COURSE SYLLABUS VNSG 1331.501 (3:3:0) PHARMACOLOGY Vocational Nursing Program – Plainview Extension Health Occupations Division Technical Education Division Plainview Campus SOUTH PLAINS COLLEGE Spring 2012 1 SOUTH PLAINS COLLEGE – PLAINVIEW Spring 2011 COURSE SYLLABUS COURSE TITLE: VNSG 1331.501 (3:3:0) PHARMACOLOGY INSTRUCTOR: Toy Long, BSN, RN, CCHP OFFICE LOCATION SPC – Plainview Center 104E PHONE / E-MAIL: 806-296-9611 (4408) tlong@southplainscollege.edu OFFICE HOURS: Monday and Tuesday 0800-1200, Wednesday, Thursday & Friday by appointment.0 COURSE DESCRIPTION: This course covers the fundamentals of medications and their diagnostic, therapeutic, and curative effects. Course work includes nursing interventions utilizing the nursing process. LEARNING OUTCOMES: The student will identify properties, effects, and principles of pharmacotherapeutic agents; and list common nursing interventions associated with the various pharmacotherapeutic agents. COURSE OBJECTIVES: Upon completion of this course, the student is prepared to: 1. 2. 3. 4. 5. 6. Identify classifications of medication as related to body systems and disorders. Identify commonly prescribed medications and related information in each classification. Relate nursing considerations and possible drug interactions for specified drugs. Describe possible side effects of specific drug classifications and evaluation of these manifestations in the patient. Discuss health teaching related to drug therapy. Demonstrate workable knowledge of medications, techniques, procedures, and safety precautions. ACADEMIC INTEGRITY: Refer to (Plainview) Student Handbook (page 23) and the SPC College Catalog (page 23). SCANS & FOUNDATION SKILLS: C – 1, 2, 3, 5, 6, 7, 9, 10, 11, 12, 13,14,15,16,17,18, 19, 20 F – 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17 VERIFICATION OF WORKPLACE COMPETENCIES: NCLEX-PN Licensure Exam eligibility following successful completion of the one-year vocational nursing program. TEXTBOOKS: Clayton, B. D., RPh., & Stock, Y.M., RN, MS. (2004). Basic Pharmacology for Nurses, 15th Ed., Mosby Publishers, St. Louis. 2 Student Learning Guide to Accompany Text Prentice Hall Nursing Drug Guide – 2011 Valerie I. Leek Pharm Phlash Cards ATI Pharmacology for Nursing Version 5.0 ATTENDANCE POLICY: Refer to College Catalog and Student Handbook (Plainview – page 16). This course is a 3 credit hour = 48 clock hours. 2 hours per 16 hours = 6 hours of allowable absence (Student Handbook). If the allowable absences are exceeded, you will be dropped from this class. (Each 50-minute period is considered 1 hour of class). A tardy will be given if absent within the first 15 minutes of a class period. A student will not be admitted to the class if not present within 15 minutes of the start of the class. Three tardies will result in one hour of absence. COURSE REQUIREMENTS: 1. 2. 3. 4. 5. 6. Student is expected to read assigned textbook material and be prepared for class discussion. Quizzes announced and unannounced. Summary of ten drugs per week from clinical application. (Begin 2-8-2012 thru 4-27-2012) DRUG SUMMARY FORMAT: (Black Pen only) – Must be hand-written – no typed, copied, or downloaded papers will be accepted! NO EXCEPTIONS, No late papers will be accepted. Handwriting must be legible to instructor or student will re-copy once, then receive a 0. 1. Name of Drug – Both Generic and Brand name 2. Drug Classification 3. Action of Drug 4. Dosages – Be sure to identify the usual dosage for this drug 5. Side Effects to Expect 6. Side Effects to Report 7. Drug-Drug or Drug-Food Interactions 8. Nursing Considerations 9. Patient Teaching ATI Benchmarks met. 4 UNIT EXAMS AND COMPREHENSIVE FINAL EXAM. CAT test on psyche medications to be completed by 4-23-2012 GRADING: Four Unit Exams Quizzes Final Exam Drug Summaries CAT (psych drugs) 50% 10% 20% 15% 5% A B C D F COURSE ASSIGNMENT SCHEDULE: UNIT 1 FEB 6 Drugs Affecting the ANS and the CNS Chapter 13 ANS 14 Sedatives & Hypnotics ATI chapter 7 15 Parkinson’s Disease ATI chapter 13 16 Anxiety Disorders ATI chapter 7 FEB 13 Chapter 17 Mood Disorders ATI chapter 8,910,11, 18 Psychoses ATI chapter 10 19 Seizure Disorders 3 90-100 80-89 75-79 70-74 Below 69 20 Pain Management ATI chapters 32,33,34,35 FEB 20 UNIT EXAM I – ANS & CNS UNIT II FEB 27 Drugs Affecting the Cardiovascular System Chapter 