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Evidence Guide: HLTHPS007 - Administer and monitor 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

 

HLTHPS007 - Administer and monitor medications

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

Elements define the essential outcomes

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Identify situations that are a potential risk to the safe administration of medications

  1. Access and read information to enable identification of substance incompatibilities based on care plan and delegation
  2. Identify environmental and time management issues that may impact on or contraindicate administration of medication
  3. Report potential risks related to medication administration to delegating health professional
  4. Confirm client identity and if any allergies exist
  5. Identify drugs and poisons schedules and classifications as determined by law
  6. Pro-actively identify any limitations in own capability in relation to undertaking delegated medication administration function and report to delegating health professional
Access and read information to enable identification of substance incompatibilities based on care plan and delegation

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Identify environmental and time management issues that may impact on or contraindicate administration of medication

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Report potential risks related to medication administration to delegating health professional

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:

 

 

 

 

 

 

 

Pro-actively identify any limitations in own capability in relation to undertaking delegated medication administration function and report to delegating health professional

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Prepare for medication administration

  1. Confirm delegating health professionals authority to proceed with delegation of medication administration according to organisation policies, guidelines and protocols and jurisdictional legislative and regulatory requirements
  2. Clarify own role and limitations in providing assistance with medication administration with delegating health professional
  3. Check that all equipment, including dose administration aids, are complete, ready for use, up to date and tamper free before proceeding
  4. Follow infection control procedures
  5. Confirm medication administration route and procedure
  6. Confirm purpose and function of prescribed medications from care plans and delegating health professional
  7. Accurately calculate medication dosages according to authorised documented request
  8. Prepare medications according to delegated role and in line with legal and environmental guidelines
Confirm delegating health professionals authority to proceed with delegation of medication administration according to organisation policies, guidelines and protocols and jurisdictional legislative and regulatory requirements

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Clarify own role and limitations in providing assistance with medication administration with delegating health professional

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Check that all equipment, including dose administration aids, are complete, ready for use, up to date and tamper free before proceeding

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Follow infection control procedures

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Confirm medication administration route and procedure

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Confirm purpose and function of prescribed medications from care plans and delegating health professional

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Accurately calculate medication dosages according to authorised documented request

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Prepare medications according to delegated role and in line with legal and environmental guidelines

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Identify and prepare the client for administration of medication

  1. Greet and identify client according to organisation procedures and prepare for medication administration
  2. Check client medication according to organisation guidelines and the delegation from the health professional
  3. Accurately explain the administration procedure to the client
  4. Prior to the administration of medication, check the client for any physical or behavioural changes that may indicate the need to report todelegating health professional
Greet and identify client according to organisation procedures and prepare for medication administration

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Check client medication according to organisation guidelines and the delegation from the health professional

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Accurately explain the administration procedure to the client

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Prior to the administration of medication, check the client for any physical or behavioural changes that may indicate the need to report todelegating health professional

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Administer medications within legal parameters

  1. Administer medications as delegated within role responsibility
  2. Administer medications according to "rights of medication", specific requirements from the form prescribed and in accordance with defined legislation, organisation procedures, professional standards and prescriber’s written instructions where available
  3. Assist the client taking the medication as required and according to documented procedures and professional standards
  4. Oversee and observe the client when taking medication and confirm ingestion or completion of administration
  5. Dispose of all used and unused medication, containers, according to organisation procedures
  6. Identify signs from client "when necessary" medications might be required, then inform delegating health practitioner and act in accordance with organisation’s policies, procedures, delegation and role responsibility
  7. Record administration of medications according to organisation policy
  8. Provide accurate information to clients and carers on medication administration, including possible side effects as per instructions of the delegating health professional
Administer medications as delegated within role responsibility

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Administer medications according to "rights of medication", specific requirements from the form prescribed and in accordance with defined legislation, organisation procedures, professional standards and prescriber’s written instructions where available

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Assist the client taking the medication as required and according to documented procedures and professional standards

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Oversee and observe the client when taking medication and confirm ingestion or completion of administration

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Dispose of all used and unused medication, containers, according to organisation procedures

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Identify signs from client "when necessary" medications might be required, then inform delegating health practitioner and act in accordance with organisation’s policies, procedures, delegation and role responsibility

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Record administration of medications according to organisation policy

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Provide accurate information to clients and carers on medication administration, including possible side effects as per instructions of the delegating health professional

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Monitor client response to administered medication

