VNSG Essentials of Medication Administration. Vocational Nursing Lecture- Lab- External- Credit

Transcription

1 COURSE SYLLABUS VNSG 1327 Essentials of Medication Administration Vocational Nursing Lecture- Lab- External- Credit Course Level Introductory L1 Prerequisites Co-requisites BIOL 2401, BIOL 2402, HPRS 1206 or HITT 1305 This syllabus has been reviewed and is current on the date indicated. Prepared By: Date: Sherry Herrington, BSN, RN 05/22/2015 VN Program Chair Approved By: Date: Audrey Baxter, MSN, RN 05/22/2015 Director of Allied Health

2 I. Instructor Information Marchelle Taylor Phone: Office: Breckenridge 4 BKT marchelle.taylor@tstc.edu Office Hours: Monday ; Tuesday Advisement Hours: By Appointment Sheila Lamb Phone: Office: Sweetwater 4DAP sheila.lamb@tstc.edu Office Hours: Monday Tuesday Advisement Hours: By Appointment Vocational Nursing Program Chair: Sherry Herrington, BSN, RN Director of Allied Health: Audrey Baxter, MSN, RN sherry.herrington@tstc.edu audrey.baxter@tstc.edu II. Class Times, Location Tuesday: Class Pevehouse Bldg. Sweetwater Room 209 Technical Bldg. Breckenridge Room 113 This class is a HYBRID class, content is delivered via the online Learning Management System (TSTCMyCourses) and face-to-face in the classroom/lab. Students must participate in the online portion of the course to successfully complete the course. III. Course Description & Introduction WECM or ACGM/Course Description: General principles of medication administration including determination of dosage, preparation, safe administration, and documentation of multiple forms of drugs. Instruction includes various systems of measurement. WECM End-of-Course Outcomes Demonstrate accurate dosage calculation; discuss safe medication administration; and accurately document medication administration. IV. Course Goals/Essence This course focuses on systems conversions, accurate dosage calculation using the formula method, dimensional analysis, and ratio/proportion. Correct technique for mixing and/or reconstituting; choosing correct medication delivery equipment (injection and oral/topical); demonstrate competent and safe administration techniques; accurate interpretation of medication label information; identification of landmarks; proper injection technique; integration of patient/nursing considerations.

3 V. Learning Outcomes A. Member of Profession 1. Discuss OSHA standards and protocols 2. Identify federal, state, or local rules or guidelines regarding medication administration in relation to scope of practice 3. Describe standards of nursing practice in relation to medication administration in various healthcare settings 4. Assume accountability for safe medication administration and patient advocacy B. Provider of Patient Centered-Care 1. Identify medical abbreviations associated with medication administration 2. Demonstrate accurate interpretation of medication orders 3. Use systems of measurement and the appropriate conversions proficiently 4. Perform accurate dimensional analysis, ratio-proportion, and formula method for medication calculations 5. Perform accurate mathematical calculations related to medications based on body weight, including enteral and parenteral fluids or medications 6. Demonstrate competent technique in measurement of liquid, solid, unguents, and injectable medications 7. Demonstrate proper and appropriate patient identification habits 8. Discuss proper disposal of waste medication 9. Demonstrate understanding of and ability to perform Narcotic Counts 10. Discuss the principles of medication administration safety 11. Identify the elements of accurate documentation of medication administration using hard-copy MARs and electronic charting methods C. Patient Safety Advocate 1. Discuss facility policies and procedures related to medication administration 2. Utilize standards of nursing practice to engage in medication administration 3. Identify patient safety methods concerning medication administration, including accurate patient identification and patient refusal of medications 4. Describe the process for clarifying orders or treatment regimens that may be inaccurate, nonefficacious, contraindicated, or otherwise harmful to the patient 5. Use standardized reports for documenting and reporting medication errors, and accurately communicate the same to other healthcare professionals

