Course Title: Administer and monitor medicines and intravenous therapy
Part B: Course Detail
Teaching Period: Term1 2021
Course Code: NURS5383C
Course Title: Administer and monitor medicines and intravenous therapy
Important Information:
This course is not offered as a stand alone short course.
To be enrolled in this course, you must be enrolled in the Diploma of Nursing.
School: 174T School of VE Engineering, Health & Science
Campus: City Campus
Program: C5365 - Diploma of Nursing
Course Contact: Rosemarie Russell
Course Contact Phone: +61 3 9925 7478
Course Contact Email: rosemarie.russell@rmit.edu.au
Name and Contact Details of All Other Relevant Staff
Lee Vaessen
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
Details of Learning Activities
The Blended Learning approach for this unit includes:
- Face to face teaching and activities (online)
- Lab practical sessions - including simulated patients and environment
- Self directed learning and
- Clinical placement
Teaching Schedule
Week |
Teaching Schedule |
Week 1 |
Lesson 1, 2, LAB 1 Legislation related to medication administration Overview of assessments Codes and Standards of practice for EN Therapeutic Good administration Nation inpatient medication chart Medication Errors Incident reporting of medication errors
Routes of adminsitration Reasons for adminsitration Enteral vs parenteral Granules, lozenges, Mixtures, suspensions Buccal vs sublingual Medication for eyes and ears Rectal and vaginal medication |
Week 2 |
Lesson 3,4 Basic maths revision Terminology, abbreviations, symbols related to medication orders Oral medication formulas
History of pharmacology Pharmacokinetics vs Pharmacodynamics Pharmaceutics Agonist vs antagnist |
Week 3 |
Lesson 5, lab 2 Common drugs acting on respiratory system Understanding cOPD and asthma medications Bronchodilators, corticosteroids and inhalers Nursing observations for respiratory patients Patient education for medication related to respiratory system |
Week 4 |
lab3, Lesson 6 Cardiovascular medication - indications for use Nursing manangement of cardiovascular patients Patient reducation related to cardiovascular medications Review of the cardiovascular system |
Week 5 |
Lesson 7 Antianginal medications Rationales for using GTN Nursing internvetions required when adminsitering antiagninals Coronary artery disease Medication to reduce hyperlipaemia Patient education required for cholerstol lowering medications |
Week 6 |
Lesson 8, 9 Antiplatelets medications Review of clotting and coagulation Haemostasis Preventing venous clots
Anticoagulants Thrombolytic medications Blood tests for anticoagulants Patient safety and education for anticoagulant adminsitration |
Week 8 |
Lesson 10 Parenteral medications Commonly adminsitered SC and IM medications Aseptic techniqe Use of pre-filled syringes Appropriate sites for SC and IM injections Equipment required for SC and IM medication administration Safe disposal of sharps |
Week 9 |
Lab 4+5, Lesson 11 Anaesthetic agents General anaesthetics Regional anaesthetics Local anaesthetics Drugs that paralyse the skeletal muscles Medications used to reduce awareness |
Week 10 |
Lesson 12, 13 Review of diabetes Oral hypoglycaemics Insulin Insulin pump therapy Glucose
CCF Medications affecting heart function Inotropes related to cardiac contractility Vasopressors Cardiac Glycosides |
Week 11 |
Lesson 14 Medications affecting GIT Functions of GIT Gastric acid Conditions affecting stomach acid secretion Antacids PPIs |
Week 12 |
Lesson 15, lab 6 Types of Pain Pain assessment Pain management Pharmacological and non pharmacological pain management |
Week 13 |
Lesson 16 Microorganisms MC+S Gram staining Antibiotics Antibiotic resistance CRE |
Learning Resources
Prescribed Texts
References
Other Resources
Pharmacology in Nursing Australian & New Zealand 3rd Edition
By: Bonita Broyles, Barry Reiss, Mary Evans, Gayle McKenzie, Sussan Pleunik
Published: 4th October 2019
ISBN: 9780170421850
Havard's Nursing Guide to Drugs
10th Edition
By: Adriana TizianiPublished: 5th July 2017
ISBN: 9780729542548
Nursing Calculations
9th Edition
By: Nicole Phillips, John GatfordPublished: 9th August 2016
ISBN: 9780702062315
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 assessment tasks to demonstrate competence.
|
Assessment Tasks
ASSESSMENT TASK 1 | Medication Calculations Assessment |
ASSESSMENT TASK 2 | Medication Knowledge Assessment |
ASSESSMENT TASK 3 | Online Quiz |
ASSESSMENT TASK 4 | Simulated LAB Assessment Part A(GIT, topical) Part B (SC/IM) |
ASSESSMENT TASK 5 | Clinical Placement (sub acute) |
ASSESSMENT TASK 6 | IV Calculations Assessment |
ASSESSMENT TASK 7 | IV Knowledge Assessment |
ASSESSMENT TASK 8 | Simulated LAB assessment: IVT Med, Gravity, Blood |
ASSESSMENT TASK 9 | Clinical Placement (Acute) |
Assessment Matrix
Course Overview: Access Course Overview