Assessment Requirements for HLTANA007 Monitor medications in the anaesthetic environment

Release: 1

Assessment Requirements for HLTANA007 Monitor medications in the anaesthetic environment

Modification History

Release	Comments
Release 1	This version was released in HLT Health Training Package release 2.0 and meets the requirements of the 2012 Standards for Training Packages. Significant changes to the elements and performance criteria. New evidence requirements for assessment, including volume and frequency requirements. Significant change to knowledge evidence.

Performance Evidence

The candidate must show evidence of the ability to complete tasks outlined in elements and performance criteria of this unit, manage tasks and manage contingencies in the context of the job role. There must be evidence that the candidate has:

accessed, prepared and monitored medications, fluids, blood and blood products in accordance with legislation and the organisation’s medication and delegation policies and practice under the supervision of a health professional on at least 10 different occasions

administered crystalloids, colloids, blood & blood products

programmed infusion devices at least twice

set up rapid infusion device at least twice

prepared drugs for administration via each of the following routes at least twice:

inhalational

intravenous

intramuscular

oral

subcutaneous

topical

Knowledge Evidence

The candidate must be able to demonstrate essential knowledge required to effectively complete tasks outlined in elements and performance criteria of this unit, manage tasks and manage contingencies in the context of the work role. This includes knowledge of:

legal and ethical considerations (national, state/territory) for the handling and administration of medications, and how these are applied in organisations:

approved drug and fluid abbreviations

Australian and New Zealand scheduling for drugs and poisons

Australian and New Zealand Society of Blood Transfusion guidelines (ANZSBT)

codes of practice

records management requirements

storage

work role boundaries – responsibilities and limitations

rights and responsibilities of workers, employers and clients

work health and safety (WHS)

pharmacology for drugs commonly used in anaesthesia, including:

sources of drugs (natural/endorphins/synthetic)

drug nomenclature (chemical/generic/brand names)

drug classifications

common abbreviations

pharmacodynamics - drug receptor interactions/dose-response relationships/therapeutic index

pharmacokinetics (ADME) absorption/distribution/metabolism/excretion

pharmacotherapeutics

adverse drug reactions and interactions

toxicity/toxicology

drug administration routes:

enteral medication – endotracheal, sublingual, buccal, rectal, vaginal, urethral

parenteral medication - intravenous, intramuscular, intraosseous, intracardiac, intraarticular, intrauterine, intrathecal, subcutaneous, intra-arterial, inhalational

topical medication - subcutaneous, transnasal, transdermal, ocular, inhalational, aural

formulations, including

wafers

tablets

lozenges

capsules

elixir

suspension

solutions

creams

major drug groups used in anaesthesia - presentation, formulation, indication, mode of action, system of delivery and administration routes, precautions, side effects, contraindications and adverse reactions, storage requirements, factors influencing drug actions, dosage variations for different types of clients for all of the following:

inhalational induction agents

intravenous induction agents

analgesics

non steroidal anti-inflammatory drugs (NSAID)

anti-emetics

muscle relaxants

respiratory medications

anticoagulants

local anaesthetics

antibiotics

cardiovascular medication, including diuretics

electrolytes

drugs used in the management of the following conditions (which may complicate or co-exist with anaesthesia):

adrenal dysfunction

anaphylaxis

angina

bronchospasm

cardiac arrest

cardiac arrhythmias

congestive heart failure

coagulopathies

deep vein thrombosis

endocrine dysfunction

hypoglycaemia

hypotension

hyperglycaemia

hypertension

pulmonary oedema/embolism

raised intracranial/intra-ocular pressure

respiratory depression/compromise

stroke

seizure

uterine atony

methods of drug preparation, including:

dilutions

reconstitutions

factors to consider when calculating medication dosages including:

calculation formulae

calculation of dosages of injectable drugs (liquid, solid, unit dosages)

flow rate drops per minute

flow rate millilitres per hour

duration of infusion

paediatric dosage calculations (body weight, surface area, age related dose reduction)

geriatric dosage calculations (body weight, surface area and age)

methods of storage and handling of medication

equipment for administration of medications, including:

volumetric pumps

syringe drivers

consumables

infusion products and equipment:

rapid infusers

warming devices

burettes

infusion sets and attachments

blood and blood products

crystalloids

colloids

massive transfusion protocol

emergency medical management of anaphylaxis and adverse drug/fluid reactions

Assessment Conditions

Skills must have been demonstrated in the workplace or in a simulated environment that reflects workplace conditions. The following conditions must be met for this unit:

use of suitable facilities, equipment and resources, including:

manufacturer’s instructions

organisation policies and procedures

MIMS

Australian & New Zealand Society of Blood Transfusion (ANZSBT)

Australian and New Zealand College of Anaesthetists (ANZCA)

medications

modelling of industry operating conditions, including presence of situations requiring problem solving in non-routine situations

Assessors must satisfy the Standards for Registered Training Organisations (RTOs) 2015/AQTF mandatory competency requirements for assessors.

Links

Companion Volume implementation guides are found in VETNet - https://vetnet.gov.au/Pages/TrainingDocs.aspx?q=ced1390f-48d9-4ab0-bd50-b015e5485705