HLTEN507B - Administer and monitor medications in the work environment assessment tool

Assessor Resource

HLTEN507B
Administer and monitor medications in the work environment

Assessment tool

Version 1.0
Issue Date: May 2024

The knowledge and skills described in this competency unit are to be applied within jurisdictional nursing and midwifery regulatory authority legislative requirements

Enrolled/Division 2 nursing work is to be carried out in consultation/collaboration with registered nurses and under direct or indirect supervisory arrangements in line with jurisdictional regulatory requirements

This unit of competency describes the skills and knowledge required of Enrolled/Division 2 nurses to administer and monitor medications and evaluate their effectiveness for clients within a health environment

You may want to include more information here about the target group and the purpose of the assessments (eg formative, summative, recognition)

Prerequisites

Pre-requisite units

This unit must be assessed after successful achievement of pre-requisites:

HLTAP501B Analyse health information

HLTEN509B Apply legal and ethical parameters to nursing practice

HLTEN502B Apply effective communication skills in nursing practice

Employability Skills

This unit contains Employability Skills

Evidence Required

List the assessment methods to be used and the context and resources required for assessment. Copy and paste the relevant sections from the evidence guide below and then re-write these in plain English.



The evidence guide provides advice on assessment and must be read in conjunction with the Performance Criteria, Required Skills and Knowledge, the Range Statement and the Assessment Guidelines for this Training Package.

Critical aspects for assessment and evidence required to demonstrate this competency unit:	The individual being assessed must provide evidence of specified essential knowledge as well as skills Observation of performance in a work context is essential for assessment of this unit Consistency of performance should be demonstrated over the required range of workplace situations and should occur on more than one occasion and be assessed by a registered nurse Assessment must include a written calculation test with 100% mastery

Context of and specific resources for assessment:	Assessment must be undertaken in a simulated clinical laboratory prior to and replicated, where appropriate, in the clinical setting This unit is most appropriately assessed in the clinical workplace or in a simulated clinical work environment and under the normal range of clinical environment conditions Where, for reasons of safety, access to equipment and resources and space, assessment takes place away from the workplace, simulations should be used to represent workplace conditions as closely as possible

Method of assessment	Assessment of competency may occur on more than one occasion. Assessment may include but not be limited to: Observation in the work place Evidence gathered from clinical work environment Written assignments/projects Case study and scenario as a basis for discussion of issues and strategies to contribute to best practice Questioning - verbal and written Role play/simulation

Access and equity considerations:	All workers in the health industry should be aware of access and equity issues in relation to their own area of work All workers should develop their ability to work in a culturally diverse environment In recognition of particular health issues facing Aboriginal and Torres Strait Islander communities, workers should be aware of cultural, historical and current issues impacting on health of Aboriginal and Torres Strait Islander people Assessors and trainers must take into account relevant access and equity issues, in particular relating to factors impacting on health of Aboriginal and/or Torres Strait Islander clients and communities

Submission Requirements

List each assessment task's title, type (eg project, observation/demonstration, essay, assingnment, checklist) and due date here

Assessment task 1: [title] Due date:

(add new lines for each of the assessment tasks)

Assessment Tasks

Copy and paste from the following data to produce each assessment task. Write these in plain English and spell out how, when and where the task is to be carried out, under what conditions, and what resources are needed. Include guidelines about how well the candidate has to perform a task for it to be judged satisfactory.

This describes the essential skills and knowledge and their level required for this unit.

