Link for Law/Rules from Maine State Board of Nursing: https://www.maine.gov/boardofnursing/laws-rules/Chapter_10_2-27-2020.pdf
Student Nurses Cannot Perform the Following Tasks:
- Insertion of an intravenous device;
- Insertion of a Dobhoff tube;
- Insertion of a central line device;
- Completion of a dressing change on a central line device;
- Administration of any blood products; ADN students may perform this task
- Co-signature of any procedures or medications;
- Transportation of patients from one unit to another without a licensed RN or LPN;
- Activities outside of the student nurses scope of practice (procedure the student nurse has not been educated on during their nursing education);
- Titration of any cardiac medications;
- Removal of any central line, peripherally inserted central catheter (PICC) or midline;
- ADN students may perform this task
- Venipuncture of midlines, peripheral inserted central catheters (PICC) and ultrasound-guided peripheral catheters;
- Blood draw off central lines;
- ADN students may perform this task
- Assessment of a patient concerning the appropriateness of specific order for intravenous therapy. May only monitor a stable patient;
- Administration of blood and blood components, or chemotherapeutic agents;
- ADN students may administer blood components only
- Injection of medications into the auxiliary fluid chamber such as volutrol, buretrol, y-site;
- Injection of medications via direct intravenous routes such as bolus and intravenous push
- PN students only, ADN may perform IV push on medications not on the Appendix Two list;
- Preparation of admixtures;
- Removal of an intravenous cannula from the following: femoral, subclavian, or jugular vein; any venous or arterial site in which a central line is inserted; or any arterial site or cutdown site;
- Dressing change and intravenous administration set on any arterial site;
- Draw blood specimens off intravenous line except for the initial insertion of a peripheral intravenous line;
- Initial intravenous therapy instructions to the patient.
- ADN students may perform this task
Student Nurses Can Perform the Following Tasks:
- Perform simple calculation, and adjust flow rates of a peripheral infusion by a mechanical infusion pump, gravity, or other rate controller device
- Observe, report and document subjective and objective signs of adverse reactions to intravenous administration
- Inspect insertion site, change the dressing and remove intravenous needle or catheter from peripheral veins only. Cannot remove any central line, peripherical inserted central catheter (PICC), or midline
- Hang or replace premixed fluid container or tubing.
- Administer intravenous fluids without added medication and/or administer commercially prepared intravenous solutions via peripheral or central lines
- Administer intravenous fluids containing medications that have been prepared and labeled by a pharmacist, registered nurse, physician, dentist, or manufacturer via peripheral or central lines
- Reconstitute and administer unit dose medication for intravenous therapy, e.g., ADDvantage, Mini-Bag Plus such as IV antibiotic bag that has powdered antibiotic vial to attach and mix.
- Flush peripheral or central intravenous catheter and intermittent device with premixed Heparin solution or saline. Cannot due bolus or intravenous push of any other medications.
- PN students may only flush peripheral lines
- Change patient-controlled analgesia (PCA) cassette, program the PCA pump according to a physician order that prescribes a specific dosage and assists the patient with self-bolus when necessary. Medication PCA changes need to be verified with a registered nurse.
- Administer morphine or other narcotic medications such as Dilaudid by a peripheral and central intravenous line using a continuous infusion pump such as a CADD PCA. Cannot do a bolus or intravenous push of medications.
- PN students cannot perform this task.
- Administer solution for total parenteral nutrition.
- Administer intradermal lidocaine for pain control when inserting an intravenous catheter per established protocols and with the necessary emergency equipment available.
- Draw blood specimens on the initial insertion of a peripheral intravenous line. Cannot do any blood draws off central line