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Elements and Performance Criteria

  1. Minimise risk to the safe administration of intravenous medication
  2. Prepare intravenous medications for administration to client
  3. Administer intravenous medications within legal parameters
  4. Monitor client response to administered intravenous medication

Required Skills

This describes the essential skills and knowledge and their level required for this unit

Essential knowledge

The candidate must be able to demonstrate essential knowledge required to effectively do the task outlined in elements and performance criteria of this unit manage the task and manage contingencies in the context of the identified work role

This includes knowledge of

Approved intravenous medication abbreviations

Documentation associated with intravenous medication administration

Factors influencing intravenous medication actions

Legal requirements for practice parameters of EnrolledDivision nurse

Major intravenous medication groups

Methods of storage handling and usage of intravenous medications

Relevant medicalmedication terminology

Relevant pathophysiology

Relevant workplace health and safety policies to ensure safe practice eg management of sharps

Role of the health care team in the administration of intravenous medications

Systems of intravenous medication delivery

Scheduling of medications including

Schedule

Schedule

Schedule

Schedule

Substance incompatibilities may include

anaphylactic reactions

adverse reactions

contraindications

precautions

side effects

Understanding of the pharmacology of intravenous medications including

principles of pharmacokinetics and pharmacodynamics related to major drug groups

toxicology

Understanding the legal requirements of each route of intravenous administration

Understanding of role in medical emergency

Essential skills

It is critical that the candidate demonstrate the ability to effectively do the task outlined in elements and performance criteria of this unit manage the task and manage contingencies in the context of the identified work role

This includes the ability to

Apply formulae for intravenous drug calculation for

adult clients

intravenous therapy

older clients

paediatric clients

Apply Professional Standards of Practice

ANMC code of conduct

ANMC code of ethics

ANMC national EnrolledDivision nurse competency standards

stateterritory Nurse Regulatory Nurses Act

stateterritory Nursing and Midwifery Regulatory Authority standards of practice

stateterritory Drugs and Poisons Act

scope of nursing practice decision making framework

Department of Health Guidelines

O Therapy

nurse initiated medication

Calculate volumes for administration of intravenous medications

Check intravenous cannula site

Demonstrate preparation administration and recording of medications via intravenous routes

Demonstrate professional conduct skills and knowledge

Perform emergency management for a client experiencing an adverse intravenous medication reaction

Use interpersonal skills including working with others using sensitivity when dealing with people and relating to persons from differing cultural social and religious backgrounds

Use language literacy and numeracy competence required for intravenous drug calculation administration and documentation

Use oral communication skills language competence required to fulfil job roles as specified by the organisationservice including

interviewing techniques

asking questions

active listening

asking for clarification

Evidence Required

The evidence guide provides advice on assessment and must be read in conjunction with the Performance Criteria Required Skills and Knowledge the Range Statement and the Assessment Guidelines for this Training Package

Critical aspects for assessment and evidence required to demonstrate this competency unit


The individual being assessed must provide evidence of specified essential knowledge as well as skills

Observation of performance in a work context is essential for assessment of this unit

Consistency of performance should be demonstrated over the required range of workplace situations and should occur on more than one occasion and be assessed by a registered nurse

Assessment must include a written calculation test with mastery

Assessment must be undertaken in a simulated clinical laboratory prior to clinical placement

Context of and specific resources for assessment

This unit is most appropriately assessed in the clinical workplace

Simulations may be used to represent workplace conditions as closely as possible

Where for reasons of safety access to equipment and resources and space assessment takes place away from the workplace simulations should be used to represent workplace conditions as closely as possible

Method of assessment

Assessment of competency may occur on more than one occasion Assessment may include but not be limited to

Observation in the work place

Evidence gathered from clinical work environment

Written assignmentsprojects

Case study and scenario as a basis for discussion of issues and strategies to contribute to best practice

Questioning verbal and written

Role playsimulation

Access and equity considerations

All workers in the health industry should be aware of access and equity issues in relation to their own area of work

All workers should develop their ability to work in a culturally diverse environment

In recognition of particular health issues facing Aboriginal and Torres Strait Islander communities workers should be aware of cultural historical and current issues impacting on health of Aboriginal and Torres Strait Islander people

Assessors and trainers must take into account relevant access and equity issues in particular relating to factors impacting on health of Aboriginal andor Torres Strait Islander clients and communities


Range Statement

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.

Health environments may include:

Residential aged care facility

Community settings

Hospitals

Clinics

Short and long stay centres

Clients home

Potential risks may include but is not limited to:

Client Identification

Allergic reactions

Immunisation status

Intravenous medication incompatibilities

Contra-indications for intravenous drug administration

Intravenous therapy

Intravenous medication administration methodsinclude:

Bolus

Via burette

Mini infusion pump

IV piggyback/tandem

Syringe pump

Legal and regulatory framework include:

State/territory Nurses Act.

State/territory Drugs and Poisons Act

Health (Drugs and Poisons) Regulations

State/territory Nurse Regulatory Authority Practice Standards

Documentation legal requirements

Commonly used medications may include:

Analgesia

Antibiotics

Corticosteroids

Administration of oral medications and associated terminology may include:

Legible medication order

Preparation of medication by person administering

5 'Rights'

Special precautions including assessment of intravenous cannula site

Checking intravenousmedications and associated terminology include:

Legal requirements as per jurisdictional regulations

Understanding of Enrolled/Division 2 nurse role

Legible medication order

Absorption rates of intravenous medications

Preparation of medication by person administering

Checked by Registered Nurse

5 'Rights'

Special precautions

Problems with intravenous cannula site may include:

Extravasation

Signs of inflammation

Loss of patency

Terminology associated with intravenous medications may include:

Pharmacology

Medication

Administer

Therapeutic effect

Side effect/adverse reaction/allergic reaction

Contraindication

Anaphylaxis

Allergy

Calculation of medication dosages must include:

Calculation formulae

Calculation of dosages of injectable drugs (liquid, solid, unit dosages)

Flow rate drops per minute

Flow rate millilitres per hour

Paediatric dosage calculations (body weight, surface area, age related dose reduction)

Geriatric dosage calculations (body weight, surface area and age)