Keiser University Bachelor of Science in Nursing Course Prefix & Number: NUR 2140 Course Title: Nursing Pharmacotherapeutics Course Format: Face to Face Credit Hours: 4.0 Semester Credit Hours Lecture Hours: 45 hours Laboratory Hours: 30 hours Course Schedule: Thursdays Lecture: 8:30AM-11:30AM in Room 217 Lab: 1:00PM-3:00PM in Room 209 BSN Lab Prerequisites: Successful completion of first semester Nursing major courses. Traditional: Successful completion of all Nursing major courses from semesters one through three. Co-requisites: Faculty: Professor Isabel Hamro, MSN, FNP, APRN-C isabel.hamro@keiseruniversity.edu cell 239-269-3894 (call/text between 7am-6pm only) Office Hours: Tuesday 10:45-11:45am By Appointment Please Course Description: Pre-licensure BSN course. Essential concepts and principles of pharmacology as applied to baccalaureate level nursing practice. Imparts knowledge and skills required for safe, effective administration of therapeutic drugs (including herbal and complementary medications). The course covers critical skills related to dosage calculation and medication administration that must be performed without error to achieve a passing grade for the course. NUR 2140 Master Syllabus08-01-18; RR:03-11-19 ;08-05-19;04-14-20;08192020; 112420jkj Page 1 Program Philosophy & Mission: The philosophy and mission of the Bachelor of Science in Nursing (Prelicensure) Program is congruent with that of Keiser University. The Keiser University mission statement and philosophy maintain that the University is a two-year, four-year, and graduate-level institution that prepare students of diverse backgrounds for career entry, advancement, or degree completion. One of the primary goals of the University is to continually change, improve, and ensure the effectiveness of the University’s programs in preparing students for successful careers. These statements are testimony to the integral relationship of the Bachelor of Science in Nursing (Pre-licensure) Program to the mission of Keiser University and the commitment of the University to the Program’s implementation and success. Educating registered nurses at the baccalaureate level and thereby enhancing their ability to achieve growth and success in their careers meets the criteria of one of the major goals of the University. This framework includes the broad competency areas of knowledge, critical thinking, skills performance, collaboration, caring, and professionalism. Each of these areas are reflected in program outcomes that build upon prior learning and incorporate competencies at the baccalaureate level as articulated in American Nurses Association (ANA)’s Scope and Standards of Nursing Practice. Program Goal(s): Keiser University’s Bachelor of Science in Nursing program enables students to provide evidence-based collaborative care to diverse patient populations in varied settings. At the conclusion of the program, BSN graduates will be able to: 1. Enact leadership, clinical decision-making, and effective communications skills to provide and evaluate safe high quality nursing services. 2. Creatively engage in rational inquiry utilizing evidence-based nursing knowledge in both well-defined, relatively common clinical situations, and in complex clinical situations. 3. Employ information management and patient care technology knowledge and skills to enhance the delivery of quality patient care. 4. Maintain an understanding of system and organizational level policy in order to provide appropriate direct and indirect nursing care for ethnically, culturally, and/or spiritually diverse patients and their families within varied healthcare systems and settings. 5. Participate in and lead interprofessional healthcare efforts to design and manage the care of individuals and their families. 6. Practice nursing within ethical, legal, and humanistic frameworks, promoting nursing’s values of altruism, autonomy, human dignity, integrity, and social justice to provide quality, cost-effective care founded on health promotion and disease prevention principles to individuals, families, groups, communities, and populations across the lifespan and across the continuum of healthcare environments Program Student Learning Outcomes: NUR 2140 Master Syllabus08-01-18; RR:03-11-19 ;08-05-19;04-14-20;08192020; 112420jkj Page 2 Keiser University’s Bachelor of Science in nursing program enables students to provide evidence-based collaborative care to diverse patient populations in varied settings. The Programmatic Student Learning Outcomes are a culmination of measurable competencies, consistent with the American Association of Colleges of Nursing (2008) Essentials of Baccalaureate Education for Professional Nursing Practice (2008), which enable graduates to practice within a complex healthcare system. The Programmatic Student Learning Outcomes and their applicable Essentials are: 1. CARE COORDINATION o Utilizes effective leadership, communication and collaboration for shared decision making with the patient and multidisciplinary healthcare providers in the deliberate organization, design and management of safe, high quality and high value care for culturally and spiritually diverse patients across the continuum of healthcare environments. Essential I: Liberal Education for Baccalaureate Generalist Nursing Practice. Essential II: Basic Organizational and System Leadership for Quality Care and Patient Safety. Essential VI: Interprofessional Communication and Collaboration for Improving Patient Health Outcomes. Essential IX: Baccalaureate Generalist Nursing Practice. 