Course Title: Administer and monitor medicines and intravenous therapy

Part B: Course Detail

Teaching Period: Term1 2020

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: Annelize Grech

Course Contact Phone: +61 3 9925 4468

Course Contact Email: annelize.grech@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:

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 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 

Course Schedule: HLTENN007 Administer and Monitor Medicines and Intravenous Therapy  -  Semester 1, 2020

Week

Lessons

Lab Sessions

Assessments

Week 1

 

Lesson 1:

  • Legal and Ethical issues about medication administration

Lesson 2:

  • Routes of Medication Administration: Enteral: Oral, Transdermal, Eye and Ear drops, Sublingual, Buccal, Topical

Lab 1

 

Week 2

 

Lesson 3:

  • Calculations , Conversions and Medication Terminology

Lesson 4:

  • Pharmacology, Pharmacokinetics and Pharmacodynamics

 

 

Week 3

 

Lesson 5:

  • Medications acting on the respiratory system

Lesson 6:

  • Medications acting on the cardiac system: antihypertensives (ABCDE)

Lab 2

 

Week 4

 

Lesson 7:

  • Medications acting on the cardiac system: anti-anginals and anti-hyperlipidaemic agents

Lesson 8:

  • Medications acting on the cardiac system - drugs affecting blood coagulation

Lab 3

 

Week 5

 

Lesson 9:

  • Medications acting on the cardiac system: inotropes and drugs to treat hypotension
  • Practice Calculations Exam

Lesson 10:

  • Routes of Administration: Parenteral - Intramuscular, Subcutaneous and Intravenous

 

 

Week 6

 

Lesson 11:

  • Anti-microbials
  • Practical Assessment: Revision in class
 

Assessment Task 3:

Practical Assessment: Part A - oral medications

18 - 19 March 2020

 

Week 7

 

No medications classes/labs

 

 

Week 8

 

No medications classes/labs 

 

 

Week 9

(before mid-semester break)

 

Lesson 12:

Medications calculations revision

   

Week 9

(after mid-semester break)

Lesson 13:

  • Assessment Task 1: Medications Calculations Test

Lab 4

Assessment Task 1:

Medications Calculations Test 

16 April 2020

Week 10

 

Lesson 14:

  • Medications acting on the GIT

 

Lesson 15:

  • Diabetic medications

Lab 5

 

Week 11

 

Lesson 16:

  • Analgesia: opioid and non-opioid analgesia

Lab 6

 

Week 12

 

Lesson 17:

  • Revision of semester 1 learning materials

 

 

Week 13

 

Lesson 18:

  • Self-directed learning

Lab 7

Assessment Task 2:

Online knowledge quiz

13 May 2020

Week 14

 

No medications classes/labs

 

 

Week 15

 

No medications classes/labs

 

Assessment Task 3:

Practical Assessment: Part B - Sub cutaneous and intramuscular injections 

26-27 May 2020

 

Assessment Task 4: Clinical placement

Week 16

 

No medications classes/labs

 

Resits: Assessment Task 2: Online knowledge quiz

2 June 2020

 

Resits: Assessment Task 3: Practical Assessment (Part A and B)

4 June 2020

 

Assessment Task 4: Clinical placement

Week 17

 

No medications classes/labs

 

Assessment Task 4: Clinical placement

Week 18

 

No medications classes/labs

 

Assessment Task 4: Clinical placement

End of Semester 1, 2020

 

 

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.)

Course Schedule: HLTENN007 Administer and Monitor Medicines and Intravenous Therapy  -  Semester 2, 2020*

*dates (to be confirmed)

Week

Lessons

Lab sessions

Assessments

 

Week 1

 

Lesson 19:

  • Self-directed learning
 

 

 

Week 2

 

Lesson 20:

  • IV medications calculations 

 

Lesson 21:

  • Revision of Anatomy and pathophysiology of the cardiac system relating to IV therapy
  • Introduction to IV fluids / fluid therapy

 

Lesson 22:

  • Local complications associated with peripheral IV cannula and IV therapy
  • Monitoring and maintenance

 

 

Week 3

 

Lesson 23:

  • IV Complications Systemic Complications

 

Lesson 24:

  • IV Practice Calculation Exam

 

Lab 8

 

Week 4

 

Lesson 25:

  • Fluids and electrolytes: maintenance of homeostasis

Lesson 26:

  • IV Practice Calculation Exam

 

 

Week 5

 

Lesson 27:

  • Assessment Task 5: IV Medications Calculation Exam (100% accuracy)

 

Lesson 28:

  • IV fluids: Determining fluid therapy needs; Osmolarity; Tonicity

Lesson 29:

  • High Risk IV medications groups
  • systems and methods of IV medications and IV therapy administration 

Lab 9

 

 

Assessment Task 5: IV Medications Calculation Exam (100% accuracy)

Week 6

 

Lesson 30:

  • IV analgesia: continuous infusions and patient-controlled analgesia (PCA)

Lesson 31:

  • The value of accuracy and attention to detail

 

 

Week 7

 

Lesson 32:

  • Blood and blood products: administration, monitoring and reactions.

Lesson 33:

  • TPN

Lab 10

 

 

Week 8

 

Lesson 34:

  • Anti-neoplastic medications

Lesson 35:

  • Revision for online knowledge quiz

 

Assessment Task 7: Practical Assessment:  Part A - IV Administration Gravity

 

Mid-Semester Break

Week 9

 

Lesson 36:

  • Revision for IV medication online knowledge quiz 

 

Lab 11

 

Week 10

 

Lesson 37:

  • Revision for IV medications online knowledge quiz 

 

 

Week 11

 

Lesson 38:

  • Assessment Task 6: IV medications Online knowledge quiz

Lab 12

 

 

Week 12

 

No medications classes/labs

Lab 13

 

Assessment Task 7: Practical Assessment Part B - IV Administration Blood Transfusion 

Week 13

 

No medications classes/labs

 

Assessment Task 7: Practical Assessment Part B - IV Administration Blood Transfusion

 

Week 14

 

No medications classes/labs

 

Resits: Assessment Task 6

Resits: Assessment Task 7

 

Week 15 – Week 18

No medications classes/labs

 

Assessment Task 8: Clinical placement

End of Semester 2, 2020

 

 

 

 

 

 

 

 

 

 

 


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 assessment tasks to demonstrate competence.

 

 


Assessment Tasks

No:

Assessment Code

Name

1

AT1

Medication Calculations Exam 

2

AT2

Mid-year Medication Written Knowledge Exam 

3

AT3 

Online Quiz

4

AT4

Lab Assessment 

5

AT5

Clinical placement - Sub-Acute

6

AT6

Intravenous Calculations Exam 

7

AT7

End of year Intravenous Written Knowledge Exam 

8

AT8

Intravenous Lab Practical Assessment - Part A and Part B

9

AT9

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

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

 

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