Assessment Requirements for HLTENN040 Administer and monitor medicines and intravenous therapy

Release: 2

Assessment Requirements for HLTENN040 Administer and monitor medicines and intravenous therapy

Modification History

Release	Comments
Release 2	Release 2 HLTENN040 Administer and monitor medicines and intravenous therapy supersedes and is equivalent to Release 1 HLTENN040 Administer and monitor medicines and intravenous therapy. Updated: Mapping details and minor corrections.
Release 1	HLTENN040 Administer and monitor medicines and intravenous therapy supersedes and is not equivalent to HLTENN007 Administer and monitor medicines and intravenous therapy.

Performance Evidence

Demonstrate evidence of the ability to complete tasks outlined in elements and performance criteria of this unit in the context of the job role, and:

for two people:

reference medical history records to identify documented allergies and contraindications

use the Rights of Medication Administration and calculate medicine with 100% accuracy to administer medicines:

oral medicine including two in simulation and three in the workplace

sub-cutaneous injection including one in simulation and one in the workplace

intramuscular injection in simulation

peripheral IV injection including one in simulation and one in the workplace

prepare equipment for IV therapy and blood and blood products

monitor administration including assessing cannula site

The tasks must be undertaken in accordance with the Nursing and Midwifery Board of Australia (NMBA) professional practice standards, codes and guidelines.

Knowledge Evidence

Demonstrate knowledge required to complete tasks outlined in elements and performance criteria of this unit:

legal requirements for practice parameters of enrolled nurse in relation to the administration and documentation of medicine, including legal requirements for each route of administration

Australian Commission on Safety and Quality in Health Care (ACSQHC) National Standard Medication Charts

legal and regulatory framework including Commonwealth and State/Territory drugs and poisons acts, regulations and codes

pharmacology of medicine:

pharmacodynamics

pharmacokinetics

pharmacotherapeutics

therapeutic drug levels

anaphylactic reactions

adverse reactions

contraindications

precautions

side effects

management of potential complications of blood transfusion

safe transport, storage, handling, checking and disposal of blood and blood products

Rights of Medication Administration requirements:

right medicine

right dose

right prescription

right route

right time

right person

right expiration date

right to refuse

right documentation

right response

right form

high risk medicine as per the ACSQHC

how medicine is administered via the following routes:

oral

sublingual and buccal

inhalation

subcutaneous

intramuscular

intravenous

enteral

intranasal

ocular

rectal

transdermal

vaginal

aural

IV medicine administration methods:

push

bolus

gravity

electronic infusion pump

secondary line

syringe driver

subcutaneous

intravascular access devices:

central venous catheter (CVC)

peripherally inserted central catheter (PICC)

vascath

implanted venous port

Hickman

access devices:

peripheral

central

percutaneous

subcutaneous

patient-controlled analgesia (PCA)

pharmacodynamic effects of medicine groups:

Anaesthetics Analgesia Antacids Antianginals Anxiolytics Antiarrhythmics Antibiotics Anticholinergics Anticoagulants	Anticonvulsants Antidepressants Antidiarrheals Antiemetics Antifungals Antihistamines Antihypertensives Anti-inflammatory
Antineoplastics Antiparkinsonian Antipruritic Antipsychotics Antiseptics Antiulcer Antivirals	Hormones Hypnotics, sedatives Hypoglycaemics Insulin
Beta-blockers Benzodiazepines Bronchodilators	Electrolyte solutions
Laxatives/aperients	Ophthalmic, otic Nasal medicine – nasopharyngeal medicine
Contraceptives Corticosteroids	Diuretics
Including narcotic analgesia	Vitamins

techniques for calculating medicine dosages:

calculation formulae

ACSQHC tall man lettering

commonly used dose measurement:

microgram (microg, MICROg)

milligram (mg)

gram (g)

millilitre (mL)

litre (L)

millimole (mmol)

calculation of dosages of injectable drugs including liquid and solid unit dosages

flow rate:

drops per minute

millilitres per hour

paediatric dosage calculations including body weight, surface area and age-related dose reduction

geriatric dosage calculations including body weight, surface area and age

dose administration aids (DAAs) where dose is already calculated

organisational policies and procedures for addressing medicine errors

drugs commonly used for fluid and electrolyte imbalance:

alkalisers

diuretics

electrolytes

replacement solution.

Assessment Conditions

To be eligible to apply for registration as an enrolled nurse and to practice in Australia, each applicant must complete a Diploma of Nursing program accredited by the Australian Nursing and Midwifery Accreditation Council (ANMAC) and approved as ‘an approved program of study’ by the Nursing and Midwifery Board of Australia (NMBA) in accordance with the Enrolled Nurse Accreditation Standards.

For more detail visit https://www.ahpra.gov.au.

Skills must be demonstrated in the workplace or in a simulated environment as specified in the performance evidence that model industry operating conditions including access to real people for simulations and scenarios in enrolled nursing work.

Assessors must satisfy the Standards for Registered Training Organisations’ requirements for assessors.

Assessors must also hold current registration as a registered nurse with the Nursing and Midwifery Board of Australia (NMBA).

Links

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