KILGORE COLLEGE ASSOCIATE DEGREE PROGRAM RNSG 1301 SYLLABUS PHARMACOLOGY Fall 2013 David Adamson, MSN, RN COURSE SYLLABUS RNSG 1301: Pharmacology RNSG 1301 Introduction in the science of pharmacology with emphasis on the actions, interactions, adverse effects, and nursing implications of each drug classification. Topics include the skills, roles, and responsibilities of the nurse in safe administration of medications within an ethical/legal framework. Dosage calculations and medications administration skills are practiced in a laboratory setting. Credit Value of Course: Three semester credit hours. Theory: 2 hours Laboratory: 3 hours Prerequisites: Admission to the Associate Degree Nursing Program. I. Instructor: David Adamson, MSN, RN Room 115, Technical Vocational (903) 983-8634 dadamson@kilgore.edu Office Hours are posted on office door.
II. Course Rationale: A large part of a nurse s activity and time are involved in administering medications. It is imperative that the nurse has the skills needed to safely administer this medication. This introduction to pharmacology is aimed at beginning the development of those skills and habits that will make the nurse a safe practitioner. III. Educational Materials: THE NURSE, THE MATH, THE MEDS (2st Edition), J. Mulholland, 2011, Elsevier. ISBN- 9780323069045 PHARMACOLOGY A NURSING PROCESS APPROACH (7 TH Edition), Kee, Hayes, & McCuistion, Elsevier, ISBN-9781437717112 STUDY GUIDE - PHARMACOLOGY A NURSING PROCESS APPROACH (7 TH Edition), Kee, Hayes, & McCuistion, Elsevier, ISBN-9781455742189 ONLINE COURSE RESOURCES For RNSG 1301.W1 PHARMACOLOGY ON LINE - PHARMACOLOGY A NURSING PROCESS APPROACH (7 TH Edition), Kee, Hayes, & McCuistion, Elsevier, ISBN 9781437717174 Lecture Outlines - online. Additional Supplies from Lab Kit. Videos: Medicating the patient: administering intramuscular, intradermal and subcutaneous injections (I, 615.6, M489t, 105707) Medications: administration and absorption: oral medication administration (1, 615.6, M489c, 107914 pt. 2) Medications: administration and absorption: administration and absorptions of topical medications (1, 615.6, M489 pt. 1, 107913) Medications: administration and absorption: administration and absorption of parenteral medications (1, 615.6, M489c,107915) IV. Evaluation: Lecture: There will be five (5) exams, Standardized HESI Test will count as an exam if results are higher than lowest exam grade and a comprehensive final examination (counted twice the value of a regular exam). See course outline. A sixth exam grade will be based on class participation and student presentations of case studies. This grade will count as ½ the value of a regular exam grade. Lab: Activities Dosage calculations: Summary self-tests following each chapter must be completed, shown to the instructor then a written exam over the chapter will be taken. Other calculation exams will be required before giving medications in clinical and at the completion of the course.
Drug calculations tests: Students will be given two attempts on a competency testing. The student must pass each competency with a grade of 80 or above. On the second attempt, a grade of no greater than 80 will be recorded. i CAI s and Internet assignments: See schedule to be handed out first day of class. Skills Check-off: Medication skills check-off must be completed successfully. A second attempt will be allowed if needed to pass. Skills will be evaluated on a pass/fail basis. Students are required to maintain satisfactory grades in both theory and laboratory in order to pass the course. An unsatisfactory grade in either theory or laboratory will result in an unsatisfactory graded for this course. Fifty percent (50%) of final grade will be based upon six lecture exams, standardized test, plus the final. Reading the material before lecture is necessary. Fifty percent (50%) of grade will be based upon laboratory exams and other activities. A passing grade of 75% or more must be achieved in lecture and lab in order to pass the class. The grading system in RNSG 1301 is composed of theory exams, calculation tests, competency exams, computer activities and final exams. Grade equivalencies: A = 90-100 B = 80-89 C = 75-79 D = 70-74 F = Below 70 V. Classroom Policies A. Attendance: Attendance for exams is mandatory. All exams will be taken on the computer. In order to avoid distractions during the exam, no one will be admitted late unless prior permission is obtained from the instructor. If a student will be tardy and is given prior permission to enter late, no additional time will be given. Make-up exams may be given at the discretion of the instructor if prior arrangements have been made. Highest possible grade for a make-up exam is 75%. B. Posting of Grades: Grades for Lecture are posted on elearning. C. Test Review: Individual tests reviews are available on the computer after the exam is completed. Individual exam review or discussion must be scheduled with the instructor during office hours. D. Written Assignment: If written work is turned in after the assigned deadline,
