Course Title: Administer and monitor medicines and intravenous therapy

Part B: Course Detail

Teaching Period: Term1 2018

Course Code: NURS5384C

Course Title: Administer and monitor medicines and intravenous therapy

School: 174T School of VE Engineering, Health & Science

Campus: Bundoora Campus

Program: C5365 - Diploma of Nursing

Course Contact: Jaye Keating

Course Contact Phone: +61 3 9925 4845

Course Contact Email: jaye.keating@rmit.edu.au


Name and Contact Details of All Other Relevant Staff

Rosie Mahoney (City Campus)

rosie.mahoney@rmit.edu.au

9925 4129

Lee Vaessen (Bundoora Campus)

lee.vaessen@rmit.edu.au 

9925 7814

Nominal Hours: 250

Regardless of the mode of delivery, represent a guide to the relative teaching time and student effort required to successfully achieve a particular competency/module. This may include not only scheduled classes or workplace visits but also the amount of effort required to undertake, evaluate and complete all assessment requirements, including any non-classroom activities.

Pre-requisites and Co-requisites

There are no pre-requisites for this unit of competency.

Course Description

This course describes the skills and knowledge required to administer and monitor medications and intravenous (IV) therapy including calculating dosage requirements, interpreting written instructions from an authorised prescriber, assessing the person for medication effectiveness and side effects, and responding to an allergic pharmacological reaction.

 

This course applies to enrolled nursing work carried out in consultation and collaboration with registered nurses and under supervisory arrangements aligned to the Nursing and Midwifery Board of Australia regulatory authority legislative requirements.

 

This course includes a Work Integrated Learning experience in which your knowledge and skills will be applied and assessed in a real or simulated workplace context and where feedback from industry and/or community is integral to your experience.


This course includes clinical placement.


National Codes, Titles, Elements and Performance Criteria

National Element Code & Title:

HLTENN007 Administer and monitor medicines and intravenous therapy

Element:

1. Minimise potential risk to ensure safe administration of medications.

Performance Criteria:

1.1 Refer to drugs and poisons schedules and classifications as determined by law. 1.2 Identify the purpose and function of prescribed medicine and intravenous (IV) therapy. 1.3 Identify pharmacology and substance incompatibilities in relation to specific situations involving medication administration, blood and blood products.

Element:

2. Prepare for medication administration and infusion of IV fluids.

Performance Criteria:

2.1 Explain the process of medication administration or IV fluid infusion to the person, and ensure their readiness and understanding. 2.2 Identify correct administration route or site for each medication or IV fluid to be administered, and position the person appropriately. 2.3 Consider the effect of commonly used medications and IV fluids on the body before medication administration and IV infusion. 2.4 Calculate accurate dosages and IV infusion rates for administration of drugs. 2.5 Prepare medications in accordance with legislative and jurisdictional requirements and organisation policy and procedures. 2.6 Identify medication administration techniques and precautions specific to the person's situation and as per medication orders. 2.7 Prepare blood and blood products for blood transfusions according to organisation policy and procedures.

Element:

3. Administer and store medication.

Performance Criteria:

3.1 Administer medication or IV fluid to the person applying the 'Rights of Medication' concept and in accordance with the jurisdictional and legislative requirements and organisation policy and procedures. 3.2 Secure medications in a safe manner during medication administration. 3.3 Apply quality practices in management and use of medications, and undertake risk assessment practices that relate to medication administration. 3.4 Report to the registered nurse a person's refusal of medication or IV therapy or suspected incomplete medication ingestion. 3.5 Ensure medication and blood and blood products are stored, handled and disposed of according to organisation policy and procedures and manufacturers' instructions.

Element:

4. Monitor and evaluate a person's response to administered medication, IV fluids and blood and blood products.

Performance Criteria:

4.1 Document and monitor observations of the person's response and whether intended outcome of administered medications, IV fluids and blood and blood products is achieved. 4.2 Recognise, record and report acute and delayed adverse reactions of the person to medications, and implement emergency actions within own role responsibility. 4.3 Record, report and evaluate fluid and electrolyte imbalances, and monitor the effect on the person of medicines commonly administered with IV fluids. 4.4 Remove IV cannula according to organisation policy and procedures 4.5 Provide educative information to the person, their family or carer concerning the administration of medicines including possible side effects.

