Age Care certIV

You must complete the following four role plays:

Simulation 1 – Peter Smith

Simulation 2 – Marilyn Parker

Simulation 3 – Sienna Macklin

Simulation 4 – Manfred Pomfoy

You will be required to administer medication to each of the clients. You will be provided with:

medication policy (the same policy is used for all clients and is located at the end of role play 4)

a care plan for each client

simulated medication

medication administration equipment

medication administration chart.

For each medication you administer to your clients, you must also identify the classification, reason for use and schedule and note it in the space provided at the bottom of the medication chart.

In some instances there may be missing information in the medication chart. You will need to follow the correct procedure to find out what the missing information is and note it in the relevant space.

Your assessor will play the role of the medication supervisor.

Your assessor may ask you questions as you proceed through each role play.

To prepare for these role plays you must read the sample policy and procedure for medication management that has been provided.

The table below gives further information about what you need to show during each role play.

Administer medication to Peter

Administer the medication to Marilyn.

The policy and procedures for Role Play 2 is the same as for Role Play 1

Assist Sienna Macklin with the administration of her medication.

Administer medication to Manfred

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HLTHPS007 Administer and Monitor Medications

© Advance College

Sample policy and procedure for medication administration in Residential Care setting

(This sample policy and procedure is for the purpose of assessment only and should only be used for role play purposes.)

This sample policy and procedure is for use of the fictitious Blue Star Aged Care facility.

Preamble

The appropriate use of medication can treat disease and/or control symptoms and thereby improve health and comfort. Clients requiring the administration of medication will be provided with this subject to this document.

Policy

Blue Star Aged Care, will take every step to ensure that staff administer or supervise medication safely and correctly according to Regulatory Guidelines.

Processes to be followed	Comments
Ensure the following processes reflect the vision, mission and philosophy of care of the Blue Star Aged Care and the National Standards.
Prescribed administration and supervision of medication management must comply with regulatory requirements.	At all times
Care workers should encourage clients and if necessary, their carers, to discuss medications with their health care professional and pharmacist
If a client and their carer is unable to administer their own medication, a formal assessment process will be undertaken by suitably qualified health care professional
Details of support required for client administration of medication must be included on a medication chart. This chart will include: Personal details of the client Photo identification Assistance required by client to administer and store medication Any potential problems Strategies to ensure medications are being administered correctly Name and contact number of medical practitioners Name and contact number of pharmacy Name of regular continuous medication, dose and route, date initiated and doctor’s signature Name of short course medication, dose and route, date initiated and doctor’s signature Name of PRN medication, dose and route, date initiated and doctor’s signature Classification of medication and condition under treatment Medication record – date, time, route and dose of each medication Medication observations Changes required to administration support
Prior to administering any medication including liquids and PRN medication, the following should occur: Must be recorded on the medication chart by the treating medical practitioner RN Div 1 must check all medicines against the order: Right client Right dose Right route Right frequency Right time Right documentation Medication orders must be written in a generic and legible form
Care workers must be appropriately trained before assisting clients with the administration of medication in accordance with legislative requirements.
Care workers must follow organisational policies and procedures when administering medication to clients
Care workers must be provided with clear instructions on the steps the worker will take to support their client and/or their carer.
Care workers must only provide services for which they have received training and demonstrated competency.
Care workers must not make any decisions about whether a medication should be administered. These must be referred to their supervisor.
Care workers are not authorised to administer schedule 8 medications, however are authorised to deliver sub-cutaneous injections, suppositories, non-schedule 8 oral medication, topical medication, sublingual/buccal medication, dry powder inhalers, metered dose/spacer inhalers and nebulisers as long as they are supervised by a RN Div 1.
Alteration of the formulation of oral medications (eg breaking or crushing tablets to assist administration) should be avoided wherever possible. Where alteration of the formulation is necessary, this must not be done without instruction from the prescriber or other relevant health care professional.
Care workers must store medications according to organisation policy and procedures to safeguard the quality of the medication and the safety of other residents and their visitors.
Medications must be stored where possible in original container or dosage administration aid at the correct temperature.
Where there is a major risk of accidental overdose (eg caused by confusion or dementia), medications should be kept out of sight and reach of the client, but accessible to carers or support workers responsible for administration.
In the instance that a specific dose of medication is contaminated (i.e dropped on the floor) the care worker should take the medication from the last day of the week and should fill in a pharmacy request form to be replenished.
Care workers must follow the recommended practices for the disposal of out of date or unwanted medications.
Any discrepancies or incidents related to medication administration must be reported on an incident report and notified to the: • Treating Medical Practitioner. • Pharmacist. • Client and/or carer Unresolved discrepancies must also be notified to the Secretary of the Department of Human Services.	Must be done immediately
All drug incidents must be investigated.	By organisation management delegated to do so

