NUR 3145 Pharmacology Spring 2014-Term A UNIVERSITY OF WEST FLORIDA College of Arts and Sciences SCHOOL OF ALLIED HEALTH & LIFE SCIENCES DEPARTMENT OF NURSING Course Number and Title: NUR 3145 Pharmacology Credit Hours: 3 semester hours Instructor Information: Susan Harrell, MSN, RN Adjunct Instructor Cell Phone: (575) 932-8548 Email: sharrell2@uwf.edu Prerequisites: Permission required. It is assumed that most students enrolled are RNs who are pursuing a BSN, or are Health Sciences majors. It is expected that all students have a solid background in the physical and social sciences. Course Description: This course provides basic pharmacokinetics and physiologic information, including actions, side effects, and interactions of drugs that are widely used. This course focuses on the principles and concepts of pharmacology and related nursing practices. ACADEMIC LEARNING COMPACT Content Use the concepts of nursing theory, research and practice, based on the foundation of the arts and sciences courses, in the provision of care to diverse clients of all ages o Recall pharmacodynamic principles o Group drug actions and therapies with disease states o Describe the uses, actions, effects and nursing implications of general classifications of drugs and selected specific drugs Critical Thinking Incorporate socio cultural, ethnic, religious, and other unique individual considerations in the plan of care o Apply the principles of pharmacology relative to pharmacotherapeutics across age levels including the effect of race, gender, ethnic group, and special populations. Communication * Uses media resources and information technologies to enhance knowledge base o Investigate media resources and information technologies to enhance knowledge base of pharmacology Integrity/Values Demonstrate accountability, responsibility, authority, and professionalism based on the American Nurses Association Code of Ethics in own professional nursing practice o Analyze the responsibilities of the nurse when administering drugs Project Management Project Conceptualization 1 NUR 3145 Pharmacology Spring 2014-Term A o Integrates discipline concepts, resources, and research appropriately o Apply pharmacological research to nursing practice *This Student Learning Outcome will be tracked in the capstone pathway! TEXTS: Required: Lehne, R. (2013). Pharmacology for nursing care. (8th ed). St. Louis, MO: Elsevier. ISBN 978-1-4377-3582-6 Or Pharmacology for Nursing Care - Pageburst E-Book on VitalSource, 8th Edition ISBN: 9781437735840 available at https://evolve.elsevier.com/cs/product/9781437735840?role=student Be sure to sign up for the free online Student Resources: https://evolve.elsevier.com/Lehne Recommended: You may find it helpful to have access to a current drug handbook as well. There are also many apps available through your smart devices such as phones, notebooks, etc. WEBSITES: Required: If you do not already have accounts on these sites, please sign up for one – both are free. You may have assigned readings from them throughout the semester or use them as sources of information: Medscape Nursing: www.medscape.com/nurses Nursing Center: www.nursingcenter.com Suggested: The following are sites designed either for NPs/PAs or primary care providers – both of whom prescribe medications, so there is a lot of drug related information on the sites. If you think this might be in your future – check them out. They are also free. http://www.clinicaladvisor.com/ A site designed for nurse practitioners and physician assistants. http://www.consultant360.com/ A site designed for primary care providers Special Technology Utilized by Students This course is being offered completely on-line. Each student in this course will be required to: 1. have Internet access on a regular basis at home or work in order to complete assignments. 2 NUR 3145 Pharmacology Spring 2014-Term A 2. utilize your UWF student email account for all correspondence. 3. have access to word processing software. Note: PowerPoint is available on the computers at UWF and through eDesktop. 4. have access to Adobe Acrobat Reader © to open PDF files that are used during the course. 5. log on several times during each week to respond to emails and participate in threaded discussions. 6. be familiar with D2L course discussion, Dropbox, exam functions. 7. access the online library and search for and retrieve research articles. 