​IV Hydration clinics, mobile or freestanding are not regulated in Kentucky.  IV fluid administration, regardless of whether medications may or may not be added, is considered a treatment, and may not be administered without a qualified healthcare provider's order.

While the RN may apply standing orders and protocols that have been prescribed, one of the most important elements in patient care is the medical relationship that exists between the provider and the patient.  The relationship is termed the “practitioner-patient relationship" and is defined in KRS 218A.010 (18) & (41).
The performance of a documented initial assessment/evaluation and development of a treatment plan is a prerequisite for the implementation of any treatment or therapy by a qualified health care provider [MD, APRN, PA, Dentist –see KRS 314.011(6)]. 

• No more than three (3) medications may be added to a bag of IV fluids.  Adding more than three (3) medications is considered compounding and is outside the scope of practice of the registered nurse.
  

Advisory Opinion Statements Pertinent to IV Hydration

• ​AOS #14 Roles of Nurses in the Implementation of Patient Care Orders
• AOS #16 Roles of Nurses in the Administration of Medication via Various Routes
• AOS #41 RN/LPN Scope of Practice Determination Guidelines

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