| Must have prior approval before registering for this course Contact us Expectations: The LPN will submit a registration form, along with evidence of completion of an IV program, or a Colorado LPN license indicating the IV authority, and signed agreement with payment. These items may be mailed, faxed, or completed online at our website at: http://www.cassuttconsulting.com/regformIVT.html After receipt of above items, Carolynn Cassutt Consulting will send the Central Line Self-study and written tests. These can be emailed, mailed, or faxed. Please indicate your preference on the registration form in the comments section. The LPN will review the course materials and complete the written tests. Once completed, the LPN will need to attend one of our LPN IV Certification Laboratory Practice days. These are offered every month generally on the 15th. For a complete listing of dates please visit our web site at: http://cassuttconsulting.com/FullLPNCert.html The written exam answers and request for laboratory practice date need to be received at least 1 week prior to the date of the laboratory practice day. Upon successful completion of written tests, minimum of 80%, demonstration of competency in all of the required skills at the laboratory practice day, Carolynn Cassutt Consulting will submit an application to the Colorado Board of Nursing for IV-2 authority. If LPN is unable to successfully complete the challenge quiz, for an additional fee ($50.00) we will send out the entire LPN Independent study course for review and the LPN can retake the written exam. In the event the LPN is unable to demonstrate competency of the required skills, then the LPN will need to arrange an RN preceptor at their place of employment, then demonstrate all of the required skills in a clinical setting under the supervision of the RN preceptor. Once completed, the preceptor form and completed skills check list will need to be submitted to Carolynn Cassutt Consulting, Inc. There is a $45.00 fee due to the Board of Nursing for the IV-2 authority. This fee is not included in this agreement and the LPN will need to provide a check or money order made out to the Colorado Board of Nursing for application submission at the Lab Practice day. The fee for IV authority challenge is $425.00 payable to Carolynn Cassutt Consulting, Inc. This fee is due with registration for the challenge agreement. Registration: $425.00 If you are in agreement, sign below and mail along with documentation to: Carolynn Cassutt Consulting, 7563 South Salida Court, Centennial, CO 80016. Signature ---------------------------------------------------------------------- Date -------- LPN License # ------------------------------------------------- |
LPN IV Authority Challenge Agreement
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