NURS 3331.01 Pharmacology Location: RCNH 203 Wednesdays 1:00 PM 3:50 PM Fall 2017 COURSE DESCRIPTION: This course introduces the professional nurse s responsibilities regarding safe drug administration and management. Actions, effects, and nursing implications of major drug classifications are studied using the nursing process and evidence-based findings as critical thinking approaches for achieving desired patient outcomes. COURSE PLACEMENT IN CURRICULUM: Level 1. Required prerequisites: Admission to Professional Nursing Program. COURSE FACULTY: Course Coordinator: Leslie Borcherding, MS, RN Office room number: Craig Hall, Room 205 Office phone: 903-923-2210 (School of Nursing front office) Email: lborcherding@etbu.edu Office hours: By appointment STUDENT LEARNING OBJECTIVES: Upon successful completion of this course, the student will be able to: 1. Analyze the professional nursing competencies as related to medication administration and management as defined by the Texas Board of Nursing: patient safety advocate, provider of patientcentered care, member of the profession, and member of the healthcare team. 2. Describe the nurse s legal and ethical responsibilities with regards to medication administration and management. 3. Describe the effects of drug therapy throughout the lifespan. 4. Apply the nursing process to drug administration and medication management through the use of evidence-based findings and theory to achieve optimal patient outcomes. 5. Identify actions, effects and nursing implications of selected major drug classifications and prototypes. 6. Explain cultural and genetic considerations in relation to pharmacology and drug administration and medication management. COURSE TEXT(S): McCuistion, L., DiMaggio, K., et al. (2018). Pharmacology: A patient-centered nursing process approach (9 th ed.). St. Louis: Saunders-Elsevier. ISBN: 9780323399166. McCuistion, L., DiMaggio, K., et al. (2018). Study guide for Pharmacology: A patient-centered nursing process approach (9 th ed.). St. Louis: Saunders-Elsevier. ISBN: 9780323399081. 1
Skidmore-Roth, L. (2018). Mosby s 2018 Nursing drug reference (31 st ed.). St. Louis: Mosby-Elsevier. ISBN: 9780323531924. COURSE EVALUATION METHODS: Course Grading Scale: In the Department of Nursing, letter grades are equated with the following percentages: A 92-100% B 82-91% C 75-81% D 65-74% F Below 65% Assessment Methods: Unit Exams (4, weighted equally) 75%* Presentation 10% Quizzes 15% Total 100% *While other classroom assignments may figure into the final course grade, the student must achieve a weighted average grade (as shown above) of at least 75% on all unit exams (combined) in order to pass this course. In the event that the required unit exam average is not achieved, the final course grade will reflect only the unit exam average; grades on other assignments will not be included. *Any student who scores less than 80% on a major unit exam (or whose major exam average is less than 80%) must meet with the course instructor prior to the next scheduled exam to discuss plans for grade improvement. See the Nursing Student Handbook for further guidelines. All written work is due at the beginning of class. Five points will be deducted for each day that an assignment is late past the due date. This applies to class and clinical assignments. Hybrid assignments (such as online discussion board posts or other assignments to be posted in Canvas) may be graded differently based on the rubric found in the course syllabus. Assignment(s) and grading criteria are located in the appendix. Students are responsible for meeting the computer needs of all courses. Assignments and due dates will not be altered because of personal computer problems. The nursing computer lab in the Craig Nursing Building is available for student use during standard operating hours. STUDENTS WITH DISABILITIES: A student with a disability may request appropriate accommodations for this course by contacting the Office of Academic Success, Marshall Hall, Room 301, and providing the required documentation. If accommodations are approved by the Disability Accommodations Committee, the Office of Academic Success will notify the student and the student s professor of the approved accommodations. The student must then discuss these accommodations with his or her professor. Students may not ask for accommodations the day of an exam or due date. Arrangements must be made prior to these important dates. For additional information, please refer to page 40-41 in the new 2017-2018 Undergraduate Catalog. 2
