Course Outline RAD 3527 Advanced Patient Assessment Pharmacology Credit Hours: 3 cl hrs, 3 cr Prerequisite: Admission to the Baccalaureate Program INSTRUCTOR: Anthony F. DeVito MA., RT(R) OFFICE: Room P513 E-MAIL: adevito@citytech.cuny.edu Phone: (718) 260-5343 Course Description Advanced patient care skills and assessment. Additionally, an exploration of pharmacology will provide the students with comprehensive knowledge concerning drugs used in critical care and their applications in medical imaging: CT, MRI, Cardiovascular, Sonography Nuclear Medicine and Radiation Therapy. Expected Enrollment: 30 students Instructional Objectives and Assessment Instructional Objectives: For the successful completion of this course, students should: 1. Describe the areas required for patient education in medical imaging. Assessment: Instructional Activity, Evaluation Methods and Criteria Reading, in-class exercises, group discussions and online assignments. 2. Contribute to treatment plan based on a patient assessment. 3. Define the types of communication and describe how each should or should not be used. 4. Perform proper charting and documentation using manual or electronic formats. 5. Analyze a situation requiring drug dispensing to determine the proper drug amount and route of administration. 6. List the parameters used in the current American Heart Association (AHA) Advanced Cardiac Life Support Guidelines. Group discussions, demonstrations and assignments. Reading, in-class exercises, group discussions and online assignments. Group discussions, demonstrations and assignments. Teaching/Learning Methods Lecture & discussion Blackboard group/blog discussion
Reading and Multimedia viewing Subject-related Article summaries (2) In-class presentations Midterm and Final Exams Course Grading In-class participation (valid Q & A contributions) 10% Article Summaries & Oral presentations) 25% Midterm Exam 30% Final Exam 35% Students Responsibilities Students who enroll in this class must: 1. Actively participate in all lecture sessions 2. Complete all required reading/viewing and in-class activities 3. Submit and present 2 article summaries 4. Participate in midterm and final exams Article Summaries Each student will submit an article with an attached summary on course-related topic. Summary length must be limited to one single page; typed, double spaced with one inch margins and standard font size. Required Text Acello, Barbara (2006), Elsevier Jensen, S. (2006) Pharmacology and Drug Administration, Mosby Week Topic Activity Assignments 1 I. Patient Education A. Preprocedure Postprocedure Pre-patient care info. Post-patient care info. Chapter 1
2 II. Assessment of Physiological Parameters of Recommended Vitals A. Introduction to basic patient assessment 1. Subjective, objective, assessment, plan (SOAP format) 2. Chief complaint, history, assessment, rendered treatment, transport/transfer (CHART format) B. Vitals 1. Blood pressure 2. Pulse 3. Respiration 4. Temperature 5. Pulse oximetry 6. Level of consciousness 7. Signs of patient distress B. Components of the cardiac cycle 1. Electrocardiogram (ECG) Normal Dysrhythmia C. Visual inspections 1. Skin 2. Eyes 3. Nails Assessing patients. Monitoring vital assigns Chapter 2 3 III. Communication A. Types 4. Indications 5. Contraindications B. The non-english speaking patient Blackboard group Effective communication skills Chapter 3