21 Cardiovascular & Metabolic ATI chapters19,20,21,22, Chapter 22 Dyslipidemia’s ATI chapter 23 VIDEO: Antianginals, Cardiac Glycosides & Diuretics Antiarrhythmics Mar.5 Chapter 23 Hypertension ATI chapter 20 24 Dysrhythmias 25 Angina Pectoris MAR 19 Chapter 26 27 28 29 Peripheral Vascular Disease Thromboembolic Disease Heart Failure ATI chapter 21 Diuresis ATI chapter 19 VIDEO: Antilipemics, Anticoagulants, & Antihypertensives MAR 26 1000-1100 MAR 26 1100-1200 MAR 26 1300-1600 UNIT EXAM II – CARDIOVASCULAR SYSTEM DRUGS Drugs Affecting the Respiratory System Chapter 30 Upper Respiratory System ATI chapter 18 31 Lower Respiratory System Drugs Affecting the Gastrointestinal System Chapter 32 Oral Disorders ATI chapters 26,27,28 33 Gastroesophageal Reflux & PUD 34 Nausea & Vomiting 35 Constipation / Diarrhea APR 2 1000-1200 APR 2 1300-1600 UNIT EXAM III – RESPIRATORY / GI SYSTEM DRUGS Drugs Affecting the Endocrine System / Reproductive System Chapter 36 Diabetes Mellitus ATI chapter 36 37 Thyroid Disease ATI chapter 37 38 Corticosteroids APR 10 1000-1200 1300-1500 Chapter 39 Gonadal Hormones ATI chapter 29 40 Obstetrics 41 Men’s and Women’s Health APR 16 1000-1200 UNIT EXAM IV – ENDOCRINE & REPRODUCTIVE APR 16 1300-1500 Drugs Affecting Other Body Systems Chapter 42 Urinary System ATI chapters 42 43 Eye Disorders ATI chapter 14 4 44 Cancer treatment 45 Muscular System ATI chapter 15 APR 23 1000-1200 APR 23 1300-1500 Chapter 46 47 48 49 50 Antimicrobial Agents ATI chapter 39,40,41,43,44 Nutrition Herbal and Dietary Supplement ATI chapter 28 Substance Abuse ATI chapter 12 Misc. Agents APR 30 1000-1200 APR 30 1300-1500 FINALS PREP FINALS PREP MAY 2 1300-1500 PROCTORED ASSESSMENT MAY 7 0800-1000 FINAL EXAM COURSE OUTLINE: UNIT I & II –Drugs Affecting the ANS and CNS Objectives: 1. Differentiate between afferent and efferent nerve conduction in the CNS. 2. Explain the action of drugs that inhibit the actions of cholinergic and adrenergic fibers. 3. Identify two broad classes of drugs used to stimulate the adrenergic nervous system. 4. Review the actions of adrenergic agents to identify conditions that would be affected favorable and unfavorably by these medications. 5. Explain the rationale for the use of adrenergic blocking agents for conditions that have vasoconstriction as part of the disease pathophysiology. 6. Describe the benefits of using beta-adrenergic blocking agents for hypertension, angina pectoris, cardiac dysrhythmias, and hyperthyroidism. 7. Identify disease conditions that preclude the use of beta adrenergic blocking agents. 8. List the predictable adverse effects of cholinergic agents. 9. List the predictable adverse effects of anticholinergic agents. 10. Describe the clinical uses of anticholinergic agents. 11. Describe what is meant by a drug having a central action in the body. 12. Discuss uses of central nervous system stimulants. 13. Differentiate between the effects of adrenergic agents and adrenergic blocking agents. 14. Identify the main actions of cholinergic and cholinergic blocking agents. 15. Discuss side effects, drug interactions, and patient teaching for each category of drugs. 16. Recognize the various uses for drugs that mimic the autonomic nervous system. 17. Differentiate between ad sedative and hypnotic. 18. Discuss the general drug actions of barbiturate and nonbarbiturate sedatives. 19. Describe adverse reactions to sedative or hypnotic therapy. 20. Describe the nursing assessment indicating need for sedative-hypnotic drug therapy. 21. Discuss nursing management and observation of the client given a CNS depressant. Content outline: a. Drugs affecting the ANS I. Adrenergic agents II. Cholinergic agents III. Adrenergic-blocking agents IV. Cholinergic-blocking agents b. Drugs affecting the CNS 5 I. II. III. IV. V. VI. Sedative-hypnotic agents Stimulants Parkinson’s drugs Psychotherapeutic agents Seizure disorders – anticonvulsants Analgesics – pain management . . 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. Demonstrate knowledge of common anticonvulsants and their use. Define Parkinsonism; identify action and uses of antiparkinsonism drugs. Recognize side effects and nursing management related to dopaminergic drug therapy. Discuss types and uses of psychotherapeutic drug agents. Discuss and recognize side effects related to psychotropic drug therapy. Describe actions, uses, and adverse reactions to antiemetic and antivertigo drugs. Discuss types, uses, and general drug actions of non-narcotic analgesics. Describe side effects and adverse reactions associated with non-narcotic agents. Discuss uses and action of narcotic analgesics and narcotic antagonists. Describe the systematic effects of narcotic drug agents. List major adverse reactions associated with administration of opiate agonists and partialopiate agonists. 33. Discuss nursing management when administering analgesic drug therapy. 34. Use the nursing process in the administration of analgesic agents. Content Outline: a. b. c. d. Review anatomy / physiology of nervous system Review reactions and adverse reactions to medications on the nervous system. Discuss observations and management of disorders affecting the nervous system. Review side effects and nursing management involved in medication distribution in drug therapy. UNIT II – DRUGS AFFECTING THE CARDIOVASCULAR SYSTEM Objectives: 1. Identify baseline data for comparison and evaluation of drug therapy 2. Describe primary treatment modalities for hyperlipidemia 3. Discuss lifestyle changes that can reduce the risks of hypertensive disease 4. Discuss step management approach to treatment of hypertension 5. Identify classifications, actions and effects of drugs used in treating hypertensive disease 6. Describe the effect of digitalis glycosides on cardiac output and renal functioning 7. Identify the action and uses of cardiotonic (digitalis) glycosides 8. Compare the onset, half-life, and duration of digitalis drug agents 9. Describe nursing responsibilities during the digitalization process 10. Identify nursing assessments needed to monitor therapeutic response of digitalis therapy 11. Describe the signs and symptoms of digitalis toxicity 12. Identify clinical situations in which digitalis toxicity may be a contributing factor 13. Explain the therapeutic response anticipated when administering an antiarrhythmic agent 14. Discuss nursing assessments associated with the administration of antiarrhythmic agents 15. Explain nursing management of the patient receiving antianginal drug therapy 16. Identify the action and use of drugs in the treatment of peripheral vascular disease 17. Describe the anticipated outcome of anti-platelet and hemorrheologic drug therapy 18. Discuss pathophysiology that may contribute to development of fluid volume excess 19. Identify nursing assessments used to evaluate a patient’s state of hydration 20. Identify electrolytes that may be altered by diuretic therapy 21. Discuss the effects of diuretics on blood pressure and electrolytes 22. Describe action and side effects of diuretic drug therapy 6 23. Describe the anticipated net result of administering combined digitalis and diuretic drug therapy in CHF. 24. Identify nursing assessments needed to monitor the therapeutic response of diuretics 25. Discuss action and use of anticoagulant drug therapy 26. Describe nursing assessment and patient teaching associated with anticoagulant agents 27. Discuss nursing assessment / interventions in the use of thrombolytic agents Content Outline: I. II. III. IV. V. VI. VII. VIII. IX. Cardiovascular assessment Hyperlipidemia – treatment of Antihypertensives – step treatment Use of diuretics in treating hypertension Cardiotonic Glycosides – digitalis Antiarrhythmic agents Antianginals Peripheral Vascular Disease Thromboembolic disorders A. Platelet Inhibitors B. Anticoagulants C. Fibrinolytic agents UNIT III – DRUGS AFFECTING THE RESPIRATORY SYSTEM Objectives: 1. Differentiate between disorders affecting the upper and lower respiratory tract 2. Identify data needed for comparison and evaluation of drug effectiveness 3. Explain the purpose of nebulization therapy; identify drugs used for this purpose 4. Differentiate between expectorant, antitussive, and mucolytic agents 5. Discuss the action and side effects of sympathomimetic bronchodilating agents 6. Describe baseline data needed to monitor therapeutic response of bronchodilator drugs 7. Discuss nursing interventions for the client receiving nasal decongestant drugs 8. Describe side effects and patient teaching for the client taking antihistamine agents Content Outline: I. Upper respiratory tract disorders A. Adrenergic agents B. Decongestants C. Antihistamines