2. RESEARCH AND TRANSLATION o Engages in scientific inquiry with a spirit of creativity, utilizes evidence-based nursing knowledge, and translates data and information into nursing practice to address common clinical scenarios. Essential III: Scholarship for Evidence Based Practice. Essential VI: Interprofessional Communication and Collaboration for Improving Patient Health Outcomes. 3. INFORMATION MANAGEMENT o Utilizes patient care technology and information systems to communicate, collaborate and support clinical decision-making in the delivery of quality patient care in a variety of healthcare settings. Essential IV: Information Management and Application of Patient Care Technology. Essential VI: Interprofessional Communication and Collaboration for Improving Patient Health Outcomes. 4. ADVOCACY AND POLICY o Integrates professional nursing values, ethical, legal, and theoretical practice frameworks fundamental to the discipline of nursing to influence health promotion, disease prevention, healthcare policy, and regulation across the lifespan and practice environments. Essential V: Health Care Policy, Finance, and Regulatory Environments. Essential VII: Clinical Prevention and Population Health Essential VIII: Professionalism and Professional Values NUR 2140 Master Syllabus08-01-18; RR:03-11-19 ;08-05-19;04-14-20;08192020; 112420jkj Page 3 Course Objectives/Outcomes: AACN: The Essentials of Baccalaureate Education for Professional Nursing Practice Essential I: Liberal Education for Baccalaureate Generalist Nursing Practice Essential II: Basic Organizational and System Leadership for Quality Care and Patient Safety Essential III: Scholarship for Evidence Based Practice Essential IV: Information Management and Application of Patient Care Technology Essential V: Health Care Policy, Finance, and Regulatory Environments Essential VI: Interprofessional Communication and Collaboration for Improving Patient Health Outcomes Essential VII: Clinical Prevention and Population Health Essential VIII: Professionalism and Professional Values Essential IX: Baccalaureate Generalist Nursing Practice A solid base in liberal education provides the cornerstone for the practice and education of nurses. Knowledge and skills in leadership, quality improvement, and patient safety are necessary to provide high quality health care. Professional nursing practice is grounded in the translation of current evidence into one’s practice Knowledge and skills in information management and patient care technology are critical in the delivery of quality patient care. Healthcare policies, including financial and regulatory, directly and indirectly influence the nature and functioning of the healthcare system and thereby are important considerations in professional nursing practice. Communication and collaboration among healthcare professionals are critical to delivering high quality and safe patient care. Health promotion and disease prevention at the individual and population level are necessary to improve population health and are important components of baccalaureate generalist nursing practice. Professionalism and the inherent values of altruism, autonomy, human dignity, integrity, and social justice are fundamental to the discipline of nursing. The baccalaureate-graduate nurse is prepared to practice with patients, including individuals, families, groups, communities, and populations across the lifespan and across the continuum of healthcare environments. The baccalaureate graduate understands and respects the variations of care, the increased complexity, and the increased use of healthcare resources inherent in caring for patients. American Association of Colleges of Nursing (AACN). (2008). The Essentials of baccalaureate education for professional nursing practice. Retrieved from http://www.aacn.nche.edu/publications/order-form/baccalaureate-essentials Course objectives/Outcomes Upon completion of NUR 2140C, the student will: 1. Demonstrate scientific principles underlying the dynamics of the pharmacotherapeutic process (Care Coordination, Research and Translation, Essential I, II, III). 2. Appreciate the need for problem-solving and critical thinking in pharmacotherapeutics (Care Coordination, Research and Translation, Information Management, Essentials I, II, III, IV, VI, VII). 3. Advocate for patients/clients relating to their pharmacological needs (Research and Translation, Information Management, Advocacy and Policy, Essentials III, IV, VII). NUR 2140 Master Syllabus08-01-18; RR:03-11-19 ;08-05-19;04-14-20;08192020; 112420jkj Page 4 4. Discuss professional standards and legislation that are pertinent to the safe practice of administering medications (Care Coordination, research and Translation, Advocacy and Policy, Essential II, III, V, VIII). 