NUR 136 LPN INTRAVENOUS ADMINISTRATION

Transcription

1 NUR 136 LPN INTRAVENOUS ADMINISTRATION PRESENTED AND APPROVED: DECEMBER 7, 2012 EFFECTIVE: FALL

2 Prefix & Number NUR 136 Course : L.P.N. Intravenous Administration Purpose of this submission: New Change/Updated Retire If this is a change, what is being changed? Update Prefix Course Description (Check all that apply) Course Number Format Change Credits Prerequisite Competencies Textbook/Reviewed Competencies-no changes needed Does this course require additional fees? No Yes If so, please explain. Is there a similar course in the course bank? No Yes (Please identify) Articulation: Is this course or an equivalent offered at other two and four-year universities in Arizona? No Yes (Identify the college, subject, prefix, number and title: NUR 173 LPN Venipuncture Maricopa Continuing Education.5 Cr., NUR 124 IV Therapy and Medications Yavapai 3 credits, NUR 202 IV Infusion and Medication Skills, Eastern AZ College 3 Credits, NUR 201 IV Therapy and Venipuncture, Cochise, 3 credits. Is this course identified as a Writing Across the Curriculum course? No Yes Course Assessments Description of Possible Course Assessments (Essays, multiple choice, etc.) Exams standardized for this course? Midterm Final Other (Please specify): Skill competencies Where can faculty members locate or access the required standardized exams for this course? Multiple Choice testing Are exams required by the department? No Yes If Yes, please specify: Final Nursing Administrative Office Student Outcomes: Identify the general education goals for student learning that is a component of this course. Check all that apply: 1. Communicate effectively. a. Read and comprehend at a college level. b. Write effectively in a college setting. 2. Demonstrate effective quantitative reasoning and problem solving skills. Method of Assessment Final examination testing Dosage problem requirement on final examination 3. Demonstrate effective qualitative reasoning skills. Nursing process requirements on final examination. Skill competencies.

3 4. Apply effective methods of inquiry. a. Generate research paper by gathering information from varied sources, analyzing data and organizing information into a coherent structure. b. Employ the scientific method. 5. Demonstrate sensitivity to diversity a. Experience the creative products of humanity. b. Describe alternate historical, cultural, global perspectives. Evidence based practice discussions in class. Cultural diversity and effects on health care situations; discussions in class and questions on final examination. Office of Instruction Use only: CIP Code: ONET Code: Minimum Qualifications:

4 COURSE INFORMATION Initiator: Linda Riesdorph (Penni Ellis and Cynthia Huth previously contributed.) Date of proposal to Curriculum Committee: December 2012 Effective Semester/Year Fall 2013 Spring Summer Prefix & Number NUR 136 Full : (100 character limit) L.P.N. Intravenous Administration Short : (30 character limit) LPN Intravenous Admin Catalog Course Description: Within the framework of transitions, the focus of this course is a review of basic anatomy and physiology of the skin, cardiopulmonary and vascular systems. The concepts of homeostasis, fluid and electrolyte balance and fluid needs are discussed in detail. IV fluids and medications are discussed from birth, childhood, adolescence, young adulthood, childbearing, middle adulthood and the elderly. Potential complications of both IV solutions and drugs are discussed with appropriate actions and nursing management interventions. The administration, monitoring and discontinuing of specific IV solutions are discussed. IV access device, care and monitoring as it applies to the LPN role are also included for discussion. This course is designed to meet the Arizona State Board of Nursing requirements for LPN IV therapy and IV medication administration as defined in regulations in July, 1995 and Certification includes passing this course and the completion of 5 successful veni-punctures under the supervision of a professional Registered Nurse or physician at a place of employment or a facility willing to allow and supervise this procedure. SUN Course Number: Credit Hours: 3 Lecture Hours: 3 Lab Hours: Prerequisite(s) Licensed LPN, RN or completion of NUR 122. Co-requisite(s) Intended Course Goals By the end of the semester, students will be able to: 1. Accountability: Practice within the ethical and legal framework of nursing, reflecting awareness of established standards of care for IV Therapy and IV medication administration. 2. Caring: Apply and integrate physical, emotional, cultural and spiritual components of caring behaviors when completing procedure. 3. Clinical Competence: Demonstrate the use of knowledge and learned nursing skills to provide safe and effective therapeutic nursing interventions for IV and drug administration. 4. Communication: Communicate effectively to teach patients and families purpose, procedure and potential complications of IV therapy and drug administration. 5. Critical Thinking: Use theory, research and critical thinking to formulate and implement decisionmaking in IV Therapy and IV drug administration. Describe potential complications and identify appropriate nursing interventions.