[ASSESSOR TO COMPLETE]

Assessment Task 2: Simulation 1 – Peter William Smith
Did the student:	Comments	Attempt 1 Yes/No Date:	Attempt 2 Yes/No Date:	Attempt 3 Yes/No Date:
Check the care plan and conduct the required checks to ensure that there are no substance incompatibilities?
Identify environmental or time pressure situations that may contraindicate administration	Does not apply to this simulation
Report any risks identified with substance incompatibilities, contraindications or environmental / time pressure situations to the supervisor on the medication chart?	Does not apply to this simulation
Accurately identify the classification, condition treated and schedule of the client’s medication?
Identify if there are any limitations that would prevent them from administering the medication?	Does not apply to this simulation
Get an authority to proceed by obtaining delegation instructions in writing from the supervising RN?
Clarify with RN what medication they will be administering and any limitations that may be present?
Access and interpret client care plans/medication chart relating to medication needs including personal client preferences?
Select the correct administration aids for method or route and take steps to check medication, equipment and administration aids?
Follow infection control principles
Follow the correct 8 step hand washing technique for at least 20 seconds
Confirm with the RN the medication is correct for the condition it is treating?
Calculate the correct dose?
Prepare the medication correctly
Correctly identify and greet each client?
Check the client medication using the 6 rights?
Explain to the client the medication they are to receive and prepare them for administration of the medication?
Double check that the medications that have been prepared match the medications on the medication chart?
Recognise any physical and behavioural condition and recognise and report any circumstances where administration of medication should not proceed?
Only administer medications they have the authority to do so.	There is no unauthorised medication in this simulation.
Administer the medication following the correct administration procedure for the medication type and route?
Document on medication chart and report if medication is not administered, or if there are any other concerns?	Does not apply to this simulation
Observe client to confirm ingestion and for changes in condition following medication and record and report to supervisor?
Identify any contaminated or out-of-date medication and arrange for safe and appropriate disposal?	Does not apply to this simulation
Discard other waste products according to requirements?
Identify any behavioural signs that the client may need to take PRN medication?
Accurately complete medication records and report contingencies refusal, and responses to the RN?
Outline to the client the potential side effects and advise client to notify if feeling them?
Report to supervisor and accurately record on the medication chart and complete an incident report if the client refused medication or did not ingest it?
Identify any inconsistencies with the medication administration and report to the RN?
Notify the RN and the pharmacy if there were any medications that need to be replenished?	Does not apply to this simulation
Did the student clean and correctly store used and unused medication containers, administration aids and supply of medications?
Store the medication chart, care plan and treatment sheets in a secure place that cannot be accessed by non-authorised personnel?

