The professional caregiver autonomously and independently prepares and administers oral and subcutaneous medications according to medical prescription. | The professional caregiver is able to: - involve the patient/client and relevant others in administering medications,
- access the medication administration system according to local protocols,
- order and distribute medications through the local supply system,
- choose the appropriate medications to administer to the right patient/client according to prescription,
- perform calculations and convert medicine measurement units and calculate volume and strength of doses,
- apply safety procedures in administering medications (e.g. storage, hygiene, self-protective equipment as appropriate, disposing appropriately of waste such as needles and drug waste) (see also CA.4.3),
- administer and document medications that require special documentation,
- prepare and administer various kinds of medication (e.g. for eye/ear/nose, oral, rectal, vaginal, inhalation, transdermal, intradermal, subcutaneous),
- determine that a gastric tube is in the right position and administer medications through gastric tubes and use the right amount of fluids (see also CA.2.2),
- identify, gather, and prepare equipment and supplies for injectable medication,
- check prepared medications for correctness (e.g. correct medicine, correct dosage),
- recognise patient’s/client’s response to medication, most common adverse drug reactions/side effects -and react accordingly (e.g. anaphylaxis, allergic shock),
- recognise the right of the patient to refuse to receive medications and emphasise respect for dignity and privacy of patient/client,
- identify patient's/client's techniques for avoiding taking medication (e.g. concealing pills under tongue),
- determine that medications were taken,
- determine patient/client problems with swallowing (see also CA.1.1),
- ensure the right patient/client is given the right medicine,
- question a medication order (e.g. consult drug guide)
- document according to guidelines (see also CA.A.2).
| The professional caregiver is able to: - explain legal regulations and consequences of medications (see also CA.B.3),
- explain the meaning of quality regarding medication (see also CA.A.3),
- describe principles of medication administration (e.g. storage, order, ensure the right patient/client is given the right medicine),
- name and distinguish between different qualities of medications (e.g. pharmacokinetics, pharmacodynamics, classifications and actions, contraindications, interactions, side effects, precautions, adverse effects, types of orders, generic and trade names of drugs),
- explain the indications of different oral and subcutaneous medications (e.g. blood pressure medications, anticoagulants, medicines for heart rhythm),
- describe their own behaviour when encountering questions about medication (e.g. dosage, preparation, administration techniques),
- name methods for converting units and calculating doses and describe principles of proper and safe preparation of medications,
- list normal and abnormal appearance of patient/client (e.g. skin, sublingual, buccal area, eye, outer ear, ear canal, nose canal),
- describe their own behaviour when dealing with side effects and adverse reactions,
- describe the right position for patients/clients when administering medication (e.g. medications administered into eye, ear, nose, subcutaneous),
- explain the administration of medications through a gastric tube and limitations,
- describe anatomical locations for injections of medications as well as injection techniques (e.g. subcutaneous, intradermal),
- explain appropriate skin disinfection techniques and procedures (see also CA.4.1),
- describe the documentation of medications with special documentation requirements,
- name reasons for patient’s/client‘s refusal to accept medication,
- describe how to check medication has been taken,
- describe the difference between the drug name and various drug trade names (e.g. different generics with the same active agent),
- explain the importance of swallowing investigations regarding administering medications (see also CA.1.1).
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