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Evidence Guide: HLTAN509B - Monitor medications in the anaesthetic environment

Student: __________________________________________________

Signature: _________________________________________________

Tips for gathering evidence to demonstrate your skills

The important thing to remember when gathering evidence is that the more evidence the better - that is, the more evidence you gather to demonstrate your skills, the more confident an assessor can be that you have learned the skills not just at one point in time, but are continuing to apply and develop those skills (as opposed to just learning for the test!). Furthermore, one piece of evidence that you collect will not usualy demonstrate all the required criteria for a unit of competency, whereas multiple overlapping pieces of evidence will usually do the trick!

From the Wiki University

 

HLTAN509B - Monitor medications in the anaesthetic environment

What evidence can you provide to prove your understanding of each of the following citeria?

Identify situations that pose a potential risk to the safe monitoring of a limited range of drugs

  1. Identify issues related to drug and poison monitoring with appropriate personnel
  2. Identify common contra-indications and adverse reactions of prescribed medications
  3. Confirm client identity and if any allergies exist
  4. Identify drugs and poisons schedules and classifications as determined by law
Identify issues related to drug and poison monitoring with appropriate personnel

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify common contra-indications and adverse reactions of prescribed medications

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Confirm client identity and if any allergies exist

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify drugs and poisons schedules and classifications as determined by law

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Access drugs under directions from the anaesthetist

  1. Identify all administration routes and associated terminology
  2. Identify the purpose and function of prescribed medications for administration
  3. Identify common contra-indications and adverse reactions of prescribed medications
  4. Accurately calculate dosages of drugs and poisons
  5. Access drugs in a manner in accordance with anaesthetist and /or medical officer instructions and/or legal requirements
  6. Prepare intravenous drugs
Identify all administration routes and associated terminology

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify the purpose and function of prescribed medications for administration

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify common contra-indications and adverse reactions of prescribed medications

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Accurately calculate dosages of drugs and poisons

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Access drugs in a manner in accordance with anaesthetist and /or medical officer instructions and/or legal requirements

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Prepare intravenous drugs

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Work within parameters of role in monitoring drugs

  1. Identify the legal parameters for the monitoring of drugs
  2. Store drugs in a safe manner according to law and health care environmental policy
  3. Identify the quality management and risk assessment of monitoring of drugs
Identify the legal parameters for the monitoring of drugs

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Store drugs in a safe manner according to law and health care environmental policy

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify the quality management and risk assessment of monitoring of drugs

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Observe client responses to administered medication

  1. Identify adverse responses, report to anaesthetist and assist in emergency responses
  2. Recognise acute and delayed adverse reactions to drugs and act upon within role responsibility
  3. Implement emergency skills for identified acute and delayed adverse reactions within role responsibility
  4. Record and report response to emergency strategies
Identify adverse responses, report to anaesthetist and assist in emergency responses

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Recognise acute and delayed adverse reactions to drugs and act upon within role responsibility

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Implement emergency skills for identified acute and delayed adverse reactions within role responsibility

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Record and report response to emergency strategies

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Assessed

Teacher: ___________________________________ Date: _________

Signature: ________________________________________________

Comments:

 

 

 

 

 

 

 

 

Instructions to Assessors

Evidence Guide

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 workplace performance is essential for assessment of this unit

Consistency of performance should be demonstrated over the required range of situations relevant to the workplace

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

Assessment must include a written calculation test with 100% mastery

It is desirable that assessment be undertaken in a simulated clinical laboratory prior to clinical placement

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

Resources for assessment

Manufacturer's instructions

Organisation policies and procedures

MIMS

Method of assessment

Observation in the work place

Evidence gathered from clinical work environment

Written assignments/projects or questioning should be used to assess knowledge

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

Clinical skills involving direct client care are to be assessed initially in a simulated clinical setting (laboratory). If successful, a second assessment is to be conducted during workplace application under direct supervision

Required Skills and Knowledge

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:

Relevant medical/medication terminology

Approved drug abbreviations

Relevant pathophysiology

Factors influencing drug actions

Major drug groups

Documentation associated with accessing drugs and methods of administration

Systems of drug delivery and drug routes

Legal requirements of role

Relevant workplace health and safety policies to ensure safe practice e.g. management of sharps

Methods of storage, handling and usage of drugs

Understanding the legal requirements of method administration

An understanding of the role of the health care team in the administration of drugs

Substance incompatibilities may include:

anaphylactic reactions

adverse reactions

contraindications

precautions

side effects

An understanding of the pharmacology of medications including:

pharmacodynamics

pharmacokinetics

pharmacotherapeutics

toxicology

Understanding of role in medical emergency

State/Territory Drugs and Poisons Acts and Regulations

Essential skills:

It is critical that the candidate demonstrate the ability to:

Use language, literacy and numeracy competence relevant to the accessing of drugs

Apply formulae for drug calculations, including variations in dosages for adults and children

Apply scheduling of drugs, including:

Schedule 2

Schedule 3

Schedule 4

Schedule 8

Perform emergency management for a client experiencing an adverse drug reaction

Observe and monitor peripheral intravenous therapy

In addition, the candidate must be able 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:

Use interpersonal skills include working with others, using sensitivity when dealing with people and an ability to relate to persons from differing cultural, social and religious backgrounds

Demonstrate professional conduct, skills and knowledge

Use oral communication skills (language competence) required to fulfil job roles as specified by the organisation/service. Oral communication skills include interviewing techniques, asking questions, active listening, asking for clarification

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.

Potential risks may include but is not limited to:

Client identification

Allergic reactions

Drug incompatibilities

Contra-indications for drug administration

Intravenous therapy

Medication administration routes include:

Oral

Ocular

Aural

Rectal

Subcutaneous/intramuscular routes

Intravenous route

Transdermal or topical

Inhalation

Legal and regulatory framework include:

State/territory Drugs and Poisons Act

Health (Drugs and Poisons) Regulations

Documentation legal requirements

Organisation policies and procedures

Limited range of drugs includes:

Drugs prescribed by the anaesthetist and/or medical officer

Access drugs includes:

Obtaining required drugs from drugs storage area in line with organisational protocols

Calculation formulae

Calculation of oral drug dosages

Calculations of dosages of liquid medications

Calculations of dosages of solid medications

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

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

Prepare intravenous drugs includes:

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

Flow rate drops per minute

Flow rate millilitres per hour