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In the opinion of the State Board for Nursing, the practice of intravenous therapy by LPNs in long term care settings requires RN supervision, which must be on-site at all times that IV therapy is being provided by the LPN (long term care facilities must follow acute care guidelines on sub-acute units).
Nurses should use the following steps to start an IV: 1  The first step in the process is to find a good vein to insert the IV. 2  The large vein located in the bend of the elbow is most often used, but nurses can also find good vein sites on the forearm, feet, scalp, hand, and wrist if necessary.