​​​ 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. Nurses are held responsible and accountable for their decisions regarding the receipt and implementation of patient care orders based upon the individuals​' educational preparation and clinical competence in nursing. The LPN’s practice should be consistent with the Kentucky Nursing Laws, established standards of practice, and be evidence based.

It is best practice for the provider (MD or APRN) to review a patient’s medical history prior to determining best course of treatment. Such assessments may be conducted by the provider or may be completed by an LPN using a standardized review document as noted within protocols or within standing orders that have been created by the facility/agency/office providing IV hydration services. Such a standardized review must be signed off by the prescribing provider. The LPN may apply standing orders and protocols that have been prescribed.

• ​​​Please Note: No more than two (2) sterile products may be added to a bag of IV fluids. Combining more than three (3) sterile products (*IV fluids are considered a sterile product) is outside the scope of practice of the nurse. For additional information regarding the preparation of sterile medications, see USP 797​.​​