8. communicate problems and concerns with the instructor immediately in order to continue moving forward in this course. If you need additional software (such as Adobe Acrobat, Flash Player, etc) to view the components of the course, go to the UWF eLearning home page https://elearning.uwf.edu/secure/index.cfm and click on the link for Software Viewers and Converters, where you can download them at no cost. Evaluation/Grading: A variety of assignments will be included for grading and will have a set number of points. These will be described in more detail in the online course itself. Rubrics will be provided as appropriate. A total of 300 points is possible in the course, broken down as follows: Threaded Discussions (7 at 5 - 10 points each) Case Studies (3 at 30 points each) Exams (5 at 30 points each) Total 60 points 90 points 150 points 300 points Grading Scale % (points) A B+ BC D+ D- 93 - 100% (278 – 300 points) 87 – 89% (260 – 269 points) 80 – 82% (241 – 247 points) 73 – 76% (218 – 229 points) 67 – 69% * (200 – 208 points) 60 – 62%* (180 – 187 points) AB C+ CD F 90 – 92% (270 – 277 points) 83 – 86% (248 – 259 points) 77 – 79% (230 – 240 points) 70 – 72%* (209 – 217 points) 63 – 66%* (188 – 199 points) 0 – 59% * ≤ 179 points * Constitutes failure in this course for nursing majors Satisfactory completion of the course is based on satisfactory achievement of course student learning outcomes. By the end of the semester, a student in the Nursing Major must achieve a combined grade of at least 73% on all course assignments & quizzes. The Student who fails to demonstrate the course student learning outcomes must repeat the course in its entirety. Topical Outline 1. Introduction to Pharmacology 2. Basic Principles of Pharmacology 3 NUR 3145 Pharmacology Spring 2014-Term A 3. Drug Therapy across the Lifespan 4. Peripheral Nervous System Drugs 5. Central Nervous System Drugs 6. Diuretics 7. Drugs that Affect the Heart, Blood Vessels and Blood 8. Drugs for Endocrine Disorders and Glucocorticoids in Nonendocrine Disorders 9. Chemotherapy of Infectious Diseases Late assignments Due to the nature of the learning environment, due dates for all assignments are published by the first day of class and are posted in the calendar and the weekly schedule. All assignments/activities are to be electronically submitted in the designated area (drop box or discussion boards), and exams/quizzes are completed online. Students will not be permitted to submit papers or take exams after the time/date published** Late work will be placed in the following file: Work will NOT be accepted after the assignment/activity is electronically closed and a grade of ZERO will be recorded. **NOTE: If during the semester you are ill or have a problem that prevents you from completing assignments by the due date please contact the instructor PRIOR to that day and an alternate due date may be arranged. Otherwise, assignments MUST BE SUBMITTED by the due date published on the calendar and in this syllabus. Instructor Availability I can be reached via e-mail at sharrell2@uwf.edu for assistance. Please allow 24 hours during the workweek to respond to any course work questions. Weekend e-mails may take me longer to respond to. If you are really desperate, you may contact me on my cell phone (call or text – just be sure to identify yourself to me) between the hours of 9 AM – 9 PM Central Time. My number is 575-932-8548. (Note: I am generally unavailable on most Tuesdays as I am in the hospital for a 12 hour shift.) Reference Format for Written Work All written work should be formatted according to the guidelines in the most recent edition of APA (currently the 6th edition published in 2009). Professional papers for the nursing department must have the correct title page, formatting, citation, and references according to APA. No abstract is required. It is expected that the students familiarize themselves with APA guidelines. The UWF Writing Lab provides resources summarizing the APA manual to assist you; the Writing Lab will also preview your papers prior to submission. The Purdue OWL 4 NUR 3145 Pharmacology Spring 2014-Term A (http://owl.english.purdue.edu/owl/resource/560/01/) is an excellent online resource for APA format. The instructor WILL NOT provide feedback or corrections for APA format, you will either receive points for correct usage, or have points subtracted for incorrect format. NOTE: Wikipedia is not an acceptable reference. University Policy on Academic Conduct/Student Code of Conduct As members of the University of West Florida, we commit ourselves to honesty. As we strive for excellence in performance, integrity is essential. Honesty in our academic work is vital, and we will not knowingly act in ways which erode that integrity. Accordingly, we pledge not to cheat, nor to tolerate cheating, nor to plagiarize the work of others. We pledge to share community resources