Course Title: Administer and monitor medicines and intravenous therapy

Part B: Course Detail

Teaching Period: VE 2018

Class Number: 1993

Class Section: NH17

For flexible terms and optional semesters, a Part B course guide may have been published for the entire teaching period, or for the specific class number in which you are enrolled. If there is no Part B course guide published for your specific class number, please refer to the guide for the teaching period in which you are enrolled. Enrolment Online is the definitive source for details regarding your class enrolment.

Course Code: NURS5384C

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: 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

 

Zaw Pedroni

Nursing Program Coordinator

The Northern Health Program

zaw.pedroni@rmit.edu.au 

 

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

Session No  or Week No

 

Topic

(List the key topics to be covered in each session, including self-paced sessions if applicable)

 

Student Learning Activities

 

Assessment tasks

 

Session 01

Week 01

 

·         Unit overview of requirements and policies to achieve success for the course.

·         Legal & Ethical

·         Understanding the concepts and regulations in regards to medication administrations

 

 

·         Pre-reading is compulsory for the slides on Lesson 1.

·         Students should have reviewed slides to Lesson 1, be prepared to work through the topic/s in class.

·         Face to face tutorial

·         Videos of learning contents

·         Group discussion

·         Potential role play scenarios

 

 

 

Reminder: Students should start to work on the required assessments for the course.

 

 

 

Session 02 Week 02

 

·         Exploring different medication charts

·         Legal requirements and hospital policies in regards to medication prescription and charting

·         Understanding Rights of medication administration

·         Safe disposal of medications

·         Documentation of medication administrations

 

 

 

·         Simulated/Practical skill application/s of key topic/s

·         Group discussion

·         Working in pairs

·         Face to face tutorial

 

 

 

 

 

 

Session 03

Week 02

 

·         Review of cell biology

•       Understanding; Pharmacology, Pharmacokinetics & Pharmacodynamics

•       Agonists, antagonist & receptors

•       Metabolism of medications

 

·         Pre-reading is compulsory for the slides on Lesson 2.

·         Students should have reviewed slides to Lesson 2, be prepared to work through the topic/s in class.

·         Face to face tutorial

·         Group discussion

·         Potential role play scenarios

 

 

 

 

 

 

Session 04

Week 02

 

•       Different types of oral medication; tablets, capsules, EC meds, lozenges and liquid

•       Administration oral medication

•       To crush or not to crush

•       Pill cutter and crushing meds

•       Administration medications via NGT & oral, buccal and SL medications

•       Medication calculations; conversion of units

•       Medication Schedules; S6 vs S8 and storage & disposal

 

 

 

·         Simulated/Practical skill application/s of key topic/s

·         Group discussion

·         Working in pairs

·         Face to face tutorial

 

 
 

 

 

 

 

Session 05

Week 03

 

  • Calculations, Conversion & Terminology
  • Practice Medication Calculations
  • Medication calculation formulas for solid & liquid oral medications

 

 

·         Pre-reading is compulsory for the slides on Lesson 3.

·         Students should have reviewed slides to Lesson 3, be prepared to work through the topic/s in class.

·         Face to face tutorial

·         Group discussion

·         Potential role play scenarios

·         Medication calculations practice work sheets

 

 

 

 

 

Session 06

Week 03

 

 

•       Practice medication calculation; formulas and conversions

•       Using medications charts following Rights of medication administration

•       Administration of medications via NGT and PEG

•       Review of different tablet types

 

 

 

·         Simulated/Practical skill application/s of key topic/s

·         Group discussion

·         Working in pairs

·         Face to face tutorial

·         Scenarios based learning activities

 

 

 

 

 

 

Session 07

Week 04

 

 

  • Routes of Administration; Enteral: Oral, Transdermal, Eye and Ear drops, Sublingual, Buccal, Topical
  • Indications, side effect and dosages
  •  Different groups of medications for Chronic and Acute conditions
  • Introduction to Cardiac, Respiratory and Diabetes medications

 

 

 

 

·         Pre-reading is compulsory for the slides on Lesson 4.

·         Students should have reviewed slides to Lesson 4, be prepared to work through the topic/s in class.

·         Face to face tutorial

·         Group discussion

·         Potential role play scenarios

·         Medication calculations practice work sheets

 

 

 

Session 08

Week 04

 

 

·         Practice medication calculation exam

·         Administering Eye drops & ear drops

·         Administering Topical and Transdermal medications

·         Administering suppositories and enemas  

 

 

 

·         Simulated/Practical skill application/s of key topic/s

·         Group discussion

·         Working in pairs

·         Face to face tutorial

·         Scenarios based learning activities

 

 

Reminder: Next week Medication Calculation Exam 100%.

 

 

Session 09

Week 05

 

 

Assessment Task 1: Medication Calculation 100%

 

Assessment Task 1: Medication Calculation 100%

 

Assessment Task 1: Medication Calculation 100%

 

 

Week 06 to Week 16

 

 

·         Self-directed Learning period

·         Lesson 16 Simple oral analgesics

·         All Topics previously covered in class & Sim

·         As well as any topics that had not been covered in class yet.