Assessment Task 2: Simulation 2 – Marilyn Parker
	Comments	Attempt 1 Yes/No Date:	Attempt 2 Yes/No Date:	Attempt 3 Yes/No Date:
Check the care plan and conduct the required checks to ensure that there are no substance incompatibilities?
Identify environmental or time pressure situations that may contraindicate administration
Report any risks identified with substance incompatibilities, contraindications or environmental / time pressure situations to the supervisor on the medication chart?
Accurately identify the classification, condition treated and schedule of the client’s medication?
Identify if there are any limitations that would prevent them from administering the medication?	Does not apply to this simulation
Get an authority to proceed by obtaining delegation instructions in writing from the supervising RN?
Clarify with RN what medication they will be administering and any limitations that may be present?
Access and interpret client care plans/medication chart relating to medication needs including personal client preferences?
Select the correct administration aids for method or route and take steps to check medication, equipment and administration aids?
Follow infection control principles
Follow the correct 8 step hand washing technique for at least 20 seconds
Confirm with the RN the medication is correct for the condition it is treating?
Calculate the correct dose?
Prepare the medication correctly
Correctly identify and greet each client?
Check the client medication using the 6 rights?
Explain to the client the medication they are to receive and prepare them for administration of the medication?
Double check that the medications that have been prepared match the medications on the medication chart?
Recognise any physical and behavioural condition and recognise and report any circumstances where administration of medication should not proceed?
Only administer medications they have the authority to do so.
Administer the medication following the correct administration procedure for the medication type and route?
Document on medication chart and report if medication is not administered, or if there are any other concerns?
Observe client to confirm ingestion and for changes in condition following medication and record and report to supervisor?
Identify any contaminated or out-of-date medication and arrange for safe and appropriate disposal?	Does not apply to this simulation
Discard other waste products according to requirements?
Identify any behavioural signs that the client may need to take PRN medication?	Does not apply to this simulation
Accurately complete medication records and report contingencies refusal, and responses to the RN?
Outline to the client the potential side effects and advise client to notify if feeling them?
Report to supervisor and accurately record on the medication chart and complete an incident report if the client refused medication or did not ingest it?
Identify any inconsistencies with the medication administration and report to the RN?	Does not apply to this simulation
Notify the RN and the pharmacy if there were any medications that need to be replenished?
Did the student clean and correctly store used and unused medication containers, administration aids and supply of medications?
Store the medication chart, care plan and treatment sheets in a secure place that cannot be accessed by non-authorised personnel?

Assessment Task 2: Simulation 3 – Sienna Macklin
	Comments	Attempt 1 Yes/No Date:	Attempt 2 Yes/No Date:	Attempt 3 Yes/No Date:
Check the care plan and conduct the required checks to ensure that there are no substance incompatibilities?
Identify environmental or time pressure situations that may contraindicate administration	Does not apply to this simulation
Report any risks identified with substance incompatibilities, contraindications or environmental / time pressure situations to the supervisor on the medication chart?
Accurately identify the classification, condition treated and schedule of the client’s medication?
Identify if there are any limitations that would prevent them from administering the medication?	Does not apply to this simulation
Get an authority to proceed by obtaining delegation instructions in writing from the supervising RN?
Clarify with RN what medication they will be administering and any limitations that may be present?
Access and interpret client care plans/medication chart relating to medication needs including personal client preferences?
Select the correct administration aids for method or route and take steps to check medication, equipment and administration aids?
Follow infection control principles
Follow the correct 8 step hand washing technique for at least 20 seconds
Confirm with the RN the medication is correct for the condition it is treating?
Calculate the correct dose?
Prepare the medication correctly
Correctly identify and greet each client?
Check the client medication using the 6 rights?
Explain to the client the medication they are to receive and prepare them for administration of the medication?
Double check that the medications that have been prepared match the medications on the medication chart?
Recognise any physical and behavioural condition and recognise and report any circumstances where administration of medication should not proceed?
Only administer medications they have the authority to do so.
Administer the medication following the correct administration procedure for the medication type and route?
Document on medication chart and report if medication is not administered, or if there are any other concerns?
Observe client to confirm ingestion and for changes in condition following medication and record and report to supervisor?
Identify any contaminated or out-of-date medication and arrange for safe and appropriate disposal?
Discard other waste products according to requirements?
Identify any behavioural signs that the client may need to take PRN medication?
Accurately complete medication records and report contingencies refusal, and responses to the RN?
Outline to the client the potential side effects and advise client to notify if feeling them?
Report to supervisor and accurately record on the medication chart and complete an incident report if the client refused medication or did not ingest it?
Identify any inconsistencies with the medication administration and report to the RN?
Notify the RN and the pharmacy if there were any medications that need to be replenished?
Did the student clean and correctly store used and unused medication containers, administration aids and supply of medications?
Store the medication chart, care plan and treatment sheets in a secure place that cannot be accessed by non-authorised personnel?

