A licensed practical nurse who has completed a program of study that included supervised clinical practice acquired through a pre-licensure nursing education program or a continuing education program and who has demonstrated clinical competence may perform the following intravenous therapy tasks for clients who are twelve years of age or older, as ordered by a legally authorized medical prescriber, and as supervised in accordance with § 20:48:04:01.03:

1. (1) Insert peripheral venous access devices, using a needle or a catheter not to exceed three inches in length;
2. (2) Administer local anesthetics by the intradermal, subcutaneous, or topical routes for the purpose of pain control when inserting a peripheral catheter;
3. (3) Obtain blood samples through a peripheral or a central line;
4. (4) Assemble and maintain peripheral line and central line infusion equipment;
5. (5) Administer intravenous fluids, with or without added medication, that have been prepared and labeled by a pharmacist, registered nurse, physician, dentist, or manufacturer, via a peripheral or a central line, excluding the medications listed in § 20:48:04:07;
6. (6) Calculate and adjust infusion rates using standard formulas for peripheral and central lines;
7. (7) Reconstitute medications by activation of a manufacturer’s prepared bag and vial system;

8. (8) Administer peripheral intravenous push medications, if:

   1. (a) Direct supervision is provided by a registered nurse, advanced practice registered nurse, physician, or other board-approved licensed health care provider;
   2. (b) The medication is not listed in § 20:48:04:07; and
   3. (c) Administration occurs in a health care facility licensed pursuant to SDCL chapter 34-12;
9. (9) Flush peripheral or central catheter lines with heparin or saline solutions;
10. (10) Administer total parenteral nutrition and fat emulsion solutions via a central line;
11. (11) Assemble and maintain patient-controlled analgesia infusion equipment, program the pump pursuant to an authorized provider’s order that prescribes a specific dosage, and assist a client with self-bolus when needed;
12. (12) Monitor the administration of blood products and plasma volume expanders after a registered nurse or physician has administered the blood product and monitored the client for the initial fifteen minutes of the infusion;
13. (13) Discontinue intravenous therapy infusion, blood products, and plasma volume expanders;
14. (14) Perform routine peripheral and central line intravenous site dressing changes;
15. (15) Remove peripheral intravenous therapy catheters that do not exceed three inches in length; and
16. (16) Remove implanted venous access device needles.

Source: 26 SDR 174, effective July 4, 2000 ; 50 SDR 69, effective December 10, 2023 .

General Authority: SDCL 36-9-21 (3) .

Law Implemented: SDCL 36-9-4 (3)(4)(10), 36-9-4 .1(1).

Prior versions effective: 2000-07-04.