  1. Identify possible acute and delayed adverse reactions to medications, respond within role responsibility and report to supervisor or health professional
  2. Implement emergency response for identified acute and delayed adverse reactions within role responsibility
  3. Record and report response to emergency strategies
  4. Identify signs of a client experiencing pain and report to health professional
  5. Observe and record client response to pain relieving medication and report to health professional
Identify possible acute and delayed adverse reactions to medications, respond within role responsibility and report to supervisor or health professional

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Implement emergency response 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:

 

 

 

 

 

 

 

Identify signs of a client experiencing pain and report to health professional

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Observe and record client response to pain relieving medication and report to health professional

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Handle medication contingencies

  1. Report medication refusal or incomplete ingestion to supervising health professional according to organisation’s procedures and protocols
  2. Clearly identify contaminated or out of date medication and implement organisation’s procedures for safe and appropriate disposal
  3. Observe and record changes in the client’s condition according to the organisation’s guidelines and report to supervisor and health professional
  4. Record and report any inconsistencies according to delegation and organisation guidelines and procedures
Report medication refusal or incomplete ingestion to supervising health professional according to organisation’s procedures and protocols

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Clearly identify contaminated or out of date medication and implement organisation’s procedures for safe and appropriate disposal

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Observe and record changes in the client’s condition according to the organisation’s guidelines and report to supervisor and health professional

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Record and report any inconsistencies according to delegation and organisation guidelines and procedures

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Complete medication distribution and administration

  1. Manage medication equipment and used containers according to infection control guidelines
  2. Complete arrangements and procedures to replenish dose administration aids and supplies
  3. Store medication charts, care plans and treatment sheets according to the organisation’s procedures
  4. Complete medication storage procedures in compliance with legislation and own role responsibility
Manage medication equipment and used containers according to infection control guidelines

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Complete arrangements and procedures to replenish dose administration aids and supplies

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Store medication charts, care plans and treatment sheets according to the organisation’s procedures

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Complete medication storage procedures in compliance with legislation and own role responsibility

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Assessed

Teacher: ___________________________________ Date: _________

Signature: ________________________________________________

Comments:

 

 

 

 

 

 

 

 

Instructions to Assessors

Evidence Guide

ELEMENT

PERFORMANCE CRITERIA

Elements define the essential outcomes

Performance criteria describe the performance needed to demonstrate achievement of the element

1. Identify situations that are a potential risk to the safe administration of medications

1.1 Access and read information to enable identification of substance incompatibilities based on care plan and delegation

1.2 Identify environmental and time management issues that may impact on or contraindicate administration of medication

1.3 Report potential risks related to medication administration to delegating health professional

1.4 Confirm client identity and if any allergies exist

1.5 Identify drugs and poisons schedules and classifications as determined by law

1.6 Pro-actively identify any limitations in own capability in relation to undertaking delegated medication administration function and report to delegating health professional

2. Prepare for medication administration

2.1 Confirm delegating health professionals authority to proceed with delegation of medication administration according to organisation policies, guidelines and protocols and jurisdictional legislative and regulatory requirements

2.2 Clarify own role and limitations in providing assistance with medication administration with delegating health professional

2.3 Check that all equipment, including dose administration aids, are complete, ready for use, up to date and tamper free before proceeding

2.4 Follow infection control procedures

2.5 Confirm medication administration route and procedure

2.6 Confirm purpose and function of prescribed medications from care plans and delegating health professional

2.7 Accurately calculate medication dosages according to authorised documented request

2.8 Prepare medications according to delegated role and in line with legal and environmental guidelines

3. Identify and prepare the client for administration of medication

3.1 Greet and identify client according to organisation procedures and prepare for medication administration

3.2 Check client medication according to organisation guidelines and the delegation from the health professional

3.3 Accurately explain the administration procedure to the client

3.4 Prior to the administration of medication, check the client for any physical or behavioural changes that may indicate the need to report todelegating health professional

4. Administer medications within legal parameters

4.1 Administer medications as delegated within role responsibility

4.2 Administer medications according to "rights of medication", specific requirements from the form prescribed and in accordance with defined legislation, organisation procedures, professional standards and prescriber’s written instructions where available

4.3 Assist the client taking the medication as required and according to documented procedures and professional standards

4.4 Oversee and observe the client when taking medication and confirm ingestion or completion of administration

4.5 Dispose of all used and unused medication, containers, according to organisation procedures

4.6 Identify signs from client "when necessary" medications might be required, then inform delegating health practitioner and act in accordance with organisation’s policies, procedures, delegation and role responsibility

4.7 Record administration of medications according to organisation policy

4.8 Provide accurate information to clients and carers on medication administration, including possible side effects as per instructions of the delegating health professional

5. Monitor client response to administered medication

5.1 Identify possible acute and delayed adverse reactions to medications, respond within role responsibility and report to supervisor or health professional

