IV initiation

Steven, an LPN, works on an acute medical unit caring for Mr. Janson who is recovering from pneumonia. Mr. Janson’s saline lock is due to be changed.

What's next?

Steven knows that initiating or discontinuing a peripheral IV is within LPN Scope of Practice. Steven has successfully completed additional education and has the competence to perform this skill by using a short peripheral device. He follows his organization's/employer's policy when performing this activity.

What's next?

• Steven follows BCCNM's LPN Standards for Acting with Client-specific Orders and his organization's/employer's policy for discontinuing and initiating IVs
• Steven informs Mr. Brar about what he is planning to do and answers any questions that he may have.
• Steven removes the IV and assesses the site for any complications and applies a new sterile dressing on the old site
• Steven initiates the new IV for Mr. Brar using a short peripheral device
• Steven documents his assessment of the old IV site and the care he provides in Mr. Brar's client's record and monitors both the old and new IV sites for any signs of an adverse reaction/complications

• Steven communicates and collaborates with the h​​ealth care team as needed

Which BCCNM limits ​​and conditions apply?​​

LPNs start IVs:

• After successfully completing additional education
• Using a short peripheral device​​​​

Relevant Resources

• Scope of Practice for Licensed Practical Nurses
• Entry Level Competencies for LPNs​