1 Course NUR 125 Nursing Knowledge of Pharmacology 11 Instructor: Kim Wanink RN MSN Address: Phone: Office: A-308 Office Hours: Beginning Date of August 24, 2015 Course: Times/Location: Wednesday 8-11 am and 1-2pm and Friday 8-1pm, any time I am in my office feel free to stop in. Room A am Course Description: This course will be a continuation of NUR115. Emphasis will be on developing nursing knowledge of pharmokinetic and pharmacodynamics of various classes of drugs. Critical thinking, cultural consideration, and client teaching will be included in the learning plan. Total Credit/Contact Hours: 1.00 Theory Credit/Contact Hours: 1.00 Pre-requisites: NUR 101, 110, 110 lab, 120, 120 lab, 126, and 115 Co-requisites: NUR 123, 127, 128, 130, 130 lab, 137 Student Learning Outcomes: 1. The practical nursing student will practice nursing that is patient centered, caring, culturally sensitive, safe, individualized, and based on a solid foundation of practical nurse appropriate knowledge and skills for specific populations across the lifespan 2. The practical nursing student will participate in interdisciplinary health care teams utilizing open communication and mutual respect. 3. The practical nursing student will utilize information technology, evidence based practice and quality improvement methods in the provision of patient care. 4. The practical nursing student will practice nursing with integrity in a professional, ethical and legal manner working within the practical nursing scope of practice while valuing personal and professional development. 5. The practical nursing student will begin to develop leadership skills while fostering both a culture of excellence and a culture of diversity in providing patient care through the nursing process.
2 Course Objectives: 1. Examine evidence-based data trends in pharmacology necessary to safely administer Endocrine, antiinfectives, neurological, medications. 2. Perform accurate dosage calculations necessary to assist in gathering data before medication administration, as well as the 7 R s of medication administration, to contribute to and implementing an appropriate individualized, evidence-based plan of care that include cultural, spiritual, and developmentally appropriate interventions related to health promotion and common medical/surgical health alterations of adults. 3. Discuss and demonstrate methods to advocate for the adult with common medical/surgical health alterations and mental health disorders by incorporating collaboration and teamwork while ensuring quality, safe, and patient-centered care. 4. Review and demonstrate beginning knowledge of patterns of health promotion, health deviations, and health education needs in adult patients and their families, including dietary and lifestyle when providing education on medications drug-drug and drug-food interactions. 5. Utilize informatics to access and apply evidence-based knowledge of pharmacology to the study and care of adult patients with common medical/surgical and mental health alterations indications, adverse effects, and drug-drug and drug-food interactions. 6. Identify common concerns related to safe medication administration and the delivery of quality care. 7. Demonstrate knowledge of ethical, legal and professional standards in pharmacology in common medical/surgical health/mental health alterations. 8. Verbalize appropriate documentation standards in pharmacology necessary to identify appropriate MD order, and nursing documentation. 9. Verbalize professional behaviors and legal standards of pharmacology. Major Divisions 1. Alterations of infectious diseases 2. Alterations of the Endocrine system 3. Alterations of Central and Peripheral Nervous system
3 Class schedule as attached Textbooks: Required: Amy M. Karch, Focus on Nursing Pharmacology, 6 th Edition, 2013 Lippincott, Williams, and Wilkins Handheld device is required along with the recommended Skyscape applications which include drug information, laboratory tests, nursing diagnosis, and medical dictionary. Nursing diagnosis text or application is acceptable. Supplies: Access to ACES or a home computer is a must. Computer problems will not be an excused reason for assignments being late. Turning Point Technology response card Grading Scale: A C A C B D B D B D C F 59 & below A minimum grade of 80% is required to pass the course and progress in the nursing program. Grades will not be rounded up. Evaluation for this course is based on points and consists of: 4-5 tests and a variable number of quizzes Tests: Points will be subtracted for late assignments. (1 point per assignment/day). Timely completion of ATI is an expectation also. No points are given for their completion, points are subtracted if late. Arrangements must be made with your instructor for any test missed. o Late tests will receive a 5% deduction. o A 10% deduction will occur if the test is not taken within 2 week days. Each student will have this option a maximum of 2 times. All late tests after the student has taken 2 late tests will result in a zero score.