5 6. Culture: Apply knowledge gained through recognition that biological and cultural diversities impact self and others experiences with health care. 7. Learning/Teaching: Identify, adapt and implement the learning/teaching process to address the needs of individuals, families and groups. 8. Management/Leadership: Collaborate with other personnel within the organizational structure to manage client care through supervision, delegation, coordination and procurement of available resources

6 Course Competencies and Objectives By the end of the t semester, students will be ale to: Competency 1 Utilize basic principles in the initiation of IV therapy to clients of all ages, including site and equipment selection. Objective 1.1 List three factors that influence the patient s anxiety related to IV therapy. Objective 1.2 Role play nursing approaches for emotional support for an IV therapy patient. Objective 1.3 Define the terminology related to intravenous equipment and peripheral venous access. Objective 1.4 List indications for IV therapy Objective 1.5 Identify four veins of the upper extremity appropriate for venipuncture Objective 1.6 Describe each of the 11 steps to initiate an IV safely Objective 1.7 Identify the peripheral veins appropriate for venipuncture. Objective 1.8 List the factors affecting site selection. Objective 1.9 Compare the risks and benefits of lidocaine and topical creams for initiating infusion therapy. Objective 1.10 Describe techniques to assist with venipuncture visualization and dilation in patients with sclerotic veins, alterations in skin integrity, obesity and edema. Objective 1.11 List three sites appropriate for labeling. Objective 1.12 Utilize the key components of the documentation process for peripheral infusion therapy. Objective 1.13 Review the Infusion Nurses Society (INS) and the Centers for Disease Control and Prevention (CDC) guidelines for prevention of catheter related bloodstream infections. Objective 1.14 Perform a saline lock flush. Competency 2 Employ basic principles used to monitor IV therapy safely and therapeutically. Objective 2.1 Outline safety and standard precautions Objective 2.2 Describe the importance of monitoring an intravenous infusion. Objective 2.3 Identify importance of accurate assessment of patient. Objective 2.4 Correlate the causes, symptoms, laboratory findings, and treatment for hypovolemia and hypervolemia. Competency 3 Apply basic principles used in regulating, adjusting and discontinuing IV therapy. Objective 3.1 Identify the distribution and composition of body fluids. Objective 3.2 Define the concept of osmosis and give examples. Objective 3.3 Compare and contrast the movement of water in hypotonic, hypertonic and isotonic solutions. Objective 3.4 Correlate the causes, symptoms, laboratory findings, and treatment for electrolyte imbalances. Objective 3.5 Discuss patients at risk for electrolyte imbalance. Objective 3.6 State the normal ph of body fluids. Objective 3.7 Describe the regulatory organs of acid-base imbalance. Objective 3.3 Identify five nursing assessment areas related to patients with fluid, electrolyte, and acid-base disturbances. Competency 4 Recognize factors that increase the risk of complications. Objective 4.1 Identify the signs and symptoms associated with local complications.

7 Objective 4.2 Describe prompt treatment for local complications. Objective 4.3 Correlate the signs and symptoms associated with systemic complications Objective 4.4 Outline prompt treatment for systemic complications. Objective 4.5 State the documentation criteria for local and systemic complications. Objective 4.6 Summarize the Infusion Nurses Society Standards of Practice for rating infiltration. Objective 4.7 List three risk factors for phlebitis. Objective 4.8 Identify organisms responsible for septicemia related to intravenous therapy. Competency 5 Demonstrate appropriate steps in setting up IV equipment Objective 5.1 Identify types and characteristics of peripheral and central access infusion devices. Objective 5.2 Identify three types of IV tubing in use. Objective 5.3 Describe accessory equipment, needle protectors, arm boards, and restraints. Objective 5.4 Describe the use of vented and non-vented administration sets with the appropriate solution containers. Objective 5.5 Summarize the types and characteristics of infusate containers. Objective 5.6 Identify the characteristics and uses of electronic infusion devices. Objective 5.7 Summarize the Infusion Nurses Society (INS) and the Centers for Disease Control and Prevention (CDC) recommendations for standards of practice related to equipment safety and use. Competency 6 Safely and competently demonstrate the following skills: Objective 6.1 Set up and administration of IV Piggyback medications. Objective 6.2 Provide care of central lines. Objective 6.3 Monitor blood transfusions and blood products (monitoring only). Objective 6.4 Utilize infusion pumps. Objective 6.5 Appropriately document interventions and patient responses. Competency 7 Evaluate efficacy of nursing therapeutics and client outcomes based on scientific/theoretical principles. Objective 7.1 Modify nursing therapeutics based on results of evaluation Objective 7.2 Use clinical judgment to continually update and improve nursing care. Competency 8 Describe basic principles of phlebotomy. Objective 8.1 identify the tube color codes and use of blood vacuum tubes. Objective 8.2 Describe phlebotomy safety supplies and equipment. Objective 8.3 Relate the patient identification process. Objective 8.4 List essential information for blood test requisition. Objective 8.5 Identify the most common sites for venipuncture for blood collection. Objective 8.6 Describe the steps in an effective blood draw. Objective 8.7 State the order of draw for collection tubes. Objective 8.8 Relate the appropriate steps to send blood specimen to the lab Competency 9 Analyze principles of nursing care of the pediatric and geriatric patient with IV therapy Objective 9.1 List four IV therapy related conditions to assess in the pediatric patient. Objective 9.2 Identify physiologic changes of the geriatric patient. Objective 9.3 List nursing approaches that may be used with difficult access. Objective 9.4 Differentiate physiologic characteristics of infusion therapy for neonates, infants, children and older adults. Objective 9.5 Identify the types of needles and catheters available for pediatric patients. Objective 9.6 Locate the most appropriate sites for venipuncture in pediatric and older adult patients.

8 Competency 10 Discuss basic principles used to monitor designated IV medications safely and therapeutically. Objective 10.1 Identify strategies to prevent medication errors. Objective 10.2 Compare the advantages and hazards of delivering medications by the intravenous route. Objective 10.3 Explain the mechanisms of drug action. Objective 10.4 List medication classifications. Objective 10.5 Interpret medication compatibility charts. Objective 10.6 Describe three nursing implication for each of the following medications: a. antibiotics b. potassium chloride c. vitamins d. heparin/saline flush Competency 11 Demonstrate basic principles of central line patient care. Objective 11.1 Demonstrate central line care, flushing and dressing change. Objective 11.2 List the steps for dressing management of central lines with an emphasis on aseptic technique. Objective 11.3 Identify risks and complications associated with central line placement. Objective 11.4 Discover evidence-based practices related to care and maintenance of central venous access devices. Current Course Textbook, Materials and Equipment Current Textbook(s) Current edition Software/ Equipment Manual of IV Therapeutics: Fifth edition Author(s) Phillips Publisher F. A. Davis ISBN# Author(s) Publisher ISBN# PROPOSED New Course Textbook, Materials and Equipment Effective Semester/Year Fall Spring Summer Textbook(s) Current edition Software/ Equipment Author(s) Publisher ISBN # Author(s) Publisher ISBN #

9 INSTRUCTION