HLTENN040Administer and monitor medicines and intravenous therapy

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What an assessment for HLTENN040 must cover

161 assessable components: 5 elements (23 performance criteria), 11 performance evidence and 127 knowledge evidence requirements. An audit-defensible tool maps every question and task back to these — that mapping is the coverage matrix Auditori generates alongside the assessment.

Elements & performance criteria

1 Minimise potential risk to ensure safe administration of medicine.

  • 1.1Refer to drugs and poisons schedules and classifications as determined by law.
  • 1.2Identify indications for prescribed medicine and intravenous (IV) therapy.
  • 1.3Identify pharmacology and substance incompatibilities in relation to specific situations involving medicine administration, blood and blood products.
  • 1.4Evaluate the effect of commonly used medicine and IV fluids on the body before medicine administration and IV infusion.
  • 1.5Refer to medical history records to identify documented allergies and contraindications.

2 Prepare for medicine administration and infusion of IV fluids.

  • 2.1Explain the process of medicine administration and IV fluid infusion to the person, confirm their understanding and obtain consent.
  • 2.2Identify correct administration route and site for medicine and IV fluid to be administered and position the person.
  • 2.3Calculate accurate medicine dosage and IV fluid infusion rate for administration of drugs.
  • 2.4Prepare medicine in accordance with legislative and jurisdictional requirements and organisational policies and procedures.
  • 2.5Identify medicine administration techniques and precautions specific to the person’s situation and as per medicine orders.
  • 2.6Prepare blood and blood products for blood transfusions according to organisational policies and procedures.
  • 2.7Assess intravenous access site and line for abnormalities and refer to registered nurse and treating team as required in accordance with the National Safety and Quality Health Service (NSQHS) Standards.

3 Administer and store medicine.

  • 3.1Administer medicine and IV fluid to the person applying the Rights of Medication Administration and in accordance with jurisdictional and legislative requirements, organisational policies and procedures and professional practice standards.
  • 3.2Report a person’s refusal of medicine, IV therapy and incomplete medicine and IV therapy administration to the supervising registered nurse.
  • 3.3Ensure medicine and blood and blood products are stored, handled and disposed of according to legislation, organisational policies and procedures and manufacturer instructions.

4 Monitor and evaluate a person’s response to administered medicine, IV fluids and blood and blood products.

  • 4.1Identify, monitor, document and report acute and delayed adverse reactions of the person to administered medicine, IV fluids, blood and blood products.
  • 4.2Implement emergency actions in response to identified adverse event.
  • 4.3Monitor and evaluate IV cannula according to organisational policies and procedures.
  • 4.4Provide information to the person, families or carer relating to administration of medicines including possible side effects.

5 Assess effectiveness of pain-relieving medicine.

  • 5.1Undertake comprehensive pain assessment.
  • 5.2Clarify location and nature of pain and discomfort, taking into account factors that influence person’s perception of pain.
  • 5.3Identify prescribed medicines and complementary strategies to alleviate pain and discomfort.
  • 5.4Assess evaluate and document medicine effectiveness and undertake comprehensive pain assessment.

Performance evidence

  • Demonstrate evidence of the ability to complete tasks outlined in elements and performance criteria of this unit in the context of the job role, and:
  • for two people:
  • reference medical history records to identify documented allergies and contraindications
  • use the Rights of Medication Administration and calculate medicine with 100% accuracy to administer medicines:
  • oral medicine including two in simulation and three in the workplace
  • sub-cutaneous injection including one in simulation and one in the workplace
  • intramuscular injection in simulation
  • peripheral IV injection including one in simulation and one in the workplace
  • prepare equipment for IV therapy and blood and blood products
  • monitor administration including assessing cannula site
  • The tasks must be undertaken in accordance with the Nursing and Midwifery Board of Australia (NMBA) professional practice standards, codes and guidelines.

Knowledge evidence

  • Demonstrate knowledge required to complete tasks outlined in elements and performance criteria of this unit:
  • legal requirements for practice parameters of enrolled nurse in relation to the administration and documentation of medicine, including legal requirements for each route of administration
  • Australian Commission on Safety and Quality in Health Care (ACSQHC) National Standard Medication Charts
  • legal and regulatory framework including Commonwealth and State/Territory drugs and poisons acts, regulations and codes
  • pharmacology of medicine:
  • pharmacodynamics
  • pharmacokinetics
  • pharmacotherapeutics
  • therapeutic drug levels
  • anaphylactic reactions
  • adverse reactions
  • contraindications
  • precautions
  • side effects
  • management of potential complications of blood transfusion
  • safe transport, storage, handling, checking and disposal of blood and blood products
  • Rights of Medication Administration requirements:
  • right medicine
  • right dose
  • right prescription
  • right route
  • right time
  • right person
  • right expiration date
  • right to refuse
  • right documentation
  • right response
  • right form
  • high risk medicine as per the ACSQHC
  • how medicine is administered via the following routes:
  • oral
  • sublingual and buccal
  • inhalation
  • subcutaneous
  • intramuscular
  • intravenous
  • enteral
  • intranasal
  • ocular
  • rectal
  • transdermal
  • vaginal
  • aural
  • IV medicine administration methods:
  • push
  • bolus
  • gravity
  • electronic infusion pump
  • secondary line
  • syringe driver
  • subcutaneous
  • intravascular access devices:
  • central venous catheter (CVC)
  • peripherally inserted central catheter (PICC)
  • vascath
  • implanted venous port
  • Hickman
  • access devices:
  • peripheral
  • central
  • percutaneous
  • subcutaneous
  • patient-controlled analgesia (PCA)
  • pharmacodynamic effects of medicine groups:
  • Anaesthetics
  • Analgesia
  • Antacids
  • Antianginals
  • Anxiolytics
  • Antiarrhythmics
  • Antibiotics
  • Anticholinergics
  • Anticonvulsants
  • Antidepressants
  • Antidiarrheals
  • Antiemetics
  • Antifungals
  • Antihistamines
  • Antihypertensives
  • Anti-inflammatory
  • Anticoagulants
  • Antineoplastics
  • Antiparkinsonian
  • Antipruritic
  • Antipsychotics
  • Antiseptics
  • Antiulcer
  • Antivirals
  • Hormones
  • Hypnotics, sedatives
  • Hypoglycaemics
  • Insulin
  • Beta-blockers
  • Benzodiazepines
  • Bronchodilators
  • Electrolyte solutions
  • Laxatives/aperients
  • Ophthalmic, otic
  • Nasal medicine – nasopharyngeal medicine
  • Contraceptives
  • Corticosteroids
  • Diuretics
  • Including narcotic analgesia
  • Vitamins
  • techniques for calculating medicine dosages:
  • calculation formulae
  • ACSQHC tall man lettering
  • commonly used dose measurement:
  • microgram (microg, MICROg)
  • milligram (mg)
  • gram (g)
  • millilitre (mL)
  • litre (L)
  • millimole (mmol)
  • calculation of dosages of injectable drugs including liquid and solid unit dosages
  • flow rate:
  • drops per minute
  • millilitres per hour
  • paediatric dosage calculations including body weight, surface area and age-related dose reduction
  • geriatric dosage calculations including body weight, surface area and age
  • dose administration aids (DAAs) where dose is already calculated
  • organisational policies and procedures for addressing medicine errors
  • drugs commonly used for fluid and electrolyte imbalance:
  • alkalisers
  • diuretics
  • electrolytes
  • replacement solution.

Unit content sourced from training.gov.au — © Commonwealth of Australia, licensed under CC BY 4.0. Auditori is not affiliated with the Department of Employment and Workplace Relations.

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Questions about assessing HLTENN040

What does an assessment tool for HLTENN040 need to cover?

To satisfy the Principles of Assessment and Rules of Evidence, an assessment for HLTENN040 needs to address all 161 unit components: 5 elements with 23 performance criteria, 11 performance evidence requirements, 127 knowledge evidence requirements, and the foundation skills. A coverage matrix mapping each question and task to these components is what an auditor looks for.

How does Auditori generate an assessment tool for HLTENN040?

Auditori pulls the current release of HLTENN040 from training.gov.au and generates a complete package: candidate assessment, assessor guide with model answers and observation criteria, and a coverage matrix mapping every component. A suitably qualified person then reviews and approves the draft in a built-in workflow — consistent with ASQA's guidance on AI use in VET — before export as branded PDF and editable Word.

Is the first assessment tool really free?

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Can I check my existing HLTENN040 assessment instead of generating a new one?

Yes — upload your existing assessment or learner guide and Auditori maps it against every element, performance criterion, PE and KE of HLTENN040, showing exactly what's covered and what's missing. Mapping costs a quarter of a credit.

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