Unit of Competency Mapping – Information for Teachers/Assessors – Information for Learners

HLTEN519C Mapping and Delivery Guide
Administer and monitor intravenous medication in the nursing environment

Version 1.0
Issue Date: May 2024


Qualification -
Unit of Competency HLTEN519C - Administer and monitor intravenous medication in the nursing environment
Description This unit of competency describes the skills and knowledge required of Enrolled/Division 2 nurses to administer and monitor intravenous medications and their effectiveness for clients within the nursing context.
Employability Skills This unit contains Employability Skills
Learning Outcomes and Application The knowledge and skills described in this competency unit are to be applied within jurisdictional nursing and midwifery regulatory authority legislative requirementsEnrolled/Division 2 nursing work is to be carried out in consultation/collaboration with registered nurses and under direct or indirect supervisory arrangements in line with jurisdictional regulatory requirements
Duration and Setting X weeks, nominally xx hours, delivered in a classroom/online/blended learning setting.
Prerequisites/co-requisites Pre-requisite unitsThis unit must be assessed after successful achievement of pre-requisites:HLTWHS300A Contribute to WHS processes HLTIN301C Comply with infection control policies and procedures HLTAP501C Analyse health information HLTEN505C Contribute to the complex nursing care of clientsHLTEN507C Administer and monitor medication in the work environment
Competency Field
Development and validation strategy and guide for assessors and learners Student Learning Resources Handouts
Activities 		Slides
PPT 		Assessment 1 Assessment 2 Assessment 3 Assessment 4
Elements of Competency Performance Criteria              
Element: Minimise risk to the safe administration of intravenous medication
  • Check for pharmacology and substance incompatibilities
  • Review issues related to drug administration with registered nurse
  • Identify common contraindications and adverse reactions of prescribed intravenous medications
  • Confirm client identity and check for any known allergies
  • Maintain knowledge of drug schedules and classifications as determined by legislation
  • Work with a knowledge of various forms of intravenous medication administration
  • Assess the intravenous cannula site for any problems
       
Element: Prepare intravenous medications for administration to client
  • Work with a knowledge of all intravenous administration routes and associated terminology
  • Identify the purpose and function of prescribed intravenous medications for administration
  • Identify common contraindications and adverse reactions of prescribed intravenous medications
  • Accurately calculate dosages for administration of intravenous drugs
  • Work with a knowledge of how intravenous medications are prepared in line with legislative requirements and environmental guidelines
  • Use correct intravenous medication administration techniques and precautions specific to each client as per medication orders
       
Element: Administer intravenous medications within legal parameters
  • Work with a knowledge of legal parameters for the administration of intravenous medications
  • Administer intravenous medications within role responsibility accordance with the legislative requirements and organisation policy
  • Store intravenous medications in a safe manner according to legislative requirements and health care organisation policy
  • Work with a knowledge of organisation processes for quality management and risk assessment of administration of intravenous medication
       
Element: Monitor client response to administered intravenous medication
  • Record administration of intravenous mediations in accordance with organisation policy
  • Contribute to information provided to clients and carers on intravenous medication administration (including possible side effects)
  • Recognise acute and delayed adverse reactions to intravenous medications and respond within role responsibility
  • Implement emergency actions for identified acute and delayed adverse reactions within role responsibility
  • Record and report response to emergency strategies
  • Implement organisation procedures in the event of an intravenous medication incident
       


Evidence Required

List the assessment methods to be used and the context and resources required for assessment. Copy and paste the relevant sections from the evidence guide below and then re-write these in plain English.

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 100% 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 assignments/projects

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

Questioning - verbal and written

Role play/simulation

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 and/or Torres Strait Islander clients and communities

Submission Requirements

List each assessment task's title, type (eg project, observation/demonstration, essay, assignment, checklist) and due date here

Assessment task 1: [title]      Due date:

(add new lines for each of the assessment tasks)

Assessment Tasks

Copy and paste from the following data to produce each assessment task. Write these in plain English and spell out how, when and where the task is to be carried out, under what conditions, and what resources are needed. Include guidelines about how well the candidate has to perform a task for it to be judged satisfactory.

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 Enrolled/Division 2 nurse

Major intravenous medication groups

Methods of storage, handling and usage of intravenous medications

Relevant medical/medication 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 2

Schedule 3

Schedule 4

Schedule 8

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 Enrolled/Division 2 nurse competency standards

state/territory Nurse Regulatory Nurses Act

state/territory Nursing and Midwifery Regulatory Authority standards of practice

state/territory Drugs and Poisons Act

scope of nursing practice decision making framework

Department of Health Guidelines

O2 Therapy

nurse initiated medication

Calculate volumes for administration of intravenous medications

Check intravenous cannula site

Demonstrate preparation, administration and recording of medication/s 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 organisation/service, including:

interviewing techniques

asking questions

active listening

asking for clarification

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)

Copy and paste from the following performance criteria to create an observation checklist for each task. When you have finished writing your assessment tool every one of these must have been addressed, preferably several times in a variety of contexts. To ensure this occurs download the assessment matrix for the unit; enter each assessment task as a column header and place check marks against each performance criteria that task addresses.

Observation Checklist

Tasks to be observed according to workplace/college/TAFE policy and procedures, relevant legislation and Codes of Practice Yes No Comments/feedback
Check for pharmacology and substance incompatibilities 
Review issues related to drug administration with registered nurse 
Identify common contraindications and adverse reactions of prescribed intravenous medications 
Confirm client identity and check for any known allergies 
Maintain knowledge of drug schedules and classifications as determined by legislation 
Work with a knowledge of various forms of intravenous medication administration 
Assess the intravenous cannula site for any problems 
Work with a knowledge of all intravenous administration routes and associated terminology 
Identify the purpose and function of prescribed intravenous medications for administration 
Identify common contraindications and adverse reactions of prescribed intravenous medications 
Accurately calculate dosages for administration of intravenous drugs 
Work with a knowledge of how intravenous medications are prepared in line with legislative requirements and environmental guidelines 
Use correct intravenous medication administration techniques and precautions specific to each client as per medication orders 
Work with a knowledge of legal parameters for the administration of intravenous medications 
Administer intravenous medications within role responsibility accordance with the legislative requirements and organisation policy 
Store intravenous medications in a safe manner according to legislative requirements and health care organisation policy 
Work with a knowledge of organisation processes for quality management and risk assessment of administration of intravenous medication 
Record administration of intravenous mediations in accordance with organisation policy 
Contribute to information provided to clients and carers on intravenous medication administration (including possible side effects) 
Recognise acute and delayed adverse reactions to intravenous medications and respond within role responsibility 
Implement emergency actions for identified acute and delayed adverse reactions within role responsibility 
Record and report response to emergency strategies 
Implement organisation procedures in the event of an intravenous medication incident 

Forms

Assessment Cover Sheet

HLTEN519C - Administer and monitor intravenous medication in the nursing environment
Assessment task 1: [title]

Student name:

Student ID:

I declare that the assessment tasks submitted for this unit are my own work.

Student signature:

Result: Competent Not yet competent

Feedback to student

 

 

 

 

 

 

 

 

Assessor name:

Signature:

Date:

Assessment Record Sheet

HLTEN519C - Administer and monitor intravenous medication in the nursing environment

Student name:

Student ID:

Assessment task 1: [title] Result: Competent Not yet competent

(add lines for each task)

Feedback to student:

 

 

 

 

 

 

 

 

Overall assessment result: Competent Not yet competent

Assessor name:

Signature:

Date:

Student signature:

Date: