Download SOUTH PLAINS COLLEGE – PLAINVIEW

COURSE SYLLABUS
VNSG 1327.501
(3:2:2)
ESSENTIALS
OF MEDICA
ESSENTIALS
OF MEDICATION
ADMINISTRATION
ADMINISTRATION
Vocational Nursing
Health Occupations
Technical Education Division
Plainview Center
SOUTH PLAINS COLLEGE
Fall – 2011
1
PLAINVIEW
COURSE SYLLABUS
COURSE TITLE:
VNSG 1327 – ESSENTIALS OF MEDICATION ADMINISTRATION
INSTRUCTOR:
SUZANNE GRIFFIN, RN, A.A.S., A.D.N.
OFFICE LOCATION
& PHONE/E-MAIL:
PLAINVIEW CENTER
806-296-9611 X 4405 / [email protected]
OFFICE HOURS:
MONDAY & TUESDAY
WEDNESDAY
THURSDAY & FRIDAY
8:00 AM – 10:00 AM
8:00 AM – 12:00 PM
BY APPOINTMENT
SOUTH PLAINS COLLEGE IMPROVES EACH STUDENT’S LIFE
******************************************************************************************
COURSE DESCRIPTION:
General principles of medication administration, including determination of dosage, preparation, safe
administration, and documentation of multiple forms of drugs will be covered. Instruction includes various
systems of measurement.
COURSE LEARNING OBJECTIVES:
The student will demonstrate accurate dosage calculation; discuss the principles of medication
administration safety; and identify the elements of accurate documentation of medication administration.
COURSE COMPETENCIES:
The student must complete this course with a grade of 75 % or above based on the following objectives:
1. Demonstrate an understanding of pharmacology using the nursing process approach.
2. Be familiar with various sources of drug information and be affluent in the use and
interpretation of these resources.
3. Define and demonstrate competency of the six rights of drug administration;
knowledge of equipment and basic administration procedure techniques.
4. Demonstrate a workable knowledge of conversion tables and calculation of dosages.
5. Describe safe practices for care and storage of drugs.
6. Demonstrate knowledge of standard abbreviations used in medication therapy.
7. Demonstrate appropriate documentation of a drug order and medication
administration.
8. Be familiar with basic terminology in classification of medications, both by action and
by body system.
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ACADEMIC INTEGRITY:
Refer to Plainview Student Handbook (page 23) and the SPC Catalog (page 23).
SCANS AND FOUNDATION SKILLS:
C – 1, 3, 5, 6, 7, 8, 9, 10, 11, 15, 16, 17, 18, 19, 20.
F – 1, 2, 3, 4, 5, 7, 8, 9, 10, 11, 12, 13, 16, 17.
VERIFICATION OF WORKPLACE COMPETENCIES:
NCLEX – PN Licensure Exam eligibility following successful completion of the one-year vocational
nursing program.
TEXTBOOK:
Clayton, B.D., Pharm D, RPh, BS; Stock, Y.N., MS, RN; Cooper, S. D., MSN, RN, CCM (2010).
Basic Pharmacology for Nurses, 15th Edition, Mosby Inc., St. Louis.
Student Learning Guide to Accompany Text
Curren, Anna M. (2009). Math for Meds: Dosages and Solutions, 10th Edition, Cengage Learning,
Philadelphia
Burton, Marti A., R.N., B.S. and Ludwig, Linda J. May, R.N., B.S., MEd (2011). Fundamentals of
Nursing Care – Concepts, Connections, and Skills, F. A. Davis Company, Philadelphia
ATTENDANCE POLICY:
Refer to SPC Catalog (page 20) and Plainview Student Handbook (page 14). This course is a 3 semester
hour course with 6 hours of allowable absence.
COURSE REQUIREMENTS:
1. Assignments read prior to class discussion.
2. Participation and demonstrated competency in CAI programs. Instructions and due dates to be
announced in class.
3. Participation and demonstrated competency in laboratory practice / return demonstration of all
procedures.
4. Demonstrated competency in dosage calculation. (See “Schedule of Classes”)
5. Demonstrated competency in all abbreviations and equivalents and related medication terminology.
(See “Schedule of Classes”)
6. Four exams and a comprehensive final exam will be given. Home assignments will include exploring
medication administration nursing issues.
7. Written assignments are to be neat and legible. They may be computer generated using black as font
color and #12 as font size or hand written using black ink and must be double spaced and on one side of
the paper only. Paper edges must be without frayed edges. Points will be deducted accordingly as per
instructor discretion.
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GRADING:
2 UNIT EXAMS, 2 COMPETENCY EXAMS,
AND 1 FINAL EXAM
PROCEDURE COMPETENCIES
CLASS PARTICIPATION
75%
20%
A
B
5%
D
F
SCHEDULE OF CLASSES:
WEEK 1
8 – 30 - 11
Course Introduction
Begin Unit I – Foundations of Pharmacology
Ch. 1 (text) Definitions, Names, Standards, and Sources
9 – 1 - 11
Complete Chapter 1
Sources review – “Hunt and Find”
WEEK 2
9 – 6 - 11
Ch. 2 (text) Principles of Drug Action and Drug Interaction
9 – 8- 11
continue – “Crossword Puzzle Review”
WEEK 3
9 – 13 - 11
Ch. 3 (text) Drug Action Across the Life Span
9 – 15 - 11
continue – Workbook Review: Chapters 1 - 3
WEEK 4
9 – 20 - 11
Ch.4 (text) The Nursing Process and Pharmacology
9 – 22 - 11
continue – “Using the Nursing Process in Pharmacology”
WEEK 5
9 – 27 - 11
Ch. 5 (text) Patient Education and Health Promotion
Team Home Assignment
9 – 29 - 11
Team Discussion of Patient Education and Health Promotion
Study Guide for Unit Exam # 1
4
90 - 100
89 - 80
C
79 - 75
74 – 70
69 or below
WEEK 6
10 – 4 - 11
UNIT EXAM #1 (CHAPTERS 1 – 5)
10 – 6 - 11
Begin Unit II – Illustrated Atlas of Medication Administration and Math Review
Ch. 6 (text) A Review of Arithmetic and Appendix A – Medical Abbreviations
Ch. 4 & 5 (Math for Meds)
Electronic Study Guide Abbreviation Tables (Fundamentals) – Think: “Pharmacology
Abbreviations


and Equivalents”
CAI Programs (Abbreviations and Equivalents) are available in computer lab. Use in practice
as many times as you wish. When ready to test, please inform Mrs. Rogers in order for score
to be recorded. Due date: Monday, 10 – 17 - 11
Handout Activity # 1
WEEK 7
10 – 11 - 11
continue – Handout Review / Workbook / CAI Program work
Handout Activity # 2
10 – 13 - 11
continue – Handout Review
Handout Activity # 3
10 -14 -11
**** FALL BREAK ****
WEEK 8
10 – 18 - 11
UNIT EXAM # 2 – COMPETENCY: ABBREVIATIONS & EQUIVALENTS
 COMPETENCY OF 90% OR ABOVE MUST BE ACHIEVED ON ABBREVIATIONS
AND EQUIVALENTS. YOUR INITIAL SCORE IS THE SCORE RECORDED FOR UNIT
EXAM # 2 GRADE. YOU WILL HAVE THREE OPPORTUNITIES TO ACHIEVE THIS
LEVEL OF COMPETENCY BY TUESDAY, DECEMBER 6, 2011. IF 90% IS NOT
ACHIEVED ON THIS EXAM (FIRST ATTEMPT), ARRANGEMENTS MUST BE MADE
WITH THE INSTRUCTOR FOR RETAKES. THE RETAKES MAY NOT BE
COMPLETED DURING CLASSTIME. SHOULD AFTER THE THIRD ATTEMPT TO
MEET COMPETENCY 90% IS NOT ACHIEVED, OBJECTIVES FOR THIS COURSE
CAN NOT BE MET AND A FAILING GRADE WILL BE ISSUED.
10 – 20 - 11
Ch. 7 (text) Principles of Medication Administration
Ch. 6 (Math for Meds)
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WEEK 9
10 – 25 - 11
UNIT EXAM # 3 (TEXT: CHAPTERS 6 AND 7
MATH FOR MEDS: CHAPTERS 4, 5, AND 6)
Begin working on CAI Programs
 CAI PROGRAMS (Drugs and Solutions) ON DOSAGE CALCULATIONS AVAILABLE IN
COMPUTER LAB. PLEASE MAKE APPOINTMENTS WITH VIRGINIA ROGERS. YOU
WILL HAVE SOME CLASSTIME TO DO THESE, AND/OR YOU MAY COMPLETE
THESE ON YOUR OWN TIME. ALL STUDENTS TO TURN IN COMPLETION OF
THESE PROGRAMS BY MONDAY, 11 – 14 – 11.
 Dosage Category: Adult, Pediatric, Geriatric
 Drug Types: General
 Question Types: Conversions, Calculations, Dosage Based on Weight/BSA, Solutions
**** CLINICALS BEGIN ****
WEEK 10
11 – 1 - 11
Ch. 7, 8, 9, 10, 11 (Math for Meds)
WEEK 11
11 – 8 - 11
Ch. 7 & 9 (Math for Meds)
Insulin and Heparin Dosages
Ch. 15, 16, 22 (Math for Meds)
Pediatric Dosages
Continue with Workbook, Worksheet, Computer Lab (Adult & Pedi Calculations)
WEEK 12
11 – 15 - 11
UNIT EXAM # 4 – COMPETENCY: DOSAGE CALCULATIONS
 COMPETENCY OF 90% OR ABOVE MUST BE ACHIEVED ON DOSAGE
CALCULATIONS. YOUR INITIAL SCORE IS THE SCORE RECORDED FOR UNIT
EXAM # 4 GRADE. YOU WILL HAVE THREE OPPORTUNITIES TO ACHIEVE THIS
LEVEL OF COMPETENCY BY TUESDAY, DECEMBER 6, 2011. IF 90% IS NOT
ACHIEVED ON THIS EXAM (FIRST ATTEMPT), ARRANGEMENTS MUST BE MADE
WITH THE INSTRUCTOR FOR RETAKES. THE RETAKES MAY NOT BE
COMPLETED DURING CLASSTIME. SHOULD AFTER THE THIRD ATTEMPT TO
MEET COMPETENCY 90% IS NOT ACHIEVED, OBJECTIVES FOR THIS COURSE
CAN NOT BE MET AND A FAILING GRADE WILL BE ISSUED.
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WEEK 13
11 – 22 - 11
Ch. 9 (text) Enteral Administration – PO, NG, Rectal
Ch. 10, 11, 12 (text) Parenteral Administration
Ch. 8 (text) Percutaneous Administration
* Review of text chapters, Video presentations, Order transcriptions, Lab practice
11 / 23 – 25 / 11 **** THANKSGIVING HOLIDAY ****
WEEK 14
11 – 29 - 11
Lab practice
Final Exam Study Guide
WEEK 15
12 – 6 - 11
12 – 8 - 11
12 – 9 - 11
Lab Competencies (PO)
Clinical Day Lab Competencies (SC)
Clinical Day Lab Competencies (IM)
WEEK 16
12 – 13 - 11
FINAL EXAM
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COURSE OUTLINE:
UNIT I FOUNDATIONS OF PHARMACOLOGY
Chapter 1
DEFINITIONS, NAMES, STANDARDS, AND INFORMATION SOURCES
Objectives: Upon completion, the student should be able to:
1.
2.
3.
4.
5.
6.
7.
8.
List four sources of drugs and examples of drugs obtained from each
List important literature resources of drug listings and information regarding drugs
Identify the difference between generic and brand name of a drug
Identify selected federal legislation regulating the distribution of drugs and their use
Define specific terms, which describe dosage of a drug
Discuss the reasons for standardization of drugs
Identify factors, which will determine the amount of a dosage prescribed and/or given
Identify seven parts of the PDR; demonstrate ability to utilize various published sources to locate
information about classifications of drugs and individual drugs
I. Definitions
II. Drug Names
III. Sources of Drug Standards
IV. Sources of Drug Information
V. Sources of Patient Information
VI. Drug Legislation
VII. Effectiveness of Drug Legislation
VIII. New Drug Development
Chapter 2
PRINCIPLES OF DRUG ACTION AND DRUG INTERACTIONS
Objectives: Upon completion, the student should be able to:
1. Demonstrate an understanding of the basic five principles of drug action
2. Discuss nursing assessments necessary to evaluate potential problems with the
absorption of medications
3. Describe what is meant by a baseline assessment
4. Describe nursing interventions, which enhance drug absorption
5. List three categories of drug administration
6. Describe drug distribution mechanisms and differentiate between general and selective
type
7. Identify the process that inactivates drugs
8. Identify the meaning and significance of the half-life of a drug
9. Define terminology, which applies to drug action and side effects
10. Describe methods of storing drugs and preserving them from deterioration
11. Define what is meant by a drug interaction
I.
II.
III.
Drug action in the body
Absorption, Distribution, Metabolism, Excretion
Classifications
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IV.
V.
VI.
Chapter 3
Drug Actions
Factors Influencing Drug Action
Drug Interactions
DRUG ACTION ACROSS THE LIFE SPAN
Objectives: Upon completion, the student should be able to:
1.
2.
Discuss the effects of age on drug action.
Cite major factors associated with drug absorption, distribution, metabolism, and excretion in the
younger and the older populations as well as in men and women.
I.
II.
III.
IV.
Changing Drug Action Across the Life Span
Age
Gender
Nursing Implications when Monitoring Drug Therapy
Chapter 4
Chapter 5
THE NURSING PROCESS AND PHARMACOLOGY
PATIENT EDUCATION AND HEALTH PROMOTION
Objectives: Upon completion, the student should be able to:
1.
2.
3.
4.
5.
Identify purpose for using nursing process methodology
Discuss the application of the steps in the nursing process to pharmacology
Identify NANDA accepted nursing diagnoses related to pharmacology
Describe evaluation criteria related to outcome of drug therapy
Describe an acceptable method of organizing, implementing, and evaluating patient
education
6. Identify nursing outcomes related to lab data and drugs
7. Identify principles of learning applicable to patient teaching concerning drug therapy
8. Apply principles of learning to pharmacology through care planning
I. Nursing process
II. Client education and health promotion
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UNIT II ILLUSTRATED ATLAS OF MEDICATION AMINISTRATION
AND MATH REVIEW
Chapter 6
A REVIEW OF ARITHMETIC
Objectives: Upon completion, the student should be able to:
1. Learn to calculate dosage preparations with minimum of 90% competency
2. Apply basic mathematic principles to the calculation of problems associated with
medication dosages
3. Demonstrate proficiency in performing conversion between household, apothecary, and
metric measurements with minimum of 90% competency
4. Correctly identify and write all symbols and abbreviations with minimum of 90%
competency
I. Systems of measurement
II. Conversion between systems
Chapter 7
PRINCIPLES OF MEDICATION ADMINISTRATION & MEDICATION SAFETY
Objectives: Upon completion, the student should be able to:
1.
2.
3.
4.
5.
6.
7.
Cite legal and ethical considerations inherent in medication administration
Identify components of Texas Nursing Title Act related to medication administration
Describe advantages and disadvantages of various types of drug distribution systems
Identify various methods by which standard medication orders are given by physicians
Identify advanced practitioners who can legally prescribe drugs
Identify parts of a prescription order
Define components of a physicians order as written on a patient record; define nursing
responsibility related to physicians orders
8. Demonstrate ability to properly document and note a physicians order with 100%
competency
9. Discuss nursing responsibilities for safe and competent administration of medications
10. Identify potential areas for medication errors
I. Ethics and liability
II. Drug labels
III. Patient chart
IV. Drug distribution systems
V. Medication order
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Chapter 8
PERCUTANEOUS ADMINISTRATION
Objectives: Upon completion, the student should be able to:
1. Identify drug dosage forms commonly used for topical application to skin and
examples of each
2. Describe procedures by which medications are applied to various body cavities and
membranes
3. Describe methods of delivering drug therapy by inhalation
4. Discuss appropriate patient health teaching for various percutaneous dosage forms
I. Administration of topical medications - directly to skin
(Video - Administering Topical, Suppository, and Inhalant Medications)
II. Allergy testing
III. Topical application - prepared delivery system
IV. Application of powdered medication to skin surface
V. Administration of medications to mucous membranes
Chapter 9
ENTERAL ADMINISTRATION
Objectives: Upon completion, the student should be able to:
1. Discuss advantages and disadvantages of enteral route of administration
2. Differentiate between various oral and rectal dosage forms and techniques involved in
the use of each
3. Identify usual equipment used to administer medications by the enteral route
4. Discuss principles of measurement using a medication cup, dropper or oral syringe, and
various forms of unit dose packaging
5. Demonstrate procedure for preparing liquid and solid oral medications with 100%
competency
6. Identify modifications of procedure in giving oral medications to pediatric clients
7. Identify considerations in giving medications to elderly or the client who has a handicap
I. Medicating the patient - preparing medications
(Video - Administering Oral Medications)
II. Advantages/Disadvantages of Enteral Route
III. Administration of Solid Oral Dosage Forms
IV. Administration of Liquid Oral Dosage Forms
V. Equipment
VI. Procedure
VII. Nasogastric Tube/Gastrostomy Tube/Jejunostomy Tube Administration
VIII. Rectal Suppositories/Medicated Enemas
IX. Precautions and Contraindications
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Chapter 10
PARENTERAL ADMINISTRATION: SAFE PREPARATION OF PARENTERAL
MEDICATIONS
Chapter 11
PARENTERAL ADMINISTRATION: INTRADERMAL, SUBCUTANEOUS, AND
INTRAMUSCULAR ROUTES
Chapter 12
PARENTERAL ADMINISTRATION: INTRAVENOUS ROUTE
Objectives: Upon completion, the student should be able to:
1. Cite advantages and disadvantages of using the various parenteral routes of drug
administration
2. Read calibrations and units on various types of syringes
3. Correctly calculate dosages with all types of syringes
4. Describe various types of syringes and needles used for giving injections; determine
appropriate syringe and needle for a particular medication and/or patient
5. Give examples of volumes of medication best measured in a smaller barrel syringe or larger barrel
syringe
6. Compare usual volume of medication that can be safely administered at one site with
each route
7. Demonstrate competency in using various types of pre-filled cartridge delivery methods
8. Describe criteria used to select a correct needle gauge and length for an individual
9. Demonstrate correct technique for preparing drugs from an ampule or vial with 100%
competency
10. Describe and demonstrate proper preparation of patient for ID, SQ, and IM injections
11. Describe and demonstrate proper procedure for Z-track injection; indications for use
12. Describe modifications of injection procedure for use with pediatric patients
13. Describe precautions and demonstrate technique used in preparing two drugs in one
syringe
14. Identify various equipment used to administer IV medications / fluids
I. Parenteral route (Video – An Introduction to Parenteral Medications)
II. Advantages / disadvantages
III. Syringes
IV. Needles
V. Dosage forms / routes
VI. Preparation of medication
VII. Administration
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