Study Guide

Objective

The student understands his/ her professional responsibility for securing and promoting the safety of patients receiving drug and fluid care under supervision. The student knows how to plan, implement and evaluate safe drug and fluid care for various diseases under supervision. Based on a doctor's instructions, the student is able to plan, implement and evaluate intravenous drug and fluid care for patients of all ages. The student is able to assess adult patient's fluid balance and to count it, and knows what influencing factors there are regarding fluid balance. The student knows how to plan, implement and evaluate safe drug and fluid care for different patient groups and for special treatments. The student knows how to observe side and combined effects of medicines and how to evaluate the effectiveness of drug care. The student can perform drug calculations correctly. Sustainable development in medication and fluid care.

Content

Special features in drug and fluid care of patients of various ages. Drug and fluid care for special treatments. Drug and fluid care for different adult patient groups. Effective mechanisms of drugs. Side and combined effects of medicines. Evaluation of the patient drug care. Action in various risk situations. Patient safety. Counting infusion rates. The use of infusion automates. Sustainable development in medication and fluid care.
Under supervision the student practices: assessing and counting patient's fluid balance, IV and fluid care, i.v cannulation and starting the infusion and the safe use of 3-way line. Preparing drugs and preparing drug dilutions. Safe use of infusion concentrates. Drug calculations. The student works aseptically in medication and fluid care and works in a manner of sustainable development.
Drug calculations are tested.

Qualifications

Registered Nurse's Core Competencies Module I
Medication Management and Drug Calculations

Assessment criteria, satisfactory (1)

1-2
- The student knows how to seek information about safe medication and fluid care from various sources and use the knowledge to implement drug and fluid care.
- The student demonstrates that he/ she is familiar with the knowledge foundation and core contents of safe drug and fluid care.
- The student has adequate knowledge to act safely in various situations that are related to medication and fluid care.
- The student works with a client-centered approach in implementing drug and fluid care.
- Under supervision the student is able to solve common tasks and problems related to safe drug and fluid care.
- Under supervision, the student is able to start infusion.
- Under supervision, the student is able to administer infusion concentrates safely.
- Under supervision, the student is able to make drug dilutions.
- The student observes the safety and ethical principles defined for drug and fluid care implemented by registered nurses.
- The student shares his/ her drug and fluid care competence with other members of the group.

Assessment criteria, good (3)

3-4
- The student actively seeks information about safe drug and fluid care and explains the reasons for using various sources.
- The student consistently uses the knowledge foundation on safe drug and fluid care.
- The student explains his/ her actions using evidence-based knowledge of safe drug and fluid care.
- The student applies knowledge of professional, safe drug and fluid care to various situations, within the scope of responsibility as a registered nurse.
- The student works with a client-centered approach and with responsibility in implementing safe drug and fluid care.
- Under supervision, the student is able to start infusion.
- Under supervision, the student is able to administer infusion concentrates safely.
- Under supervision, the student is able to make drug dilutions.
- The student knows how to take correct action when implementing safe drug and fluid care in various settings, within the scope of responsibility as a registered nurse.
- The student explains the actions in drug and fluid care using the ethical principles for registered nurses, and evaluates the safety of the drug and fluid care implemented.
- The student is capable of purposeful action in teams implementing safe drug and fluid care within the registered nurses' scope of responsibility.
- The student develops himself/ herself professionally in safe drug and fluid care.

Assessment criteria, excellent (5)

5
- The student applies concepts and knowledge of safe drug and fluid care competently and extensively.
- The student uses and evaluates evidence-based knowledge of safe drug and fluid care.
- The student applies knowledge of safe drug and fluid care to various situations in drug and fluid care.
- The student is able to evaluate the consequences of his/ her actions in drug and fluid care. - - The student works with a client-centered approach and with responsibility in implementing safe drug and fluid care.
- The student is able to start infusion.
- The student is able to administer infusion concentrates safely.
- The student is able to make drug dilutions.
- The student seeks and applies alternative solutions in decision-making concerning safe drug and fluid care.
- The student evaluates drug and fluid care using professional ethical principles for registered nurses.
- The student is capable of working in multi-professional and/ or multidisciplinary teams implementing safe drug and fluid care within the registered nurses' scope of responsibility.
- The student systematically develops himself/ herself, the profession and work community in safe drug and fluid care.

Assessment criteria, approved/failed

Fail=0
- The student is not adequately familiar with the concepts of safe drug and fluid care, or is unable to use them.
- The student uses the knowledge foundation on drug and fluid care only narrowly and has little knowledge of the relevant sources of information.
- The student does not demonstrate adequate skills or knowledge in safe drug and fluid care, and applies knowledge incorrectly.
- The approach to safe drug and fluid care is not adequately client-centered.
- The student does not adequately observe safety and ethical principles for registered nurses when implementing drug and fluid care.
- The student is not prepared to develop himself/ herself in safe drug and fluid care.
- The student has serious problems in drug calculations and his/ her medication administration is not safe for the patient.