D. Antiinflammatory agents II. Lower respiratory tract disorders A. Expectorants B. Antitussive agents C. Mucolytic agents D. Bronchodilators E. Antiinflammatory agents / corticosteroids UNIT III – DRUGS AFFECTING THE DIGESTIVE SYSTEM Objectives: 1. Identify nursing assessment needed to evaluate gastrointestinal status 2. Identify non-pharmacologic interventions to alleviate or prevent gastrointestinal symptoms 3. Describe nursing interventions associated with drug therapy used in disorders of the oral cavity 4. Discuss drug therapy used in treatment of PUD and GERD 5. Compare composition of and action of antacids on gastric secretions 6. Identify the action and use of drug agents containing simethicone 7. Discuss scheduling necessary to avoid drug – drug interactions with antacids and other drugs 7 8. 9. 10. 11. 12. 13. 14. Discuss causes of nausea and vomiting Identify categories of antiemetics used in the treatment of nausea and vomiting Describe the benefit of using digestive aids in conditions with digestive disturbances Discuss health teaching for the client with alterations in bowel elimination Explain the action and use of different types of laxative and stool softeners Discuss contraindications to the administration of laxatives Identify the action and use of anthelmintics Content Outline: I. II. III. IV. Assessment Health teaching Drugs affecting the oral cavity Drugs affecting the GI tract A. Antacids B. Simethicone C. H2 Antagonists D. Gastric stimulants E. Antispasmodics F. Digestants G. Emetics H. Antiemetics I. Laxatives / stool softeners J. Antidiarrheals K. Anthelmintics UNIT IV– DRUGS AFFECTING THE ENDOCRINE / REPRODUCTIVE SYSTEM Objectives: 1 . Associate hormonal deficiency with appropriate replacement therapy 2. Identify components of management for the patient with diabetes mellitus 3. Differentiate between Type I and Type II diabetes mellitus 4. Identify the signs and symptoms of hypoglycemia and hyperglycemia 5. Name the different types of insulin, their onset, peak, and duration of action 6. Discuss the use of oral antidiabetic agents in the treatment of diabetes mellitus 7. Develop a medication-related health teaching plan for the client with diabetes mellitus 8. Identify nursing considerations when caring for the client with thyroid replacement therapy 9. Discuss uses of corticosteroid drug therapy; describe side effects of long-term use 10. Describe actions and uses of estrogen, progesterone, and androgen drug therapy 11. Be familiar with side effects related to drug therapy with estrogen / progesterone 12. Discuss patient teaching for the client receiving contraceptive drug therapy Content Outline: I. Diabetes Mellitus A. Types B. Management C. Hypoglycemia / hyperglycemia D. Health teaching E. Insulin F. Oral antidiabetic agents II. III. IV. Thyroid hormone drug therapy Adrenal hormone drug therapy Gonadal hormone drug therapy UNIT V – DRUGS AFFECTING OTHER BODY SYSTEMS (URINARY SYSTEM) Objectives: 8 1. 2. 3. Describe a nursing assessment used to evaluate renal functioning Discuss the action of urinary antimicrobials and associated nursing assessment Develop a health teaching plan for the client with chronic UTI Content Outline: I. Urinary tract infection II. Urinary antimicrobial agents III. Bladder-active drugs (OPHTHALMIC AGENTS) Objectives: 1. Distinguish between the use of miotic and mydriatic drug therapy 2. Identify action of osmotic agents that affect intraocular pressure 3. Compare signs, symptoms, and pharmacological treatment of open-angle and closed-angle glaucoma 4. Discuss the use of antimicrobials in ophthalmic drug therapy 5. Explain the action and use of corticosteroids in treating inflammation of the eye 6. Discuss nursing consideration for the administration of ophthalmic drug agents Content Outline: I. Administration of drug preparations II. Cholinergic agents (miotics) III. Anticholinergic agents (mydriatics) IV. Adrenergic agents V. Adrenergic blocking agents VI. Antiseptic; antibacterial agents VII. Antifungal agents VIII. Antiviral agents IX. Corticosteroids X. Irrigation solutions XI. Artifical tears – wetting agents (ANTINEOPLASTIC AGENTS) Objectives: 1. Discuss the action of antimetabolites upon diseased and healthy tissue 2. Define uses of antineoplastic agents 3. Identify the rationale for the administration of chemotherapeutic agents on a precise time schedule 4. Discuss what is meant by cell-specific and cell-nonspecific agents 5. Describe nursing assessments and interventions needed for persons experiencing adverse effects to chemotherapeutic agents 6. Develop a health care plan for the client recovering from chemotherapy Content Outline: I. Cancer – antineoplastic therapy II. Antineoplastic drugs A. Alkylating agents B. Antimetabolites C. Natural products D. Antibiotics E. Hormones III. IV. V. Immunomodulators Chemoprotective agents Health teaching 9 (MUSCULAR SYSTEM) Objectives: 1. Identify baseline nursing assessments for evaluating therapeutic response 2. Describe action and use of common muscle relaxants 3. Discuss use of corticosteroids in treating musculoskeletal disorders 4. Describe safety considerations related to the administration of centrally acting skeletal muscle relaxants 5. Describe components of patient assessment for neuromuscular blocking agents 6. Identify nursing intervention in the treatment of respiratory depression Content Outline: I. Assessment II. Muscle relaxants III. Neuromuscular blocking agents IV. Corticosteroids (ANTIMICROBIAL AGENTS) Objectives: 1. Describe common side effects associated with antimicrobial agents 2. Discuss basic principles of nursing intervention to facilitate a therapeutic response 3. Identify significant assessment data relative to drug allergies 4. Define superinfection; describe signs and symptoms, data to report, and nursing actions 5. Identify monitoring precautions to prevent drug-drug and drug-food interactions 6. Identify criteria used to select an effective antimicrobial agent 7. Discuss action and effects of antimicrobial agents 8. Develop a teaching plan for each major classification of antiinfective drugs Content Outline: I. Pathogenic agents II. Selection of drug III. Assessment IV. Side effects common to all V. Allergic reactions VI. Superinfections VII. Blood dyscrasias VIII. Health teaching IX. Drug classifications CHAPTER 49 – MISCELLANEOUS AGENTS 1. Allopurinol 2. Colchicine 3. Lactulose 4. Probenecid 5. Tacrine / Aricept 10 C-1 C-2 C-3 C-4 TIME – Selects goals – relevant activities, ranks them, allocates time, prepares and follows schedules. MONEY - Uses or prepares budgets, makes forecasts, keeps records and makes adjustments to meet objectives. MATERIALS & FACILITIES – Acquires, stores, allocates and uses materials or space efficiently. HUMAN RESOURCES – Assess skills and distributes work accordingly, evaluates performances and provides feedback. INFORMATION – Acquires and Uses Information C-5 Acquires and evaluates information. C-6 Organizes and maintains information. C-7 Interprets and communicates information. C-8 Uses computers to process information. INTERPERSONAL – Works With Others C-9 Participates as members of a team and contributes to group effort. C-10 Teaches others new skills. C-11 Serves Clients/Customers – works to satisfy customer’s expectations. C-12 Exercise Leadership – Communicates ideas to justify position, persuades and convinces others responsibility challenges existing procedures and policies. C-13 Negotiates – works toward agreements involving exchanges of resources; resolves divergent interests. C-14 Works With Diversity – Works well with men and women from diverse backgrounds. SYSTEMS – Understands Complex Interrelationships C-15 Understands Systems – Knows how social, organizational, and technological systems work and operate effectively with them. C-16 Monitors and Corrects Performance – Distinguishes trends, predicts impacts in system operations. C-17 Improves Designs Systems – Suggests modifications to existing systems and develops new or alternative systems to improve performance. TECHNOLOGY – Works With a Variety of Technologies C-18 Selects Technology – Chooses procedures, tools, or equipment, including computers and related technologies. C-19 Applies Technology to Task – Understands overall intent and proper procedures for setup and operation of equipment. C-20 Maintains and Troubleshoots Equipment – Prevents, identifies, or solves problems with equipment. FOUNDATION SKILLS 11 BASIC SKILLS – Reads, Writes, Performs Arithmetic and Mathematical Operations, Listens and Speaks F-1 Reading – Locates, understands and interprets written information in prose and in documents such as manuals, graphs