FIVE (5) points per day will be deducted from the earned grade. C. Drop Dates: According to Kilgore College policies. F. Academic Integrity: Students are expected to assume full responsibility for the content and integrity of all academic work submitted as homework and examinations. (Review Kilgore College Academic Dishonest Policy and Academic Integrity Policy for Kilgore College students in the Student Guide.) G. Disclaimer: Your instructor reserves the right to make modifications in content and schedule as necessary to promote the best education possible within prevailing conditions affecting this course. Student Learning Outcomes Organized by DECs I. MEMBER OF THE PROFESSION A. Function within the nurse s legal scope of practice and in accordance with the policies and procedures of the employing health care institution or practice setting. Student Expectations: Become knowledgeable about school and common healthcare agency policies related to medication administration. Activities: Participation/Discussion, laboratory practice. Assessment: Exams, check-offs (SCANs: 1, 2, 4, 7) (DECs I-A) (PLOs: 1, 2, 3, 4, 5, 6) (IOMs: 2, 4, 7) B. Assume responsibility and accountability for the quality of nursing practice, and develop insight through reflection, self-analysis, self-care, and lifelong learning.. Student Expectations: Practice medication administration activities that promote responsibility and accountability for quality of nursing care. Activities: Participation/Discussion Assessment: Skills practice (SCANs: 1, 2, 3, 4, 5, 6, 7, 8) (DECs: I-B) (PLOs: 1, 2, 3, 4, 5, 6) (IOMs: 2, 3, 5) II. PROVIDER OF PATIENT CENTERED CARE A. Use clinical reasoning and knowledge based on the diploma or associate degree nursing program of study and evidence-based practice outcomes as a basis for decision making in nursing practice. Student Expectations:
Practice decision making using evidence based practice outcomes in simulated clinical scenarios. Activities: Participation/Discussion, computer, practice scenarios Assessment: Exams, skill check-offs (SCANs: 1, 2, 3, 5, 6. 7. 8) (DECs: II-A) (PLOs: 1-6) (IOMs: 3, 4,, 6) B. Determine the physical and mental health status, needs, and preferences of culturally, ethnically and socially diverse patients and their families based upon interpretation of comprehensive health assessment findings compared with evidence-based health data derived from the diploma or associate degree nursing program of study. Demonstrate assessment of a patient using a Pharmacology Health Assessment tool. Activities: Practice with Medication History Assessment tool Assessment: Successful completion of Assessment tool (SCANs: 1, 2, 4, 5, 6, 7) (DECs: II-B) (PLOs: 1-6) (IOMs: 1, 5) F. Evaluate and report patient outcomes and responses to therapeutic interventions in comparison to benchmarks from evidence-based practice, and plan follow-up nursing care. Student Expectations: Evaluate the effectiveness of medication nursing interventions in meeting patient outcomes. Activities: Lab practice, skills check-offs Assessment: Skills check-offs, narrative charting (SCANs: 1, 2, 4, 5, 6, 7) (DECs: II-F) (PLOs: 1-6) (IOMs: 1, 2) G. Develop, implement, and evaluate teaching plans for patients and their families to address health promotion, maintenance, and restoration. Student Expectations: Develop appropriate medication teaching plans for patients and their families in relation to wellness and illness prevention. Activities: Participation/Discussion, Demonstration Assessment: Check-offs, calculation quizzes (SCANs: 1, 2, 4, 5, 6, 7) (DECs: II-G) (PLOs: 1-6) (IOMs: 1, 2) III. PATIENT SAFETY ADVOCATE A. Demonstrate knowledge of the Texas Nursing Practice Act and the Texas Board of Nursing Rules that emphasize safety, as well as all federal, state, and local
