2 . has the knowledge, skills and judgement for IV INITIATION (/ Thave attended in-service with the educator or in a student lab 7’ Uhave read the Parenteral Therapy self-directed leaming package and passed the test, [Y have successfully initiated I.V. starts with supervision. W [have achieved this competency through my past experiences in clinical situations and have reviewed the PRHC Self-directed Learning Package “Intravenous Therapy” Signature of Nurse: A Abe. - hak nae LA Dates Mer 20/1") Staff: Please submit the completed form to your Unit Manager. Student: Please keep for your records