Assessment Task 2: Simulation 4 – Manfred Pomfoy
	Comments	Attempt 1 Yes/No Date:	Attempt 2 Yes/No Date:	Attempt 3 Yes/No Date:
Check the care plan and conduct the required checks to ensure that there are no substance incompatibilities?
Identify environmental or time pressure situations that may contraindicate administration	Does not apply to this simulation
Report any risks identified with substance incompatibilities, contraindications or environmental / time pressure situations to the supervisor on the medication chart?	Does not apply to this simulation
Accurately identify the classification, condition treated and schedule of the client’s medication?
Identify if there are any limitations that would prevent them from administering the medication?
Get an authority to proceed by obtaining delegation instructions in writing from the supervising RN?
Clarify with RN what medication they will be administering and any limitations that may be present?
Access and interpret client care plans/medication chart relating to medication needs including personal client preferences?
Select the correct administration aids for method or route and take steps to check medication, equipment and administration aids?
Follow infection control principles
Follow the correct 8 step hand washing technique for at least 20 seconds
Confirm with the RN the medication is correct for the condition it is treating?
Calculate the correct dose?
Prepare the medication correctly
Correctly identify and greet each client?
Check the client medication using the 6 rights?
Explain to the client the medication they are to receive and prepare them for administration of the medication?
Double check that the medications that have been prepared match the medications on the medication chart?
Recognise any physical and behavioural condition and recognise and report any circumstances where administration of medication should not proceed?
Only administer medications they have the authority to do so.
Administer the medication following the correct administration procedure for the medication type and route?
Document on medication chart and report if medication is not administered, or if there are any other concerns?
Observe client to confirm ingestion and for changes in condition following medication and record and report to supervisor?	Does not apply to this simulation
Identify any contaminated or out-of-date medication and arrange for safe and appropriate disposal?
Discard other waste products according to requirements?
Identify any behavioural signs that the client may need to take PRN medication?
Accurately complete medication records and report contingencies refusal, and responses to the RN?
Outline to the client the potential side effects and advise client to notify if feeling them?
Report to supervisor and accurately record on the medication chart and complete an incident report if the client refused medication or did not ingest it?	Does not apply to this simulation
Identify any inconsistencies with the medication administration and report to the RN?
Notify the RN and the pharmacy if there were any medications that need to be replenished?
Did the student clean and correctly store used and unused medication containers, administration aids and supply of medications?
Store the medication chart, care plan and treatment sheets in a secure place that cannot be accessed by non-authorised personnel?

HLTHPS007 Administer and Monitor Medications

© Advance College

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What do students need in order to complete this assessment?

Workplace policies and procedures

Access to ten different clients for administration of medication

Client care plans

Medication chart

Client medications

Medication trolley (if applicable)

Medication administration equipment, including:

Measuring spoons

Medicine cups

Container for used equipment

Tumblers and water pitcher

Container for contaminated or out-of-date medication

PPE – disposable gloves, face mask and apron

Bins for clinical waste, ordinary waste and pharmacy waste (if applicable)

Facilities to clean and store medication containers and administration aids.

When and where do students need to do this assessment?

This task is to be completed in a workplace environment. Note this may be in a supported accommodation setting or in a client’s home depending on student’s work or work placement context.

Part B of this task must not be attempted until Assessment Task 2 has been satisfactorily completed.

What do students have to submit for this assessment?

· Students do not need to submit anything for this task.

Additional requirements

Assessors for each task in this unit must be a registered nurse or registered enrolled nurse or registered Aboriginal and/or Torres Strait Islander health practitioner.