Essential knowledge:

The candidate must be able to demonstrate essential knowledge required to effectively do the task outlined in elements and performance criteria of this unit, manage the task and manage contingencies in the context of the identified work role

This includes knowledge of:

An awareness of the role of complementary therapies

An awareness of traditional medicine in the context of health of Aboriginal and Torres Strait Islander people

Application of guidelines to individual needs of clients(ie. therapeutic interventions, hygiene, dignity, esteem, physical, cultural and cognitive restrictions)

Documentation associated with medication administration

Ethical guidelines including confidentiality, duty of care and public safety

Factors influencing medication actions

Legal requirements for practice parameters of Enrolled/Division 2 nurse relating to the administration of medications, including legal requirements of each route of administration

Major medication groups

Methods of storage, handling and usage of medications

Organisation policies and procedures, guidelines and protocols, including workplace health and safety policies to ensure safe practice eg management of sharps

Relevant medical/medication terminology and approved medication abbreviations

Relevant pathophysiology

Role of the health care team in the administration of medications

State/territory legislative requirements relating to medication administration

Systems of medication delivery and medication administration devices (eg. pumps and syringe drivers) within the scope of own role

Scheduling of medications, including:

Schedule 2

Schedule 3

Schedule 4

Schedule 8

Substance incompatibilities, including:

anaphylactic reactions

adverse reactions

contraindications

precautions

side effects

An understanding of the pharmacology of medications including:

pharmacodynamics

pharmacokinetics

pharmacotherapeutics

toxicology

continued ...

Essential knowledge (contd):

Own role in medical emergency

Principles of peripheral intravenous therapy.

People's perception of pain and principles and strategies to alleviate pain

Essential skills:

It is critical that the candidate demonstrate the ability to effectively do the task outlined in elements and performance criteria of this unit, manage the task and manage contingencies in the context of the identified work role

This includes the ability to:

Apply professional standards of practice:

ANMC code of conduct

ANMC code of ethics

ANMC national Enrolled/Division 2 nurse competency standards

state/territory Nurse Regulatory Nurses Act

state/territory Nursing and Midwifery Regulatory Authority standards of practice

state/Territory Drugs and Poisons Act

scope of nursing practice decision making framework

Apply infection control principles - hand washing, handling of medications, universal precautions

Calculate volumes for administration of medications

Demonstrate preparation, administration and recording of medication/s via all routes as per State and Territory Legislation

Demonstrate professional conduct, skills and knowledge

Explain and demonstrate emergency management for a client experiencing an adverse medication reaction

Observe and monitor peripheral intravenous therapy

Use interpersonal skills including working with others, using sensitivity when dealing with people and relating to persons from differing cultural, social and religious backgrounds

Use formulae for drug calculation for:

adult clients

older clients

paediatric clients

intravenous therapy

Use language, literacy and numeracy competence required for:

comparison of metric measurements

drug calculation, administration and documentation

estimation

SI abbreviations

Use oral communication skills (language competence) required to fulfil job roles as specified by the organisation/service. Oral communication skills include interviewing techniques, asking questions, active listening, asking for clarification, non-judgement attitudes, non-verbal behaviour



The Range Statement relates to the unit of competency as a whole. It allows for different work environments and situations that may affect performance. Add any essential operating conditions that may be present with training and assessment depending on the work situation, needs of the candidate, accessibility of the item, and local industry and regional contexts.

Health environments may include:	Residential aged care facility Community settings Hospitals Clinics Short and long stay centres Clients home

Potential risks may include but is not limited to:	Client identification Allergic reactions Immunisation status Medication incompatibilities Contraindications for drug administration Care of sharps Intravenous therapy

Medication administration routesinclude:	Oral Intranasal (including nebulised medications) Topical (including transdermal) Ocular Aural Rectal Vaginal administration Subcutaneous/Intramuscular routes Enteral administration [Percutaneous Gastrostomy (PEG) as well as nasogastric tubes]

Terminology associated with medications may include:	Medication Administer Side effect/adverse reaction/allergic reaction Anaphylaxis Allergy Suspension/mixture/syrup/linctus/lozenge Ointment/cream/lotion Tincture/emulsion Tablet/pill Transdermal patch Nebuliser/aerosol/volumetric spacer

Legal and regulatory framework include:	State/territory Nurses Act State/Territory Drugs and Poisons Act Health (Drugs and Poisons) Regulations State/Territory Nurse Regulatory Authority codes and guidelines Legal requirements of documentation

Client history may include:	Pre-existing conditions Admission diagnosis Allergies Current history Current medication Behavioural characteristics Nutritional status Hydration status Psychological needs Psychosocial needs Compliance history