4 IV. Charting and Documentation A.Recognizing proper documentation B. Manual vs. electronic C. Ethical and legal aspects On-line assignment Pharmacology and Drug Administration Chapter 1 5 V. Procedure Specific Patient Care A. Preprocedural B. Postprocedural 6 VI. Drug Dispensing A. Emergency situations 1. Types of drugs to use Blackboard group Addressing specific patient needs. Chapter 4 Pharmacology and Drug Administration Chapter 5 7 VII. AHA Advanced Cardiac Life Support A. Technologist role B. Drugs C. Cardiac rhythms D. Life-support Video Chapter 5 Pharmacology and Drug Administration Chapter 11 p. 165-171 8. VIII. Midterm given in-class IX. Consumer Safety and Drug Regulations Pharmacology and Drug 9 A. Federal drug laws Administration 1. 1906 Pure Food and Drug Act Blackboard group Chapter 1 2. 1938 Federal Food, Drug and Cosmetic Act discussions Chapter 2 p. 13 & 14 medicaldictionary.thefreedictionary.c om/controlled+substances+ 3. 1970 Controlled Substances Act On-line links B. State drug laws C. The Food and Drug Administration Act D. Drug Enforcement Administration www.justice.gov/dea/pubs/sch eduling.html
10 X. Responsibilities and Principles of Drug Pharmacology and Drug Administration Administration Responsible drug administration Blackboard group Chapter 2 1. Informed consent 2. Preprocedural/postprocedural assessment 3. Laboratory evaluation Medication error avoidance Examples of various consent forms. Chapter 4 p. 48 & 49 Chapter 4 p. 24 & 25 Learning Exercises p. 50 XI. Frequently Used Drug Categories Pharmacology and Drug Adrenergics (vasoconstrictors) Handouts. Administration Chapter 5 Physicians Desk Reference (PDR) current edition. Adrenergic blocking agents Analgesics Anesthetics Antiarrhythmics Antimicrobials Antichlorgenics Anticoagulants (blood thinners) Anticonvulsants Antidepressants Antiemetics Antifungals Antihistamines Antihypertensives Antiperistaltics Antipsychotics Antipyretics Antitussives Antivirals Barbiturates Bronchodilators Cardiac depressants Cardiac stimulants
1jjjj2 u XII. Administration Routes and Techniques A. Gastrointestinal (GI) XII. Administration Routes and Techniques 12 1. Oral 2. Nasogastric tube 3. Gastric tube 4. Rectal B. Parenteral 1. Buccal 2. Transcutaneous 3. Inhalation therapy 4. Injections 5. Topical 6. Application to mucous membranes C. Appropriate documentation of administration and patient outcomes Handouts. Pharmacology and Drug Administration Chapter 8 Learning Exercises p. 121 1. Dose 2. Time 3. Route 4. Location of injections 5. Sign or initial record 6. Documentation involving narcotics and any medications 13 XIII. Pharmacodynamics A. Mechanisms of action 1. Drug-receptor interactions 2. Drug-enzyme interactions 3. Nonspecific response relationships 3. Drug response relationships Handouts. Basic Pharmacodynamics Pharmacology and Drug Administration Chapter 4
14 IV. Drug Nomenclature and References A. Classifications B. Identifying names 1. Generic name 2. Chemical name 3. Trade name 4. Official name (as it appears in the United States Pharmacopoeia - USP/ National Formulary - NF) C. Legal terms referring to drugs 1. Over-the-counter 2. Legend (or prescription) drug 3. Controlled substance D. Terms indicating drug actions Blackboard group Legal aspects of pharmacology Handouts. Pharmacology and Drug Administration Chapter 5 & Chapter 6 Learning Exercises p. 62 Learning Exercises p. 77 1. Indications 2. Actions 3. Contraindications 4. Cautions 5. Side effects 6. Adverse reactions 7. Interactions D. Drug references 1. Physicians Desk Reference 2. United States Pharmacopoeia dispensing information 3. American Hospital Formulary Service 4. Compendium of Drug Therapy 15 Final Exam Catalog Course Description A balanced examination of the various methods of health care delivery in medical imaging to remain knowledgeable in the changing face of technology. Bibliography Acello, Barbara (2006), Elsevirer nd Aiken, T. D. (2008). Legal and Ethical Issues in Health Occupations, 2 Edition. Saunders.
American Psychological Association. (2007). APA style guide to electronic references. Washington, DC. Fulcher, Eugenia RN, BSN (2008) Pharmacology: Principles and Applications, Saunders Jensen, S. (2006) Pharmacology and Drug Administration, Mosby www.justice.gov/dea/pubs/scheduling.html PDR-Physicians-Desk-Reference-2010 th Pozgar, G. D. (1996) Legal Aspects of Health Care Administration, 6 Edition, Aspen