4 o A score of zero will be given if the test is not taken within one calendar week. o An alternate test may be used when late testing is necessary. A student may attend a lecture on either day if it is offered more than one day/week (in the ADN program, for example). A student may not change the date of their scheduled lecture on a test or quiz day without accepting the late test deductions as indicated above. Test Days: Cell phones will be collected. Students will be requested to stagger their seating arrangement. Pencils will be provided by the instructor. Students may not wear hats or have anything on their desk while testing. Collaborative testing: o Instructors may utilize collaborative testing after the student has individually taken the test. o Collaborative testing cannot be made up if the student is absent on collaborative testing day. o Extra credit points for collaborative testing results will follow the following guidelines: Students must be present for the entire collaborative exam in order to earn any extra credit points. o Extra credit points earned by the group will not be credited to any student who received less than 80% on their individual exam. o Extra credit points assigned for collaborative testing will not exceed the following: A =2 extra credit points B =1 extra credit point C or less = 0 extra credit point Take Home/Open Book Tests: Questions on any take home/open book tests will be worth a maximum of ¼ point. A maximum of one open book or take home test is allowed/course. Quizzes: Extra Credit: ATI: Quizzes (worth 10 points or less) will not be able to be made up if students are late to class or absent the day the quiz is given. o Quizzes with more than a 10 point value may be made up with 10 points subtracted from the grade earned. Extra credit is not available in any nursing course except in those courses in which instructors choose to utilize collaborative testing. See guidelines above.
5 ATI practice tests will be assigned throughout the course. One point per day will be subtracted for each test that is late. Points are not available for practice tests. ATI proctored tests will be given as assigned. The instructor will assign appropriate remediation to any student who receives less than a Level 2. If there is an ATI proctored test specific to this course it will be assigned a denominator of approximately 5% of the total points of the course. Points earned for the proctored test are as follows: o Less than Level 2: no points of the denominator assigned. o Level 2: All of the points of the denominator assigned. o Level 3: Approximately 7.5% of the denominator assigned. ATI proctored tests are required and and are expected to be completed during the testing times provided. Proctored tests not completed by the date assigned will receive a score of Less than Level Two with the point implications as noted. A student who does not take the test when scheduled must make arrangements with the instructor to take the test. A grade of incomplete will be given until the proctored test is completed. No points will be awarded when the late test is completed. Dishonesty/Cheating Dishonesty of any kind, including cheating on examinations or any assigned work, will result in a zero on the assignment, a failing grade for the course, or removal from the nursing program. The consequence will be determined by the seriousness of the infraction and at the discretion of the instructor. Attendance Expectation and Consequences: Excessive absences are defined as more than 1/16 th of the total class hours. o Each unexcused absence over 1/16 th of the course will result in 10% being subtracted from the next scheduled test. Excused absences are defined in the student handbook. o Each subsequent absence will result in another 10% deduction. Sleeping in class will be treated as an absence. Texting or surfing the web or doing other homework assignments while in class may be considered an absence. Injury/Medical Condition: A student who is unable to safely perform any of the requirements of class, lab, or clinical due to an injury or medical condition (including pregnancy) is to notify his/her instructor immediately. A physicians slip is required for any restrictions. Students unable to participate at the level expected may need to complete the course at a time when they are able. Being late is viewed as disrespectful to fellow classmates and your instructor. o A 5% deduction will be assessed from the following test beginning with the 3 rd tardy. o Five percent will continue to be deducted for every tardy after that. Skills laboratory attendance is mandatory. Students are expected to be prepared to practice skills planned. o In the event that a lab skills day is missed: Students must notify the instructor Students must make arrangements with a tutor, classmate, or instructor to learn and practice the content missed.
6 Students will receive an appropriate assignment that will provide for an equal amount of time and effort to complete. Full attendance at agency days, SIM days, and other days beyond normal lecture days is an expectation of the course. o If any part of these days are missed, students will receive an appropriate assignment that will provide for an equal amount of time and effort to complete. (equal to the time missed) A record of total absences and tardies is recorded in each nursing course. This record will be considered along with GPA when considering admission of a student to the ADN program. It will also be used when completing reference forms Other Expectations Hand-held devices will be used in class. It is expected that students use them appropriately (LPN and ADN Programs). Students will follow the Policy for use of Hand-held devices. They will be collected if inappropriate use occurs. Students are expected to be respectful to both the instructor and to fellow students. Students are expected to come to class prepared for the content to be presented. Chapter outlines will be provided to students in advance. Students should expect to be quizzed on the assigned content at the beginning of class. This is necessary in order for active learning to occur. Active participation has been shown to improve critical thinking and reasoning. This is an essential outcome for the professional nurse. Students must use their gogebic.edu address when communicating with the instructor or sending in assignments. ADA Accommodation for Students with Disabilities If you believe that you need academic accommodations for a disability that qualifies under the Americans with Disabilities Act and Section 504 of the Rehabilitation Act, please contact the Office of Disability Services, located in office T105C of the ACES Center, call (906) x 237, or to discuss your needs and the process for requesting accommodations. This office is responsible for coordinating disability-related academic accommodations and will issue students with verification letters as appropriate. Since accommodations may require early planning and generally are not provided retroactively, please contact the office as soon as possible.
8 Policy Title: Handheld Electronic Devices: Personal Digital Assistant (PDA)/Smartphones/Handheld Computers Purpose: To define guidelines for the use of handheld electronic devices in the classroom, lab, and clinical setting. Policy: Classroom Use: 1. No electronics are allowed during any exams. Students must not be able to see/hear/feel these devices during exams. Devices will be collected or must be left in purses, backpacks, etc. No devices allowed on any person or workstation. Faculty may collect handhelds prior to each class regardless if an exam is scheduled or not. If a calculator is allowed on an exam, the calculator will be provided by the school. Students with special accommodations requiring a special device must have documented approval from the dean s office. Clinical Use: (These guidelines are to be adhered to from car to car ; ie. From the time the student leaves the car in the parking lot to the time the student returns to the car after their shift). Phones may be used at breaks at the discretion of the instructor. 1. Handheld devices are to be used in the clinical areas, and for lab activities and classroom exercises as directed by faculty. Individual clinical agencies, local, state, and federal regulations and laws regulate the use of portable electronic devices. All students are responsible for following all regulations of the Health Insurance Portability and Accountability Act (HIPAA) guidelines and for following HIPAA guidelines when using their handhelds in the clinical or other settings. Students will provide their handheld device to instructors upon request. 2. Students assigned to clinical agencies that allow their employees i-phone use will be allowed to use them as a clinical resource device. They must be set to Airplane mode during the clinical shift. Students will not connect to the agency internet connection. Instructors have the right to check the settings of any device at any time. Students must adhere to professional standards for all communication including maintaining confidentiality, proper conduct for communication and communicating appropriate material. 3. Handheld camera functions must be turned off during clinical and lab sessions. This may require the camera lens to be taped while in class/clinical. Students are fully responsible to ensure that they adhere to all regulations at all times whether at school, at clinical, on break, or anywhere else. This includes proper management of confidential patient information. Students will use a password to protect access to information on their handhelds.
9 4. Infection control precautions must be maintained when using handhelds in patient care areas. 5. With the exception of specified course required activities, sending or receiving text or other messages on the handheld during class, clinical or lab is not permitted. 6. Using the internet for personal, non-school related functions is strictly prohibited. Inappropriate handheld use or violation of HIPAA guidelines is cause for termination from the School of Nursing. 7. Students will sign the Gogebic Community College electronic compliance form (Authorization to Capture/Use PHI on Portable Devices) prior to entering any clinical setting at any facility annually for all courses. This form will be placed in each student s file. Handheld Device Hygiene: 1. Wash hands before using handheld device. 2. Avoid using device with contaminated gloves, plan ahead for procedures. 3. Wipe down handheld device using solutions ONLY recommended by manufacturer. 4. Avoid areas that can possibly contaminate device: ie. laying device on bedside tables or patient bed.
10 Name: Date: I have read and understand this policy regarding handheld devices in the classroom and the clinical setting. I accept that if I am not compliant with this policy that one of the following may occur: I will be unable to utilize the device during the nursing program. I will receive a failing grade in the course. (signature) (witness) (date signed) (date signed) Course Semester By signing this form, I agree that I have received and read the syllabus for this course and that I agree to the policies, rules, and penalties of the course and of Gogebic Community College. I understand that this signed form will be placed in my file by my instructor and that it becomes a Contract between the two of us. I understand that all provisions in this syllabus are subject to revision by the instructor. Such revisions, if any, will be given to me in writing. Signature
11 Date STUDENTS MUST SIGN AND RETURN THIS PAGE TO THE INSTRUCTOR. Name: Date: I have read and understand this policy regarding handheld devices in the classroom and the clinical setting. I accept that if I am not compliant with this policy that one of the following may occur: I will be unable to utilize the device during the nursing program. I will receive a failing grade in the course. (signature) (witness) (date signed) (date signed)
12 Course Semester By signing this form, I agree that I have received and read the syllabus for this course and that I agree to the policies, rules, and penalties of the course and of Gogebic Community College. I understand that this signed form will be placed in my file by my instructor and that it becomes a Contract between the two of us. I understand that all provisions in this syllabus are subject to revision by the instructor. Such revisions, if any, will be given to me in writing. Signature Date
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