5. Appraise the legal and ethical considerations that must be taken into account as related to pharmacology (Care Coordination, Information Management, Advocacy and Policy, Essentials I, IV, V, VI, VIII). 6. Demonstrate ability to administer medications competently, safely, efficiently, and ethically (Essential II, IV, VIII). 7. Utilize communication principles needed in the patient/client teaching/learning process related to pharmacotherapeutics. (Care Coordination, Information Management, Advocacy and Policy, Essentials II, IV, VIII). 8. Explain the nurse’s role as a member of an interdisciplinary pharmacology healthcare team related to a client’s human response pattern (Care Coordination, Research and Translation, Information Management, Advocacy and Policy, Essential I, II, IV, V, VI VII, VIII). Grading and Evaluation Methods: Percent of Total Grade Evaluation Exams 45% st Projects (DCE) (1 Attempt Only) 15% Assignments 5% Quizzes 10% Final Exam 20% Post Test 5% Total Percentage: 100% • • • • To advance in the nursing core of the program, students are required to: Earn a minimum course grade of “B” with a 80.00% Earn a minimum score of 92% on the dosage calculation test (within 2 attempts) Pass each critical skills performance for each core course (within two attempts) Pass each clinical component for each core course Grading Scale Letter Grade A B C D F Required Textbooks And Computer Programs Numeric Grade 90.00-100.00% 80.00-89.00% 70.00-79.00% 65.00-69.9% Up to 64.99% Booth, K.A. & Whatley, J.E. (2015). Math & Dosage for Healthcare Professionals. (5th Ed.) McGraw-Hill Education. ISBN #: 978 0073513805. Karch, A. M. (2019). Focus on Nursing Pharmacology. (8th ed.). Lippincott, Williams & Wilkins. ISBN 978-1975100964 NUR 2140 Master Syllabus08-01-18; RR:03-11-19 ;08-05-19;04-14-20;08192020; 112420jkj Page 5 Assessment Technologies Institute, Inc. ATI Modules and Programs. (2019). 1. ATI Dosage Calculation and Safe Medication Administration 2. ATI Pharmacology Made Easy 3. ATI Skills Modules Recommended Textbook: Ackley, B.J., Ladwig, G. B. & Makie, M. B. (2019). Nursing diagnosis handbook: An evidence-based guide to planning care. (11th ed). Elsevier. ISBN:9780134867366 VanLeeuwen & Bladh (2016), Laboratory and Diagnostic Tests Manual. F.A. Davis. ISBN 9780803623156 Required Computer Program: Shadow Health. (2016). PharmacologyDigital Clinical Experience (Version 4.0) [Software]. Available from http://www.shadowhealth.com 1. For registration and purchase Registration directions: https://shadow.desk.com/customer/portal/articles/980991-how-to-registerwith-shadow-health . Login page: http://app.shadowhealth.com 2. Technical requirements Review requirements: https://shadow.desk.com/customer/portal/articles/963290-dcerecommended-system-specifications Tablets and mobile devices are not currently supported. Recommended web browser is Google Chrome. 3. Shadow Health Support Contact Shadow Health with any questions or technical issues regarding Shadow Health before contacting your instructor. Support is available http://support.shadowhealth.com. Other Required Course Material(s): Scholarly, peer reviewed nursing journal articles as applicable Assignments: Shadow Health Digital Clinical Experience The Shadow Health® Digital Clinical Experience™ (DCE) provides a dynamic, immersive experience designed to improve your skills and clinical reasoning through the examination of digital standardized patients. NUR 2140 Master Syllabus08-01-18; RR:03-11-19 ;08-05-19;04-14-20;08192020; 112420jkj Page 6 Although these patients are digital, each one breathes, speaks, and has a complex medical and psychosocial history. We will be completing Shadow Health assignments with assigned patients throughout this course. Concept Labs Overview To help prepare for Pharmacotherapeutics and Nursing Practice, you will complete several Concept Labs and several Patient Case Studies with specific medications for each patient depending on their diagnosis. The Concept Labs will allow you to explore the Method of Action (MOA) of the different medication in real time simulation. You can access these labs as many times as you wish to better understand the concepts. For select systems, you can also explore concept labs. The abdominal, respiratory, and cardiovascular concept labs allow you to review the anatomy of each system, recognizing medications for each system. Concept Lab Goals The Concept Labs are guided review and practice opportunities. You will complete the Concept Labs as outlined in the course schedule. Course Guidelines and Policies Academic Integrity Students are expected to maintain the highest standards of academic conduct, professional honesty, and personal integrity. Plagiarism, cheating and other misconduct are serious violations and will not be tolerated, and may result in academic penalties, including suspension or dismissal. Attendance Students are expected to contact the instructor or