Instructions to students:

You should prepare for this assessment by locating the policies and procedures of your workplace that relate to the administration of medication for your workplace setting. Read these thoroughly and discuss with your workplace supervisor.

In particular you must find out the scope of your ability (both as a student, and as a qualified care worker) to administer medication. This will vary from State to State depending on the individual State/Territory legislation and will also vary depending on your workplace setting.

Your assessor will ask you a set of verbal questions about these policies and procedures and the legislation that informs them.

You may have a copy of the policy and procedures with you during this part of the assessment.

In this workplace are students such as you able to administer medication?

In this workplace, are care workers (that is, the level of position that you are studying for) able to administer medication?

In this workplace who has the overall responsibility for managing the administration of medication?

In this workplace, who is responsible for checking all medication against the medication chart as prescribed by the medical practitioner?

What should happen if a person with delegation to administer medication is worried about the appropriateness of that medication? Should they make a decision about whether to administer the medication or not?

Who in workplace are allowed to administer per rectum (PR) and per vaginal (PV) medication?

What is the procedure if a client refuses medication?

Prior to administering medication, what are the procedures for checking the medication administration procedure is correct?

Is it necessary to remain with the client until the medication is seen to be swallowed?

What action is required if a client’s condition or needs change?

What is the process for replenishing dose administration aids and other supplies of medication where the client or carer is unable to do this for themselves, or in a residential care setting?

How are medication charts and care plans stored in your workplace?

How is medication stored in your workplace setting?

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HLTHPS007 Administer and Monitor Medications

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For this task you will be required to administer medication to ten different clients in your work context. You will be supervised at all times during this assessment by a person delegated under the workplace policies and procedures to manage the administration of medication by students.

You must work within workplace policies and procedures during this assessment. You may refer to these as you require.

It may be the case that you are unable to administer via all the routes you have learned about due to the legislative requirements of your State/Territory and/or the requirements of your workplace policies and procedures. If this is the case you are able to administer medication using all of the same routes if required.

Part of your assessment will be to find out whether you know what to do in case of contingencies (for example if the client refuses medication etc). As these situations may not occur while you are assisting clients, your assessor may ask you some ‘What if………’ type questions.

1. The client asks you why they are being given this medication. They are confused because they thought the doctor was going to prescribe something different. What will you do?

1. You are getting this client’s medication ready when you notice that it is out of date. What will you do?

Following taking their medication, the client suddenly becomes pale and clammy. They feel very nauseous and appear to be short of breath. This is the first time they have had this type of medication. What will you do?

You are getting the drugs out of the client’s dose administration aid (DAA)when you notice there is a discrepancy in the number of tablets dispensed for today’s dose compared with the medication order. It looks like the pharmacy have made an error when dispensing the DAA. What will you do?

What will you do if the client refuses their medication?

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HLTHPS007 Administer and Monitor Medications

© Advance College

[ASSESSOR TO COMPLETE]

Assessment Task 3: Workplace Observation – Part 1
	Comments	Attempt 1 Yes/No Date:	Attempt 2 Yes/No Date:	Attempt 3 Yes/No Date:
Ask the student the following verbal questions:
In this workplace are students such as you able to assist with the administration of medication?
In this workplace are care workers (ie the level of position that you are studying for) able to administer medication?
In this workplace who has the overall responsibility for managing the administration of medication?
In this workplace, who is responsible for checking all medication against the medication chart as prescribed by the medical practitioner?
What should happen if a person with delegation to administer medication is worried about the appropriateness of that medication? Should they make a decision about whether to administer the medication or not?
Who in workplace are allowed to administer per rectum (PR) and per vaginal (PV) medication?
What is the procedure if a client refuses medication?
Prior to administering medication, what is the procedures for checking the medication is correct?
Is it necessary to remain with the client until the medication is seen to be swallowed?
What action is required if a client’s condition or needs change?
What is the process for replenishing dose administration aids and other supplies of medication?
How are medication charts and care plans stored in your workplace?
How is medication stored in your workplace?
Please add any feedback to the student about this task on the Assessment Cover Sheet. Keep a copy of the completed Assessment Task Cover Sheet.

