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Intravenous drug Administration Competency Assessment
Annual Assessment - Endorsed Enrolled Nurse
Name:_______________________________Payroll number_________________
Ward:_______________________________ Date:_________________________
COMPETENCY: ADMINISTRATION OF IV DRUGS
ASSUMED KNOWLEDGE
Staff are expected to demonstrate the following:
 Knowledge of the expected normal range for vital signs for adults patients
 Knowledge and understanding of general concepts relating to drug administration i.e. the five
rights and maintenance of intravenous devices
 Familiarity with the DOH Policies- Medication Administration by Endorsed Enrolled Nurses PD
2005- 343 – Medication Handling in NSW Public Hospitals PD 2007- 077
 Knowledge and understanding of the limitations regarding their practice
MEETS THE ASSUMED KNOWLEDGE
Yes
No
Comment
Element 1. Integrates nursing knowledge and assessment findings
Sub element
Observable Criteria
1.1 Demonstrates The nurse can seek and identify the following
knowledge, skills appropriate documents necessary for the procedure:
and judgment
 Relevant DOH and JHH policies
when assessing
 Medication Chart
the intravenous
 Mims Manual
route and drug to
 Appropriate IV Medication Manual
be administered.
Demonstrates knowledge and understanding of
these policies and documents.
Yes
Element 2. Safely and effectively administers IV medication as charted
Sub element
Observable Criteria
Yes
2.1 Demonstrates Checks prescription on medication sheet is correct
knowledge, skill
Identifies & assesses the patient, IV site and drug
and judgment
when preparing
If IV line in place, ensures any solutions currently
to administer IV
running through the IV access are compatible with
medications
the medication for administration and takes
appropriate action.
Notes time IV assess is due to be changed next
Provides a clear explanation to the patient and
obtains consent for the procedure
Washes hands
Gathers correct equipment including:
- Medication Chart
- Required medication, diluents
- Syringes
- Alcowipes
- Kidney dish
- Sharps
- IV Fluid and Infusion device (if appropriate)
- IV medication labels (if appropriate)
Is able to identify and discuss the drug, it’s side
effects and appropriate mode of IV administration i.e.
bolus or intermittent infusion
Liaises with other staff and obtains other help if
appropriate
2.2
Establishes therapeutic communication with the
No
No
Demonstrates
knowledge, skill
and judgment
whilst
administering IV
medication
patient &/or family appropriate to the age group
Uses general concepts of medication administration
including the five ‘rights” to administer the drug
This should include but not be limited to:
Washes hands before and after procedure, and before
and after going to the patient.
Confirms medication order is correct
Checks known medication allergies
Uses drug references appropriately
Calculates correct dose and rate of administration
Prepares medication aseptically, covering the five rights
of drug administration
Checks patency of IV access prior to medication
administration
Checks patient identification and allergies
Administers medication appropriately, covering the five
rights of drug administration and according to DOH
policies
Ensures that principles of OH&S and Infection control
are adhered to.
Documents observations throughout the procedure
and troubleshoots as needed
Monitor patient for adverse events and responds
appropriately
ELEMENT 3. Completes the procedure correctly
Sub element
Observable Criteria
3.1
Ensures the patient is comfortable before leaving
Demonstrates
post procedure
Cleans, replaces and disposes of equipment
care of patient
appropriately
and equipment
Yes
No
Continues to monitor patient for adverse side effects
as appropriate for the drug administered
Documents relevant information
Initiates re-ordering process as necessary
Supervised sessions
1. Signature & Name of Assessor:
Date:
/ /
Participants comments:
Mastery Outcome:
Assessors Comments:
1.
Adapted from Kaleidoscope- Administration of IV Drug Competency Assessment (Paediatrics)