (A) Upon receipt of confirmation of successful completion of an approved course, the board shall issue a Verification of IV-Certification letter stamped with the board seal and stating the expiration date of the temporary permit.
   2. (B) Upon receipt of the Verification of IV- Certification letter from the board, the individual may engage in practical nursing care acts involving venous access and intravenous infusion treatment modalities as specified in the provisions of section 335.016, RSMo, 20 CSR 2200-5.010, and this chapter.
   3. (C) When all other licensure requirements are met, the license issued will state LPN IV- Certified.
   4. (D) If licensure requirements are not met by the expiration date stated on the Verification of IV-Certification letter and temporary permit, the individual shall cease performing all practical nursing care acts including those related to intravenous infusion treatment administration.

3. (3) A practical nurse who is currently licensed to practice in another state or territory of the United States, who is an applicant for licensure by endorsement in Missouri and has been issued a temporary permit to practice in Missouri, and is IV-Certified in another state or territory of the United States, or who has completed a venous access and intravenous infusion treatment modalities course in another state or territory of the United States, can obtain IV-Certification in Missouri by: 20 CSR 2200-6

   1. (A) Contacting a provider of a board approved venous access and intravenous infusion treatment modalities course; and

   2. (B) Requesting provider evaluation of venous access and intravenous infusion treatment modalities competency. The evaluating provider may:

      1. 1. Accept the applicant’s federal or

other state or territory’s course as equivalent to Missouri’s requirements;

1. 2. Accept part of the curriculum taken in

that state or territory and require the applicant to complete any deficiencies;

1. 3. Require the applicant to complete an

entire board approved venous access and intravenous infusion treatment modalities course; or

1. 4. Require the applicant to achieve a

minimum score of eighty percent (80%) on a written comprehensive examination of no less than fifty (50) multiple choice items and demonstrate the ability to initiate a peripheral vascular access and intravenous infusion treatment modality;

1. (C) Upon receipt of confirmation from an approved course provider that the practical nurse possesses the necessary venous access and intravenous infusion treatment modalities competencies, the board will issue a Verification of IV-Certification letter stamped with the board seal and stating the expiration date of the individual’s temporary permit;
2. (D) Upon receipt of the Verification of IV- Certification letter from the board, the individual may engage in practical nursing care acts involving venous access and intravenous infusion treatment modalities as specified in the provisions of section 335.016, RSMo, 20 CSR 2200-5.010, and this chapter;
3. (E) When all other licensure requirements are met, the license issued will state LPN IV- Certified;
4. (F) If licensure requirements are not met by the expiration date stated on the Verification of IV-Certification letter and temporary permit, the individual shall cease performing all practical nursing care acts including those related to intravenous infusion treatment administration.

1. (4) Individuals who graduated from a board approved practical nursing program after February 28, 1999 are exempt from taking a separate venous access and intravenous infusion treatment modalities course to become IV-Certified.

   1. (A) A graduate of such a practical nursing program may perform the functions and duties related to venous access and intravenous infusion treatment modalities as delineated in 20 CSR 2200-6.030 until s/he has received the results of the first licensure FINANCIAL INSTITUTIONS AND PROFESSIONAL REGISTRATION Division 2200—State Board of Nursing

examination taken by the nurse or until ninety (90) days after graduation, whichever first occurs.

1. (B) Upon official notification of passing the licensure examination, the graduate practical nurse will be issued a Missouri license stating LPN IV-Certified.

1. (5) Graduate practical nurses as specified in subsections 20 CSR 2200-6.040(2)(C) and
2. (D) of this chapter who are seeking licensure by examination in Missouri and for whom the board has received confirmation of successful completion of an approved venous access and intravenous infusion treatment modalities course shall meet all licensure requirements before a license stating LPN IV-Certified can be issued.
3. (6) If a qualified licensed practical nurse requests a license stating LPN IV-Certified prior to the next licensure renewal cycle, the procedure for obtaining a duplicate license as stated in 20 CSR 2200-4.020(14) shall be followed.

AUTHORITY: section 335.017, RSMo 2000, and section 335.036, RSMo Supp. 2012.* This rule originally filed as 4 CSR 200-6.060. Original rule filed Sept. 1, 2005, effective April 30, 2006. Moved to 20 CSR 2200-6.060, effective Aug. 28, 2006. Amended: Filed June 27, 2008, effective Dec. 30, 2008. Amended: Filed March 8, 2013, effective Aug. 30, 2013.

*Original authority: 335.017, RSMo 1983 and 335.036, RSMo 1975, amended 1981, 1985, 1993, 1995, 1999, 2007, 2008, 2011.