Assessment Task 3: Workplace Observation – Part 2A – Clients 1 - 5
Did the student:	Client # ________________ Date: __________________ Attempt #: ______________	Client # ________________ Date: __________________ Attempt #: ______________	Client # ________________ Date: __________________ Attempt #: ______________	Client # ________________ Date: __________________ Attempt #: ______________	Client # ________________ Date: __________________ Attempt #: ______________
	Comments	Comments	Comments	Comments	Comments
1. Check the care plan and conduct the required checks to ensure that there are no substance incompatibilities?
2. Identify environmental or time pressure situations that may contraindicate administration
3. Report any risks identified with substance incompatibilities, contraindications or environmental / time pressure situations to the supervisor on the medication chart?
4. Accurately identify the classification, condition treated and schedule of the client’s medication?
5. Identify if there are any limitations that would prevent them from administering the medication?
6. Get an authority to proceed by obtaining delegation instructions in writing from the supervising RN?
7. Clarify with RN what medication they will be administering and any limitations that may be present?
8. Access and interpret client care plans/medication chart relating to medication needs including personal client preferences?
9. Select the correct administration aids for method or route and take steps to check medication, equipment and administration aids?
10. Follow infection control principles
11. Follow the correct 8 step hand washing technique for at least 20 seconds.
12. Confirm with the RN the medication is correct for the condition it is treating as outlined in the care plan?
13. Calculate the correct dose?	Chart dose: Dose:	Chart dose: Dose:	Chart dose: Dose:	Chart dose: Dose:	Chart dose: Dose:
14. Prepare the medication correctly
15. Correctly identify and greet each client?
16. Check the client medication using the 6 rights?
17. Explain to the client the medication they are to receive and prepare them for administration of the medication?
18. Double check that the medications that have been prepared match the medications on the medication chart?
19. Recognise any physical and behavioural condition and recognise and report any circumstances where administration of medication should not proceed?
20. Only administer medications they have the authority to do so.
21. Administer the medication following the correct administration procedure for the medication type and route?
22. Document on medication chart and report if medication is not administered, or if there are any other concerns?
23. Observe client to confirm ingestion and for changes in condition following medication and record and report to supervisor?
24. Identify any contaminated or out-of-date medication and arrange for safe and appropriate disposal?
25. Discard other waste products according to requirements?
26. Identify any behavioural signs that the client may need to take PRN medication?
27. Accurately complete medication records and report contingencies refusal, and responses to the RN?
28. Outline to the client the potential side effects and advise client to notify if feeling them?
29. Report to supervisor and accurately record on the medication chart and complete an incident report if the client refused medication or did not ingest it?
30. Identify any inconsistencies with the medication administration and report to the RN?
31. Notify the RN and the pharmacy if there were any medications that need to be replenished?
32. Did the student clean and correctly store used and unused medication containers, administration aids and supply of medications?
33. Store the medication chart, care plan and treatment sheets in a secure place that cannot be accessed by non-authorised personnel?
Ask the student the following verbal questions:
1. You are getting this client’s medication ready when you notice that it is out of date. Show me what you would do?
2. Following taking their medication, the client suddenly becomes pale and clammy. They feel very nauseous and appear to be short of breath. This is the first time they have had this type of medication. Show me what you would do?
3. You are getting the drugs out of the client’s dose administration aid (DAA)when you notice there is a discrepancy in the number of tablets dispensed for today’s dose compared with the medication order. It looks like the pharmacy have made an error when dispensing the DAA. Show me what you would do?
4. Show me what you would do if the client refuses their medication?
5. You notice on the clients chart that the previous care worker has only noted that they provided the client with 100 mg of their medication, however they are supposed to received 150 mg, Show me what you would do?