in ways that are responsible and that comply with established policies of fairness. Cooperation and competition are means to high achievement and are encouraged. Indeed, cooperation is expected unless our directive is to individual performance. We will compete constructively and professionally for the purpose of stimulating high performance standards. Finally, we accept adherence to this set of expectations for academic conduct as a condition of membership in the UWF academic community. Academic dishonesty is a serious offense and will be taken seriously. The Student Code of Conduct sets forth the rules, regulations and expected behavior of students enrolled at the University of West Florida. Violations of any rules, regulations, or behavioral expectations may result in a charge of violating the Student Code of Conduct. It is the student’s responsibility to read the Student Code of Conduct and conduct themselves accordingly. You may access the current Student Code of Conduct at http://www.uwf.edu/judicialaffairs. Plagiarism Policy Plagiarism is defined by the University as "the act of representing the ideas, words, creations, or work of another as one's own. Should a student be found plagiarizing in a paper, the student will be reported by the faculty member to the Nursing Program Director & follow the process described in the University's Student Life Handbook. Plagiarism is a serious offense in academia & may result in expulsion from the University. The UWF library has an excellent tutorial on plagiarism found at http://library.uwf.edu/Tutorials/module_plagiarism/default.htm TurnIt In UWF maintains a university license agreement for an online text matching service called TurnItIn. The instructor may use the TurnItIn service to determine the originality of student papers. If the instructor submits your paper to TurnItIn, it will be stored in a TurnItIn database for as long as the service remains in existence. If you object to this storage of your paper: 1. You must notify the instructor in writing no later than two weeks after the start of this class. 2. The instructor will utilize other services and techniques to evaluate your work for evidence of appropriate authorship practices. 5 NUR 3145 Pharmacology Spring 2014-Term A Support Services ---- Students with Special Needs The Student Disability Resource Center SDRC at the University of West Florida supports an inclusive learning environment for all students. If there are aspects of the instruction or design of this course that hinder your full participation, such as time limited exams, inaccessible web content, or the use of non-captioned videos and podcasts, please notify the instructor or the SDRC as soon as possible. You may contact the SDRC office by e-mail at sdrc@uwf.edu or by phone at (850) 474-2387. Appropriate academic accommodations will be determined based on the documented needs of the individual. Weather Emergency Information In the case of severe weather or other emergency, the campus might be closed and classes cancelled. Official closures and delays are announced on the UWF website and broadcast on WUWF-FM. WUWF-FM (88.1MHz) is the official information source for the university. Any pertinent information regarding closings, cancellations, and the re-opening of campus will be broadcast. In the event that hurricane preparation procedures are initiated, the UWF Home Web Page and Argus will both provide current information regarding hurricane preparation procedures, the status of classes and the closing of the university. Online Exams - Test Taking Information It is recommended that no timed, online exams/quizzes in the course be attempted during 3:006:00am CST because this is when the eLearning maintenance window runs. Technical difficulties may be encountered at this time. If you initiate an exam that overlaps with the eLearning maintenance times and experience technical difficulties, your score may not translate accurately and may be lost all together resulting in a grade of zero, “0” for the assignment. If you experience any other technical problems or errors during any timed exam/quiz, you are to notify your instructor via email immediately and then notify the helpdesk at helpdesk@uwf.edu or (850) 474-2075. Failure to contact the Help Desk for any technical problems will result in a grade of zero, "0" for the assignment. If you are unable to get immediate assistance from the Help Desk staff during the exam or assignment attempts, but have documented the problem in an email or voice mail, you may attempt to restart the exam using the same browser, or attempt to re-enter the exam with another browser. If you are still unable