Appendix E: IV Therapy

IV THERAPY

IV therapy has been identified as a critical skill by the faculty. The IV therapy course must be passed with a 78% before starting intravenous lines in the clinical are in Adult Health I.

Successful completion of IV therapy course is necessary for continuation in both the Adult Health I nursing course and the ADN program. The student must pass this course in order to continue in the Associate Degree Nursing Program. The student who is unsuccessful in the IV therapy course must reapply to the nursing program.

I have read and understand the above statement. I have had an opportunity to ask questions relevant to the above statement as of the date indicated below.

Date: ___________________________________________________

Printed Name: ____________________________________________

Student Signature: _________________________________________