Syllabus NURS 3340 & 3340L Dr. Helen Reyes Spring 2021 Contact Information and Office Hours – Instructor: Dr. Helen Reyes Email: hreyes@wtamu.edu Office: OM 308C Office Phone: (806) 651-2671 Office Hours: by appt virtually, in person, or on phone Texts and Other Materials Required Texts: 1. Lilley, Rainforth-Collins, Snyder (2017) Pharmacology and the Nursing Process (8th) 9780323358286 2. Mosby’s Drug Guide for Nursing Students, Skidmore 3. Kee, Marshall, Woods, Forrester (2017) Kee, Marshal, Woods, Forrester. Clinical Calculations (8th) 978-0-3233-90880 Course Description – This course is designed to present the nursing knowledge and psychomotor skills required for the safe administration and nursing management of medications as well as assessment and manipulation of peripheral intravenous delivery systems for patients across the lifespan. The Nurse Practice Act will provide the foundation for understanding the laws regulating professional nursing practice in the distribution of medications, including controlled substances. The human response to medications including adverse reactions, and drug-to-drug interactions will be studied. The professional nurse’s role in the prevention of medication errors’ is studied. The student will learn teaching and learning strategies associated with counseling patients about medications. Students will also learn how to determine the optimum route and site for medication delivery, how to safely administer medications using selected routes, how to manipulate intravenous tubing and infusion pumps when caring for patients, how to assess peripheral intravenous sites for infection and infiltration, and how to document medication delivery. This will not include the invasive procedure of intravenous catheter insertion. Students will learn the “6 rights” of medication administration and will be instructed on various strategies used in healthcare institutions to minimize medication errors. Practice and return demonstrations by students in the Bivin’s Nursing Learning Center will contribute to faculty evaluation of student achievement. The core competencies emphasized in this course are therapeutic nursing interventions and critical thinking. The role competency emphasized is provider of care. Syllabus 1 of 9 Objectives/Student Learning Outcomes The students in this course will: 1. Distinguish major drug classifications. 2. Identify pharmacological agents used for treating the most common diseases. 3. Develop an understanding of drug actions at the cellular level. 4. Identify and describe the body’s therapeutic and non-therapeutic responses to medications, including complementary and alternative therapies. 5. Utilize appropriate teaching strategies when counseling patients about medications. 6. Identify relevant federal and state regulations related to medication administration including the nursing practice act. 7. Prepare medications for safe administration using selected routes of administration. 8. Manipulate medication delivery systems safely including peripheral intravenous tubing and infusion pumps. 9. Assess peripheral intravenous sites for infection and infiltration. 10. Utilize and dispose of medication delivery systems according to OSHA standards. 11. Demonstrate ability in the core competencies of therapeutic nursing interventions and critical thinking and the role competency of provider of care. Program Learning Outcomes Program outcomes related to this course: 1. 2. 3. 4. 5. 6. 7. 8. 9. utilize liberal education as a cornerstone for generalist nursing practice; demonstrate basic organizational and systems leadership to provide high quality care and ensure patient safety; translate scholarship and current evidence into professional nursing practice; apply knowledge and skills related to information management and technology in the delivery of high quality patient care; integrate health care policy and finance within regulatory environments; communicate and collaborate effectively as a member of interprofessional health care teams to optimize patient outcomes; promote health and prevent disease at the individual, family, and population levels; practice professionalism utilizing nursing standards and values; and, deliver compassionate, patient-centered care across the lifespan in diverse settings as a novice, generalist nurse. Program outcomes related to this course: 4, 6, 9 Course Requirements and Evaluation Explanation of Assignments and Requirements: Syllabus 2 of 9 Grading distribution A = 90-100 B = 80-89.9 C = 74-79.9 D = 60-73.9 F = <60 THERE WILL BE NO ROUNDING UP OF GRADES Exam 1 20% Exam 2 20% Exam 3 20% Quizzes 10% Math quiz 5% Final Exam 25% Total 100% Return Demonstrations (Pass / Fail) Return demonstrations will consist of medication administration and students will be given two opportunities to pass before being required to meet with an instructor for remediation. Students must wait 24 hours before re-attempting the skill and continue return demonstrations until all skills are passed. If the student remains unsuccessful in any skill by the end of the semester, they will not pass the course. EXAMS WILL BE GIVEN DURING CLASS TIME . Missing an exam for any reason: The student will make up the exam on the day prior (12/) to Dead Day. The Instructor will have one specific day for all students that need to make up the exam. That exam will be similar in content but not the same exam that was given on the scheduled day. That exam may be essay. If the student does not notify the instructor that they will not be present for a scheduled exam PRIOR to the exam, this is considered a no call; no show and the student will not be allowed to make up the missed exam and will receive a grade of 0 for that exam. PASSING THE RETURN DEMO IS REQUIRED TO PASS THIS COURSE. Please understand that the standard to pass the course is 74%. There is no rounding of scores in the course. For instance, a score of 73.9% is not satisfactory. Also you must have a 74% on the exams in the course in order to count the quizzes in your final course grade. Didactic/Clinical Syllabus Didactic Content Lab Content 3 of 9 NURS 3440 Medication administration (322) 10 rights: patient, drug, route, time, dosage, documentation, to refuse, teaching, assessment, evaluation Medication delivery Oral Optic Otic Principles Topical Safety Intravenous Medication Errors Nasogastric Tube Legal/Ethical Considerations Enteral tube Cultural Considerations Parenteral Across the lifespan Intramuscular Vitamins, Minerals, Supplements,& OTC Z-track Client rights Intradermal Subcutaneous Continuity of care IT Legal rights/responsibilities Intro: Error prevention Incident Reporting Aging process Medication affecting systems: (pharmacodynamics, pharmocotherapeutics, pharmaceutics, pharmcognosy, toxicology) Central Nervous System Autonomic Nervous System Cardiovascular Renal Endocrine Respiratory Gastrointestinal Anti-infectives Anti-virals Anti-inflammatories Miscellaneous Syllabus 4 of 9 COVID 19 Restrictions and Rules Current University Requirements: Beginning July 1, unless a health-related exception exists,wearing a face covering is required for all individuals (faculty, staff, students, and visitors) on the campus of West Texas A&M University and campus facilities in the following areas: •Indoor public areas on campus, including all non-private office or residential spaces, such as lobbies, restrooms, common spaces in residence halls, conference rooms, break rooms, elevators, and related campus-community areas; and •Outdoor spaces where six feet or more of physical distancing is challenging to maintain reliably. Students will be required to wear a face covering in all classrooms and teaching/research laboratories; however, faculty will not be required to wear face coverings in explicit learning spaces to facilitate clear instruction. Current Faculty Senate Statement: The WT Faculty Senate places the highest priority on the health and safety of our university’s students, faculty, and staff. In cooperation and consultation with Academic Affairs and Dean's Council, Faculty Senate strongly supports that everyone inthe WTAMU campus community abide by the provisions, both present and future, set out by system and university administration to maintain health and safety during the COVID-19 pandemic. Further, Faculty Senate calls upon WT faculty to set an example for others by consistently and correctly wearing masks or face coverings while on campus, or at WT-sponsored events, as well as maintain at least six feet of physical distance. Policies and Responsibilities Remediation Policy: Each nursing course will have a REMEDIATION FOLDER with faculty approved forms. This folder will be linked to WTCLASS for each course. The remediation plan is required for those students who are repeating the course in which they are enrolled and/or when a student is unsuccessful on any unit examination (73 or below). In addition, remediation is available for any students who request assistance. For students repeating the course in which they are enrolled The student begins the process by accessing the remediation folder within their course, filling out the Course Remediation Form and contacting the instructor by email to make an appointment within one week of enrollment in the course to be repeated. The student will complete the form prior to the meeting. The Course Remediation Form will be maintained within the Department of Nursing. The student and faculty member will then plan a follow-up meeting to assess the student’s progress and fulfillment of the remediation plan. For an exam failure The student begins the process by accessing the remediation folder within their course, filling out the Unit Exam Remediation Form and contacting the instructor by email within one week of failing any unit examination. The student will bring a completed form to the meeting with the faculty member. The Unit Exam Remediation Form will be maintained within the Department of Nursing. Approved by Faculty Org 3/5/10 Math Calculation Policy Syllabus 5 of 9 A math exam will be given yearly. That exam must be passed with 100%. First time take 100 – 100 is recorded Second time take 100 – 85 is recorded Third time take 100 – 70 is recorded Subsequent takes 100 – 55 is recorded and down 15 points for every time taken Skills for medication administration will be assessed in testing, return demonstrations, simulation, and/or peer evaluation. The following skills will be evaluated in this course: Medication preparation Topical medication administration Enteral medication administration Parenteral medication administration Withdrawing from a vial Withdrawing from an ampule Mixing medication Documentation Department Information Progressions: (Baccalaureate Program Student Handbook) Students who decide to drop a course with a co-requisite to a clinical course must drop both classes. Students are strongly urged to contact their assigned advisor before dropping a course. Drop policy: Courses dropped before the 12th class day is not included on the student’s transcript. Students who drop this course on or before the midpoint of the semester will have a guaranteed grade of “X” (03/31/21). There are no drops allowed after this date. Academic Integrity All work must be completed individually unless otherwise stated. Commission of any of the following acts shall constitute scholastic dishonesty: acquiring or providing information for any assigned work or examination from any unauthorized source; informing any person or persons of the contents of any examination prior to the time the exam is given in any subsequent sections of the course or as a makeup; plagiarism; submission of a paper or project that is substantially the same for two courses unless expressly authorized by the instructor to do so. For more information, see the Code of Student Life1. Syllabus 6 of 9 Acceptable Student Behavior Classroom behavior should not interfere with the instructor’s ability to conduct the class or the ability of other students to learn from the instructional program (Code of Student Life). Unacceptable or disruptive behavior will not be tolerated. Students engaging in unacceptable behavior may be instructed to leave the classroom. Inappropriate behavior may result in disciplinary action or referral to the University’s Behavioral Intervention