to restart the exam and continue with saving, please note that for your final submitted score to be recorded, you must still prove that you documented the original technical problem with the Help Desk via email or phone. Failure to do so will result in an automatic grade of zero, "0" being assigned. Important Dates to Remember See the UWF Academic Calendar for Spring 2014 Term A http://uwf.edu/registrar/Academic%20Calendars%20for%202013-2014.pdf 6 NUR 3145 Pharmacology Spring 2014-Term A ASSIGNMENTS – Spring Our weeks during this session will run from Monday mornings to Sunday nights, closing out at 11:59 PM. The exception to this will be the week of finals. Although a final exam will not be given, you will have a final assignment that is a comprehensive geriatric case study that will be due on Monday night of Finals Week. Assignment due dates are listed here in the syllabus, in a separately posted calendar, and as part of the online course itself. Online Discussions: Discussions can be an important part of online learning, and help keep you engaged in the course. The minimum requirements are 1 original post and 1 response to another student’s post. You are encouraged to post more than the minimum. As you participate in online discussions, I expect you to demonstrate thoughtfulness and insight. If the extent of your participation is “I agree with what Susie Q said”, and that’s it, you will not get full credit! Feel free to agree with Susie Q (or disagree), and explain further your point of view. Cite your sources of information when appropriate. Some of the discussions may be more your opinion and would not need to include or refer to a particular source. For the most part, these discussions should be fairly informal and provide a means for you to connect with and get to know your fellow classmates and to provide a forum for the sharing of ideas. I also expect you to read what your classmates are saying – don’t just be the first one to post to the discussion and never return to see what others have to say! Disagreements may certainly take place online, but please be sure that you show respect for opinions other than your own. Some general guidelines to consider: You should submit your initial post(s) early in the session and your subsequent responses to the posts of other learners at timely intervals within the duration of the session. Keep in mind the goal is to have a dynamic discussion that lasts throughout the entire session. Minimum deadlines for posting have been set. Your posts and responses should be thorough and thoughtful. Just posting an "I agree" or "Good ideas" will not be considered adequate. Support your statements with examples, experiences, or references. You are, however, encouraged to be brief — keep each post and response to one or two paragraphs. Keep in mind that your fellow learners will be reading and responding to you, too. Discussions occur when there is dialogue. So, build upon the posts and responses of other learners to create discussion threads. Make sure you revisit the discussion forum and respond (if necessary) to what other learners have posted to your initial responses. When relevant, add to the discussion by including prior knowledge, work experiences, references, Web sites, resources, etc. (giving credit when appropriate). Your contributions to the discussions (posts and responses) should be complete and free of grammatical or structural errors. Refrain from using abbreviations such as "lol" and "imho". Though your language need not be as formal as it would be in an academic paper, you should use a tone that would be similar to a class discussion. And, some in the class may not be familiar with these abbreviations (especially your instructor!). Instructor Participation I may respond to student’s posts during the discussion, but I will not be responding to every student post. Research has shown that too much instructor participation can stifle student discussion. Do note I will read EVERY post and I usually provide general feedback at the conclusion of the discussion. A grading rubric is provided on the next page. 7 NUR 3145 Pharmacology Spring 2014-Term A Discussion Rubric Performance Indicators Criteria Relevance Insight Support Substance of Response(s) Timing of Posts Unacceptable Satisfactory Exemplary (0 points) The posting does not directly address the question or problem posed by the discussion activity. (1 point) The posting addresses key issues, questions, or problems related to the discussion activity, but in some cases, only indirectly. It does not always apply course concepts fully. (1 point) The posting does offer some insight, analysis, or