4 D. Member of the Healthcare Team 1. Identify and discuss the role of the medication assistant, nurse, and other healthcare team members in medication administration 2. Discuss issues in current pharmacological treatment modalities 3. Discuss accountability of the vocational nurse in medication administration 4. Discuss role of reporting unsafe medication administration 5. Demonstrates knowledge of reliable online sites for quality healthcare data 6. Demonstrates technology skills including word processing, , and accessing online resources 7. Discuss current technological pharmaceutical dispensing systems 8. Document electronic medication administration records during lab exercises E. 21 st Century Skills Set/Essential Competencies 1. Solve problems and build employability skills such as positive attitude, critical thinking skills, work ethic and teamwork 2. Exhibit a positive attitude in participating in class activities or in patient care activities on time, safely, and correctly 3. Use critical thinking skills to identify methods, requirements, and standards to enhance patient care and healthcare delivery 4. Participate in teamwork activities that foster a positive learning environment in the classroom and/or clinical that promote health restoration through nursing care and teaching 5. Demonstrate positive work ethics through application of values and morals consistent with the nursing profession in all activities of the nursing program 6. Explore changes in health care impacting individual, community, and organizational related to economic, regulatory, and governmental trends Students may vary in their competency levels on these abilities. You can expect to acquire these abilities only if you honor all course policies, attend classes regularly, complete all assigned work in good faith and on time, and meet all other course expectations of you as a student. VI. Assessment Methods & Grading Policy 15 week courses: Total of 5 exams (80%); and assignments (20%) of course average; all testing for course credit will be delivered as Computer Adapted Testing (CAT); 4 Unit exams (worth 15% each) on weeks 3, 6, 9, and 12. Generally consist of 50 questions pertaining to dosage calculation and medication administration skills. Exam 5 (worth 20% of the final average) is the comprehensive final consisting of 100 questions pertaining to dosage calculations and medication administration. Grading is on the 100% scale; no grades are rounded and no extra credit is awarded. 7.5 week courses:

5 Total of 4 exams (80%), and assignments (20%) of course average; all testing for course credit will be delivered as Computer Adapted Testing (CAT); 3 Unit exams (worth 15% each) on weeks 2, 4, 6. Generally consist of dosage calculation and medication administration skills. Exam 4 in week 8 (worth 20% of the final average) is the comprehensive final consisting of 100 questions pertaining to dosage calculations and medication administration skills. Grading is on the 100% scale; no grades are rounded and no extra credit is awarded. Course Assignments (20%): Assignments are scheduled on Moodle and in the hard-copy course schedule for each week as appropriate. Faculty creates assignments from any and all resources at their disposal. Faculty will track students online or request certain articles be dropped into the Drop Box for that assignment. NOTE: FINAL GRADES ARE NOT ROUNDED AND NO EXTRA CREDIT IS GIVEN The student must pass this course with a minimum of 80% B, and the accompanying clinical course for the appropriate level with a grade of satisfactory, to progress in the Vocational Nursing Program. Course Grading Scales are as follows: = A = B = C = D BELOW 60 = F Upon testing, know your log in and only bring a pencil to the testing room. Do not bring books, notes, purses etc. You will be provided with scratch paper, you MUST use the calculator on the testing site. Each student is expected to take exams on the days and times they are scheduled. If student misses an exam, the student will be expected to make contact with the instructor prior to the exam and make arrangements within 24 hours for a make-up exam. The exam given will not be the same version the class was given and may be at least 50% short answer/alternate formats, at the instructor s discretion. ONLY ONE (1) MAKE-UP EXAM PER COURSE IS ALLOWED. IF YOU MISS MORE EXAMS YOU WILL RECEIVE A ZERO (0). There will be no class debates on exam questions, if you have a concern you must contact the instructor within 1 week of the exam to arrange a time to meet with and discuss your concerns. A. Open Labs There will be 4 hours of open lab time scheduled per week for student to get additional help with class work and/or clinical skills. The hours and instructor/assistant supervising the lab will be posted. Additional assistance can be scheduled with instructors during their office times and via appointments. Please notify instructor for arrangements.

6 B. Secretary's Commission on Achieving Necessary Skills (SCANS) Competencies The individual SCANS Foundation Skills and competencies have been identified and are located on file in the nursing office. Demonstration of SCANS is documented by the student s ability to provide evidence that the skill has been mastered. C. Differentiated Essential Competencies (DECs) The DEC competencies are fully integrated throughout the curriculum for the VN student. The DEC s relate to the entry level skills each student will acquire as they relate to the working world and the competencies required by the Texas Board of Nursing. VII. Textbook/Reference Materials Martinez de Castillo, S.L., & Werner-McCullough, M. (2014). Calculating (Access Card). Retrieved from DosageCalc.com: F.A. Davis ISBN: 13: VIII. Additional Resources & Supplies Personal Laptop Computer with power cord/adaptor Genuine Microsoft Office Home & Student 2010 or newer Internet Access (High Speed Broadband Recommended) Library Database: All students have access and will be expected to retrieve their evidence based articles from the following TSTC Nursing Database: CINAHL/EBSCO Host Logon: tstcwt Password: westtexas IX. Class Participation Policy & Student Conduct Students are required to attend all scheduled classes, actively participate in all classroom discussions, complete all projects and demonstrate mastery of designated knowledge and skills. Regular attendance is necessary for satisfactory achievement. See VN student handbook for attendance policies. A. Scholastic Honesty The College expects every student to engage in all scholastic pursuits in a manner that is beyond reproach. Students are required to maintain complete honesty and integrity in the classroom and/or laboratory. Any student found guilty of dishonesty in scholastic work is subject to disciplinary action. See the TSTC Student Handbook for further details.

7 B. Academic Dishonesty The College expects every student to engage in all scholastic pursuits in a manner that is beyond reproach. Students are required to maintain complete honesty and integrity in the classroom and/or laboratory. Any student found guilty of dishonesty in scholastic work is subject to disciplinary action. 1. Scholastic dishonesty includes, but is not limited to, cheating on scholastic work, plagiarism and collusion. 2. Cheating on scholastic work includes: (a) Copying from another student s test paper or other scholastic work. (b) Using, during a test, materials or equipment not authorized by the person administering the test. (c) Collaborating, without authority, with another student during an examination or in the preparation of scholastic work. (d) Knowingly using, buying, selling, stealing, transporting or soliciting, in whole or in part, the contents of an un-administered test. (e) Soliciting, bribing or coercing an instructor or student grader to alter the score or grade achieved on a test or other scholastic work. (f) Substituting for another student, or permitting another student to substitute for one-self, to take a test or prepare other academic work or laboratory assignments/experiments. (g) Soliciting, bribing or coercing another person to obtain an un-administered test/examination or information about an un-administered test/examination. (h) Using thoughts, words, or expressions of other s works, including web-based information, as one s own. (i) Not properly citing references and sources in discussion threads, paper work, documentations, reports, etc. (j) Plagiarism this link is an excellent site to understand what plagiarism is: See the TSTC Student Handbook for further details. C. Academic Dishonesty within the Nursing Department 1. All student conduct will support academic honesty. 2. Any student who is cheating on an exam or uses the thoughts or words of others without proper citation in a written assignment will receive an F or zero grade. 3. Academic Dishonesty constitutes unprofessional conduct and lack of good professional character in the judgment of the Texas Board of Nursing. 4. Any student participating in any form of academic dishonesty will be required to see the Division Chair and Associate Vice President of the program and may be dismissed from the program. 5. Please refer to Student Conduct in the Nursing Student Handbook. 6. The department goal is that each student completes his or her own work in order to master the skills needed to compete in the job market. X. Safety A. Campus building occupants are required to evacuate buildings when a fire alarm activates. Alarm activation or announcement requires exiting and assembling outside. B. Familiarize yourself with all exit doors of each classroom and building you may occupy while receiving instructions. The nearest exit door may not be the door you used when entering the building. C. Students requiring evacuation assistance should inform the instructor during the first week of class. D. In the event of evacuation, follow the faculty s or class instructor s instructions.

8 E. Do not re-enter a building unless given instructions by the Fire Department, Campus/Local Police, or Fire Prevention Services. XI. Special Needs A. If you have a documented disability that will impact your work in this class, please contact the ADA Coordinator, so that appropriate arrangements for your accommodations can be made. The counselor on your campus can assist you in this process. In accordance with the federal law, a student requesting accommodations must provide documentation of his/her disability to the ADA Coordinator. For more information call Amy Freeman at (325) or amy.freeman@tstc.edu.

9 Course Schedule-Subject to Change Assignments are not optional and count as 20% of your final average Week # Focus Required Reading & Assignments Weekly Objectives 1 Introduction to course Access ATI Tutorials Access Evolve Tutorials/Resources Access ExamSoft Evidence Based Practice (EBP) Trends concerning Institute of Medicine (IOM) report on medical errors specifically medication errors Various Distribution Systems Determine level of basic mathematical skills FA Davis Calculating Lesson 1: Basic Math Review Assignment: Basic Math Diagnostic Exam FA Davis Demonstrate ability to recognize and contact instructors Demonstrate accessing and logging onto ATI, Evolve, Moodle 2, and ExamSoft Basic Math Review fractions, decimal points, etc. Demonstrate secure retrieval of user names and passwords for each online resource Discuss EBP report of medication errors Discuss common medication errors Discuss steps to take to prevent medication errors Describe the various medication distribution systems Demonstrate use of the various MARs Discuss the six rights of medication administration Demonstrate efficient addition, subtraction, multiplication, and division of whole numbers, fractions, and decimal expressions Demonstrate solving for X 2 Presentation of mathematical functions using all systems and approaches Review common courteousness in med administration Present various forms of medications and the ways to administer each View various formulas for calculating medication doses 3 Exam #1: Over Week Introduce metric, apothecary and household systems of measurement Conversions handouts and direction Calculations practice and applications FA Davis Calculating Lesson 2: Methods of Calculations ( Make a choice of your preferred calculation method and complete this section of the tutorial) FA Davis Calculating Lesson 3: System of Measurement Identify tools used for accurately measuring dosages Look at different methods for solving drug calculations using Ratio and Proporiton, Dimensional Analysis, of the Formula Method Compare and contrast standard time and military time Convert safely / efficiently between the two types of time Demonstrate solving for X Demonstrate understanding of placement of zeros in dosage and calculations Compare and contrast the three systems of measurement Convert safely / efficiently between the systems of measurement (metric, household, apothecary) Work with decimals to accommodate various metric

10 Week # Focus Required Reading & Assignments 4 Medication forms Dispensing systems Patient identification Calculations practice and application 5 Determining required data on the label prior to preparing or administering the med Calculations practice and application 6 Exam #2: Over Week Introduction to equipment and supp Importance of drug form and route ordered Determining required data on the label prior to preparing or administering the med Calculations practice and application 7 Introduction to syringes and needles Work with various types and sizes of syringes and needles Calculations practice and application FA Davis Calculating Lesson 4: Intake and Output FA Davis Calculating Lesson 5: Reading Medication Labels FA Davis Calculating Lesson 6: Oral Medications FA Davis Calculating Lesson 7: Syringes and Needles Weekly Objectives measurements Measure fluid, weight and volume using the metric system Convert safely within the metric system by moving the decimal Demonstrate ability to convert fractions to decimals Demonstrate understanding of the apothecary system Discuss forms of liquid meds for oral administration Participate in dosage calculations for oral liquid medications Discuss tools used to deliver the exact amount of a liquid medication Demonstrate proper and accurate preparation of individual liquid doses Discuss administering medications through a feeding tube Measuring outputs from various systems Discuss various manufacturers of medications Explain the information that must be present on the label Discuss forms of liquid meds for oral administration Participate in dosage calculations for oral liquid medications Discuss tools used to deliver the exact amount of a liquid medication Demonstrate proper and accurate preparation of individual liquid doses Participate in calculation of various injectable dosages using PractiMeds and the calculation method of choice Demonstrate correct syringe selection according to the PractiMed and scenario provided Compare and contrast an injection needle with a filter and discuss the purpose of each 8 Introduction to injectable medications and FA Davis Calculating Lesson 8: Parenteral Participate in calculation of various injectable dosages using PractiMeds and the calculation

11 Week # Focus Required Reading & Assignments techniques Routes and sites for injectables Practice injection techniques and mechanics Calculations practice and application Meds 9 Exam #3: Over Week Reconstitution of drugs from powdered to liquid forms Handling specifics for reconstituted drugs FA Davis Calculating Lesson 9: Powdered Medications Weekly Objectives method of choice Demonstrate drawing up various injectable doses of PractiMeds Discuss the proper injection site choice for the injection of the PractiMeds Demonstrate appropriate injection of the prepared PractiMed for a simulation manikin according to the scenario provided Discuss medications requiring reconstitution from a powdered to liquid form Practice reading drug labeling to determine the reconstitution of the drug Explain the term diluent Demonstrate aseptic reconstitution and mixing of the drug Demonstrate proper syringe choices for specified reconstituted drugs Demonstrating use of filter needles when appropriate Demonstrate appropriate labeling of a vial of reconstituted medications Demonstrate administration of a reconstituted PractiMed according to the scenario provided Discuss storage requirements of reconstituted drugs if appropriate for storage 10 Regulating pumps and manual sets to deliver specific amounts per minute/hour Calculations practice and application FA Davis Calculating Lesson 10: IV Calculations Discuss the LVN role in provision of IV Therapy Name the common types of IV fluids Explain the effect of osmolality in regard to IV Therapy Discuss the applications and use of various types and classifications of IV equipment and supplies for plain and medicated IV infusions Demonstrate setting up an IV infusion and priming the tubing Demonstrate calculation of flow rates and setting the infusion pump accurately Demonstrate calculating manual flow rates with various types of tubings Demonstrate setting manual flow rates on various types of tubings and devices Compare and contrast gravity delivery and positive pressure delivery of ordered IV fluids/medications 11 Using IV equipment and supplies Monitoring, preparation, administration of IV fluids and drugs. Complications of IV FA Davis Calculating Lesson 11: Titration of IV Medications Discuss the LVN role in provision of IV Therapy Name the common types of IV fluids Explain the effect of osmolality in regard to IV Therapy Discuss the applications and use of various types and classifications of IV equipment and supplies for

12 Week # Focus Required Reading & Assignments therapy Setting up and priming IV tubings Calculating dosage by weight 12 Exam #4: Over Week Pediatric Medication Dosages and administration 13 Using evidencedbased safety procedures Following BON safe practices FA Davis Calculating Lesson 12: Pediatric Calculations FA Davis Calculating Lesson 13: Focus on Safety Weekly Objectives plain and medicated IV infusions Discuss various types of tubings and delivery dev. Discuss medication precautions required with pediatric patients Discuss atraumatic care and play therapy with pediatric patients Explain the part of the parent/care giver when administering medications to children Demonstrate correct administration techniques for infants and small children Discuss measuring tools appropriate for oral administration of meds to children Demonstrate injection sites acceptable for IM and subcutaneous injections Demonstrate and discuss topical numbing agents Discuss phrases to avoid when administering medications to children Discuss the formula for dosage determination by weight and BSA Demonstrate setting up and priming a Volutrol IV device Demonstrate calculation of dosage by weight and BSA Discuss dehydration and overhydration in the pediatric population Demonstrate calculating pediatric fluid balance Discuss the six rights of medication administration Know the LVN s scope of practice 14 Summarize and selftest over calculations and medication administration. Course tests: Test 1, 2, 3, & 4 (Same in each of the three modules on methods of calculation. Make a choice of your preferred calculation method and complete this section of the tutorial) Now you are almost done! Demonstrate successful learning and retention of information and skills related medication administration procedures and practices Demonstrate ability to calculate dosages safely and appropriately across all patient populations and forms of medications. Demonstrate critical thinking in calculation of doses, preparation of medication, administration of medications, and medication administration precautions Provide evidence of comprehension and the ability to administer medications in a safe and responsible manner.

13 Week # Focus Required Reading & Assignments Weekly Objectives 15 Comprehensive Final Exam Schedule is subject to change

14 XIII. Faculty Instructor CV Sherry Herrington, BSN, RN Education Name of Institution Degree Earned Date Earned University of Texas at Arlington Bachelor of Science in Nursing (BSN) May 1992 Tarrant County Junior College Associate in Applied Science Nursing (ADN May 1978 Cisco Junior College Certificate of Completion VN Program (LVN) Oct 1973 Certifications Name of Certification Date Expires Date Earned Oncology Certified Nurse Nov 1993 Nov 1989 Certified Intravenous Nurse Dec 1994 Dec 1989 AHA Health Care Provider CPR Current Mar 2013 Industry, Teaching or Training, and Other (Examples: publications and memberships) Experience Relevant To Course Description of Experience Related To Course TSTC West Texas Faculty / Interim Director / Director VN Program Date Ended Date Began Current Aug 2006 Ranger College Director of VN Program Aug 2006 Aug 2003 Acute Care / Home Health Care / School Nurse Aug 2003 Oct 1978 Texas Association of Vocational Nurse Educators Present Aug 2003 Instructor CV- Trisha Otts, RN Education Name of Institution Degree Earned Date Earned Walden University Masters of Science in Nursing In progress Associate Degree Nursing 2010 Texas State Technical College West Texas Texas State Technical College West Texas Vocational Nursing Certifications Name of Certification Date Expires Date Earned 2000 Industry, Teaching or Training, and Other (Examples: publications and memberships) Experience Relevant To Course Description of Experience Related To Course Date Ended Date Began