and schedules. F-2 Writing – Communicates thoughts, ideas, information and messages in writing and creates documents such as letters, directions, manuals, reports, graphs and flow charts. F-3 Arithmetic – Performs basic computations; uses numerical concepts such as whole numbers, etc. F-4 Mathematics – Approaches practical problems by choosing appropriately from a variety of mathematical techniques. F-6 Speaking – Organizes ideas and communicates orally. F-7 F-8 F-9 F-10 F-11 F-12 F-13 F-14 F-15 F-16 F-17 THINKING SKILLS – Thinks Creatively, Makes Decisions, Solves Problems, Visualizes and Knows How to Learn and Reason Creative Thinking – Generates new ideas. Decision Making – Specifies goals and constraints, generates alternatives, considers risks, evaluates and chooses best alternative. Problem Solving – Recognizes problems, devises and implements plan of action. Seeing Things in the Mind’s Eye – Organizes and processes symbols, pictures, graphs, objects and other information. Knowing How to Learn – Uses efficient learning techniques to acquire and apply new knowledge and skills. Reasoning – Discovers a rule or principle underlying the relationship between two or more objects and applies it when solving a problem. PERSONAL QUALITIES – Displays Responsibility, Self-Esteem, Sociability, Self-Management, Integrity and Honesty Responsibility – Exerts a high level of effort and perseveres toward goal attainment. Self-Esteem – Believes in own self-worth and maintains a positive view of self. Sociability – Demonstrates understanding, friendliness, adaptability, empathy and politeness in group settings. Self-Management – Assesses self accuracy, sets personal goals, monitors progress and exhibits self control. Integrity / Honesty – Chooses ethical courses of action. SCANS FOUNDATION AND COMPETENCY SKILLS (by course) Foundations; (F) ECON 230: 1, 2, 3, 4, 5, 8, 9, 10, 11, 12, 17 Competencies: (C) 2, 15 ENGL 1301 1302 1, 2, 5, 7, 8, 9, 11, 12, 13, 15, 16, 17 1, 2, 5, 7, 8, 9, 11, 12, 13, 15, 16, 17 5, 6, 7, 8 5, 6, 7 GOVT 2301 1, 2, 10, 11, 12, 17 15 12 HIST 1302 1, 2, 5, 10, 11, 12, 17 15 MATH 1314 3, 4, 9, 10, 11, 12 – PSYC 2301 1, 2, 10, 11, 12, 15, 16, 17 4, 14 READ 1314 1, 2, 5, 7, 8, 9, 10, 11, 12, 15, 17 12, 13, 14, 15 1, 5, 6, 7, 8, 9, 10, SPCH 1321 2, 4, 5, 6, 7, 8, 9, 10, 13, 14 1, 5, 6, 7, 14 SOC 1, 2, 5, 8, 9, 10, 11, 12, 15, 16, 17 4, 14 1,2,4,10,11,12 – 1301 PHYS 1315 Example for PSYC: Scans: 2, 10, 11 Foundation Skills: Competencies: 1, 4, 13 4.1.1 Syllabus Statements: Each syllabus should include the following Diversity Statement and the Disabilities Statement appropriate to the location of the course. 4.1.1.1 Diversity Statement: In this class, the teacher will establish and support an environment that values and nurtures individual and group differences and encourages engagement and interaction. Understanding and respecting multiple experiences and perspectives will serve to challenge and stimulate all of us to learn about others, about the large world and about ourselves. By promoting diversity and intellectual exchange, we will not only mirror society as it is, but also model society as it can be. 4.1.1.2. Disabilities Statement: Levelland Campus Students with disabilities, including physical, psychiatric, or learning disabilities, who wish to request accommodations in this class should notify the Special Services Office early in the semester so that the appropriate arrangements may be made. In accordance with federal law, a student requesting accommodations must provide acceptable documentation of his/her disability to the Special Services Coordinator. For more information, call or visit the Special Services Office in the Student Services building. 894-9611 ext 2529. 13 Reese Center and Byron Martin Advanced Technology Center (ATC) Students with disabilities, including physical, psychiatric, or learning disabilities, who wish to request accommodations in this class should notify the Special Services Office early in the semester so that the appropriate arrangements may be made. In accordance with federal law, a student requesting accommodations must provide acceptable documentation of his/her disability to the Special Services Coordinator. For more information, call or visit the Special Services Office in room 809 and 811, Reese Center, Building 8, 885-3048 ext 4654 14