HLT51612 Diploma of Nursing
HLTEN507C ADMINISTER AND MONITOR MEDICATIONS IN THE WORK ENVIRONMENT
ASSESSMENT TASK 3: Project: Haematological medications
HAEMATOLOGICAL MEDICATIONS
Student Instructions:
- Read the following case scenarios and answer the questions provided. Word count 200 words (+/- 10%)
- Use Harvard referencing to support your responses and provide a reference list
- This task will be available online and students are required to submit this assessment task online by the due date supplied by the teacher/unit outline
- This assessment is 1 of 5 tasks.
- Students must achieve satisfactory (S) outcome in all 5 tasks to attain Competency (C) in this unit.
Mr Pap a 55 year old Greek gentleman has been admitted to the Elgar ward for treatment of a left leg Deep Venous (Vein) Thrombosis (DVT). He has been commenced on Warfarin therapy. Mr Pap is having daily blood International Normalized Ratio (INR) levels. Mr Pap is also a vegetarian and has a diet largely consisting of grains, salads, and vegetables.
- What action does Warfarin have on the body? How might this action help treat Mr Pap’s DVT?
| Criteria | Satisfactory (S) | Not yet Satisfactory (NYS) | S/NYS |
| Medication action | Explanation provided is accurate and an understanding of pharmacodynamics and physiology evident | Inadequate, incorrect or no response provided | |
| Right medication response | Student demonstrates understanding | Inadequate, irrelevant or no response provided |
- What are 2 adverse reactions for Warfarin therapy?
| Criteria | Satisfactory (S) | Not yet Satisfactory (NYS) | S/NYS |
| Adverse reaction | Response identifies 2 correct adverse reactions | Inadequate, incorrect or no response provided |
- What is the antidote for Warfarin overdose?
| Criteria | Satisfactory (S) | Not yet Satisfactory (NYS) | S/NYS |
| Warfarin antidote | States the correct answer | Inadequate, incorrect or no response provided |
- Name 2 medications that interact with warfarin and include what group the medication comes from?
| Criteria | Satisfactory (S) | Not yet Satisfactory (NYS) | S/NYS |
| Medication | 2 medications are correctly identified | Inadequate number, incorrect or no response provided | |
| Medication group | Correct medication group identified | Inadequate, irrelevant or no response provided |
- Mr Pap asks if he can still take Aspirin when on Warfarin. Why is Aspirin often contraindicated in patients taking warfarin?
| Criteria | Satisfactory (S) | Not yet Satisfactory (NYS) | S/NYS |
| Medication administration | Explanation provided is patient centred, informative, accurate | Inadequate, incorrect or no response provided | |
| Contraindications | Response is correct and demonstrates good understanding | Inadequate, irrelevant or no response provided |
- What is the scope of practice of the Enrolled Nurse in relation to the administration of Warfarin therapy?
| Criteria | Satisfactory (S) | Not yet Satisfactory (NYS) | S/NYS |
| EN Scope of Practice with warfarin administration | Response demonstrates a clear understanding of the role and responsibilities of the EN | Inadequate, incorrect or no response provided |
8. You and the Registered Nurse (RN) are administering Mr Pap his 1700hour dose of Warfarin.
- What blood test result needs to be checked before administering Mr Pap his Warfarin dose?
- What is a normal therapeutic range for the INR for prophylaxis of a DVT?
- Why is it not advisable to interchange the two Warfarin trade names of Coumadian and Marevan?
| Criteria | Satisfactory (S) | Not yet Satisfactory (NYS) | S/NYS |
| Preliminary checks prior to administration | Correctly identified and complete response | Inadequate, incorrect or no response provided | |
| Therapeutic Range for INR | Correct INR therapeutic range identified for warfarin | Inadequate, incorrect or no response provided | |
| Patient education regarding medication compliance | Accurate and depth of understanding of the importance of not changing brands | Inadequate, incorrect or no response provided |
9. What education would you provide Mr Pap in relation to his Warfarin therapy prior to his discharge from the Elgar ward:
- Drug timing
- Drug interactions
- Diet
- When to seek medical advice
- How would you evaluate Mr Pap’s understanding of the education given?
| Criteria | Satisfactory (S) | Not yet Satisfactory (NYS) | S/NYS |
| Patient education regarding timing of warfarin | Patient education provided is patient centred, informative, accurate and relevant | Inadequate, incorrect or no response provided | |
| Patient education regarding drug interactions | Patient education provided is patient centred, informative, accurate and relevant | Inadequate, incorrect or no response provided | |
| Dietary considerations | Exhaustive list of specific dietary foods to avoid is provided and relevant to patient | Inadequate, incorrect or no response provided | |
| Patient safety | Exhaustive list of significant side effects to monitor for and would warrant medical advice is provided | Inadequate, incorrect or no response provided | |
| Evaluation of patient understanding following health education | Demonstrates a good understanding of how to assess patient understanding following health teaching
Example provided |
Inadequate, irrelevant or no response provided |