Reports can be verbal or written, and may include:	Individual client records Pain management plans Fluid status management Nutritional status management Observational documentation Medication charts Admission and discharge planning Referral documentation (allied health team) Diagnostic reports/results Clinical progress notes Hand-over at end of shift Resuscitation documentation Medication incident reports

Policies and procedures relating to infection control can include:	Effective hand washing and hand drying techniques Handling of medication

Relevant client information and education may include:	Medication side effects Length of treatment Drug interactions Consequences of non-compliance Anatomical positioning for safe drug administration Client controlled analgesia

Factors influencing medication actions may include:	Rate of absorption Distribution Metabolism Drug interactions Binding to plasma proteins Excretion Dosage form Route of administration Improper storage Timing of administration Client age, height, weight Previous history

Major medication groups include:	Anaesthetics Antacids Antianginals Antiarrhythmics Antibiotics Anticholinergics Anticoagulants Anticonvulsants Antidepressants Antidiarrhoeals Antiemetics Antifungals Antihistamines Antihypertentives Anti-inflammatory Antineoplastics Antiparkinsonion Antipruritic Antipsychotics antiseptics Antiulcer Antivirals Anxiolytics Beta-blockers Bronchodilators Contraceptives Corticosteroids Diuretics Electrolyte solutions Hormones Hypnotics/sedatives Laxatives/aperients Narcotic analgesia Neuroleptics Ophthalmic, otic and nasal medications Hypoglycaemics continued ...
Major medication groups include: (contd)	Analgesia Vitamins

Methods of storage, handling and usage of medications may include:	Dry/moist Refrigeration Away from light/heat Separate storage of external use medication from internal use medication Locked cupboard/trolley Narcotics - locked, attached to wall Register for drugs of addiction Routine checking of narcotic drugs in storage Pharmacist responsibility for containers and labels Expiry dates

Administration of oral medications and associated terminology may include:	Legible medication order Preparation of medication by person administering 6 "Rights" of administration Special precautions Medication checking process Documentation of drug administration

Administration of subcutaneous or intramuscular injection may include:	Needle/syringe size Angle for insertion Cleansing and insertion Vastus lateralis muscle Gluteus maximus muscle Ventro-gluteal muscle Deltoid muscle Z- track

Common fluid and electrolyte imbalances may include:	Water deficit/excess syndromes Fluid volume imbalance Electrolyte deficit/excess

Calculation of medication dosages must include:	Calculation formulae Use of 1 mL versus 2 mL syringe Calculation of oral drug dosages Calculations of dosages of liquid medications Calculations of dosages of solid medications Calculation of dosages of injectable drugs (liquid, solid, unit dosages) Flow rate drops per minute Flow rate millilitres per hour Paediatric dosage calculations (body weight, surface area, age related dose reduction) Frail elderly dosage calculations (body weight, surface area and age)

Drugs commonly used for fluid and/or electrolyte imbalance may include:	Diuretics Electrolytes Replacement solutions Acidifiers/alkalisers

Common terminology associated with fluid and electrolytes may include:	Ions Intracellular/extracellular Osmosis/diffusion Active transport Fluid shift Sodium/potassium chloride Fluid balance (positive/negative) Fluid balance chart Over hydration (overload)/under hydration (dehydration) Oedema Hypertonic/isotonic/hypotonic Intravenous therapy Calcium/phosphate

Policies and procedures relating to occupational health and safety include:	Handling of medication Appropriate use and disposal of Personal Protective Equipment (PPE)

Copy and paste from the following performance criteria to create an observation checklist for each task. When you have finished writing your assessment tool every one of these must have been addressed, preferably several times in a variety of contexts. To ensure this occurs download the assessment matrix for the unit; enter each assessment task as a column header and place check marks against each performance criteria that task addresses.

