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The Pennsylvania Code website reflects the Pennsylvania Code changes effective through 54 Pa.B. 1806 (March 30, 2024).

49 Pa. Code § 21.145a. Prohibited acts.

§ 21.145a. Prohibited acts.

 An LPN may not perform the following IV therapy functions:

   (1)  Initiate administration of blood, blood components and plasma volume expanders.

   (2)  Administer tissue plasminogen activators, immunoglobulins, antineoplastic agents or investigational drugs.

   (3)  Access a central venous route access device used for hemodynamic monitoring.

   (4)  Administer medications or fluids via arterial lines.

   (5)  Administer medications via push or bolus route.

   (6)  Administer fibrinolytic or thrombolytic agents to declot any IV access device.

   (7)  Administer medications requiring titration.

   (8)  Insert or remove any IV access device, except a peripheral short catheter.

   (9)  Access or program an implanted IV infusion pump.

   (10)  Administer IV medications for the purpose of procedural sedation or anesthesia.

   (11)  Administer fluids or medications via an epidural, intrathecal, intraosseous or umbilical route, or via a ventricular reservoir.

   (12)  Administer medications or fluids via an arteriovenous fistula or graft, except for dialysis.

   (13)  Perform repair of a central venous route access device or PICC.

   (14)  Perform therapeutic phlebotomy.

   (15)  Direct access of implantable devices.


   The provisions of this §  21.145a issued under section 17.6 of the Practical Nurse Law (63 P.S. §  667.6).


   The provisions of this §  21.145a adopted August 24, 2012, effective August 25, 2012, 42 Pa.B. 5484.

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