observation to the topic but may not demonstrate a full understanding or knowledge of concepts and ideas pertaining to the discussion topic. (2 points) The posting directly addresses key issues, questions, or problems related to the discussion activity. The posting applies course concepts well. (1 point) The posting generally supports claims and opinions with evidence or argument, but may leave some gaps where unsupported opinions still appear. (1 point) The response demonstrates respect for peer’s ideas without contributing to or building further discussion. (1 point) Only 1 post was submitted within the specified time frame. (2 points) The posting supports all claims and opinions with either rational argument or evidence. (0 points) The posting does not offer any significant insight, analysis, or observation related to the topic. No knowledge or understanding is demonstrated regarding concepts and ideas pertaining to the discussion topic. (0 points) The posting does not support its claims with either evidence or argument. The posting contains largely unsupported opinion. (0 points) The response was lacking in respect and offered nothing new to the discussion (0 points) No posts were submitted within the specified time frame. (2 points) The posting offers original or thoughtful insight, analysis, or observation that demonstrates a strong grasp of concepts and ideas pertaining to the discussion topic. (2 points) The response actively stimulates and sustains further discussion by building on peers’ responses. (2 points) At least 2 posts were submitted within the specified time frame. Total = 10 8 NUR 3145 Pharmacology Spring 2014-Term A Written Work This will include the three Case Studies that are assigned, which encompass some of the most common health problems we face in our society – cardiovascular disease, diabetes, and issues related to the aging process. Most of your writing will be somewhat informal, as you are answering critical thinking questions, not writing a formal paper, but I do expect complete sentences and correct spelling and grammar. References are to be in APA format. I will, for the most part, be evaluating the content of your work with less emphasis on the format. These assignments will go to the Dropbox. Feedback for each assignment will be posted in the Dropbox area as well, so be sure to check what I have written to you. Keep in mind you will need to use other resources in addition to your textbook when answering the case study questions. Case Study assignments will be graded as follows: Case Study Grading Criteria Level of Achievement General Approach and Mastery of Subject Point Value Answers all questions Answers are thorough and descriptive Proficient Supports ideas with appropriate rationales 27 – 30 points Grammar, spelling and sentience structure are appropriate Uses at least 3 current, professional references (1 of course can be your text!) Correctly uses APA format, including a reference page Answered most of questions Answers are adequate but less thorough Adequate Does not include supporting rationale 22 – 26 points Some misspellings or incorrect sentence structure or grammar References are incomplete or outdated or not appropriate Inconsistent with APA format Answered some of questions Answers are incomplete or do not demonstrate adequate Limited understanding of material ≤ 21 points No references, or references are outdated or lacking Does not use APA format, no reference page included No Submission 0 points Reading Assignments: You will be assigned to read selected chapters in the book, although I don’t necessarily expect you to read every single word (even though we won’t cover the entire book , there’s still a lot of chapters!). There are also outlines/notes posted for each of the assigned chapters as well. There may be some content you are already quite familiar with and you only need to scan some of the highlights. Other areas you may need to read in more detail. Objectives will be posted with each module - use these to help guide your learning. Each chapter has a review at the end with some Key Points highlighted. Most will also have a Summary of Major Nursing Implications interspersed throughout the chapter. You may want to read those 9 NUR 3145 Pharmacology Spring 2014-Term A first, determine how well you know those key concepts, and then read from that chapter those things you are not comfortable with. The text should not be your only source of information anyway when you are doing your case studies or participating in discussions. There may be some “handouts” linked with each week which you may find useful as well as links to associated