SCHOOL OF NURSING ATTENDANCE POLICY: Responsibility for attendance at class and clinical/laboratory experiences rests with the student. Students are expected to arrive early and be prepared for class and clinical. Attendance for the entire class or clinical times as scheduled, or until dismissed by the instructor, is expected of students as part of the professional nurse role. Class attendance will be monitored according to the university attendance policy as outlined in the current ETBU Academic Catalog as stated below: CLASS ATTENDANCE: East Texas Baptist University is committed to the policy that regular and punctual attendance is essential to successful scholastic achievement. Attendance at all meetings of the course for which a student is registered is expected. To be eligible to earn credit in a course, the student must attend at least 75 percent of all class meetings. For additional information, please refer to page 34 of the 2017-2018 Undergraduate Catalog. It is the responsibility of the students to notify the instructor in advance of upcoming Universityapproved absences. Students who accumulate university-approved absences (athletic teams, musical organizations, and other authorized groups) will be allowed to make up work missed as a result of that activity provided that: A. The activity was properly scheduled; B. The absence was authorized in advance; and C. Arrangements were made with their instructors prior to the absence. Such absences are, nonetheless, counted as classes missed. Students who exceed the absence limit in a course before the official withdrawal date will have the opportunity to withdraw from the class. Students in this situation who do not choose to withdraw on or before the official withdrawal date or who exceed the absence limit in a course after the official withdrawal date will receive a grade of XF. COURSE WITHDRAWAL: A student may withdraw from a course or courses or from the University beginning with the first day through 75 percent of the semester without academic penalty. The final day to withdraw from this course is Friday, November 10, 2017. To withdraw from a course or courses or from the University the student must secure a withdrawal form from the Registrar s Office, his/her advisor, or from the ETBU website, and follow the directions on the form, securing all required signatures. Students must process their own withdrawals. For additional information, please refer to page 28 of the 2017-2018 Undergraduate Catalog. WEAPONS IN CLASS: The on-campus possession of firearms, explosives, or fireworks is prohibited with the exception of the transportation and storage of firearms and ammunition by concealed handgun license holders in private vehicles (as described in SB1907) Pursuant to Section 30.06, Penal Code (trespass by license holder with a concealed handgun), a person licensed under Subchapter H, Chapter 411, Government Code (handgun licensing law, may not enter this property (ETBU) with a concealed handgun. The ETBU President may grant authorization to a qualified and certified full-time faculty or staff member, who is a 3
license holder with a concealed handgun to conceal carry on the University campus, at a Universitysponsored event or within or on a University vehicle. STUDENT POLICY ON RECORDINGS Personalized audio and/or video recordings of classroom lectures or other academic meetings, events, and presentations must be approved by the faculty member teaching the course. Any recordings are the sole property of East Texas Baptist University and are subject to the provisions of applicable copyright law. Students may not distribute or disseminate these recordings in whole or part through any public or private forum, social media, or the internet. All recordings must be deleted and/or destroyed at the end of the term. Failure to follow those policies may be subject to sanction under this rule. GRADUATING SENIORS Graduating seniors will need to complete final exams and turn in all final assignments no later than Tuesday of finals week in order for faculty to upload grades to the registrar by noon on Wednesday of finals week. Graduating seniors should notify their instructor and make appropriate arrangements. Students who fail a course(s) and/or who have not completed their course work or chapel credits before commencement will NOT be allowed to participate in commencement ceremonies. ACADEMIC INTEGRITY: Students enrolled at East Texas Baptist University are expected to conduct themselves in accordance with the highest standards of academic honesty and integrity avoiding all forms of cheating, illicit possession of examinations or examination materials, unwarranted access to instructor s solutions manuals, plagiarism, forgery, collusion and submissions of the same assignment to multiple courses. Students are not allowed to recycle student work without permission of the faculty member teaching the course. Students must ask permission before submitting the work since it will likely be detected by plagiarism detection programs. If the student does not inform the instructor or ask permission before the assignment is due and submitted, the instructor may treat this as an academic integrity offense. Penalties that may be applied by the faculty member to individual cases of academic dishonesty by a student include one or more of the following: Failure of the class in question Failure of particular assignments Requirement to redo the work in question Requirement to submit additional work All incidents related to violations of academic integrity are required to be reported to the Vice President for Academic Affairs and multiple violations of academic integrity will result in further disciplinary measures which could lead to dismissal from the University. Additional policies, procedures, and guidelines that apply to this course in the classroom and clinical environments are located in the Nursing Student Handbook. 4
Appendix Content A. Course Calendar Page 6 B. Unit Objectives & Assignments Pages 7-10 C. Study Question Guidelines Page 11 D. Presentation Assignment and Grading Criteria Page 11-12 E. Course Affirmation Form Page 13 5
Course Calendar** Dates Aug 23 Aug 30 Sept 6 Assessments and Activities Course and Syllabus Overview Unit 1: Nursing Perspectives of Pharmacology Unit 1: Continued Unit 2: Pain & Inflammation Management Agents 13 Unit 3: Electrolytes & IV Fluids* EXAM #1 20 Unit 4: Neurologic Agents* Sept 27 Oct 4 Unit 5: Autonomic Nervous System Agents* Unit 6: Gastrointestinal Agents 11 EXAM #2 18 Unit 7: Cardiovascular Agents Unit 7: Continued 25 Unit 8: Respiratory Agents* Unit 9: Vitamins & Minerals* Nov 1 Unit 10: Endocrine Agents *Note: Units 3, 4, 5, 8, 9, 11, & 13 are partial selfstudy units. Study questions will be provided via Canvas. 8 Unit 12: Antimicrobial and Antiretroviral Therapy EXAM #3 15 Unit 11: Eye, Ear, & Skin Agents* 22 T h a n k s g i v i n g H o l i d a y s Unit 12: Continued 29 Unit 13: Urinary Agents* Dec 1 EXAM #4 (Final) ** Tentative Schedule Quizzes may or may not be announced in advance. 6
Unit Objectives and Reading Assignments Unit 1 The Nursing Perspective of Pharmacology Student Learning Objectives: 1. Review laws and guidelines that regulate drug administration and provide public protection: a. federal legislation b. nurse practice acts c. FDA pregnancy categories d. controlled substances guidelines e. poison control centers 2. Differentiate among chemical, generic and brand naming of drugs. 3. Use appropriate drug resources/references that provide information relevant to safe nursing care. 4. Explain the various components of the 3 phases of drug action: a. pharmacokinetic b. pharmacodynamics c. pharmacogenetics 5. Define and cite examples of the following types of drug interactions, effects, and reactions: a. adverse drug reaction b. additive effect c. synergistic effect d. antagonistic effect e. side effect f. drug-nutrient and drug-lab interactions g. drug-induced photosensitivity reaction 6. Relate the steps of the nursing process to pharmacology, drug administration, and medication management incorporating the Texas Board of Nursing Differentiated Essential Competencies. 7. Define drug-related components of an effective client education plan to promote home safety, safe care, and optimal outcomes. 8. Define parameters of safe and responsible drug administration: a. traditional five rights ; plus additional rights and safety guidelines b. factors modifying drug response c. medication orders d. documentation e. geriatric considerations f. cultural and genetic considerations g. ethical aspects in practice, including clinical drug research 9. Identify nursing implications as related to over-the-counter (OTC) drugs and herbal/alternative therapy. Reading Assignment: Chapter 1 Drug Development and Ethical Considerations Chapter 2 Pharmacokinetics, Pharmacodynamics, and Pharmacogenetics Chapter 3 Cultural Considerations (p 35-36 only) Chapter 4 Complementary and Alternative Therapies (p 41-42 only) Chapter 6 Geriatric Considerations Chapter 8 The Nursing Process and Patient-Centered Care Chapter 9 Safety and Quality 7
The following student learning objectives apply to each drug category listed in Unit 2 through Unit 13: 1. Review pertinent physiology and pathophysiology related to major disorders, drug actions and anticipated patient outcomes. 2. Describe the general characteristics of the drug category, including actions and indications. 3. Discuss significant side effects, drug interactions, potential adverse effects and contraindications. 4. Discuss nursing implications, including evidence-based guidelines, specific to the drug category. 5. Identify parameters of client education appropriate to the drug category. 6. Identify significant age, cultural, spiritual, and genetic concerns specific to drug category. 7. Discuss selected prototype drugs within the drug category including dosing considerations, routes of administration and nursing implications. 8. Apply clinical reasoning through use of the nursing process to proposed client situations with regards to drug administration, medication management, patient education and anticipated patient outcomes. Drug Categories Assessments Unit 2 Pain and Inflammation Management Agents Antiinflammatory Drugs Chapter 24 Antiinflammatories (NSAIDS) Chapter 25 Analgesics Disease-Modifying Antirheumatic Drugs (DMARDS) Antigout Drugs Non-opioid Analgesics Opioid Analgesics Anti-Migraine Agents Unit 3 Electrolytes and Intravenous Fluids Sodium Chapter 12 Fluid Volume & Electrolytes Potassium Calcium Magnesium Complete the Fluid & Electrolytes Study Questions. Intravenous Fluids Unit 4 Neurologic Agents CNS Stimulants CNS Depressants Anticonvulsants Chapter 17 Stimulants Chapter 18 Depressants Chapter 19 Anti-Seizure Drugs Complete the Neurologic Agents Study Questions. 8
Drug Categories Assessments Unit 5 Autonomic Nervous System Agents Adrenergic Agonists Chapter 15 Adrenergic Agonists & Antagonists Adrenergic Antagonists Chapter 16 Cholinergic Agonists & Antagonists Cholinergic Agonists Cholinergic Antagonists Complete the ANS Study Questions. Unit 6 Gastrointestinal Agents Antiemetics Antidiarrheals Laxatives/Cathartics Antacids Histamine Blockers Proton Pump Inhibitors Pepsin Inhibitors Chapter 42 Gastrointestinal Tract Disorders Chapter 43 Antiulcer Drugs Unit 7 Cardiovascular Agents Cardiac Glycosides Antianginals Antidysrhythmics Diuretics Antihypertensives Anticoagulants Antiplatelets Thrombolytics Antihyperlipidemics Peripheral Vasodilators Chapter 37 Cardiac Glycosides, Antianginals, & Antidysrhythmics Chapter 38 Diuretics Chapter 39 Antihypertensives Chapter 40 Anticoagulants, Antiplatelets, & Thrombolytics Chapter 41 Antihyperlipidemics & Drugs to Improve Peripheral Blood Flow Unit 8 Respiratory Agents Antihistamines Antitussives Expectorants Bronchodilators Antiinflammatory Agents Mucolytics Unit 9 Vitamins and Minerals Vitamins o Fat Soluble o Water Soluble Iron Chapter 35 Upper Respiratory Disorders Chapter 36 Lower Respiratory Disorders Complete the Respiratory Agents Study Questions. Chapter 13 Vitamin and Mineral Replacement Complete the Vitamins & Minerals Study Questions. 9
Drug Categories Assessments Unit 10 Endocrine Agents Hormone Replacements and Chapter 46 Pituitary, Thyroid, Parathyroid & Adrenal Inhibitors (pituitary, thyroid, Disorders parathyroid, adrenal) Chapter 47 Antidiabetics Insulins Oral Antidiabetic Drugs Non-Insulin Injectable Drugs Hyperglycemic Drugs Unit 11 Eye, Ear, and Skin Agents Ophthalmic Agents Chapter 44 Eye and Ear Disorders Otic Agents Chapter 45 Dermatologic Disorders Drugs specific to Dermatological Disorders Complete the Eye, Ear, & Skin Study Questions. Unit 12 Antimicrobial Agents and Antiretroviral Therapy Antibacterials Chapter 26 Antibacterials Antituberculars Chapter 27 Antituberculars, Antifungals, & Antivirals Antifungals Non-HIV Antivirals Antiretrovirals Chapter 29 HIV & AIDS-Related Drugs Unit 13 Urinary Agents Drugs Specific to Urinary Tract Disorders Chapter 48 Urinary Disorders Complete the Urinary Study Questions. 10
