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The Range Statement relates to the unit of competency as a whole. It allows for different work environments and situations that may affect performance. Add any essential operating conditions that may be present with training and assessment depending on the work situation, needs of the candidate, accessibility of the item, and local industry and regional contexts. |
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Health environments may include: | Residential aged care facilityCommunity settingsHospitalsClinicsShort and long stay centresClients home |
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Potential risks may include but is not limited to: | Client identificationAllergic reactionsImmunisation statusMedication incompatibilitiesContraindications for drug administrationCare of sharpsIntravenous therapy |
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Medication administration routesinclude: | OralIntranasal (including nebulised medications)Topical (including transdermal)OcularAuralRectalVaginal administrationSubcutaneous/Intramuscular routesEnteral administration [Percutaneous Gastrostomy (PEG) as well as nasogastric tubes] |
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Terminology associated with medications may include: | MedicationAdministerSide effect/adverse reaction/allergic reactionAnaphylaxisAllergySuspension/mixture/syrup/linctus/lozengeOintment/cream/lotionTincture/emulsionTablet/pillTransdermal patchNebuliser/aerosol/volumetric spacer |
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Legal and regulatory framework include: | State/territory Nurses ActState/Territory Drugs and Poisons ActHealth (Drugs and Poisons) Regulations State/Territory Nurse Regulatory Authority codes and guidelinesLegal requirements of documentation |
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Client history may include: | Pre-existing conditionsAdmission diagnosisAllergiesCurrent historyCurrent medicationBehavioural characteristicsNutritional statusHydration statusPsychological needsPsychosocial needsCompliance history |
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Reports can be verbal or written, and may include: | Individual client recordsPain management plansFluid status managementNutritional status managementObservational documentationMedication chartsAdmission and discharge planningReferral documentation (allied health team)Diagnostic reports/resultsClinical progress notesHand-over at end of shiftResuscitation documentationMedication incident reports |
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Policies and procedures relating to infection control can include: | Effective hand washing and hand drying techniquesHandling of medication |
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Relevant client information and education may include: | Medication side effectsLength of treatmentDrug interactionsConsequences of non-complianceAnatomical positioning for safe drug administrationClient controlled analgesia |
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Factors influencing medication actions may include: | Rate of absorptionDistributionMetabolismDrug interactionsBinding to plasma proteinsExcretionDosage formRoute of administrationImproper storageTiming of administrationClient age, height, weightPrevious history |
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Major medication groups include: | AnaestheticsAntacidsAntianginalsAntiarrhythmicsAntibioticsAnticholinergicsAnticoagulantsAnticonvulsantsAntidepressantsAntidiarrhoealsAntiemeticsAntifungalsAntihistaminesAntihypertentivesAnti-inflammatoryAntineoplasticsAntiparkinsonion AntipruriticAntipsychoticsantisepticsAntiulcerAntiviralsAnxiolyticsBeta-blockersBronchodilatorsContraceptivesCorticosteroidsDiureticsElectrolyte solutionsHormonesHypnotics/sedativesLaxatives/aperientsNarcotic analgesiaNeurolepticsOphthalmic, otic and nasal medicationsHypoglycaemicsAnalgesiaVitamins |
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Methods of storage, handling and usage of medications may include: | Dry/moistRefrigerationAway from light/heatSeparate storage of external use medication from internal use medicationLocked cupboard/trolleyNarcotics - locked, attached to wallRegister for drugs of addictionRoutine checking of narcotic drugs in storagePharmacist responsibility for containers and labelsExpiry dates |
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Administration of oral medications and associated terminology may include: | Legible medication orderPreparation of medication by person administering6 "Rights" of administrationSpecial precautionsMedication checking processDocumentation of drug administration |
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Administration of subcutaneous or intramuscular injection may include: | Needle/syringe sizeAngle for insertionCleansing and insertionVastus lateralis muscleGluteus maximus muscleVentro-gluteal muscleDeltoid muscleZ- track |
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Common fluid and electrolyte imbalances may include: | Water deficit/excess syndromesFluid volume imbalanceElectrolyte deficit/excess |
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Calculation of medication dosages must include: | Calculation formulaeUse of 1 mL versus 2 mL syringeCalculation of oral drug dosagesCalculations of dosages of liquid medicationsCalculations of dosages of solid medicationsCalculation of dosages of injectable drugs (liquid, solid, unit dosages)Flow rate drops per minuteFlow rate millilitres per hourPaediatric dosage calculations (body weight, surface area, age related dose reduction)Frail elderly dosage calculations (body weight, surface area and age) |
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Drugs commonly used for fluid and/or electrolyte imbalance may include: | DiureticsElectrolytesReplacement solutionsAcidifiers/alkalisers |
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Common terminology associated with fluid and electrolytes may include: | IonsIntracellular/extracellularOsmosis/diffusionActive transportFluid shiftSodium/potassium chlorideFluid balance (positive/negative)Fluid balance chartOver hydration (overload)/under hydration (dehydration)OedemaHypertonic/isotonic/hypotonicIntravenous therapyCalcium/phosphate |
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Policies and procedures relating to work health and safety (WHS) include: | Handling of medicationAppropriate use and disposal of Personal Protective Equipment (PPE) |