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Elements and Performance Criteria
Performance Evidence
Knowledge Evidence
The candidate must be able to demonstrate essential knowledge required to effectively complete tasks outlined in elements and performance criteria of this unit, manage tasks and manage contingencies in the context of the work role. This includes knowledge of:
legal and ethical considerations (national, state/territory) for the handling and administration of medications, and how these are applied in organisations:approved drug and fluid abbreviationsAustralian and New Zealand scheduling for drugs and poisonsAustralian and New Zealand Society of Blood Transfusion guidelines (ANZSBT)codes of practicerecords management requirementsstoragework role boundaries – responsibilities and limitationsrights and responsibilities of workers, employers and clientswork health and safety (WHS)pharmacology for drugs commonly used in anaesthesia, including:sources of drugs (natural/endorphins/synthetic)drug nomenclature (chemical/generic/brand names)drug classificationscommon abbreviationspharmacodynamics - drug receptor interactions/dose-response relationships/therapeutic indexpharmacokinetics (ADME) absorption/distribution/metabolism/excretionpharmacotherapeuticsadverse drug reactions and interactionstoxicity/toxicology drug administration routes:enteral medication – endotracheal, sublingual, buccal, rectal, vaginal, urethralparenteral medication - intravenous, intramuscular, intraosseous, intracardiac, intraarticular, intrauterine, intrathecal, subcutaneous, intra-arterial, inhalationaltopical medication - subcutaneous, transnasal, transdermal, ocular, inhalational, auralformulations, includingwaferstabletslozengescapsuleselixirsuspensionsolutionscreams major drug groups used in anaesthesia - presentation, formulation, indication, mode of action, system of delivery and administration routes, precautions, side effects, contraindications and adverse reactions, storage requirements, factors influencing drug actions, dosage variations for different types of clients for all of the following:inhalational induction agentsintravenous induction agentsanalgesicsnon steroidal anti-inflammatory drugs (NSAID)anti-emeticsmuscle relaxantsrespiratory medicationsanticoagulantslocal anaestheticsantibioticscardiovascular medication, including diureticselectrolytesdrugs used in the management of the following conditions (which may complicate or co-exist with anaesthesia):adrenal dysfunctionanaphylaxisanginabronchospasmcardiac arrestcardiac arrhythmiascongestive heart failurecoagulopathiesdeep vein thrombosisendocrine dysfunctionhypoglycaemiahypotensionhyperglycaemiahypertensionpulmonary oedema/embolismraised intracranial/intra-ocular pressurerespiratory depression/compromisestrokeseizureuterine atony methods of drug preparation, including:dilutionsreconstitutionsfactors to consider when calculating medication dosages including:calculation formulaecalculation of dosages of injectable drugs (liquid, solid, unit dosages)flow rate drops per minuteflow rate millilitres per hourduration of infusionpaediatric dosage calculations (body weight, surface area, age related dose reduction)geriatric dosage calculations (body weight, surface area and age)methods of storage and handling of medicationequipment for administration of medications, including:volumetric pumpssyringe driversconsumablesinfusion products and equipment:rapid infuserswarming devicesburettesinfusion sets and attachmentsblood and blood productscrystalloidscolloidsmassive transfusion protocolemergency medical management of anaphylaxis and adverse drug/fluid reactions