websites. Exams: I will expect that you answer the exams on your own without assistance from other people. You will be able to use your text or other resources, although there will be a time limit for completing the exam. Once you start an exam, you will need to complete it at that sitting as you will not be allowed to enter and exit the exam multiple times, so be sure you choose a time that you will not be interrupted. The exams will be relatively short – with approximately 30 multiple choice questions – with a timeframe that will allow approximately 2 – 3 minutes per question. Once you open the exam, it must be completed in a single sitting within the time frame allowed. Exams will be available several days prior to the due date. There will be a total of 5 exams, accessed under the heading labeled as Quizzes. Overview – Weekly Assignments – More detail will be available in the actual modules Week 1 Discussion – Post Biographical information about yourself, why you are in the course, career, goals, etc. A single post is all that is required, although you may feel free to respond to other students. Due 1/8 by 11:59 PM (5 pts.) NOTE: If you enroll late – you can still post to this!! Discussion – “New Drug” Report. Do an online search and find a new drug that was approved for use by the FDA in the last year or so (in 2013 or about the last half of 2012). Provide the following information: trade and generic name of the drug pharmaceutical company producing it classification of the drug - what type of drug is it what the drug is used for whether there are any contraindications to using the drug, some of the adverse reactions that most concern you. if you had the disease or disorder for which the drug was developed, would you want to take this drug? Why or why not? list your source or sources of where you found your information. 1st post – your report – due no later than 1/10 by 11:59 PM 2nd post – your response to another students report – due by 1/12 at 11:59 PM (5 pts.) Week 2 – Module 1 – Pharm Basics; Lifespan Considerations Text – Ch. 1 – 11 Discussion – Medication/Medical Errors – 1st post due by 1/15 no later than 11:59 PM; 2nd post due by 1/18 no later than 11:59 PM. Discussion forum closes on 1/19 at 11:59 PM. (10 pts.) 10 NUR 3145 Pharmacology Spring 2014-Term A Week 3 Study for Exam 1 This exam will cover Module 1. It opens on 1/21 at 12 Noon and closes on 1/26 at 11:59 PM. (30 pts.) Week 4 – Module 2 - Neuro Text – Ch. 12 – 19 (Dig in – there is some complex material here!) Week 5 Study for Exam 2 This exam covers Module 2. It opens at 12 Noon on 2/3 and closes on 2/9 at 11:59 PM. (30 pts.) Week 6 – Module 3 - Neuro Text – Ch. 20 – 25; Ch. 32 & 35 Discussion – Psych Meds - 1st post due by 10/2 no later than 11:59 PM; 2nd post due by 10/5 no later than 11:59 PM. Discussion forum closes on 10/6 at 11:59 PM. (10 pts.) Week 7 – Module 4 – Neuro Text – Ch. 26 – 30; 31 Discussion – Pain Meds/Prescription Drugs and Abuse - 1st post due by 2/19 no later than 11:59 PM; 2nd post due by 2/22 no later than 11:59 PM. Discussion forum closes on 2/23 at 11:59 PM. (10 pts.) Week 8 Study for Exam 3 This exam covers Modules 3 & 4. It will open at 12 Noon on 2/24 and closes on 3/2 at 11:59 PM. (30 pts.) 11 NUR 3145 Pharmacology Spring 2014-Term A Week 9 - Module 5 - CV Text – Ch. 41; Ch. 43 – 47 Case Study – CV – due in Dropbox by 3/9 at 11:59 PM (30 pts.) Week 10 - Module 6 - CV Text – Ch. 48 – 53 Discussion – Medications vs. lifestyle changes - 1st post due by 3/19 no later than 11:59 PM; 2nd post due by 3/22 no later than 11:59 PM. Discussion forum closes on 3/23 at 11:59 PM. (10 pts.) Week 11 – Module 7 – Endocrine/Diabetes Text – Ch. 57 – 60; Ch. 72 Case Study – Diabetes – due in Dropbox by 3/30 at 11:59 PM. (30 pts.) Week 12 Study for Exam 4 This exam covers Modules 5, 6 & 7. It will open at 12 Noon on 3/31 and is due by 4/6 at 11:59 PM. (30 pts.) Week 13 - Module 8 – Infectious Disorders Text – Ch. 83 – 88; 91 – 92 Discussion – Antibiotic use/overuse? 1st post due by 4/9 no later than 11:59 PM; 2nd post due by 4/12 no later than 11:59 PM. Discussion forum closes on 4/13 at 11:59 PM. (10 pts.) Week 14 – Easter Week – Since this is an important holiday for many, the exam will not be due until Monday night. Study for Exam 5 This exam covers Module 8. It will open at 12 Noon on 4/14 and is due by 4/21 at 11:59 PM. (30 pts.) 12 NUR 3145 Pharmacology Spring 2014-Term A Week 15 There is no new content for this week. Comprehensive Case Study – Geriatrics Focus – due in dropbox by 4/28 at 11:59 PM Week 16 – Finals Week Comprehensive Geriatric Case Study due on Monday, 4/28 at 11:59 PM And You Are DONE!!! 13