Jamie goes to see Phyllis after breakfast.
Jamie enters Phyllis' room. Jamie asks Phyllis how she is.
Click Phyllis to check for any signs of deterioration and to check how she responds.
Jamie gains consent from Phyllis to assist her with her medication.
Jamie checks Phyllis' photo and name on her identity form.
Click Phyllis to see how she responds.
Jamie takes Phyllis' puffer and spacer and checks her documents.
Click the medication record Jamie is checking.
If today is Tuesday 3rd July, when was Phyllis' last dose?
Phyllis' medication is to be delivered via Metered Dose Inhaler (MDI)
Which of the devices shown is an MDI?
Jamie compares the dose on the puffer to the medication order and notices something unusual.
Click the medication order and the puffer to compare the instructions given on each one.
Is the dose on the label the same as the dose on the medication order?
Jamie calls in the RN.
Hmm. Let me chase that up with the pharmacist.
Follow the instructions on her chart for now.
And remind Phyllis to rinse her mouth out after you give her the dose.
Jamie also tells the RN that the inhaler is nearly empty.
Jamie gets ready to assist Phyllis with her medication.
Jamie performs hand hygiene and is about to assist Phyllis to use a puffer and spacer.
Jamie now assists Phyllis with her puffer and spacer.
Steps for using an inhaler depend on which device you are using.
Click the checklist button above to see the steps for the device you are using. You can print this checklist for future reference.
Jamie performs hand hygiene again and signs the signing sheet.
Click on the folder to see where Jamie needs to document Phyllis' medication.
Jamie replaces the puffer.
Does the spacer need to be washed every time it's used?
Jamie performs hand hygiene again before leaving the room.
You are now ready to start your assessment for this case study.
Take another look at Phyllis' medication order.
Which route must be used to administer Seretide?
The label on Phyllis' puffer stated one puff twice a day, whereas the the medication order stated two puffs twice a day.
What should you do if the instructions on the puffer don't match those on the medication order?
How would you help a resident who is having trouble self-administering their (MDI) puffer?
The next day Phyllis reports that her throat became irritated after using the inhaler.
What should Jamie do?
What should you do if you notice a resident's inhaler is nearly empty?
You have successfuly completed Medication Assistance (For the Unregulated Health Care Worker) - Inhalation medication (MAURc EL2).
You can now close this tab and start Eye medication when you are ready.
You can now start the next module: Eye medication when you are ready.
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Signs of deterioration include anything that might tell you the client or resident is getting worse, e.g. drowsiness, confusion or an unusual lump.
A medication order is a legal document (signed by a doctor) that specifies the medication, dose and route required for a resident or client.
Clean your hands by rubbing them with an alcohol-based formulation or washing them with soap and water.
Oral medication is medication that is taken by mouth
A chemical name for the medication (e.g. Paracetamol). There is only ever one generic name.
A name given to the medication by the company that has manufactured it. There can be more than one brand name for the same medication (e.g. Panadol or Panamax).
A plastic chamber that makes it easier to take medication through a puffer. Spacers can be used by people if they are having trouble using a puffer.
A device used to give a fixed dose of medication. The canister must be pushed down at the same time as the person breathes in. Most common type of inhaler.
Container of medicine in a dry powder form. Breath-activated (medicine is sucked out of the container as the person inhales).
Phyllis replies that she's feeling OK.
Jamie doesn't notice any signs of deterioration. Phyllis looks alert and well.
Read Jamie's tips on recognising signs of deterioration.
Phyllis replies "Phyllis Makin. 2nd May 1928".
Notice how the first of the '6 Rights of Medication Administration' has been checked.
Note that this documentation could look different in your organisation or be in an electronic format.
Jamie has made sure all the 6 Rights of Medication Administration have been checked.
Medication Handbook for Unregulated Health Care Workers
Tip sheets:
Steps for assisting with:
LMS Code: MAURc EL2
Published: September 2018
Last Rev: Oct 2022
Welcome to the WA Country Health Service online Medication Competency Assessment Module.
This module is supported by funding from WA Primary Health Alliance through the Australian Government's PHN Program. This learning resource has been produced to facilitate the professional development of WACHS and non-government Unregulated Health Care Workers in the provision of the skills and knowledge associated with the supervision and assistance with medication administration.
Feedback can be provided via the Evaluation link at the end of this product.
Information contained within this product is in accordance with the current acceptable National Quality and Health Service Standards and the Aged Care Accreditation Standards
Important Disclaimer: All information and content in this Material is provided in good faith by the WA Country Health Service, and is based on sources believed to be reliable and accurate at the time of development. The State of Western Australia, WA Country Health Service and their respective officers, employees and agents, do not accept legal liability or responsibility for the Material, or any consequences arising from its use.
© WA Country Health Service, State of Western Australia (2022). Copyright to this material produced by the WA Country Health Service belongs to WA Country Health Service, under the provisions of the Copyright Act 1968 (C'wth Australia). Apart from any fair dealing for personal, academic, research or non-commercial use, no part may be reproduced without written permission of the Aged Care Directorate, Western Australian Country Health Service. WA Country Health Service is under no obligation to grant this permission. Please acknowledge the WA Country Health Service when reproducing or quoting material from this source.
Questions about this resource can be directed to the WACHS learning and Development team by email to WACHStraining@health.wa.gov.au. Feedback can be provided via the evaluation link at the end of this product.

Estimated time to complete: 60 minutes
LMS Code: MAURc EL2
Published: September 2018
Last Rev: Oct 2022