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

5.3 Record and report response to emergency strategies

5.4 Identify signs of a client experiencing pain and report to health professional

5.5 Observe and record client response to pain relieving medication and report to health professional

6. Handle medication contingencies

6.1 Report medication refusal or incomplete ingestion to supervising health professional according to organisation’s procedures and protocols

6.2 Clearly identify contaminated or out of date medication and implement organisation’s procedures for safe and appropriate disposal

6.3 Observe and record changes in the client’s condition according to the organisation’s guidelines and report to supervisor and health professional

6.4 Record and report any inconsistencies according to delegation and organisation guidelines and procedures

7. Complete medication distribution and administration

7.1 Manage medication equipment and used containers according to infection control guidelines

7.2 Complete arrangements and procedures to replenish dose administration aids and supplies

7.3 Store medication charts, care plans and treatment sheets according to the organisation’s procedures

7.4 Complete medication storage procedures in compliance with legislation and own role responsibility

Required Skills and Knowledge

ELEMENT

PERFORMANCE CRITERIA

Elements define the essential outcomes

Performance criteria describe the performance needed to demonstrate achievement of the element

1. Identify situations that are a potential risk to the safe administration of medications

1.1 Access and read information to enable identification of substance incompatibilities based on care plan and delegation

1.2 Identify environmental and time management issues that may impact on or contraindicate administration of medication

1.3 Report potential risks related to medication administration to delegating health professional

1.4 Confirm client identity and if any allergies exist

1.5 Identify drugs and poisons schedules and classifications as determined by law

1.6 Pro-actively identify any limitations in own capability in relation to undertaking delegated medication administration function and report to delegating health professional

2. Prepare for medication administration

2.1 Confirm delegating health professionals authority to proceed with delegation of medication administration according to organisation policies, guidelines and protocols and jurisdictional legislative and regulatory requirements

2.2 Clarify own role and limitations in providing assistance with medication administration with delegating health professional

2.3 Check that all equipment, including dose administration aids, are complete, ready for use, up to date and tamper free before proceeding

2.4 Follow infection control procedures

2.5 Confirm medication administration route and procedure

2.6 Confirm purpose and function of prescribed medications from care plans and delegating health professional

2.7 Accurately calculate medication dosages according to authorised documented request

2.8 Prepare medications according to delegated role and in line with legal and environmental guidelines

3. Identify and prepare the client for administration of medication

3.1 Greet and identify client according to organisation procedures and prepare for medication administration

3.2 Check client medication according to organisation guidelines and the delegation from the health professional

3.3 Accurately explain the administration procedure to the client

3.4 Prior to the administration of medication, check the client for any physical or behavioural changes that may indicate the need to report todelegating health professional

4. Administer medications within legal parameters

4.1 Administer medications as delegated within role responsibility

4.2 Administer medications according to "rights of medication", specific requirements from the form prescribed and in accordance with defined legislation, organisation procedures, professional standards and prescriber’s written instructions where available

4.3 Assist the client taking the medication as required and according to documented procedures and professional standards

4.4 Oversee and observe the client when taking medication and confirm ingestion or completion of administration

4.5 Dispose of all used and unused medication, containers, according to organisation procedures

4.6 Identify signs from client "when necessary" medications might be required, then inform delegating health practitioner and act in accordance with organisation’s policies, procedures, delegation and role responsibility

4.7 Record administration of medications according to organisation policy

4.8 Provide accurate information to clients and carers on medication administration, including possible side effects as per instructions of the delegating health professional

5. Monitor client response to administered medication

5.1 Identify possible acute and delayed adverse reactions to medications, respond within role responsibility and report to supervisor or health professional

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

5.3 Record and report response to emergency strategies

5.4 Identify signs of a client experiencing pain and report to health professional

5.5 Observe and record client response to pain relieving medication and report to health professional

6. Handle medication contingencies

6.1 Report medication refusal or incomplete ingestion to supervising health professional according to organisation’s procedures and protocols

6.2 Clearly identify contaminated or out of date medication and implement organisation’s procedures for safe and appropriate disposal

6.3 Observe and record changes in the client’s condition according to the organisation’s guidelines and report to supervisor and health professional

6.4 Record and report any inconsistencies according to delegation and organisation guidelines and procedures

7. Complete medication distribution and administration

7.1 Manage medication equipment and used containers according to infection control guidelines

7.2 Complete arrangements and procedures to replenish dose administration aids and supplies

7.3 Store medication charts, care plans and treatment sheets according to the organisation’s procedures

7.4 Complete medication storage procedures in compliance with legislation and own role responsibility