developed by Infusion Nurses Society. - Infusion nursing standards of practice

INFUSION NURSING
STANDARDS OF PRACTICE

REVISED 2011

Developed by
Infusion Nurses Society

315 Norwood Park South, Norwood, MA 02062
www.ins1.org

Copyright 2011 Infusion Nurses Society. Unauthorized reproduction of this article is prohibited.

Journal of Infusion Nursing (ISSN: #1533-1458) is published bimonthly for the Infusion Nurses Society by Lippincott Williams & Wilkins, Inc., at 16522 Hunters Green Parkway, Hagerstown, MD 21740-2116. Business and production offices are located at Two Commerce Square, 2001 Market Street, Philadelphia, PA 19103. Periodicals postage paid at Hagerstown, MD, and at additional mailing offices. Copyright 2011 by Infusion Nurses Society.

Address for Subscription Information, Orders, or Change of Address (except Japan, India, Bangladesh, Sri Lanka, Nepal and Pakistan): 16522 Hunters Green Parkway, Hagerstown, MD 21740-2116; phone 1-800-638-3030; fax 301-223-2400; in Maryland, call collect 301-223-2300. In Japan, contact LWW Igaku-Shoin Ltd., 3-23-14 Hongo, Bunkyo-ku, Tokyo 113-0033, Japan; phone: 81-3-5689-5400; fax: 81-3-5689-5402. In India, Bangladesh, Sri Lanka, Nepal and Pakistan, contact Globe Publication Pvt. Ltd. B-13, 3rd FL, A Block, Shopping Complex, Naraina Vihar, Ring Road, New Delhi 110028, India; phone: 91-11-25770411; fax: 91-11-25778876.

Annual Subscription Rates Worldwide: IndividualsUS: $119.99; Canada: $131.43; UK, Australia: $151.11; Rest of World: $235.22. InstitutionsUS: $341.00; Canada: $390.52; UK, Australia: $420.99; Rest of World: $465.22. (The Canadian GST tax of 7% will be added to the subscription price of all orders shipped to Canada. Lippincott Williams & Wilkins, Inc.s, GST Identification Number is 895524239. The Canadian Publications Mail [CPM] Agreement Number is 40052291.) Subscriptions outside the United States must be prepaid. Single copies are $25.00. A $5.49 shipping and handling fee has been added to all subscriptions. Subscriptions outside North America must add $8.73 for air freight delivery. Prices are subject to change without notice. Copies will be replaced without charge if the publisher receives a request within 90 days of the mailing date, both in the U.S. and worldwide. For commercial reprints and all quantities of 500 or more, e-mail reprintsolutions@wolterskluwer.com. For quantities of 500 or under, e-mail reprints@lww.com or call 1-866-903-6951. Visit us on the web at www.lww.com.

The Infusion Nursing Standards of Practice is intended to reflect current knowledge and practices of the clinical nursing specialty of infusion therapy. Because clinical practice continually evolves based on ongoing research, users should make an independent assessment of the appropriateness and applicability of a standard in any specific instance, and should also consider the applicable federal and state laws and regulations, as well as the standard of care in a particular jurisdiction, as these may take precedence. INS is not responsible for injury to persons or property, or other harm, arising from the use of the Standards.

The Journal of Infusion Nursing, the official publication of the Infusion Nurses Society (INS), seeks to promote excellence in infusion nursing by presenting new research, clinical reviews, case studies, and professional development information relevant to the practice of infusion therapy. Articles selected for publication represent the broad scope of the infusion specialty and draw on the expertise of all healthcare providers who participate in the delivery of infusion.

