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Evidence Guide: HLTEN407B - Administer a range of medications

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

 

HLTEN407B - Administer a range of medications

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

Minimise potential risk to safe administration of medications

  1. Check expiry dates of medication prior to administration
  2. Check client medication chart in relation to timing and route of medication to be administered
  3. Raise issues related to drug and poison administration with the registered nurse or another appropriate person if the registered nurse is not available
  4. Check for and identify common contraindications and adverse reactions of prescribed medications and refer to the registered nurse
  5. Confirm client identity and check for any known allergies
  6. Ensure infection control methods are applied correctly
Check expiry dates of medication prior to administration

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Check client medication chart in relation to timing and route of medication to be administered

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Raise issues related to drug and poison administration with the registered nurse or another appropriate person if the registered nurse is not available

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Check for and identify common contraindications and adverse reactions of prescribed medications and refer to the registered nurse

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Confirm client identity and check for any known allergies

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Ensure infection control methods are applied correctly

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Prepare for administration of non-injectable medications within scope of Enrolled/Division 2 nurse

  1. Explain the process of medication administration to the client and ensure their readiness
  2. Position the client appropriately prior to administration of medication
  3. Correctly identify administration route for each medication to be administered, using appropriate terminology
  4. Consider the effect of commonly used medications on the body prior to medication administration
  5. Prepare medications in accordance with legislative requirements and organisation guidelines
  6. Apply medication administration techniques and precautions specific to each client situation and as per medication orders
  7. Ensure medication is stored and disposed of in accordance with medical instructions and organisation policy and procedures
Explain the process of medication administration to the client and ensure their readiness

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Position the client appropriately prior to administration of medication

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Correctly identify administration route for each medication to be administered, using appropriate terminology

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Consider the effect of commonly used medications on the body prior to medication administration

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Prepare medications in accordance with legislative requirements and organisation guidelines

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Apply medication administration techniques and precautions specific to each client situation and as per medication orders

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Ensure medication is stored and disposed of in accordance with medical instructions and organisation policy and procedures

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Administer non-injectable medications within legal parameters

  1. Administer non-injectable medications within scope of own role in line with the jurisdictional legislative requirements and organisation policy
  2. Ensure infection control principles are applied in the administration of non-injectable medication
  3. Store medications in a safe manner according to legislative requirements and organisation policy
Administer non-injectable medications within scope of own role in line with the jurisdictional legislative requirements and organisation policy

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Ensure infection control principles are applied in the administration of non-injectable medication

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Store medications in a safe manner according to legislative requirements and organisation policy

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Respond appropriately to signs of pain

  1. Identify cause of pain if possible
  2. Use the VAS score (or appropriate pain scale) to identify level of pain
  3. Report any irregular or abnormal findings to Registered Nurse
  4. Allay any fears or anxiety experienced by the client
Identify cause of pain if possible

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Use the VAS score (or appropriate pain scale) to identify level of pain

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Report any irregular or abnormal findings to Registered Nurse

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Allay any fears or anxiety experienced by the client

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Monitor and report client response to administered medication

  1. Record administration of medications in accordance with relevant policy and procedures
  2. Evaluate client understanding of information provided
  3. Recognise acute and delayed adverse reactions to medications and act upon within role responsibility
  4. Implement emergency actions to address acute and delayed adverse reactions within role responsibility
  5. Record and report response to emergency strategies
  6. Monitor client experiencing pain and undertake appropriate medication and non-medication therapies in consultation/collaboration with Registered Nurse
  7. Record and report effectiveness of pain relieving medication
Record administration of medications in accordance with relevant policy and procedures

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Evaluate client understanding of information provided

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

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

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Implement emergency actions to address acute and delayed adverse reactions within role responsibility

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Record and report response to emergency strategies

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Monitor client experiencing pain and undertake appropriate medication and non-medication therapies in consultation/collaboration with Registered Nurse

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Record and report effectiveness of pain relieving medication

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 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

Context of and specific resources for assessment:

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

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

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

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:

An awareness of the role of complementary therapies

An awareness of traditional medicine in the context of health of Aboriginal and Torres Strait Islander people

Application of guidelines to individual needs of clients(ie. therapeutic interventions, hygiene, dignity, esteem, physical, cultural and cognitive restrictions)

