INSTRUCTORS: Heleen Welvaart, RN, BSN, MPH E- mail: Heleen.welvaart@cerrocoso.edu Cell: (760) 258-7020 Office hours: Via Email COURSE: HCRS C075: Principles of Intravenous Therapy and Blood Withdrawal CRN 32503 COURSE DESCRIPTION: HCRS C075: The course is designed to enable the Licensed Vocational Nurse (LVN) to safely initiate and maintain intravenous therapy in a clinical setting. LVNs successfully completing this course will be certified by the California Board of Vocational Nurse Examiners to initiate and superimpose intravenous fluids. The student must have a current California Vocational Nursing License or senior standing in a LVN Program, or Interim Permittee Vocational Nurse status. STUDENT LEARNING OUTCOMES: 1. Discuss the function and structure of veins including identifying the names and locations of the veins most suitable for phlebotomy, intravenous cannulation, and venipuncture. 2. Discuss the correct use of and assemble the appropriate equipment and supplies needed to collect blood and insert an intravenous cannula. 3. Demonstrate the steps in performing blood collection, intravenous cannulation, and venipuncture procedure. 4. Assess techniques and equipment used to minimize biohazards exposure in both blood collections, intravenous cannulation, and venipuncture. 5. Evaluate procedural errors and discuss possible remedies for blood collection, intravenous cannulation, and venipuncture. 6. Differentiate complications and their effect on the quality of laboratory test results associated with blood collection, intravenous cannulation, and venipuncture. 7. Identify the components and the safe administration of total parenteral fluids. 8. Identify types of blood transfusion reactions and nursing actions if a reaction occurs. 9. Perform a minimum of three successful venipunctures and three successful skin punctures on clients. COURSE CREDITS: 2 Units TEXTBOOKS: Manual of IV Therapeutics, 5 th Edition, by Lynn D. Philips GRADING: Credit Non- credit 1
HCRS C075 Grading: Students must pass each part of this course with at least 80% to receive Credit for this course. All Category Units percentages will be averaged for Credit. **IMPORTANT INFORMATION** This is a positive attendance course. Clinical time cannot be missed in order to receive credit for this course. The instructor reserves the right to change or modify the course syllabus, course structure and/or teaching materials or methods during this course to maintain course integrity and compliance with the local, state and national standards. Other material may be added during the course at any time at the discretion of the instructor. When submitting assignments, submit work as a doc, docx, or rtf format file. Submission title as such, week/assignment/last name/first initial. Example: WK1AssgWantaM. It is suggested that you upload the assignment document from the Moodle site, fill in where necessary and then submit as indicated above. LATE ASSIGNMENTS STATEMENT: No credit will be given for late submissions. Important Dates: JAN 1 JAN 12 JAN 16 College Closed- New Year s Eve. Course starts Final Exams. STUDENT RESPONSIBILITY: 1. It is the student s responsibility to withdraw from courses prior to the 10% date of their enrolled classes to qualify for a refund. It is further their responsibility to apply to receive their refund; otherwise the credit will stay on their account. 2. It is the student s responsibility to withdraw from courses prior to the 20% date of the enrolled course in order to not have a W on their permanent record.* 3. It is the student s responsibility to withdraw from courses prior to the 60% date to receive a W and not receive a substandard grade on their permanent record. 4. Students will be dropped from the course for non- attendance before the course census date. 5. Students will be dropped from the course for non- attendance before the course 50% date or semester mid- point. 2
*While it is the final responsibility of the student to drop a class that she/he is no longer attending, instructors may at their discretion drop students without consultation with the student when unexcused absences number the equivalent of two weeks or exceed 10% of the total hours of class sessions, up to the 10th week of the semester or the 60% date of the enrolled course. No student may be dropped from any class after the 10th week. To successfully pass this course, students cannot miss any time and must complete the live IV start and blood draw requirements in addition to passing the final exam with 80% or higher. This is a credit no credit course only. STUDENT CONDUCT: See Vocational Nursing Student Handbook Student Conduct (Revised December 13, 2001) Since public education is furnished by the people, it is a privilege. The Board of Trustees of the Kern Community College District, in support of public education and the exercise of general supervision of the campuses, requires that student conduct must reflect the standards of appropriate behavior as defined in pursuant sections. (Education Code Section 76037) See Procedure 4F8 of Student Conduct Manual for Student Complaint Hearing Panel Procedures. Students shall respect constituted authority. This shall include conformance of State laws, Board regulations, Cerro Coso Community College regulations, and applicable provisions of civil law. (KCCD Board Policy 4F8A) The District expects students to conduct themselves in a manner consistent with the educational purposes of the College. Student conduct should reflect consideration for the rights of others, and students are expected to cooperate with all members of the College community. (For specific guidelines regarding conduct, see Policy 4F8D of Student Conduct Manual.) College personnel are responsible for communicating appropriate student conduct and for reporting any violations thereof, and the College President or designee shall have the right to administer suitable and proper corrective measures for misconduct. (KCCD Board Policy 4F8C) The Board of Trustees, the College President or designee may suspend a student for good cause or when the presence of the student causes a continuing danger to the physical safety of the student or others. The Board of Trustees may exclude from attendance in regular classes any student whose physical or mental disability is such as to cause his or her attendance to be inimical to the welfare of other students. (Education Code Sections 76020 and 76030) No student shall be suspended or expelled unless the conduct for which he/she is to be disciplined is related to a Cerro Coso Community College activity or campus attendance. 3
(For procedure, see: http://www.cerrocoso.edu/documents/student- Conduct- Policy.pdf) DEFINITIONS OF PLAGIARISM AND CHEATING Definition of Plagiarism- - Plagiarism is defined as the act of using the ideas or work of another person or persons as if they were one's own, without giving credit to the source. Such an act is not plagiarism if it is ascertained that the ideas were arrived at through independent reasoning or logic or where the thought or idea is common knowledge. Acknowledgement of an original author or source must be made through appropriate references, i.e., quotation marks, footnotes, or commentary. Examples of plagiarism include, but are not limited to, the following: the submission of a work, whether in part or in whole, completed by another; failure to give credit for ideas, statements, facts or conclusions which rightfully belong to another; in written work, failure to use quotations marks when quoting directly from another, whether it be a paragraph, a sentence, or even a part thereof; close and lengthy paraphrasing of another's writing or programming. A student who is in doubt about the extent of acceptable paraphrasing should consult the instructor. Students are cautioned that, in conducting their research, they should prepare their notes by (a) either quoting material exactly (using quotation marks) at the time they take notes from a source; or (b) departing completely from the language used in the source, putting the material into their own words. In this way, when the material is used in the paper or project, the student can avoid plagiarism resulting from verbatim use of notes. Both quoted and paraphrased materials must be given proper citations. Definition of Cheating- - Cheating is defined as the act of obtaining, or attempting to obtain, or aiding another to obtain academic credit for work by the use of any dishonest, deceptive, or fraudulent means. Examples of cheating during an examination include, but are not limited to, the following: copying, either in part or in whole, from another's test or examination; discussion of answers or ideas relating to the answers on an examination or test unless such discussion is specifically authorized by the instructor; giving or receiving copies of an examination without the permission of the instructor; using or displaying notes, "cheat sheets," or other information or devices inappropriate to the prescribed test conditions, as when a test of competence includes a test of unassisted recall of information, skill, or procedure; allowing someone other than the officially enrolled student to represent the same. Also included is plagiarism as defined and altering or interfering with the grading procedures. It is often appropriate for students to study together or to work in teams on projects. However, such students should be careful to avoid the use of unauthorized assistance, and to avoid any implication of cheating, by such means as sitting apart from one another in examinations, presenting the work in a manner which clearly indicates the effort of each individual, or such other method as is appropriate to the particular course. 4
Drop Policy HCRS C075: IV Therapy First Day Drop Students MUST show up on the first day of the course if they are registered for the course or if they are on the waitlist. Students who DO NOT attend the first course meeting will be DROPPED from the course or the waitlist. Students who attend the first session may be moved from the waitlist to the course based on the enrollments available and the students' position on the waitlist. Students dropped for non- attendance will not be able to re- enroll. Be aware Cerro Coso will ONLY contact you using your CC generated email. Students are responsible for officially withdrawing from any course or courses in which they no longer wish to be enrolled. Non- attendance does not release the student from this responsibility. Drop for Non- Payment Students that register prior to the start of class have ten (10) days to pay their bill. Non- payment prior to the end of the 10 day period will result in the student being dropped from classes. Students that register on, or after, the first day of classes are not subject to the ten day restriction and non- payment will not result in being dropped from classes. However, non- payment will result in certain holds, such as on transcript requests and other admissions and records services. Any account balance older than 120 days may be subject to the collections process. Nonattendance or non- payment does not release students from their responsibility and may result in failing grades being awarded and fees owed. Drop for Non- Attendance Regular active participation is expected of all students enrolled in the college. Students not actively participating in a course may be dropped from the course. The active participation practice for each course is established by the instructor and communicated in the course syllabus. Instructors are responsible for maintaining accurate records of active participation. A student shall be dropped by the instructor for lack of active participation prior to the census (20%) date and any time up to the 60% date when the student is not actively participating according to the practice established by the instructor and communicated in the syllabus. A student also shall be dropped by the instructor anytime up to the 60% date when he or she has been absent from or not actively participating in class for the total of two consecutive weeks, or the equivalent amount of time for a short- term class. Students MAY be dropped when non- consecutive absences number the equivalent of two weeks of the course, or the equivalent amount of time for a short- term class, recorded from the first day of instruction. 5
While it is the responsibility of instructors to communicate attendance and participation practices and to apply them to all students, it is the responsibility of the student to be aware of his or her current attendance/participation status. Students who have been absent or not actively participating in a course should notify the instructor of the reason. Notification in no way relieves the students of responsibility for work missed. Faculty members may give consideration to excusing students from courses to participate in scheduled college activities e.g., athletics, music, field trips, etc. The student must make arrangements in advance to make up the work to be missed. Refund Policy: Class enrollment fees and out of state tuition refunds are only made if a student drops a course: Within 2 weeks after the starting date (NOT ADD DATE) of the semester for a full term course (These are classes that typically meet for 16 weeks); or Prior to a date calculated to be 10% from the starting date of a course of less than a semester in length. See Specific Drop Dates for more information. A student entitled to receive the enrollment fee refund must apply for the refund. To get a refund, print out the Refund Application Form, fill it out carefully, and submit it to the Business Office. Student Complaint Policy (Regarding Faculty): Please see Students Policy Documents: http://www.cerrocoso.edu/documents/studentpolicies.htm Tutoring: Tutoring is available from trained tutors and faculty tutors in almost all subjects. Please contact your instructor for more information. Student Handbook: See Please see Students Policy Documents: http://www.cerrocoso.edu/documents/studenthandbook.pdf NOTE: Disability Accommodation The college will make reasonable accommodations and/or academic adjustments to ensure that students with disabilities have an equal opportunity to participate in the college s courses. Students with disabilities, who are requesting academic accommodations, auxiliary aides or services, contact Special Services at 760-384- 6250. 6
If you have a disability which may require classroom or test accommodations, please contact Access Programs for Special Services- Disabled Student Program and Services (DSPS) in Room Main Bldg. 312 or call 760-384- 6250. You will need to provide written documentation of your disability. If you think you have a disability but currently have no documentation, DSPS may be able to help you. All information will be kept confidential. This document is available in alternate format upon request. COURSE OBJECTIVES: Upon completion of the venipuncture reading assignments, class sessions and lab practice, the student will have knowledge of: 1. Fluid and Electrolytes 2. Psychological preparation and identification of the patient 3. Indications and contraindications for IV therapy 4. Types of IV Therapy 5. Safety measures 6. Identifying and selecting appropriate venipuncture sites 7. Labeling and handling of specimens 8. Blood withdrawal and administration 9. Calculations of flow rates 10. Different techniques of venipuncture 11. Correctly perform 3 venipunctures blood withdrawal on fellow students or Clinical Instructors after practice simulation 12. Perform 3 additional successful IV venipunctures on volunteers CLASS SCHEDULE The hours for the IV Therapy Theory class at Cerro Coso Community College are 08:00 to 17:30 with a 30 min lunch break. We advise you to bring snacks and lunch and something to drink because the college is fairly isolated. There are snack machines available. Wear appropriate shoes for walking outside and layers as the temperatures in the classroom and outside can be cool. Please bring your IV and drug books to the college for the first 3 days. Day 4 and Day 5 will be at Northern Inyo Hospital in Meeting Room Old Main 2, starting at 07:00 AM. Please review and complete Study Guide (attached) and reading assignments as follows: 7
Day 1: January 12, 2014 1. Class preparation Read before class, Manual of IV Therapeutics, 5th Edition, by Lynn D. Philips: a. Chapter 1(Professional Practice Concepts for Infusion Therapy) b. Chapter 2 (Infection control & occupational risk), c. Chapter 4 (Parenteral solutions) d. Chapter 5 (Infusion Equipment) 2. Introduction and Class Overview a. Class Objectives b. Define IV therapy c. Indications for IV Therapy 3. Legal aspects of IV therapy 4. Nursing standards of practice 5. Anatomy of vein versus artery, choice of vein 6. Common types of IV fluids 7. Review Math Calculations (IV flow rates, drip factor) 8. Math quiz 9. Equipment 10. Clinical practice with IV equipment a. Tubing b. IV Pump c. Calculating drip rates Day 2: January 13, 2014 1. Class preparation - Read before class: a. Chapter 3 (Fluid & electrolytes balance), b. Chapter 6 (Techniques for initiating maintaining maintenance IVF) c. Chapter 9 (Complications of IV Therapy) d. Chapter 10 (Medication modalities) 2. Fluid and electrolytes a. Lecture and video 3. Complications of IV therapy a. Infiltration b. Phlebitis c. Infection d. Allergic reactions e. Speed shock f. Air embolism g. Catheter embolism 8
4. Starting an IV a. View IV start video b. Psychological preparations c. Type and choice of equipment d. Preparation of site e. Venipuncture f. Heparin/saline locks 5. Immobilizing the IV site a. Dressing the site tape options and labeling b. Arm boards and other options 6. Starting IVs on challenging patients a. Pediatrics b. Geriatrics 7. Techniques of checking for patency 8. Clinical practice a. Selecting equipment b. Choosing sites c. Immobilizing and taping IVs d. Practice on dummy arm/hand e. Practice on other students/clinical instructors Day 3: January 14, 2014 1. Read before class: a. Chapter 7 (Phlebotomy techniques) b. Chapter 8 (Techniques for initiation and maintenance of central venous access) c. Chapter 11 (Transfusion Therapy) d. Chapter 12 (Nutritional Support) 2. Administration of blood a. Types of blood b. Complications c. Flow rates d. Equipment e. Policy and procedure for checking blood 3. Safety measures and standard precautions for infection control 4. Blood withdrawal 1. Hematology 2. Chemistry 3. Blood bank 4. Serology 5. Microbiology 6. Phlebotomy techniques, equipment, and complications 7. Dermal punctures 8. View Blood Collection video 5. Math calculations 9
6. Blood collection practice 1. Dummy arm learning the mechanics of blood draws 2. Practice with tourniquets/tubes/tube holders 3. On other students (any successful attempts count!) 7. TPN Hyperalimentation a. Indications b. Hazards c. Complications d. Special considerations 8. Chemotherapy a. Types b. Complications 9. Central Line Day 4: January 15, 2014, 07:00 to 16:30 (@ NIH, Old Main 2) 1. Review procedure for IV starts 2. Practice venipuncture on live human subjects, requires minimum of 3 successful IV starts 3. Review clinical experiences Day 5: January 16, 2014, 07:00 to 12:00 1. Review procedure for IV starts 2. Practice venipuncture on live human subjects for students who have not yet met requirement of 3 successful IV starts 3. Final Exam SYLLABUS SUBJECT TO CHANGE: The instructor holds the right to change the syllabus when necessary and appropriate. If there is a revision it must be clearly communicated to the students in writing 10