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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. |
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Potential risk may include but is not limited to: | Client identificationAllergic reactionsImmunisation statusMedication incompatibilities |
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Delegation refers to: | Conferring of authority to perform specific medication administration activities to a worker not usually authorised but who has been determined as appropriate for the task by the delegating health professionalDelegation is within the context of a care plan or other written instruction Where delegation is provided verbally it must be confirmed as soon as practicable according to organisation procedures in writing and incorporated in the care plan The authority is specific to an individual client within a specific care context and is not transferableDelegation instructions must include:medication and its purposemedication form and instructions e.g. enteric coated - do not crushdosage and related instructionsroutecontra-indicationsany other relevant instructions or information, especially information specific to the client |
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Supervision refers to: | Instructing, advising, and monitoring another person in order to ensure safe and effective performance in carrying out the duties of their positionSupervision may be conducted by various means including:in person through use of electronic communications media such as telephone or video conferencing, where necessarySupervision level, form and frequency must be established by the delegating health professional for all work delegated to another workerFrequency and form of supervision will be determined by factors such as:the task maturity of the person being supervisedthe need to review and assess client conditions and progress in order to establish or alter treatment plans The need to correct and develop non-clinical aspects such as time management, organisation requirements, communication skills, and other factors supporting the provision of clinical care and working within a team |
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Health professional includes: | Registered nursesMedical practitionersPharmacistComplementary medicine therapist (for delegation within legislative requirements, specific to their area of expertise where included in the care plan)Dentist |
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Settings may include: | Aged care residentialClient's homeGroup homeRespite service |
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Dose administration aids may include: | Blister packs - single dose packs and multi-dose packs |
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Equipment required may include: | ApronsContainer for dirty spoons/dishesMedication charts/sheetsGlovesKey to medication trolley/medication cupboardLubricantMeasuring cupsMeasuring spoonMortar and pestleNebuliser/spacerOxygen cylinderOxygen mask/nasal prongsPre-loaded dose administration aids for insulinPaper towels/tissuesTablet dividerTea towelTumblersWater pitcher |
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Medication administration routes include: | AuralInsulin by sub-cutaneous injection using pre-loaded syringes or pensIntranasalOcularOralRectalTopical (including transdermal)Vaginal administration |
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Measure and/or calculate dosages includes: | 100% accurate measurement and/or calculation of medication required as per written delegation and/or prescription, including:measurement of liquid medications into measuring cup or spooncalculation of medication mixtures and solutionsuse of standard formulae to calculate the number or fraction of tablets to be administered to equate to required dose calculation of the number or fraction of tablets to equate to identified weight |
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Prepare medications may include: | Dispensing tablets from dose administration aids into medicine cupMeasuring liquid medications into measuring cup/spoonDissolving powder in waterPlacing medication in nebuliser/spacerUse of lubricant |
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Medication administration techniques may include, for example: | Techniques to assist clients with difficulties swallowingTechniques to assist clients with specific disabilitiesTechniques for managing behaviours of concern |
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Prepare for medication administration may include: | Discussing procedures with clientEncouraging client participationAdjusting posture and positioning clientSeeking assistance from other staffProviding privacyExposure to treatment area |
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Check client medication may include: | Checking medication is free from contaminationChecking that medication, time and resident/client correlate with documentationChecking dose administration aids for evidence of tampering |
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Physical or behavioural changes observed in condition of the client that must be immediately reported to a supervisor or health professional may include, but are not limited to: | Changes to airway (e.g. choking), breathing (including slowed, fast or absent breathing, colour changes) or circulation (including unexpected drowsiness, colour change and absence of pulse)RashInflammation or rednessSwellingHeadacheSkin toneFeelings of dizzinessSlurring of speechNausea and vomitingBlurred visionConfusionChanges in behaviourAnything that appears abnormal about the resident/clientOthers as advised by a doctor or health professional |
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The form of medication may include: | CapsulesEar dropsEye dropsInhalantsLiquidLotion and creamNose dropsPatchesPessaries PowderPre-loaded syringes or pensSuppositories TabletsWafers |
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All checks include: | Checking medication against the requirements Checking client detailsChecking the chartChecking for authorisationChecking specific delegation |
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Incomplete ingestion includes: | Inability or difficulties in swallowing whole or divided tablets Ejection of medicationVomiting Refusal to take medications |
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Document inconsistencies may include: | Incident reportsMedical chartsProgress notes |
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Drug storage procedures include: | Acting in accordance with defined job roleLocking and storing medications according to organisation policy and procedure |
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Required medications may include: | Medications prescribed for client by doctor or health professional and dispensed by pharmacist in dose administration aids PRN medications as prescribed (and identified in medication chart/sheet and/or care plan) according to relevant legislation, organisation guidelines and delegations |
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Client identification may include: | Referral to forms of identification such as photographs, wristbandsRecognition by responseConfirmation from nursing/care staff |
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References may include: | MIMS annual or drug reference guideDrugs hotline/drug information line |
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Industry guidelines may include: | Australian Pharmaceutical Advisory Council Integrated best practice model for medication management in residential aged care facilitiesState and territory health department legislation, policies and guidelinesOrganisation policies and proceduresInternal facility medication audits |
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