Observation Checklist

Tasks to be observed according to workplace/college/TAFE policy and procedures, relevant legislation and Codes of Practice	Yes	No	Comments/feedback
Check client medication chart in relation to timing and route of medication to be administered
Raise issues related to drug and poison administration with appropriate personnel
Check for and identify common contraindications and adverse reactions of prescribed medications and refer to registered nurse
Confirm client identity and check for any known allergies
Refer to drugs and poisons schedules and classifications as determined by law
Ensure infection control methods are applied correctly
Identify pharmacology and substance incompatibilities in relation to specific situations involving medication administration
Check expiry dates of medication prior to administration
Explain the process of medication administration to the client and ensure their readiness
Position the client appropriately prior to administration of medication
Correctly identify administration route for each medication to be administered, using appropriate terminology
Consider the effect of commonly used medications on the body prior to medication administration
Accurately calculate dosages for administration of drugs
Prepare medications in accordance with legislative requirements and organisation guidelines
Apply medication administration techniques and precautions specific to each client situation and as per medication orders
Ensure medication is stored and disposed of in accordance with medical instructions and organisation policy and procedures
Administer medications within scope of own role in line with the jurisdictional legislative requirements and organisation policy
Store medications in a safe manner according to legislative requirements and organisation policy
Administer PRN medications within legislative requirements and organisation policy
Apply quality management and risk assessment practices relating to administration of medication
Provide client information and education relating to medication requirements
Record administration of medications in accordance with relevant policy and procedures
Contribute to information provided to clients and carers on medication administration (including possible side effects) in consultation/collaboration with the registered nurse
Evaluate client understanding of information provided
Recognise acute and delayed adverse reactions to medications and act upon within role responsibility
Implement emergency actions to address acute and delayed adverse reactions within role responsibility
Record and report response to emergency strategies, where appropriate
Assess and manage a client experiencing pain using appropriate medication and non-medication therapies
Record and report effectiveness of pain relieving medication
Identify the purpose and function of intravenous therapy being administered to a client
Check for common fluid and electrolyte imbalances and record and report
Calculate intravenous therapy rates
Recognise and report the risks and complications associated with intravenous therapy
Document observations and monitor peripheral intravenous therapy
Provide nursing care for client with fluid and/or electrolyte imbalance
Monitor action of drugs commonly used in fluid and/or electrolyte imbalance through client responses and record and report
Remove intravenous cannula according to organisation policy and procedure
Observe and question client to identify signs of pain and/or discomfort
Clarify the location and nature of pain, taking into account factors which may influence a client's perception of pain
Use the pain assessment scale to ensure consistency of interpretation
Undertake comprehensive observations as required to assess pain experienced by client
Identify and apply a range of medication and complementary strategies which may assist in alleviation of pain and discomfort in consultation/collaboration with registered nurse
Monitor and evaluate the effectiveness of using these strategies in consultation/collaboration with registered nurse
Record observations and evaluation of pain management strategies in consultation/ collaboration with registered nurse

Forms

Assessment Cover Sheet

HLTEN507B - Administer and monitor medications in the work environment

Assessment task 1: [title]

Student name:

Student ID:

I declare that the assessment tasks submitted for this unit are my own work.

Student signature:

Result: Competent Not yet competent

Feedback to student

Assessor name:

Signature:

Date:

Assessment Record Sheet

HLTEN507B - Administer and monitor medications in the work environment

Student name:

Student ID:

Assessment task 1: [title] Result: Competent Not yet competent

(add lines for each task)

Feedback to student:

Overall assessment result: Competent Not yet competent

Assessor name:

Signature:

Date:

Student signature:

Date:

Assessor Resource

HLTEN507B Administer and monitor medications in the work environmentAssessment tool

Version 1.0 Issue Date: May 2024

Prerequisites

Employability Skills

Evidence Required

Submission Requirements

Assessment Tasks

Observation Checklist

Forms

Assessment Cover Sheet

HLTEN507B - Administer and monitor medications in the work environment

Assessment task 1: [title]

Assessment Record Sheet

HLTEN507B - Administer and monitor medications in the work environment

HLTEN507B
Administer and monitor medications in the work environment

Assessment tool

Version 1.0
Issue Date: May 2024