Editor

Mary Alexander, MA, RN, CRNI, CAE, FAAN

Editorial Office

INS
315 Norwood Park South
Norwood, MA 02062
(781) 440-9408
(781) 440-9409 (fax)

www.ins1.org

INS Board of Directors

President

Nancy Mortlock, BSN, RN, CRNI, OCN

President-Elect

Jeanette Adams, PhD, ACNS-BC, CRNI

Presidential Advisor

Lynn Phillips, MSN, RN, CRNI

Secretary/Treasurer

Marvin Siegel, RN, CRNI

Directors-at-Large

Angie Sims, RN, CRNI, OCN

Mary Zugcic, MS, RN, ACNS-BC, CRNI

Public Member

David Schmick, RPh

INS Chief Executive Officer

Mary Alexander, MA, RN, CRNI, CAE, FAAN

Infusion Nursing Standards of Practice Reviewers

Jeanette Adams, PhD, RN, ACNS-BC, CRNI

Teri Aguiar, BSN

Steve Bierman, MD

Corrine Bishop, RN, CRRN, CRNI

Paul Blackburn, MNA, RN

Beth Bonilla, BSN, MEd, RN

Cynthia Brown, RN, ARNP, GNP-BC, CCRN, CRNI

Heather Buxton, BSN, MSN, CNSRN, CRNI

Gwen Cole, RN, CRNI

Ann Corrigan, BSN, MS, RN, CRNI

Ann Earhart, MSN, ACNS-BC, CRNI

Charles Edmiston, PhD, CIC

Seth Eisenberg, BSN, RN, OCN

Nina Elledge, MBA, RN, CRNI

Beth Fabian, BA, RN, CRNI

Michelle Fox, RN

Gina Gilbert, RN

Kevin Glover, MS, MEd

Donna Gordon, MSN, RN, CRNI

Richelle Hamblin, MSN, RN, CRNI

Mark Hunter, RN, CRNI

Pamela Jacobs, BSN, MHA, RN, CRNI, OCN

William Jarvis, MD

Kenn Jones, BSN, RN, CRNI,

Debra Kovasevich, MPH, RN

Sandra Kronn, BSN, RN, CRNI

Elizabeth Krzywda, MSN, ANP

Melissa Leone, RN

Alicia Mares, BSN, RN, CRNI

Elizabeth Martinez, RN

Mary McGoldrick, MS, RN, CRNI

Karen McKeon, RN, CRNI

Katherine McKrill, RN

Paula McMahon, RN, CRNI

Nita Meaux, RN, CRNI

Geno Merli, MD

Britt Meyer, RN, CRNI

Jeannette Meyer, MSN, RN, CCRN, CCNS, PCCN

Crystal Miller, BSN, MA, RN, CRNI

Susan Miller-Hoover, DNP, RN, CCNS, CCRN

Libby Montoya, MSN, APN, CNS-BC

Nancy Mortlock, BSN, RN, CRNI, OCN

Robin Nelson, MEd, RN, CRNI

Barbara Nickel, APRN-CNS, CRNI, CCRN

Thomas Nifong, MD

Shirley Otto, RN, CRNI, AOCN

Roxanne Perucca, MSN, RN, CRNI

Lynn Phillips, MSN, RN, CRNI

Susan Poole, BSN, MS, RN, CRNI, CNSN, CIC

Debbie Potts, RN, CRNI, OCN

Kathy Puglise, MEd, RN, CRNI

Laura Rutledge, RN, CRNI

Pam Sabatino-Holmes, ARNP, RN, CRNI

Ofelia Santiago, BSN, RN, CRNI

Marvin Siegel, RN, CRNI

Angie Sims, RN, CRNI

Marc Stranz, PharmD

Virginia Strootman, MSN, RN, CRNI

Anne Swanson, RN

Joseph Thomas, BSN, RN

Alan Tice, MD

Cora Vizcarra, MBA, RN, CRNI

Jeffrey Wagner, BSN, RN

Timothy Weimken, MPH, CIC

Sharon Weinstein, MS, RN, CRNI, FACW, FAAN

Marcia Wise, RN

Mary Zugcic, MS, RN, APRN-BC, CRNI

*CRNI is a registered trademark of the Infusion Nurses Certification Corporation.

Contents

INS recognizes the significance that the Infusion Nursing Standards of Practice has to clinical practice. Not only have the Standards been reviewed, revised, and updated, but this edition ranks the strength of the body of evidence to support each standard.

First, I want to recognize the Standards of Practice Committee: Lisa Gorski, chair, Julie Eddins, Lynn Hadaway, Mary Hagle, Marcia Orr, Deb Richardson, and Penny Williams. Without their knowledge and expertise, plus countless hours of research and writing, this document would not have been completed. Their commitment to this project is unsurpassed.