leave a phone message with the Keiser University receptionist before the start of the class if they will not be able to attend or will be arriving late. The message should include the reason (e.g., illness, family emergency). Students who leave class early will be responsible and accountable for all materials missed. Prior to class the student must inform the instructor of the time they will be leaving. Students are expected to notify their clinical instructor at least 60 minutes in advance of the clinical start time if they will not be able to attend clinical or anticipate a late arrival. A documented emergency will be taken under consideration by the Program. Note: Both the clinical instructor and/or preceptor (if applicable) must be notified. Participation Participation is a basic requirement for an effective learning community. Class participation is demonstrated by arriving to class early; paying attention during lectures and discussions; respectful listening when someone else is speaking; being engaged in the class and in your learning without distractions. Testing Policy Quizzes: students will not be able to makeup quizzes. Exams: makeup exams will be allowed only with preapproval of the instructor or with an acceptable, documented reason and Director approval. Acceptable reasons for makeup exams include severe illness, family emergency or other unavoidable events. Exam format for makeup exams may be different than the original exam but the content for the exam will not change. Once an exam has begun; the student will not be allowed to leave the classroom for any undocumented reason. Should the student leave the testing environment, the exam must be turned in, will be considered complete, and will be graded as such. No additional time will be given due to tardiness. Exam reviews will be conducted at the discretion of the instructor or by appointment only. NUR 2140 Master Syllabus08-01-18; RR:03-11-19 ;08-05-19;04-14-20;08192020; 112420jkj Page 7 Performance check off: An unsuccessful first attempt at a skills lab competency requires individual remediation during open lab hours prior to a second and final attempt. Missed skills lab competency appointments will equate to an unsuccessful attempt. Late Assignments Assignments are due at the start of class on the day noted. Late assignments will not be accepted. Students with extenuating circumstances should discuss turning in work with their instructor in advance of the due date whenever possible. Grades Grades will be posted on blackboard in accordance with Keiser University policies and procedures. Students are expected to monitor their grades and progress. For questions regarding grades, students are to make an appointment with their instructor within a reasonable time frame of the grade posting. Civility/Professionalism This class is a community of learners, which means we will depend upon each other for support and information. In order to learn, we must be open to the views of people different than ourselves. Please honor the uniqueness of your classmates and appreciate the opportunity we have to learn from one another. Please respect each other’s’ opinions and refrain from personal attacks or demeaning comments of any kind. It is of the utmost importance to communicate with courtesy and professionalism. Professional courtesy includes respecting other’s opinions, being courteous and respectful, and working together in the spirit of cooperation. Professional behavior is defined by the instructor. Cell phones or electronic devices are not permitted during class time and should be off/ or on vibrate. It is up to the individual instructor whether they will allow recording of their instruction or not. Each student is entitled to a positive learning environment. Dress Code Adherence to the dress code is expected at all times. Should a student choose not to be dressed as stated in the Nursing Student Handbook, they may be asked to leave the classroom and be directed to the Nursing Program Director for further instruction and advisement. Communication Blackboard will be utilized for course materials, resources and updates. Students are also encouraged to check their Keiser E-mail accounts on a regular basis. This will be the only E-mail utilized in accordance with Keiser University policy. University and Program Policies Students are expected to abide by the policies set forth in the University Catalog and the Student Program Handbook/Manual. The University Catalog is available electronically at http://www.keiseruniversity.edu/catalog/. The Program Student Handbook/Manual is available electronically at the direction of your instructor. Disability Accommodations: In compliance with the Americans with Disabilities Act (ADA), students who require reasonable accommodations due to a disability to properly execute coursework must complete the application process and receive approval from the review committee. The first step is to consult with the Campus President or Dean of Academic Affairs. NUR 2140 Master Syllabus08-01-18; RR:03-11-19 ;08-05-19;04-14-20;08192020; 112420jkj Page 8