Element:

5. Assess effectiveness of pain-relieving therapy.

Performance Criteria:

5.1 Observe and question the person to identify signs of pain or discomfort. 5.2 Clarify the location and nature of pain or discomfort, taking into account factors that may influence the person's perception of pain. 5.3 Ensure consistency in interpreting observations and evaluating the person's pain using the pain assessment scale. 5.4 Identify a range of prescribed medications and complementary strategies that may assist in alleviating pain and discomfort. 5.5 Assess and manage effectiveness of pain-relieving medication and non-medication therapies for the person experiencing pain. 5.6 Record observations of the person and own evaluation the effectiveness of pain management strategies.


Learning Outcomes


The critical learning for this course takes place in clinical placement within the health sector and within simulations in RMIT laboratories.

You will be instructed in skills through demonstration, modelling and role-play. Skills development is supported by lectures on theory and underpinning knowledge, classroom discussions, group work, research and reflective practice. 

 

On completion of this course you should be able to:

  1. Minimise potential risk to ensure safe administration of medications.

    1.1 Refer to drugs and poisons schedules and classifications as determined by law.

    1.2 Identify the purpose and function of prescribed medicine and intravenous (IV) therapy.

    1.3 Identify pharmacology and substance incompatibilities in relation to specific situations involving medication administration, blood and blood products.

  2. Prepare for medication administration and infusion of IV fluids.

    2.1 Explain the process of medication administration or IV fluid infusion to the person, and ensure their readiness and understanding.

    2.2 Identify correct administration route or site for each medication or IV fluid to be administered, and position the person appropriately.

    2.3 Consider the effect of commonly used medications and IV fluids on the body before medication administration and IV infusion.

    2.4 Calculate accurate dosages and IV infusion rates for administration of drugs.

    2.5 Prepare medications in accordance with legislative and jurisdictional requirements and organisation policy and procedures.

    2.6 Identify medication administration techniques and precautions specific to the person’s situation and as per medication orders.

    2.7 Prepare blood and blood products for blood transfusions according to organisation policy and procedures.

  3. Administer and store medication.

    3.1 Administer medication or IV fluid to the person applying the ‘Rights of Medication’ concept and in accordance with the jurisdictional and legislative requirements and organisation policy and procedures.

    3.2 Secure medications in a safe manner during medication administration.

    3.3 Apply quality practices in management and use of medications, and undertake risk assessment practices that relate to medication administration.

    3.4 Report to the registered nurse a person’s refusal of medication or IV therapy or suspected incomplete medication ingestion.

    3.5 Ensure medication and blood and blood products are stored, handled and disposed of according to organisation policy and procedures and manufacturers’ instructions.

  4. Monitor and evaluate a person’s response to administered medication, IV fluids and blood and blood products.

    4.1 Document and monitor observations of the person’s response and whether intended outcome of administered medications, IV fluids and blood and blood products is achieved.

    4.2 Recognise, record and report acute and delayed adverse reactions of the person to medications, and implement emergency actions within own role responsibility.

    4.3 Record, report and evaluate fluid and electrolyte imbalances, and monitor the effect on the person of medicines commonly administered with IV fluids.

    4.4 Remove IV cannula according to organisation policy and procedures

    4.5 Provide educative information to the person, their family or carer concerning the administration of medicines including possible side effects.

  5. Assess effectiveness of pain-relieving therapy.

    5.1 Observe and question the person to identify signs of pain or discomfort.

    5.2 Clarify the location and nature of pain or discomfort, taking into account factors that may influence the person’s perception of pain.

    5.3 Ensure consistency in interpreting observations and evaluating the person’s pain using the pain assessment scale.

    5.4 Identify a range of prescribed medications and complementary strategies that may assist in alleviating pain and discomfort.

    5.5 Assess and manage effectiveness of pain-relieving medication and non-medication therapies for the person experiencing pain.

    5.6 Record observations of the person and own evaluation the effectiveness of pain management strategies.


Details of Learning Activities

The Learning approach for this unit includes:

  • Face to face teaching and activities
  • Lab practical sessions - including simulated patients and environment
  • Group work and 
  • Clinical placement
  • Self Directed Learning

You are expected to attend all of your lectures and labs for this course.

There is a clinical component to this course and you are expected to attend 100% of the placement.

 


Teaching Schedule

Course Schedule:      HLTENN007 Administer and Monitor Medicines and Intravenous Therapy                                                     

Week

Lesson

Labs Session

Assessment

Semester 1

Week 1

 

Lesson 1

Legal & Ethical

Lesson 2

Pharmacology, Pharmacokinetics & Pharmacodynamics

Lab 1 

 

Semester 1

Week 2

 

Lesson 3

Calculations , Conversions and Terminology

Lesson 4 Routes of Administration; Enteral: Oral, Transdermal, Eye and Ear drops, Sublingual, Buccal, Topical

 

 

Semester 1

Week 3

 

Lesson 5

Routes of Administration: Parenteral: Intramuscular, Subcutaneous & Intravenous

Lesson 6

Medications acting on the respiratory system

Lab 2

 

Semester 1

Week 4

 

Lesson 7

Medications acting on the cardiac system Part 1

Lesson 8

Medications acting on the cardiac system Part 2

 

 

Semester 1

Week 5

 

Lesson 9 

Medications acting on the cardiac system Part 3

Lesson 10

Medications acting on the endocrine system, hormones, corticosteroids

Lab 3

 

Semester 1

Week 6

 

Lesson 11 

Calculations Revision

 

 

 

Semester 1

Week 7

 

Lesson 12

Diabetic medications, insulin, hypoglycaemics

Lab 4

 

Semester 1

Week 8

 

  

Medications Calculations Exam

Semester 1

Week 8

 

 

 Lab 5

 

Semester 1

Week 9

 

 

Lesson 13

Antibiotics and Antivirals

Antifungals and Antiseptics

 

 

Semester 1

Week 10

 

Lesson 14

Antipruritics and GIT

 

 

Semester 1

Week 11

 

Lesson 15

Group activities in class - medication profile presentations

 

 

Semester 1

Week 12

 

Lesson 16

Simple oral analgesics

 Lab 6

 

Semester 1

Week 13

 

Lesson 17

Revision 

 

 

Semester 1

Week 14

 

Lesson 18

Revison and Prep for Lab Assessments

 

Lab Prac Assessments

Semester 1

Week 15

 

 

 

Medication Written Theory Exam

Lab Prac Assessments

Semester 1

Week 16 

 

  

Resit Lab Practical Assessments - dates TBA

Resit Written Theory exam - dates TBA

Semester 1

Week 17

   Clinical Placement 

Semester 1

Week 18

   Clinical Placement 

Semester 2

Week 1

Lesson 1

Intravenous Therapy and Fluid Balance Chart Documentation, Complications(TBA) 

  

Semester 2

Week 2

Semester

Lesson 2

Intravenous Calculations  Introduction; IV Solutions/Electrolytes; Complications/Overload (TBA)

  

Semester 2

Week 3

Lesson 3

Setting up IV Lines; Calculations - rates - infusion times; Administration of IV Meds (antiemetics-antibiotics) (TBA)

  

Semester 2

Week 4

Lesson 4

Analgesics - narcotics; Calculations; Observations and monitoring patients; Complications (TBA)

  

Semester 2

Week 5

   Intravenous Calculations Exam (dates TBA)

Semester 2

Week 6

Lesson 5

Sedatives/Epidural; Antineoplastics; medication to treat anaemia (TBA)

 

  

Semester 2 

Week 7

Lesson 6

Blood and blood products; Complications (TBA)

 

 

  

Semester 2

Week 8

Lesson 7

TPN/Vitamins/?Iron (TBA)

 

  

Semester 2

Week 9

Lesson 8

Calculations/FBC documentation/Complications - learning activity - images (TBA) 

  

Semester 2

Week 10

Lesson 9

Revision of Theory (TBA)

 

  
Semester 2 Week 11

Lesson 10

Revision of Practical Assessment (TBA)

  

Semester 2

Week 12

  

Intravenous Theory Written Exam (dates TBA)

Lab Practical Assessments - dates TBA

Semester 2

Week 13

 

 

  

Lab Practical Assessments - dates TBA

Re-sit Written Theory Exam - dates TBA

Semester 2

Week 14

 
  

Lab Practical Assessments - dates TBA

Re-sit Practical Lab Assessments

 

Semester 2

Week 15

 
  Clinical Placements - dates TBA
 

Semester 2

Week 16

 
  Clinical Placements - dates TBA


Learning Resources

Prescribed Texts


References


Other Resources


Overview of Assessment

This assessment will incorporate a variety of methods including written, oral, practical tasks and activities.

 

You will be asked to personally demonstrate to your teacher/assessor the practical skills gained during this course to the relevant industry standards. Assessment activities will occur throughout this course and feedback will be provided at regular intervals

 

Students must pass each of the following assessment tasks to demonstrate competent.

Assessment tasks

 

Assessment

Assessment 1

 Medications Calculation test 

Assessment 2

Medications Theory Assessment

Assessment 3

Medications Practical Assessment

Assessment 4

Clinical Placement - Subacute

Assessment 5

IV Medications Calculation test

Assessment 6

IV Medications Theory Assessment

Assessment 7

IV Medications Practical Assessment

Assessment 8

Clinical Placement - Acute

 

 

                       

To be deemed competent you must demonstrate an understanding of all aspects required of the competency. Assessment methods have been designed to measure your achievement of each competency in a flexible manner over multiple tasks.

 


Assessment Tasks

No:

Assessment Code

Name

1

AT1

Medication Calculations Exam

2

AT2

Mid-year Medication Written Knowledge Exam

3

AT3

Medication Lab Practical Assessment

4

AT4

Clinical placement

5

AT5

Intravenous Calculations Exam

6

AT6

End of year Intravenous Written Knowledge Exam

7

AT7

Intravenous Lab Practical Assessment

8

AT8

Clinical Placement


Assessment Matrix

 

 

Performance Criteria Assessment Task 1 Medication Calculations ExamAssessment Task 2 Mid Year Medication Written Knowledge ExamAssessment Task 3 Medication Practical Lab AssessmentAssessment Task 4 Medication Clinical PlacementAssessment Task 5 Intravenous Calculations ExamAssessment Task 6 End of Year Intravenous Written Knowledge ExamAssessment Task 7 Intravenous Lab Practical AssessmentAssessment Task 8 Intravenous Clinical Placement
1.1             x                                              x  
1.2 x         x                      x              x 
1.3                 x         x                       x              x 
2.1           x            x                x         x
2.2           x            x                x          x
2.3           x            x                 x          x
2.4       x          x            x           x                x            x 
2.5             x             x                  x             x 
2.6                   x           x             x                      x                x             x
2.7                       x              x
3.1             x             x                  x             x
3.2             x              x                   x             x
3.3             x              x                    x              x
3.4             x              x                    x             x 
3.5             x              x                   x               x
4.1                x                               x
4.2                x                                  x
4.3                x                                x 
4.4                                     x
4.5            x             x                   x              x 
5.1                 x                 x
5.2                 x                 x
5.3                 x                    x
5.4                 x                x                       x                x
5.5                 x                   x
5.6                  x                  x

 

 You must be graded satisfactory on all assessments to be deemed competent for this course.

Other Information

You are permitted to have a maximum of 2 re-submissions for this course, however each individual assessment may only be re-submitted once. 

Re-submissions are not automatic and will only be approved at the discretion of the Program Coordinator after consultation with the teacher.

All re-submissions must be completed and submitted no more than 7 days after your work has been assessed. Please note an opportunity to repeat clinical placement is not guaranteed and will be at the discretion of the Clinical Coordinator/Program Manager.

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