Assessment Task 3: Workplace Observation – Part 2B – Clients 6 - 10
Did the student:	Client # ________________ Date: __________________ Attempt #: ______________	Client # ________________ Date: __________________ Attempt #: ______________	Client # ________________ Date: __________________ Attempt #: ______________	Client # ________________ Date: __________________ Attempt #: ______________	Client # ________________ Date: __________________ Attempt #: ______________
	Comments	Comments	Comments	Comments	Comments
1. Check the care plan and conduct the required checks to ensure that there are no substance incompatibilities?
2. Identify environmental or time pressure situations that may contraindicate administration
3. Report any risks identified with substance incompatibilities, contraindications or environmental / time pressure situations to the supervisor on the medication chart?
4. Accurately identify the classification, condition treated and schedule of the client’s medication?
5. Identify if there are any limitations that would prevent them from administering the medication?
6. Get an authority to proceed by obtaining delegation instructions in writing from the supervising RN?
7. Clarify with RN what medication they will be administering and any limitations that may be present?
8. Access and interpret client care plans/medication chart relating to medication needs including personal client preferences?
9. Select the correct administration aids for method or route and take steps to check medication, equipment and administration aids?
10. Follow infection control principles
11. Follow the correct 8 step hand washing technique for at least 20 seconds
12. Confirm with the RN the medication is correct for the condition it is treating as outlined in the care plan?
13. Calculate the correct dose?	Chart dose: Dose:	Chart dose: Dose:	Chart dose: Dose:	Chart dose: Dose:	Chart dose: Dose:
14. Prepare the medication correctly
15. Correctly identify and greet each client?
16. Check the client medication using the 6 rights?
17. Explain to the client the medication they are to receive and prepare them for administration of the medication?
18. Double check that the medications that have been prepared match the medications on the medication chart?
19. Recognise any physical and behavioural condition and recognise and report any circumstances where administration of medication should not proceed?
20. Only administer medications they have the authority to do so.
21. Administer the medication following the correct administration procedure for the medication type and route?
22. Document on medication chart and report if medication is not administered, or if there are any other concerns?
23. Observe client to confirm ingestion and for changes in condition following medication and record and report to supervisor?
24. Identify any contaminated or out-of-date medication and arrange for safe and appropriate disposal?
25. Discard other waste products according to requirements?
26. Identify any behavioural signs that the client may need to take PRN medication?
27. Accurately complete medication records and report contingencies refusal, and responses to the RN?
28. Outline to the client the potential side effects and advise client to notify if feeling them?
29. Report to supervisor and accurately record on the medication chart and complete an incident report if the client refused medication or did not ingest it?
30. Identify any inconsistencies with the medication administration and report to the RN?
31. Notify the RN and the pharmacy if there were any medications that need to be replenished?
32. Did the student clean and correctly store used and unused medication containers, administration aids and supply of medications?
33. Store the medication chart, care plan and treatment sheets in a secure place that cannot be accessed by non-authorised personnel?
Ask the student the following verbal questions:
1. You are getting this client’s medication ready when you notice that it is out of date. Show me what you would do?
2. Following taking their medication, the client suddenly becomes pale and clammy. They feel very nauseous and appear to be short of breath. This is the first time they have had this type of medication. Show me what you would do?
3. You are getting the drugs out of the client’s dose administration aid (DAA)when you notice there is a discrepancy in the number of tablets dispensed for today’s dose compared with the medication order. It looks like the pharmacy have made an error when dispensing the DAA. Show me what you would do?
4. Show me what you would do if the client refuses their medication?
5. You notice on the clients chart that the previous care worker has only noted that they provided the client with 100 mg of their medication, however they are supposed to received 150 mg, Show me what you would do?
Please note any reasonable adjustments for this task below.
Part 1 Outcome	Satisfactory	Not Satisfactory	Date:
Part 2 Outcome	Satisfactory	Not Satisfactory	Date:
Student name:
Trainer/assessor name:
Trainer/assessor signature:

HLTHPS007 Administer and Monitor Medications

© Advance College

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