Los Angeles Pierce College Nursing 442 Class Schedule and Topics Fall 2015 Week Date Summer Session 1 7/22/15 0900 8/31/15 (Monday) and 9/2/15 (Wednesday) 2 9/9/15 (Wednesday) and 9/10/15 Content and Key Concepts A. Orientation to the Nursing Program at Los Angeles Pierce College B. Introduction to Course C. Measurements and Conversions Key Points: 1. Principles of determining relative value in whole numbers and decimal fractions. 2. Multiplication of decimal fractions and placement of the decimal point, 3. Use of zeros for correct placement of a decimal point. 4. Methods of simplifying fractions for division. 5. Expressing a value in fewer positions if it is presented in hundredths of thousandths (“rounding”). 6. Principles of solving equations with multiple fractions. 7. Methods of finding common denominators. 8. Principles of eliminating zeros from numerators and denominators without changing equation value. 9. Basic units of metric measure and their abbreviations. 10. Application of prefixes to basic metric units for larger and smaller units. 11. Conversion of units within the metric system by decimal point movement. 12. Proper transcription of fractional dosages. 13. Premise of international unit measurement. 14. Meaning of percentage strength of solutions and ointments. 15. Principles of ratio strengths of a solution. 16. Abbreviations for household measures. 17. Equivalencies of metric and household measures. D. Measuring Insulin Dosages; Ratio and Proportion; Formula Method of Calculation Key Points: 1. Various capacities of insulin syringes and associated Reading Activities Due Curren Chapters 1-5 Pierce College Nursing Skills Lab Due 8/31/15: Refer to Syllabus Course Objectives 4 Syllabus Acknowledgment form In 402 9/3/15: Homework 1 Class: Math Pretest Curren Chapters 11, 12, 14 Due 9/11/15 in 402: Homework 2 4 18 (Thursday) applications. Denotation of “-lin” and “-log” of specific insulin preparations. 3. Principles of mixing types of insulin. 4. Methods of and sites for appropriate insulin injection. 5. Application of the use ratio and ration and proportion in medication dosage and administration. 6. Identification of known and unknown ratios for medication calculation. 7. Principles of placing (“setting up”) ratios in a proportion for solving. 8. Identification of appropriate application of the formula method for solving medication administration problems. 9. Requirements for an appropriately stated formula for solving a medication problem. 10. Assessment of solutions obtained in formula method problems. E. IV Therapy 11. Principles of the IV pump. 12. Safety measures in hanging an IVPB. F. Nursing Process and the Nursing Care Plan 1. Purpose of the Nursing Process. 2. Relationship between the Nursing Process and the scientific method. 3. Individual components of the Nursing Process. 4. Subjective vs objective data. 5. Nursing diagnosis vs medical diagnosis. 6. Establishing priorities in diagnosis 7. Realistic and measurable outcomes. 8. Importance of involving the patient in the Nursing Process. 9. Specificity in determining Nursing implementation. 10. Purpose of the evaluation phase. G. Oral and Parenteral Medication Labels; Principles of Safe Medication Administration; Syringe Use; Parenteral Dosage Calculation; Drug Reconstitution Key Points: 1. Generic vs trade name of drugs. 2. Identification of key information on medication labels. 3. Principles of measuring solution dosages safely. 4. Common components of the medication administration 2. 3 9/14/15 (Monday) and 9/16/15 (Wednesday) Curren Chapters 6-10 9/14/15: Attend N 400 class 1, 3, 4 Due 9/16/15 in 402: Homework 3 19 record. The six “rights” of medication administration. Conversion of standard time to military time and vice versa. 7. Sources of common medication errors. 8. Appropriate use and identification of inappropriate use of abbreviations in medication administration. 9. Appropriate action when a medication error is identified. 10. Factors contributing to medication errors. 11. Calibration of 3ml, 5ml, 10ml, and TB syringes and syringes larger than 10ml. 12. Principles of reading calibrations on all syringes. 13. Common routes of parenteral medication administration. 14. Average volumes of IM and subcutaneous dosages. 15. Steps in IV medication preparation 16. Units of measure of parenteral medication dosages. 17. Principles of medication reconstitution. 18. Common forms of diluent. 19. Storage of a reconstituted solution. 20. Principles of reading reconstitution directions. 21. How to label a reconstituted medication. H. Library Assignment I. IV Therapy; IV Flow Rate Calculation; IV Infusion and Completion Times Key Points: 1. Parts of the IV infusion system. 2. Purpose and use of the drip chamber. 3. Purpose and position of the primary and secondary lines. 4. Peripheral vs central infusion lines. 5. Function of volume-controlled burettes. 6. Purpose of indwelling ports or locks. 7. Basic components of volumetric pumps and syringe pumps. 8. Principles of patient-controlled analgesia, 9. Common IV fluids and their accepted abbreviations. 10. Common components of parenteral nutrition. 11. Calibration of IV administration sets. 12. Calculation of gtt/min flow rate from ml/hr. 5. 6. 4 9/21/15 (Monday) and 9/23/15 (Wednesday) Curren Chapters 17-19 9/21/15: Meet with Paula Piaggi at the Reference Desk in the Pierce College Library at 0900 2, 5 Due 9/23/15: Homework 4 & 5 Make appointment with Mr. Holland for IV starting and placement skills. 20 13. 14. 15. 16. 17. 18. 19. 5 6 7 J. 10/5/15 10/12/15 Formula method of flow rate calculation. Division factor method of flow rate calculation. Method of regulating manual flow rate. Principles of correcting off-schedule rates. Calculation of infusion time. Identification of completion time. Concepts of labeling solution bags with infusion and completion times. No Class K. Care Plan Review Key Points: 1. Review of the “Care Plan Primer.” 2. Review of the Nursing Process as it applies to developing a plan of care. L. Scope of Practice; Components of a Profession Key Points: 3. Components of “the practice of (Registered) Nursing” according to the California Nurse Practice Act. 4. Nursing functions that may not be delegated by the RN. 5. Characteristics of a profession. 6. The “professionalism” of Registered Nursing. Nursing Care Plan Primer: Prof. Lemus’ website, under N407, Gerontological Nursing Scope of Regulation— Excerpt from Business and Professions Code Division 2, Chapter 6. Article 2 Practice Nursing Care Plan in class Select your case study Individual presentations regarding the RN as a professional 1, 2 http://www.rn.ca.gov/pdfs/r egulations/npr-i-15.pdf Advocating for the Nursing Profession: http://www.medscape.com/ viewarticle/766817_2 8 10/19/15 10/26/15 M. Determining Your Strategy for Success Key Points: 1. Learning styles. 2. Self-analysis of scores: areas of strengths and weakness. 3. Study techniques. 4. Time management. N. Skills Challenge—IV Starting and placement 9 10 All Kaplan Integrated Tests and Review Exams are due! Meet in Seminar Room 11/2/15 O. Math Challenge Meet in Seminar Room 5 Success Strategy Plan Due Nursing Care Plan Due Math Exam 21