Intraosseous Access Devices

Course Hours: 4.5

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For a complete list of accreditations for this course, please see the accreditation information box below the author’s bio.  All states recognize our courses for accredited continuing nursing education, CNE, contact hours.

"Evidence Based Medicine" is the gold standard for infusion therapy as well as vascular access. This course will teach you about intraosseous (IO) devices on the market today. Evidence and scientific research has been collected for over a decade; and it is proving true that an IO device is a very effective infusion method. Healthcare providers will also learn about the different types of IO devices, insertion and removal steps, complications, contraindications, and much more.

In early 2021, the Infusion Nurses Society (INS), recognized as the global authority in infusion therapy, released the updated Infusion Therapy Standards of Practice. The INS sets the accepted standards for infusion therapy practice for all healthcare settings. This course is based on the current best practices as defined by the Infusion Nursing Society and other governing agencies such as the CDC, and FDA.


Upon completion of this course, the participant will be able to:

  1. Describe the purpose of the intraosseous device.
  2. Discuss the indications for use of an IO device.
  3. Describe the different types of bones used for an IO device.
  4. Discuss and describe bone structure.
  5. Identify the different blood supplies to the bone cortex.
  6. Discuss and Demonstrate the proper location for IO insertion.
  7. Identify the types of IO devices.
  8. List 4 primary site for using an IO device.
  9. Compare and contrast the rates of infections for IO devices, PIV’s, and CVC’s.
  10. Identify at least four complications of IO devices.
  11. Describe contraindications for IO placement.
  12. Determine which size Needle Set is most appropriate for EZ-IO device.
  13. Discuss and demonstrate the proper steps for insertion of the different IO devices.
  14. Discuss and demonstrate how to care for and remove the different IO devices.
  15. Discuss drugs and fluids NOT acceptable for IO use.
  16. Describe other considerations when using an IO device.


Chapter 1: Introduction to Intraosseous Devices

  • History
  • Purpose of an IO
  • Indications for Use

Chapter 2: Anatomy and Physiology of Bones

  • Types of Bones
  • Compact Bone
  • Cancellous Bone
  • Osteons
  • Blood Supply of Bone
  • Nutrient artery
  • Periosteal arteries
  • Epiphyseal arteries

Chapter 3: Types of Devices

  • Manual
  • Impact Driven
  • Drill Powered

Chapter 4: Intravenous Catheters‐Intraosseous Devices, and Central Venous Catheters

  • Rates of Infection
  • Complications
  • Position Statements

Chapter 5: Education and Training

  • Insertion of IO Devices
  • EZ‐IO Insertion (cont)
  • Removal of IO devices

Chapter 6: Other Considerations

  • Pain Management
  • Contraindications
  • Other Considerations

Chapter 7: References

  • California Bill 241
  • Implicit Bias in Healthcare
  • What is Implicit Bias?
  • Implications of Implicit Bias in Healthcare
  • How to Reduce Implicit Bias
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