 

·         This is a self-directed learning time for Northern Students.

·         If you are not out on Clinical Placement you are required to maintain your required studies during the self-directed learning time. 

·         Students are expected to review all available Lesson slides on Administration of Enteral and Parenteral medications.

·         It is expected that any Lesson slides that are not covered in class or practical skills lab need to be studied by the students during this period.

·         Students are required to study the topic/s as a self-directed learning activities using the recommended text books.

 

 

 

Session 10

Week 16

 

 

  • Administration of subcutaneous medications & intramuscular medications
  • Selecting different needles
  • Needle safety and disposal of needles
  • Site selections
  • Safety needles
  • Following Hospital policies around needle safety
  • Potential complications
  • Nursing assessment, evaluations, implementation and documentations

 

 

 

·         Simulated/Practical skill application/s of key topic/s

·         Group discussion

·         Working in pairs

·         Face to face tutorial

·         Scenarios based learning activities

 

 

 

Session 11

Week 16

 

 

  • Routes of Administration; Parenteral: Intramuscular, Subcutaneous & introduction of Intravenous
  • Indications, side effect and dosages
  • Needle safety & disposal
  • Needles selection
  • Review of respiratory systems and conditions
  • Medications acting on the respiratory system

 

 

 

·         Pre-reading is compulsory for the slides on Lesson 5 & 6A & 6B.

·         Students should have reviewed slides to Lesson 5 & 6A & 6B, be prepared to work through the topic/s in class.

·         Face to face tutorial

·         Group discussion

·         Potential role play scenarios

 

 

 

Session 12

Week 17

 

 

  • Review of Administration of subcutaneous medications
  • Review of intramuscular medications
  • Selecting different needles
  • Needle safety and disposal of needles
  • Site selections
  • Safety needles

 

 

·         Simulated/Practical skill application/s of key topic/s

·         Group discussion

·         Working in pairs

·         Face to face tutorial

·         Scenarios based learning activities

 

 

 

Session 13

Week 17

 

 

  • Overview of cardiac system & cardiovascular conditions
  • Review of the medications acting on the cardiac system
  • Indications, side effect and dosages
  • Potential complications
  • Nursing assessment, evaluations, implementation and documentations

 

 

·         Pre-reading is compulsory for the slides on Lesson 7, 8 & 9.

·         Students should have reviewed slides to Lesson 7, 8 & 9, be prepared to work through the topic/s in class.

·         Face to face tutorial

·         Group discussion

·         Potential role play scenarios

 

 

 

Session 14

Week 18

 

 

  • Review of Administration of Enteral medications
  • Review of Administration of Parenteral medications
  • Needle safety and disposal of needles
  • Administering medications following the “Rights of Medication Administration”

 

·         Simulated/Practical skill application/s of key topic/s

·         Group discussion

·         Working in pairs

·         Face to face tutorial

·         Scenarios based learning activities

·         Preparation for the practical assessment coming up.

 

 

 

 

Session 15

Week 18

 

 

 

  • Administration medications acting on endocrine system
  • Administration of diabetes management medications; insulin and hypoglycaemic
  • Oral Antibiotics, antivirals, antifungals: Side effect, adverse reactions & anaphylaxis
  • Antiseptic medications

 

 

·         Pre-reading is compulsory for the slides on Lesson 10, 12 & 13.

·         Students should have reviewed slides to Lesson 10, 12 & 13, be prepared to work through the topic/s in class.

·         Face to face tutorial

·         Group discussion

·         Potential role play scenarios

 

 

Reminder: Assessment Task 2 & Assessment Task 3 are coming up.

 

 

Session 16

Week 19

 

 

 

Assessment Task 2: Written Knowledge Assessment

 

Assessment Task 2: Written Knowledge Assessment

 

Assessment Task 2: Written Knowledge Assessment

Session 17 & Session 18

Week 19

 

 

Assessment Task 3: Simulated/Practical Assessment

 

Assessment Task 3: Simulated/Practical Assessment

 

Assessment Task 3: Simulated/Practical Assessment

 

 

Assessment Task 4: Clinical Placement as per the Clinical Placement Coordinator allocation

 

 

Assessment Task 4: Clinical Placement as per the Clinical Placement Coordinator allocation

 

 

Assessment Task 4: Clinical Placement as per the Clinical Placement Coordinator allocation

 


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 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

You must achieve a satisfactory result for Assessments 1-3 prior to attending Clinical Placement.

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

 

No:

Assessment Code

Name

1

AT1

Medication Calculations Exam : Due Week 5

2

AT2

Written Knowledge Assessment: Due Week 19

3

AT3

Medication Lab Practical Assessment: Due Week 19

4

AT4

Clinical placement: As Per Clinical Placement Coordinator allocations


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
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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