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Learning outcomes descriptions 3.2.b

Competence description VQTS:
3.2.b   To be able to prepare and administer all medication (apart from intra-arterial and intra thecal applications) according to prescription.    
  
CompetenceSkillsKnowledge

The professional caregiver autonomously and self-responsibly prepares and administers intramuscular and intravenous medications according to medical prescription.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

The professional caregiver is able to:

  • report medication errors according to policy and to prevent recurrence,
  • label medications correctly,
  • prepare injections,
  • administer intramuscular injections,
  • administer intravenous injections,
  • administer prepared infusion solutions according to prescription (e.g. using the correct infusion system, using continuous intravenous drip infusion),
  • prepare and to administer infusion solution that need to be dissolved (e.g. use the correct dissolving solution, consider the correct duration of infusion),
  • prepare medications that need to be given intravenous by Perfusor® syringe (e.g. Heparin),
  • prepare and to administer intravenously administered medications effecting the circulatory system (e.g. epinephrine, norepinephrine),
  • prepare and to administer intravenous given sedative (e.g. midazolam, Propofol, Ketamine, AnaConDa®),
  • prepare and administer relaxants,
  • prepare antineoplastic medications safely and according to the local protocol,
  • handle and administer antineoplastic medications safety and according to the local protocol,
  • observe the administering of intravenous given medications,
  • control venous accesses and recognise signs of extravasation,
  • administer intravenous medications using different equipment and set and regulate rates of infusion by gravity and electronic devices (e.g. syringe, intravenous bag, intravenous pump, infusion pump, gravity infusion, Volume Control Administration Set) (see also CA.3.4),
  • use appropriated application systems (e.g. Luer Lock System for intravenous medication only),
  • check prepared and continuously administered medications for correctness (e.g. correct medicine, correct dosage),
  • prepare blood and blood products for administering (e.g. using special filters and systems, use warming up and pressure devices for blood products) (see also CA.3.5).

The professional caregiver is able to:

  • explain developmental considerations in relation to medications across human life span (e.g. changes in amount compared to the patient’s/client’s age),
  • name reasons for correct labelling of medications,
  • describe anatomical locations for injections of medications as well as injection techniques (e.g. intramuscular, intravenous injections),
  • explain extravasation and their therapy,
  • explain the administering of intravenous given injections,
  • name risks of administered too fast or too slow intravenous medications (e.g. catecholamines, Furosemide, Pancuronium®),
  • describe the formation of catecholamines in the human body,
  • explain patient’s/client’s condition regarding the need for catecholamines,
  • explain sedation concepts,
  • explain reasons for administering relaxants (e.g. the need for mechanical ventilation of the patient/client),
  • explain the anatomy and physiology of the vein system,
  • describe the working of technical intravenous systems and changing intervals according to local protocol,
  • describe differences in the administering of intravenous medications and blood products and name issues during transfusion (e.g. shock, haemolysis),
  • explain one’s own behaviour when dealing with antineoplastic medications.

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