How to Become an Infusion Nurse

Key Takeaways
- Start your journey with an ADN or BSN degree and pass the NCLEX-RN exam to become a licensed nurse.
- Gain at least one year of clinical experience; IV/infusion certification (CRNI) is optional but valued.
- IV infusion nurses are in demand across the healthcare system, from cancer centers to medical spas.
IV infusion nurses are highly skilled professionals who specialize in administering medications and fluids through an intravenous (IV) line. They are a valued resource, practice in a variety of settings, and care for patients from infancy through the senior years.
Becoming an IV infusion nurse requires nursing education, licensure, experience, and certification. Read on to learn what steps you need to take to build a career in this specialty.
What Is an IV Infusion Nurse?
An IV infusion nurse is a registered nurse (RN) who specializes in administering IV fluids, including chemotherapy, antibiotics, blood products, and immunotherapy medications. They are also adept at drawing blood and placing central, midline, and peripheral intravenous access lines.
While most RNs can start a basic IV, IV infusion nurses handle complicated or challenging placements and administrations. For example, the added training needed to become an IV infusion nurse enables them to place an IV in an infant, older person, dehydrated person, or someone with a more specialized medical situation.
IV infusion nurses can work in hospitals, clinics, home healthcare, cancer centers, infusion centers, and medical spas. Depending on your work setting, hours may vary and could include evenings, weekends, and on-call shifts.
Steps to Becoming an IV Infusion Nurse
The first step to becoming an IV infusion nurse is to become an RN and obtain a nursing license to work in the state where you intend to practice. After earning a two or four-year nursing degree, you’ll need to pass the NCLEX-RN examination and gain relevant nursing experience. Most employers also require active certification in basic life support (BLS) and sometimes advanced cardiac life support (ACLS).
- 1
Earn an ADN or BSN Degree From an Accredited Program
You can complete either a two-year associate degree in nursing (ADN) or a four-year bachelor of science in nursing (BSN) from an accredited program. Most employers prefer BSN-prepared nurses. Students starting with an ADN can enroll in an RN-to-BSN program to advance their degree. People with a bachelor’s degree in another field can consider an accelerated BSN program (ABSN), which can take as few as 11-18 months.
- 2
Pass the NCLEX Exam to Receive RN Licensure
The NCLEX-RN is a nationwide test individuals must pass to receive a RN license. The test covers four categories and uses an adaptive computerized model, meaning the length of the test depends on your performance. The exam can take up to five hours and requires that you correctly answer at least 85 out of 150 questions.
- 3
Gain Experience in Infusion Therapy
Many nurses start at the bedside, building an excellent foundation in patient communication and medication administration. For new nurses who wish to become an IV infusion nurse, consider continuing education units in pharmacology, IV medication therapy, and central venous catheter management. After a year of nursing experience, you can apply to join the IV infusion team at your hospital or elsewhere to gain valuable experience.
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Consider Getting Certified
Although certification is not mandatory, you can validate your infusion nursing experience and expertise. The Infusion Nurse Certification Corporation (INCC) offers the certified registered nurse infusion (CRNI) certification to nurses with an active, unencumbered RN license and 1600 hours of infusion therapy experience in the last two years. Eligible candidates may take the 140-question exam to earn their certification.
IV Infusion Nurse Education
An ADN is the minimum degree required to become an IV infusion nurse, but most employers prefer BSN-prepared nurses. The shortest path to becoming an IV infusion nurse is to complete a two-year ADN program and then an 11-month RN-to-BSN program.
ADN Degree
An ADN degree is the minimum education required to be eligible for the NCLEX and earn your RN license, although most employers prefer a BSN. This degree is best for those who need to enter the workforce quickly or cannot afford a four-year degree. Some ADN programs allow college students changing their career path to transfer up to 32 credit hours. This may allow you to complete the program in as little as 15 months.
- Admission Requirements: Requirements vary by school, but most programs require a high school degree or GED certificate, health assessment, and background check. Some programs also require prerequisite courses, an entrance exam, or a drug screen.
- Program Curriculum: Curricula typically include pharmacology, anatomy, physiology, and nursing foundation courses. Clinical hours are also required.
- Time to Complete: ADN programs can be completed within 15 to 24 months, depending on how many transfer credits you have.
- Skills Learned: Students learn fundamental nursing skills, patient safety, infection control, pharmacology, and specialty population care.
BSN Degree
A BSN is a four-year degree that prepares students for a professional nursing career with a broad foundation in clinical skills, leadership, research, and evidence-based practice. Most employers prefer BSN-prepared nurses, making this degree a good option if you’re ready to commit the time. BSN nurses typically receive higher pay, have more job opportunities, and a shorter path to advanced nursing roles. This is also the minimum degree to be eligible for most graduate-level programs.
- Admission Requirements: Admission requirements differ based on the program. General requirements include a personal statement or essay, letters of recommendation, minimum 3.0 GPA, CV or resume, high school diploma, background check and prerequisite courses.
- Program Curriculum: Coursework includes math, anatomy, physiology, genetics, sociology, nursing skills, nursing leadership, statistics, and public health. All students must complete clinical hours in public health and within a hospital setting.
- Time to Complete: A full-time BSN program takes four years, with part-time and accelerated options available. Part-time study may take longer, whereas accelerated options could take as little as 11 months.
- Skills Learned: BSN programs include more classroom and clinical hours than ADN programs, focusing on skills like leadership, case management, critical thinking, decision-making, and health promotion.
IV Infusion Nurse Licensure and Certification
The minimum education to become an IV infusion nurse is an RN license with an ADN or BSN degree. Some nurses choose to pursue a master of science in nursing (MSN) degree as well, but this is optional.
RN licensing requirements vary by state, so it’s crucial to check with your state’s board of nursing to determine the requirements, documentation, application, and fee needed to renew your license. Generally speaking, you’ll need to meet minimum educational and clinical practice hours to maintain your RN license.
Certification is optional in this career, however, earning your specialty certification demonstrates your commitment to professional development and indicates advanced knowledge in infusion. Eligibility includes an active and unencumbered RN license and 1,600 hours of infusion experience in the past two years. CRNI recertification is necessary every three years. It requires 1,000 hours of work experience in the past three years and an active RN license.
Working as an IV Infusion Nurse
Demand for IV infusion nurses remains strong as the incidence of chronic conditions continues to rise. Although the Bureau of Labor Statistics (BLS) doesn’t report the job outlook for IV infusion nurses specifically, they project the growth for all RNs to be 6% from 2023-2033. The median annual salary for IV infusion nurses is $71,565, according to Payscale data from June 2025.
After acquiring at least one year of clinical nursing experience, look for IV infusion nurse positions within your hospital and check online job boards. If no positions are available, ask to shadow IV infusion nurses at your facility to gain experience. IV infusion nurses work in a variety of healthcare settings, including hospitals, clinics, homecare, and cancer centers. In in-patient settings, these nurses insert IV lines and complex treatments like chemotherapy, while in outpatient settings, they focus on patient education and managing existing IV lines.
Frequently Asked Questions About Becoming an IV Infusion Nurse
It takes about 3-5 years to become an IV infusion nurse, depending on whether you get an ADN or BSN first. This includes 2-4 years to complete your nursing degree and one year of clinical nursing experience.
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