15 Director of Nurse Aide Program 2012 TSTC-WT vocational nursing instructor: Nursing Skills Current/ 2004 TSTC-WT vocational nursing instructor: Pharmacology & Dosage Calculation Current/ 2004 TSTC-WT vocational nursing instructor: Simulated Lab & Clinical Current/ 2004 Member Texas Association of Vocational Nurse Educators (TAVNE) Current/ 2004 Instructor CV Sheila Jo Lamb, RN Education Name of Institution Degree Earned Date Earned Texas State Technical College License Vocational Nurse 1992 Texas State Technical College Associate Degree Registered Nurse 2008 Western Texas College Prerequisites Certifications Name of Certification Date Expires Date Earned Industry, Teaching or Training, and Other (Examples: publications and memberships) Texas State Technical College West Texas: Lab Assistant/Teaching Lab Assistant Charge Nurse Roscoe Health Care Girling Home Health-patient care Mediplex Home Health/ Hospice Care for patients Rolling Plains Memorial Hospital patient care Date Ended Date Began Current/ 2003 May November 2003 April 1999 October 2001 January April 1999 Sept January 1993 Instructor CV Sharon Zetzman-Sparks, RN Education Name of Institution Degree Earned Date Earned Texas State Technical College Associate Degree Registered Nurse 2010 Certifications Name of Certification Date Expires Date Earned Cisco Junior College Vocational Nursing Certificate 1988 Industry, Teaching or Training, and Other (Examples: publications and memberships) Date Ended Date Began TSTC-WT Faculty / Instructor Current 2010 Active Memberships The Association of Women s Health, Obstetric and Neonatal Nurses (AWHONN) Texas HOSA Leadership Judge Member National Association Practical Nurse Education and Services (NAPNES) Member Texas Association of Vocational Nurse Educators (TAVNE) Certified Breast Feeding Coordinator for Nolan County Member National Foundation of Licensed Practical Nurses (NFLPN) Lab Assistant CV Kathryn Kinsey, LVN Education Name of Institution Degree Earned Date Earned Texas State Technical Institute Certificate for VN Program 1975 Name of Certification Date Expires

16 Date Earned CPR Instructor for American Heart Association Industry, Teaching or Training, and Other (Examples: publications and memberships) Experience Relevant To Course Date Ended Description of Experience Related To Course TSTC West Texas CNA Instructor Date Began Current 1996 TSTC Clinical Instructor / Lab Assistant / Skills Instructor AHA CPR for Health Care Provider Instructor TSTC West Texas Nurse Assistant Instructor Director of Nursing / Assistant Director of Nursing LTC Current 1996 Current 1996 Current Nursing Assistant LTC: Care of Geriatrics Texas Association of Vocational Nurse Educators Department of Aging and Disability Services Approved as Instructor by Department of Aging and Disability Services Current 2000 Current 1996 Instructor CV Marchelle Taylor BSN, RN Education Name of Institution Degree Earned Date Earned University of Texas at Arlington Bachelor of Science Nursing 1993 Industry, Teaching or Training, and Other (Examples: publications and memberships) TSTC-WT Faculty / Instructor School Nurse Peer Review Committee Strategic Planning Committee CPR Instructor for Keller ISD Cook Children s Medical Center Lone Star Endoscopy General Dynamics Engineering Associate Date Ended Date Began Current

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18 VNSG 1327 Essentials of Medication Administration Acknowledgment of Receipt of Syllabus and Course Guide I have read and understand the information, evaluation and testing methods, and schedule in the Course Guide Accompaniment and Syllabus written by the Nursing department and agree to abide by the rules and requirements contained within. I understand that it is my responsibility to read and understand the syllabus and to abide by the guidelines presented therein. I acknowledge that I was provided an opportunity to ask questions and agree that any questions asked were answered to my satisfaction. Student Signature: Date: