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Summer 2015 Health Careers Division RNSG 1208-Dosage Calculations for Nursing General Syllabus I. BASIC COURSE INFORMATION: A. RNSG 1208 – DOSAGE CALCULATIONS FOR NURSING. Two hours credit. Read, Interpret, and solve dosage calculation problems. Thirty-two classroom hours. 16 lab hour. Prerequisite: TSI complete or MATH 0320. B. Intended Audience: Students working toward a degree in the health care field. C. Instructor: Name Office Location Office Hours Phone E-mail address Class Location Class Time Elizabeth Powell, MEd, BS, RN, BSN Hudson Memorial Health Science Center By appointment (936) 633-5265 [email protected] Room 200, Health Careers I Mondays and Tuesdays 3 p.m. to 5 p.m. II. INTENDED STUDENT OUTCOMES: A. Core Competencies – (Basic Intellectual Competencies – tentative) 1. Critical Thinking: to include creative thinking, innovation, inquiry, and analysis, evaluation and synthesis of information 2. Communication: to include effective development, interpretation and expression of ideas through written, oral and visual communication 3. Empirical and Quantitative Skills: to include the manipulation and analysis of numerical data or observable facts resulting in informed conclusions 4. Teamwork: to include the ability to consider different points of view and to work effectively with others to support a shared purpose or goal 5. Social Responsibility: to include the ability to connect choices, actions and consequences to ethical decision-making 6. Personal Responsibility: to include intercultural competence, knowledge of civic responsibility, and the ability to engage effectively in regional, national, and global communities B. Exemplary Objectives – Not applicable for this course.(Found in the Texas Higher Education Coordinating Board Document. Titled: CORE CURRICULUM: ASSUMPTIONS AND DEFINING CHARACTERISTICS Dated: April 1998) C. Course Objectives for all sections – On completion of this course, the student should be able to: 1. Be proficient in conversions within measurement system. 2. Solve equations using basic math rules and principles. 3. Calculate safe dosages for pediatric patients. 4. Be proficient in entry level nursing dosage calculations D. Course Objectives as determined by the instructor – Math Review 1. Identify the importance of decimals. 2. Discuss rounding 3. Perform calculations by using fractions. 4. Perform calculations by using decimal numbers 5. Demonstrate calculations requiring basic math operations. Systems of Measurement 1 6. Discuss metric, apothecary and household systems utilized to calculate medication dosages. 7. Perform the calculations necessary to convert a measurement expressed in one standard unit within the system to a measurement expressed in another unit within that same system, for the metric or household system. 8. Review practice problems 9. Demonstrate proper conversion from pounds to kilograms and kilograms to pounds, temperatures, metric, apothecary, and household systems. Methods of Administration 10. Discuss common abbreviations 11. Interpret medication orders Dosage Calculation Methods 12. Discuss the various methods (ratio and proportion, formula method, dimensional analysis utilized to calculate medication dosages. 13. Determine a method of calculation to use (individual student preference) Forms of Medication Administration 14. Identify various forms of oral medications 15. Calculate oral dosages of medications 16. Identify types and supplies used for subcutaneous, intradermal, and intramuscular medication administration 17. Calculate dosages of subcutaneous, intradermal, and intramuscular medications 18. Identify various types of insulin, methods for mixing insulin and types of insulin syringes 19. Demonstrate calculations of oral medications Calculations, Solutions, and Equipment lessons 20. Discuss parenteral dosage forms 21. Identify types of IV solutions and equipment used for IV administration. 22. Discuss concept of reconstitution 23. Review practice problems 24. Demonstrate calculation of IV calculations Pediatric and Adult Calculation Based on Weight 25. Review principles relating to weight conversion. 26. Use labels to show the recommended dosages 27. Review terms such as divided dosage and daily dosage 28. Discuss safe and unsafe dosages 29. Demonstrate proficiency of pediatric and adult calculations based on weight Heparin Calculations 30. Discuss importance of correct dosages and methods of administration of heparin subq. 31. Demonstrate calculation of heparin dosages. 32. Review practice problems III. ASSESSMENT MEASURES OF STUDENT LEARNING OUTCOMES: A. Assessments for the Core Intellectual Competencies – 1. 2. 3. 4. 5. 6. Critical Thinking: Completion of quizzes and tests. Communication: Verbal and written communication with instructor and peers. Empirical and Quantitative Skills: Solving mathematical problems on tests, quizzes, and homework. Teamwork: Working with other students in lab, as assigned by instructor. Social Responsibility: NA Personal Responsibility: NA Assessments for the Exemplary Objectives–Not applicable for this course. 2 C. Assessments for Course Objectives for all sections – SCANS (Secretary of Labor’s commission of Achieving Necessary Skills): Students are expected to demonstrate basic competency in academic and workforce skills. The following competencies with evaluation are covered in RNSG 1208. Foundation Skills Written Assignments Required Reading Critical Thinking Math Quizzes Demonstrated Competency in Computer Literacy Workplace Competencies Computer Assisted Instruction Competence in Math calculations D. Assessments for the Course Objectives as determined by the instructor –same as above IV. INSTRUCTIONAL PROCEDURES: A. Methodologies common to all sections Computer assisted instruction Educational games Group discussion Independent study Lecture Lab Participation Online resources that accompany textbook Tutoring in Math lab (science building) B. Methodologies determined by the instructor: Not applicable for this course. V. COURSE REQUIREMENTS AND POLICIES: A. Required Textbooks, Materials, and Equipment – Calculate with Confidence, Deborah Gray Morris (2014). 6th edition. Mosby ISBN # 978-0-323-08931-9 Calculator, non-scientific. B. Assignments – Students will participate in the course by reading the required textbook, interacting with multimedia computer files and participating in a lab/practice sessions. At least 1 hour per week, the student must practice math calculations in the lab/practice environment. This is a Blackboard enhanced course. Students will be expected to log on to Blackboard to receive handouts, course information and other materials. C. Course Policies – (This course conforms to the policies of Angelina College as stated in the Angelina College Handbook.) Academic Assistance – If you have a disability (as cited in Section 504 of the Rehabilitation Act of 1973 or Title II of the Americans with Disabilities Act of 1990) that may affect your participation in this class, you should see Karen Bowser, Room 208 of the Student Center. At a post-secondary institution, you must selfidentify as a person with a disability; Ms. Bowser will assist you with the necessary information to do so. Attendance –follows the Angelina College Attendance Policy Additional Policies Established by the Individual Instructor –Makeup exams are at the discretion of the instructor. Students must contact the instructor after missing an exam. 3 VI. COURSE CONTENT: Required Content/ Topics – DATE July 13 First Class Day CONTENT COVERED Discussion of Syllabus Lecture Material: Chapter 1: Roman Numerals Chapter 2: Fractions Chapter 3: Decimals Chapter 4: Ratio and Proportion July 14 Lecture Material: Chapter 5: Percentages Chapter 6: Metric System Chapter 7: Apothecary and Household Systems Chapter 8: Converting Within and Between Systems Lecture Material: Chapter 9: Additional Conversions Useful in the Health Care Setting Chapter 10: Medication Administration Chapter 11: Understanding and Interpreting Medication Orders Lecture Material: Chapter 12: Medication Administration Records and Medication Distribution Systems Chapter 13: Reading Medication Labels Chapters 14-16 Dosage Calculations using Ratio/Proportion, Formula, and Dimensional Analysis July 20 July 21 4 HOMEWORK Chapter 1 (page 9) #1-5, 13-16 Chapter 2 (pages 22-25) #1-5, 11-15, 21-27, 3135, 46-50, 61-65, 77-90 Chapter 3 #1-3,3135,46-50,51-65 Chapter 4 #1-3, 7-10, 12-20, 36-60 Due by 3 p.m. Monday, July 20 Chapter 5 #1-20 Chapter 8 #1-50 Due by 3 p.m. Monday, July 20 QUIZ/EXAM None Chapter 9 #1-5,1115,24-30,36-40,41144,46-50,51-55,5660,61-65 Chapter 10 #1-10, 15 Chapter 11 #1-30 Due by 3 p.m. Monday, July 27 Quiz Chapters 5-8 Chapter 12 #1-15 Chapter 13 #1-20 Chapter 15 #1-40 (you may perform the calculations using any of the 3 methods) Due by 3 p.m. Tuesday, July 28 Due by 3 p.m. Tuesday, July 28 None Quiz Chapters 1-4 Methods July 27 Lecture Material: Continue with Chapters 14-16 Dosage Calculations using Ratio/Proportion, Formula, and Dimensional Analysis Methods None Quiz Chapters 9-11 July 28 No Lecture No Homework August 3 Lecture Material: Chapter 17: Oral Medications Chapter 18: Parenteral Medications August 4 Lecture Material: Chapter 19: Reconstitution of Solutions Chapter 20: Insulin Chapter 21: Intravenous Solutions and Equipment August 10 Lecture Material: Chapter 22: Intravenous Calculations Chapter 23: Heparin Calculations August 11 Review Concepts from Quiz Ch 19-20 Continue Chapter 23 as needed Chapter 25: Pediatric and Adult Dosage Chapter Reviews: Chapter 17 pages 324333 #1-30 Chapter 18 pages 382394 #1-30 (Due by 3 p.m. August 10) Chapter Reviews: Chapter 19 pages 437447 #1-20; page 456 #36-43 Chapter 20 pages 484 – 493 #1-30 Chapter 21 pages 516518 #1-9 (Due by 3 p.m. August 11) Chapter Reviews: Chapter 22 page 564 #1-17; page 566 41-49; 567 50-53; 568 57-62; 569 64-70; 570 75-76 Chapter 23 pages 600607 #1-10; 20-25; 3035; 46-51 (Due by 3 p.m. August 17) Chapter 25 pages 681683 #1-9 Mid-Term Exam 50 questions Covering Chapters 1-16 None 5 Quiz Chapters 17-18 (on paper) Quiz Chapters 19-20 (on paper) Quiz Chapter 22 Calculation Based on Weight August 17 Continue Chapter 25 as needed Review for Final Exam August 18 None None Final Exam Note: All students must report to the main campus in Lufkin for the final exam. B. Additional Content- None VII. EVALUATION AND GRADING: A. Grading Criteria-The course grade is based on class participation, lab participation, midterm exam, and final exam Methods of Evaluation: Quizzes*/** 40% Midterm exam 30% Final Exam 30% *There is no make up for weekly quizzes. “O” will be given if a quiz is missed. The two lowest quiz grades will be dropped for the final quiz average. **There will be a 10% decrease in the weekly quiz grade for failure to turn in weekly evidence of lab participation/home work assignments. Some weekly quizzes may be administered by Blackboard in this course. Grading Scale: A=90 or above B=80-89 C=70-79 D=60-69 F=58 or below B. Determination of Grade Final grade for the course is based on the above methods of evaluation. The final exam is also the dosage calculations exam for the nursing program. If you fail to make a 90% on the final, you will be given two additional chances to take the dosage exam for entrance into the Nursing program. These additional chances will not change the final course grade as determined above. The additional exams will be scheduled by the Associate Degree Nursing Program Coordinator. VIII. SYLLABUS MODIFICATION: The instructor may modify the provisions of the syllabus to meet individual class needs by informing the class in advance as to the changes being made. 6