Study Question Guidelines (for self-study units) Study questions will be posted in Canvas for units of study marked as self-study in the course calendar. The purpose for this work is to provide students with preparation guides to help ensure content mastery. Please note that this content will be discussed in class, to some extent, but will not be addressed in detail via traditional lecture style. This work is not required, but will assist students to prepare for class discussions and exams. The course textbook should be the primary resource for answers. (Note: One-word or simple statements without explanation or elaboration will not serve as useful resources for studying and review. When preparing this information, consider that it should serve as a resource for class preparation, review, exam preparation, and clinical preparation.) Study questions will be posted for the following units of study: Unit 3: Electrolytes and IV Fluids Unit 4: Neurological Agents Unit 5: Autonomic Nervous System Agents Unit 8: Respiratory Agents Unit 9: Vitamins and Minerals Unit 11: Eye, Ear, and Skin Agents Unit 13: Urinary Agents Medication Infomercial Presentation Assignment Guidelines Students will work in pairs to present a medication infomercial in class during the semester. Each pair of students will be responsible for one (1) infomercial. Each infomercial shall be a maximum of 5 minutes long, and will be on a drug category or specific drug, based on the units of study in the course. A sign-up sheet with topics and due dates will be posted the first day of class. The presentation dates will coincide with the drugs or drug categories as listed in the course schedule. This will be further discussed on the first day of class. The grading criteria sheet on the following page provides the content guidelines to be used when preparing and presenting. In addition to the actual presentation, students will prepare a typed outline, including professional references, to be provided to the instructor at the start of their presentation. While pharmacology and these drug topics are serious in nature, creativity in presentation style and content is welcomed! 11
Medication Infomercial Grading Criteria Student Name: Grade: Student Name: Topic: Include this page as the cover sheet to your outline. Staple papers in the upper left-hand corner. Points Criteria Possible 1. Name of drug or category (generics/brands) and common indications for use 10 Points Earned 2. Intended drug actions and how they relate to pathophysiology 10 3. Important baseline data or assessment prior to administering 10 4. Evaluation outcomes for intended drug effectiveness, and timing; provide examples 10 5. Common side effects and adverse effects; major contraindications 10 6. Special precautions and considerations regarding administration; important nursing implications not addressed elsewhere 10 7. Important patient education points 10 8. What did you find most interesting about this drug or category, and why? 10 Presentation was clear and organized; responded to audience questions and comments 10 Typed Outline Provided at Start of Presentation: 12 Point Times New Roman Font; Spelling/Grammar Correct In Order of Criteria 1-8 Listed Above 10 Includes Main Points of Presentation for Each Criterion Includes Minimum of 2 Professional References in APA format TOTAL POINTS 100 12
East Texas Baptist University COURSE AFFIRMATION FORM NURS 3331 Pharmacology As a student in this course, I agree to protect the privacy of faculty, peers, patients and family members of patients by not inappropriately disclosing confidential information about faculty, peers, patients or their family members that is disclosed to me in my capacity as an East Texas Baptist University nursing student. In addition, I agree not to inappropriately disclose confidential information about any agency or institution that is disclosed to me in my capacity as an East Texas Baptist University nursing student. I agree to the release of immunization records and other human resources information to appropriate agencies, hospitals, and preceptors. I have read the syllabus for this course, and I understand the criteria established for grading my course work and the grading scale. If this course has a clinical/lab component, I understand that I must perform satisfactorily in that component in addition to earning a passing theory grade in order to earn a passing grade for the overall course. I understand that all policies and guidelines in the ETBU Nursing Student Handbook apply to this course. Student's Printed Name NURS 3331 Pharmacology Course Number and Name Student's Signature Date 13