Course Title: Administer and monitor medicines and intravenous therapy

Part B: Course Detail

Teaching Period: Term2 2019

Course Code: NURS5383C

Course Title: Administer and monitor medicines and intravenous therapy

Important Information:

To enrol into this course you must be enrolled in the Diploma of Nursing program.  

 

This course is not offered as a stand alone short course.  To be enrolled in this course, you must be enrolled in the full two year Diploma of Nursing.

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

Campus: City 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

Course Coordinator

Zaw Pedroni

zaw.pedroni@rmit.edu.au

Ph: 9925 4309

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:

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.

Element:

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

Performance Criteria:

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.

Element:

3. Administer and store medication.

Performance Criteria:

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.

Element:

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

Performance Criteria:

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.

Element:

5. Assess effectiveness of pain-relieving therapy.

Performance Criteria:

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.

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 work environment
  • Group work
  • Online Learning
  • Self-directed learning and 
  • Clinical placement

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

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


Teaching Schedule

HLTENN007 Administer and Monitor Medicines and Intravenous Therapy

SEMESTER 1 SYLLABUS

WEEK LESSONS LAB SCHEDULE ASSESSMENTS

Week 1 commencing 08/07/19

 

Lesson 1:

Legal and Ethical

Lesson 2: 

Routes of Medication Administration, Enteral:

Oral, transdermal, eye and ear drops, sublingual, buccal, topical, PR

  Lab 1  
Week 2 commencing 15/07/19

 Lesson 3:

Calculations, conversions and medication terminology

Lesson 4:

Pharmacology, pharmacokinetics and pharmacodynamics

  Lab 2  
Week 3 commencing 22/07/19

 Lesson 5:

Medications acting on the respiratory system

Lesson 6:

Medications acting on the cardiac system - antihypertensives (ABCDE)

    
Week 4 commencing 29/07/19

Lesson 7:

Medications acting on the cardiac system - antianginals and anti-hyperlipidaemic agents

Lesson 8:

Medications acting on the cardiac system - drugs affecting blood coagulation

  Lab 3  
Week 5 commencing 05/08/19

Lesson 9:

PRACTICE CALCULATIONS EXAM #1

Medications acting on the cardiac system - inotropes and drugs to treat hypotension

Lesson 10:

Routes of administration, Parenteral: intramuscular, subcutaneous, intravenous

 

    
 Week 6 commencing 12/08/19

Lesson 11:

Antimicrobials

Practical Assessment (Lab) revision in class

  

Lab Practical Assessment Part A - Oral 

Dates may vary across campuses due to lab availability
Week 7 commencing 19/08/19

Lesson 12:

Calculations revision and exam tips

PRACTICE CALCULATIONS EXAM #2

 

    
Week 8 commencing 26/08/19

Lesson 13:

Medications Calculations Exam

 

Lab 4

Lab 5

 MEDICATIONS CALCULATIONS EXAM

Week 9 commencing 09/09/19

Lesson 14:

Medications acting on the GIT

  Lab 6  

Week 10 commencing 16/09/19

Lesson 15:

Diabetic medications

Lesson 16:

Analgesia - opioid & non opioid analgesia

     
Week 11 commencing 23/09/19

Lesson 17:

Revision of Semester 1 material

  Lab 7  
Week 12 commencing 30/09/2019

Lesson 18:

Written Exam

    Lesson 18 - Written Exam
Week 13: commencing 07/10/19  Self directed learning    
Week 14 commencing 14/10/19    

Lab Practical Assessment Part B - Subcut/IM 

Re-sits (TBA)
Week 15 commencing 21/10/19    

Re-sits (TBA) 

Clinical Placement (dates TBA)
Week 16 commencing 21/10/19    

Re-sits (TBA) 

Clinical Placement (dates TBA)
Week 17 commencing 28/10/19    

Re-sits (TBA) 

Clinical Placement (dates TBA)

Week 18 commencing 17/06/19

    

Re-sits (TBA) 

Clinical Placement (dates TBA)

 

HLTENN007 Administer and Monitor Medicines and Intravenous Therapy

SEMESTER 2 SYLLABUS (All Semester 2 dates to be confirmed once student timetable completed. Dates may be subject to change. Students will be notified of all changes via announcement on Canvas.)

WEEK LESSONS LAB SCHEDULE ASSESSMENTS

Week 1

dates TBC

Lesson 19:

Legal and Ethics Revision

Lesson 20:

Introduction to IV Calculations

  Lab 7  

Week 2

dates

TBC  

Lesson 21:

Revision of A & P & pathophysiology of cardiac system relating to IV medications

Lesson 22:

Local IV complications

    

Week 3

dates TBC

Lesson 23:

Systemic IV complications

Lesson 24:

Practice Calculations Exam #1

 

 Lab 8  

Week 4

dates TBC

Lesson 25:

Fluids & Electrolytes; maintenance of homeostasis

Lesson 26:

Practice Calculations Exam #2

    

Week 5

dates TBC

Lesson 27:

Calculations Exam

Lesson 28: 

IV Fluids - determining fluid therapy needs, osmolarity, tonicity

  Lab 9 Calculations Exam

Week 6

dates TBC

Lesson 29:

APINCHS - high risk IV medication groups, systems and methods of IV medication and IV therapy delivery

Lesson 30:

IV analgesia - continuous infusion and PCA

    

Week 7

dates TBC

Lesson 31:

IV Blood administration

Lesson 32:

IV Calcs Re-sit Exam and/or SDL for FBC - practice charting

  Lab 10  

Week 8

dates TBC

Lesson 33: 

TPN/ Anaesthetics / FBC

 

  

Practical Assessment (IV) Part A - Administration of IV fluids using a gravity IV giving set; administration of an IV medication

Dates may vary across campuses due to lab availability

Week 9 dates TBC

Lesson 34:

Neoplastics / Chemotherapy

Lesson 35:

Further fluid balance charting

  Lab 11  

Week 10

dates TBC

 Lesson 36: 

Mini-practice Written Exam (self-marking in class)

    

Week 11 

dates TBC

Lesson 37:

Revision of Semester 2 material

    

Week 12

dates TBC

Lesson 38:

Written Theory Exam

  Lab 12 Written Theory Exam

Week 13

dates TBC

 Self-directed learning (practical assessment)     

Week 14

dates TBC

    

Practical Assessment (IV) Part B - Blood administration

Dates may vary across campuses due to lab availability

Week 15

dates TBC

    

 

Practical Assessment Re-sits

Week 16

dates TBC

     Written Theory Exam Re-sits

Week 17

dates TBC

     Clinical Placement (dates TBA)

Week 18

dates TBC

     Clinical Placement (dates TBA)

 


Learning Resources

Prescribed Texts


References


Other Resources

The set texts for this course are:

  1. Havard's Nursing Guide to Drugs by Adriana Tiziani (10th ed.)
  2. Nursing Calculations by J. D. Gatford and N. M. Phillips (9th ed.)

Other resources:

NMBA website (Australian Nursing and Midwifery Board) - Code of Conduct, Code of Ethics, Standards of Practice for Enrolled Nurses documents

The Australian Commission on Safety and Quality in Health Care - the National Safety and Quality Health Service (NSQHS) standards 


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 competence.

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 Pass mark required 100%

2

AT2

Mid-year Medication Written Knowledge Exam Pass mark required 60%

3

AT3

Medication Lab Practical Assessment - Part A and Part B

4

AT4

Clinical placement - Sub-Acute

5

AT5

Intravenous Calculations Exam Pass mark required 100%

6

AT6

End of year Intravenous Written Knowledge Exam Pass mark required 60%

7

AT7

Intravenous Lab Practical Assessment - Part A and Part B

8

AT8

Clinical Placement - Acute

You must achieve a satisfactory grade in all assessments to be deemed competent for this course.

 


Assessment Matrix

Performance Criteria

Assessment Task 1 Medication Calculations Exam

Assessment Task 2 Mid - year Medication Written Knowledge Exam

Assessment Task 3 Medication Practical Lab Assessment

Assessment Task 4 Medication Clinical Placement

Assessment Task 5 Intravenous Calculations Exam

Assessment Task 6 End of Year Intravenous Written Knowledge Exam

Assessment Task 7 Intravenous Lab Practical Assessment

Assessment Task 8 Intravenous Clinical Placement

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Other Information

Please refer to the RMIT student page for extensive information about study support, assessments, extensions, appeals and a range of other matters:

http://www1.rmit.edu.au/students

Special consideration:

Use the special consideration process if your circumstances are such that you cannot fulfill assessment requirements.  For example, if you are unable to complete any piece of assessment by a due date, you will need to apply for an extension.

Re-submissions:

You are permitted to have a maximum of 4 re-submissions for this course, however, each individual assessment may only be resubmitted 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 as been assessed.

Academic Integrity and Plagiarism

RMIT has a strict policy on plagiarism and academic integrity.  Please refer to: http://www1.rmit.edu.au/students/academic-integrity for more information.

Attendance

You are required to attend all sessions in order to engage in the required learning activities and ensure the maximum opportunity to gain competency for this course. A large amount of information is provided in the lessons and labs for this course and and this will not be found in your lecture notes. Therefore, 100% attendance for lectures and labs is recommended.

Course Overview: Access Course Overview