IV morphine administration by nurses & midwives (EC) - Part A (Requirements)

Name: _____________________________________________________________________

Key Points
 For nurses and midwives working in EC only.
 Supervisor – Health care professional deemed competent in administration
Documentation
 Part A - initial requirements and record of competency
 Part B - assessment report. Completed for supervised practice. Filed in professional portfolio

Competency requirements Date Initia

l
Theory
 Read WNHS clinical guidelines:
https://www.kemh.health.wa.gov.au/~/media/Files/Hospitals/WNHS/For
%20health%20professionals/Clinical
%20guidelines/Pharmacy/medications/morphine.pdf

Supervised practice
 Clinical practice administering the IV morphine medication supervised by
midwife/nurse deemed competent
Previous competency (or competency from other health service)
 Complete theory components
 Supervised clinical practice administering the IV morphine medication
supervised by midwife/nurse deemed competent
Ongoing competency
 Review at PD annual declaration

Recommendation (to be completed by Supervisor)

⃝ Competency achieved ⃝ Competency NOT achieved – Plan:

Supervisor Name: Date:

Supervisor Signature:

V:07/18 DNAMER/SD
ALESCO skill code:00570