Documentation associated with medication administration

Ethical guidelines including confidentiality, duty of care and public safety

Factors influencing medication actions

Legal requirements for practice parameters of Enrolled/Division 2 nurse relating to the administration of medications, including legal requirements of each route of administration

Major medication groups

Methods of storage, handling and usage of medications

Organisation policies and procedures, guidelines and protocols, including workplace health and safety policies to ensure safe practice eg management of sharps

Own role in medical emergency

People's perception of pain and principles of pain management Relevant medical/medication terminology and approved medication abbreviations

Role of the health care team in the administration of medications

State/territory legislative requirements relating to medication administration

Systems of medication delivery within the scope of own role

Relevant medication delivery devices, such as:

dosage administration aids

feeding tube infusion pumps

Scheduling of medications, including:

Schedule 2

Schedule 3

Schedule 4

Schedule 8

Substance incompatibilities, including:

adverse reactions

an understanding of the pharmacology of the major medication groups

anaphylactic reactions

contraindications

precautions

side effects

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 infection control principles - hand washing, handling of medications, universal precautions

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

scheduling of medications and implications for Enrolled/Division 2 nursing practice

Demonstrate preparation, administration and recording of medication/s within the scope of practice of the Enrolled/Division 2 nurse

Demonstrate professional conduct, skills and knowledge

Perform emergency nursing interventions for a client experiencing an adverse 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 drug administration and documentation

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.

Health environments include:

Residential aged care facility

Community settings

Hospitals

Clients home

Clinics

Potential risks include but are not limited to:

Client identification

Allergic reactions

Immunization status

Medication incompatibilities

Contra-indications for drug administration

Medication administration routes include:

Oral

Intranasal (including nebulised medications)

Topical (including transdermal)

Ocular

Aural

Rectal

Vaginal administration

Enteral administration

Terminology associated with medications include:

Medication

Administer

Side effect/adverse reaction/allergic reaction

Anaphylaxis

Allergy

Suspension/mixture/syrup/linctus/lozenge

Ointment/cream/lotion

Tincture/emulsion

Tablet/pill

Transdermal patch

Nebuliser/aerosol/volumetric spacer

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 competency standards, codes and guidelines

Legal requirements of documentation

Client history may include:

Pre-existing conditions

Admission diagnosis

Allergies

Current history

Current medication

Behavioural characteristics

Nutritional status

Hydration status

Psychological needs

Psychosocial needs

Compliance history

Concurrent medications

Reports can be verbal or written, and may include:

Individual client records

Pain management plans

Fluid status management

Nutritional status management

Observational documentation

Medication charts

Admission and discharge planning

Diagnostic reports/results

Clinical progress notes

Hand-over at end of shift

Medication incident reports

Policies and procedures relating to infection control can include:

Effective hand washing and hand drying techniques

Handling of medication

Appropriate use and disposal of personal protective equipment

Relevant client information may include:

Medication side effects

Length of treatment

Drug interactions

Consequences of non-compliance

Anatomical positioning for safe non-injectable drug administration

Factors influencing medication actions may include:

Rate of absorption

Distribution

Metabolism

Drug interactions

Excretion

Dosage form

Route of administration

Improper storage

Timing of administration

Client age, height, weight

Previous history

Major medication groups include:

Antacids

Antianginals

Antibiotics

Anticholinergics

Antidiarrhoeals

Antiemetics

Antifungals

Antihistamines

Antihypertentives

Anti-inflammatory

Antiparkinsonion

Antipruritic

Antiseptics

Antiulcer

Antivirals

Anxiolytics

Bronchodilators

Beta blockers

Contraceptives

Corticosteroids

Diuretics

Electrolyte solutions

Hypnotics/sedatives

Laxatives/aperients

Narcotic analgesia

Neuroleptics

Hypoglycaemics

Major medication groups include:

Analgesia

Vitamins

Methods of storage, handling and usage of medications may include:

Dry/moist

Refrigeration

Away from light/heat

Separate storage of external use medications and internal use medications

Locked cupboard/trolley

Responsibility for security of drug cupboard/trolley keys

Narcotics - locked, attached to wall

Register for drugs of addiction

Routine checking of narcotic drugs in storage

Pharmacy responsibilities

Expiry dates

Administration of oral

medications and associated

terminology may include:

Legible medication order

Preparation of medication by person administering

6 "Rights" of administration

Special precautions

Medication checking process

4 Documentation of drug administration