Course Goals and Objectives

  1. Recognize the role of the Registered Nurse and the Licensed Vocational Nurse in IV Therapy and Blood Withdrawal.
  2. List factors that affect flow rates of IV solutions.
  3. Describe proper use of specific IV therapy, arterial puncture and blood withdrawal equipment.
  4. Initiate IV therapy, blood withdrawal, arterial puncture utilizing nursing precautions or patient safety by:
    • Preparing the patient psychologically
    • Explaining the rationale for blood withdrawal, arterial punctures, and venipunctures
    • Differentiating between the types of skin puncture, venipunctures and arterial devices and their appropriate uses
    • Differentiating between skin puncture, arterial puncture, and venipunctures
    • Distinguishing between types of intravenous solutions and their appropriateness
    • Preparing equipment properly and aseptically
    • Selecting and correctly preparing the most appropriate vein for venipunctures, blood withdrawal or arterial puncture
    • Preparing the site in a manner which reduces the chance of infection
    • Performing venipunctures utilizing direct or indirect method
    • Performing blood withdrawal utilizing skin puncture (vacutainer, butterfly, syringe), arterial puncture or venipunctures
    • Dressing site according to policy
    • Securing and immobilizing device appropriately and safely
    • Regulating flow rate and fluid accurately
    • Documenting on medical record
  5. Recognize complications related to blood withdrawal, arterial punctures, and venipunctures
  6. Recognize local and systemic reactions related to intravenous therapy
  7. List the nursing measures taken to reduce local and systemic reactions
  8. List five reasons to discontinue and restart IV device
  9. List the cause and differentiate clinical symptoms of electrolyte imbalances
  10. Identify the role of IV therapy and pH balance
  11. List the causes of pH imbalances
  12. Differentiate actions, dosages, side effects, and nursing implications of specified intravenous solutions

  13. Correlate the IV fluid container label with the name of the solution as commonly ordered
  14. List the usual components of Total Parenteral Nutrition (TPN)
  15. Identify nursing precautions relating to TPN
  16. Recognize safety techniques utilized in blood transfusions
  17. Recognize types of transfusion reactions
  18. List nursing actions taken when a blood transfusion occurs
  19. Examine the differences between techniques used in adult and pediatric IV therapy
  20. Discuss situations related to IV therapy and legal implications
  21. Describe appropriate ways of minimizing legal risks in IV therapy and blood withdrawal practice
  22. Identify the safety precautions in regards to administering IV fluids, withdrawing blood and testing for adequate circulation pertaining to arterial puncture site

Course Outcomes

Upon completion of the course, the student will be able to:

  1. Discuss the structure and function of veins.
  2. Identify the names and the locations of the veins most suitable for phlebotomy and cannulation/venipuncture.
  3. Assemble equipment and supplies needed to collect blood and for cannulation/venipuncture and discuss the correct use of each.
  4. Demonstrate the steps in performing blood collection and cannulation/venipuncture procedure.
  5. Assess techniques and equipment used to minimize biohazard exposure in blood collection and cannulation/venipuncture.
  6. Evaluate procedural errors in blood collection and cannulation/venipuncture and discuss remedies for each.
  7. Differentiate complications associated with blood collection and cannulation/venipuncture and their effect on the quality of laboratory results.

Course Outline

Course Number


Clock Hours

Quarter Credit Hours

VN 500

Intravenous Therapy/Blood Withdrawal Certification for Licensed Vocational Nurses 36 -

This is a 36-hour course consisting of 27 hours of lecture and nine (9) hours of clinical experience. The course is designed to enable the Licensed Vocational Nurse to safely initiate and maintain intravenous therapy in the clinical setting. LVNs successfully completing the course will be certified by the California Board of Vocational Nursing and Psychiatric Technician Examiners to initiate and superimpose intravenous fluids and blood withdrawal.




Certification Information

In order to complete the clinical portion of the course, all participants are required to bring a volunteer to participate in the venipuncture skills check on the final day of the course.

There are two types of certificates that Gurnick Academy provides to its IV Therapy / Blood Withdrawal Program graduates: COURSE COMPLETION CERTIFICATE and CONTINUING EDUCATION CERTIFICATE. Please see below for more details regarding certificate applicability.


At the completion of the course, the LVN who satisfactorily completes the course will receive a certificate of completion. The certificate will include the course title, date of completion, licensee’s name, address, telephone number, and license number and provider code issued by the board. The licensee is advised to retain the certificate in a secure location. After completion of the course, a copy of the certificate will be submitted to the board and the licensee will be listed as certified in intravenous therapy and blood withdrawal.

Seniors in good academic standing may also complete the course; however they must abide by the following requirement as set forth by BVNPT (please see Certification for LVNs Provider Guidelines California Code of Regulations, Section G. Reminders point 9):

Should licensure be obtained after course completion, it is the responsibility of the student to contact the provider upon receipt of licensure and request submission of the required certificate to the Board.


RNs, Licensed Physicians:
These students complete the IV/BW course provided by Gurnick as Continuing Education course and should receive Continuing Education Certificates only which includes the Gurnick’s continuing education course approval number.