government and accreditation organization safety requirements and standards. Student Expectations: Use and demonstrate correct guidelines including standard precautions and personal protective equipment (PPE). Activities: videos, practice scenarios Assessment: Skills check-offs (SCANs: 1, 2,, 5, 7) (DECs: III-A) (PLOs: 1-6) (IOMs: 3, 4, 5) Utilize the Joint Commission (TJC) National Patient Safety Goals. Activities: practice, video demonstration Assessment: skills check-offs (SCANs: 1, 2, 3, 4, 5. 7) (DECs: III-A) (PLOs: 1-6) (IOMs: 3, 4, 5) B. Implement measures to promote quality and a safe environment for patients, self, and others. Student Expectations: Correctly calculate specified drug dosages. Activities: complete summary self-tests at end of chapters in Drug Calculation book. Assessment: Achieve 90% success on medication calculation quizzes (SCANs: 1, 2, 3, 5, 7) (DECs: III-B) (PLOs: 1-6) (IOMs: 4, 5) Interpret medication language in nursing practice. Activities: memorize basic abbreviations and equivalents as listed in Drug Calculation book. Assessment: pass quiz over abbreviations and equivalents with a 90% success rate (SCANs: 1, 2, 3, 4, 5, 7) (DECs: III-B) (PLOs: 1-6) (IOMs: 2, 3, 4. 5) Identify basic legal and ethical requirements in medication administration. Activities: discussion, Medication Administration, practice Assessment: Check-offs on medication administration (SCANs: 1, 2, 4, 5, 6., 7) (DECs: III-B) (PLOs: 1-6) (IOMs: 1, 4) Safely and competently administer oral, topical, rectal and parenteral medications to pediatric and adult patients. Activities: Demonstration, practice, check-offs, videos Assessment: check-offs on medication administration (SCANs: 1, 2, 3, 4, 5. 6. 7. 8) (DECs: III-B) (PLOs: 1-6) (IOMs: 1, 3, 5)
Identify and describe prototypes and commonly used medications as to dosage, therapeutic use, drug action, side effects, and nursing implications.\ Activities: preparation of drug sheets, classroom lecture/discussion activities on medication groups. Assessment: Chapter exams, check-offs (SCANs: 1, 3,, 7, 8) (DECs: III-B) (PLOs: 1-6) (IOMs: 2, 5) Demonstrates competency in performing nursing skills according to scientific principles and stated procedures. Activities: practice, video demonstrations Assessment: skills, check-offs (SCANs: 1, 2, 3, 4, 5. 6. 7) (DECs: III-B) (PLOs: 1-6) (IOMs: 3, 4, 6) Demonstrates the critical elements of aseptic or sterile techniques when performing skills. Activities: skills practice Assessment: skills check-offs\ (SCANs: 5, 6, 7) (DECs: III-B) (PLOs: 1-6) (IOMs: 4, 5) F. Accept and make assignments and delegate tasks that take into consideration patient safety and organizational policy. Student Expectations: Recognize and follow through with appropriate nursing measures when given laboratory results that pertain to medication dosages (i.e. blood glucose values and insulin dosages or clotting factor values and anticoagulant administration). Activities: demonstration, videos, practice Assessment: check-offs and quizzes (SCANs: 1, 2, 3, 4, 5, 6, 7) (DECs: III-F) (PLOs: 1-6) (IOMs: 1, 5, 6) IV. MEMBER OF THE HEALTH CARE TEAM B. Serve as a health care advocate in monitoring and promoting quality and access to health care for patients and their families. Student Expectations: Participate in community service projects (i.e. immunization clinics) Activities: immunization clinics/flu vaccines Assessment: Observe for techniques (SCANs: 1 2, 3, 4, 5, 6, 7) (DECs: IV-B) (PLOs: 1-6) (IOMs: 1, 2, 6)
E. Communicate and manage information using technology to support decision making to improve patient care. Students Expectations: Identify reliable research sources that exemplify the latest information for evidence based practice. Activities: Write summary report from current available data bases that identify current practices in medication administration Assessment: Evaluate reports using a scale including reliability of sources (SCANs: 1, 2, 3, 5, 7, 8) (DECs: IV-E) (PLOs: 1-6) (IOMs: 3, 6) SCANs Competencies 1. Reading Competencies 2. Writing 3. Mathematics 4. Speech & Listening 5. \Thinking Skills 6. Person Qualities 7. Workplace Competencies 8. Basic Use of Computers DECs: As shown above Program Learning Outcomes (PLOs) 1. Provide a safe and effective care environment for their patients, through appropriate management of patient care and promotion of safety and infection control. 2. Provide for patient s psychosocial integrity. 3. Provide for patient s physiological integrity through basic care and comfort, pharmacological and parenteral therapies, reduction of risk potential and physiological adaptation. 4. Provide for patient health promotion and maintenance. 5. Provide care for patient s utilizing the nursing process, including assessment, analysis, planning, implementation and evaluation. 6. Provide patient care utilizing critical thinking to prioritize, set goals, apply knowledge with inferential and interpretive reasoning and predict or evaluate outcomes. Institute of Medicine (IOMs) Core Competencies 1. Patient Centered Care 2. Teamwork and Collaboration 3. Evidence-Based Practice 4. Quality Improvement 5. Safety 6. Informatics