Team. This prohibition applies to all instructional forums, including electronic, classroom, labs, discussion groups, field trips, etc. ADA Statement West Texas A&M University seeks to provide reasonable accommodations for all qualified persons with disabilities. This University will adhere to all applicable federal, state and local laws, regulations and guidelines with respect to providing reasonable accommodations as required to afford equal educational opportunity. It is the student's responsibility to register with Student Disability Services2 (SDS) and to contact faculty members in a timely fashion to arrange for suitable accommodations. Contact Information: Student Success Center, CC 106; phone (806) 651-2335. Title IX Statement West Texas A&M University is committed to providing a learning, working and living environment that promotes personal integrity, civility, and mutual respect in an environment free of sexual misconduct and discrimination. Title IX makes it clear that violence and harassment based on sex and gender are Civil Rights offenses subject to the same kinds of accountability and the same kinds of support applied to offenses against other protected categories such as race, national origin, etc. Harassment is not acceptable. If you or someone you know has been harassed or assaulted, you can find the appropriate resources here: WTAMU Title IX Coordinator Georganna Ecker – Old Sub, or call 806.651.3199 WTAMU Counseling Services – Classroom Center 116, or call 806.651.2340 WTAMU Police Department – 806.651.2300, or dial 911 24-hour Crisis Hotline – 800.273.8255, or 806.359.6699, or 800.692.4039 https://www.notalone.gov/ For more information, see the Code of Student Life3. Evacuation Statement If you receive notice to evacuate the building, please evacuate promptly but in an orderly manner. Evacuation routes are posted in various locations indicating all exits, outside assemble area, location of fire extinguishers, fire alarm pull stations and emergency telephone numbers (651-5000 or 911). In the event an evacuation is necessary: evacuate immediately do not use elevators; take all personal belongings with you; report to outside assembly area and wait for further information; students Syllabus 7 of 9 needing assistance in the evacuation process should bring this to the attention of the instructor at the beginning of the semester. WT Attendance Policy for Core Curriculum Classes For the purposes of learning assessment and strategic planning, all students enrolled in Core Curriculum courses at West Texas A&M University must swipe their Buff Gold cards through the card reader installed in the classroom/lab for each class/lab meeting. Chemical and Equipment Safety Statement Safety is everyone's responsibility. Material Safety Data Sheets (MSDSs) are provided for all chemicals used in this class. MSDSs provide information about physical properties, health risks, fire explosion data, and other important information associated with these chemicals. Before handling or using a chemical, you should refer to the MSDS for that chemical. It is your responsibility to inform the instructor in writing of any health conditions that may prevent you from safely using a chemical (pregnancy, auto immune deficiency, etc.). It is also the responsibility of the student to report any spill or problems found while storing or using a chemical. If you are unsure about a chemical, always ask. If you see any unsafe condition, notify your instructor immediately. If you are unsure about the proper and safe operation of any piece of equipment, ask your instructor for proper instruction. All injuries, spill of materials and unsafe conditions must be reported to the instructor immediately. Any pregnant students, or students planning to become pregnant, should consult their health care provider to determine what, if any, additional precautions are needed based on their individual situation. It is the responsibility of the student to communicate their needs to the Vice President for Student Affairs as soon as possible in order for riskreduction to begin when it can be most effective, and to determine if additional modifications are necessary. While the university cannot mandate that the student notify that she is pregnant or is planning to become pregnant, the university strongly recommends that students provide notification so appropriate steps can be taken to ensure the health of both parent and child. To communicate health circumstances or to request additional information, please contact the Vice President for Student Affairs. Student Laboratory Safety Training An online Student Laboratory Safety Training may be required and assigned through WTClass upon registration for this class. By registering for this class, the student agrees to complete the assigned training (if needed), no later than 12th class day for fall/spring terms or 5th class day for summer terms and acknowledge non-participation in activities if not completed by 18th class day for fall/spring terms; 10th class day for summer terms. Copyright Statement – Copyright 2021 Dr. Helen Reyes as to this syllabus and all instructional material; materials may not be reproduced without [instructor’s name] written consent. Students Syllabus 8 of 9 are prohibited from selling (or being paid for taking) notes during this course to or by any person or commercial firm without the express written permission of Helen Reyes. Tentative Calendar of Readings, Topics and Due Dates – Exam 1 – Feb 15th @ 1330 Exam 2 - Mar 22nd @ 1330 Exam 3 – Apr 19th @ 1330 Final – May 4th @ 1030 Tips for Doing Well in this Course – Come to class prepared! Read your assignments before class each week. Bring your books to class. Use class time to ask questions to clarify what you did not understand from the readings Make a timely appointment with Dr. Reyes if you have difficulty understanding the content Study a small amount each day http://www.wtamu.edu/webres/File/Student%20Life/2014-15CodeOfStudentLife.pdf http://www.wtamu.edu/student-support/disability-services.aspx 3 http://www.wtamu.edu/webres/File/Student%20Life/2014-15CodeOfStudentLife.pdf 1 2 Syllabus 9 of 9