Revised Spring 2014 Alabama Department of Postsecondary Education Representing Alabama’s Public Two-Year College System NORTHEAST ALABAMA COMMUNITY COLLEGE I. NUR 104: Introduction to Pharmacology Theory 0 credit hour Lab 1 credit hour Clinical 0 credit hour Total 1 credit hour II. CLASS MEETING DATES/TIMES/LOCATION TBA III. CLINICAL DATES/TIMES/LOCATION No clinical component. IV. INSTRUCTOR, CONTACT INFORMATION, CONTACT POLICY, OFFICE HOURS/LOCATION Mrs. Doilene Frasier – Course Coordinator Health Education Building, Office 228 The Alabama College System Copyright 2004 All Rights Reserved Introduction to Pharmacology NUR 104 V. COURSE DESCRIPTION: This course provides opportunities to develop competencies necessary to meet the needs of individuals throughout the lifespan in a safe, legal, and ethical manner using the nursing process. This course introduces students to basic principles of pharmacology and the knowledge necessary to safely administer medication. Course content includes legal implications, pharmacokinetics, pharmacodynamics, calculation of drug dosages, medication administration, and an overview of drug classifications. Students will be able to calculate and administer medications. This course supports CIP Codes: 51.1601 and 51.1613. VI. PREREQUISITE(S)/CO-REQUISITE(S) CO-REQUISITE COURSES: NUR 102 – Fundamentals of Nursing NUR 103 – Health Assessment BIO 201 – Anatomy and Physiology I MTH 116 – Mathematical Applications (PN Program) MTH 100 – Intermediate College Algebra (RN Program) INSTRUCTIONAL NOTE: Students perform skills in a lab setting for this course. VII. TEXTBOOK(S) AND OTHER LEARNING RESOURCES See Reading Assignment VIII. COURSE OBJECTIVES 1. Explain foundational concepts associated with pharmacology. 2. Utilize mathematical principles when calculating and preparing dosages. 3. Utilize the nursing process when administering medications to client throughout the lifespan. 4. Apply knowledge of pharmacokinetics and pharmacodynamics when administering medications to clients throughout the lifespan. IX. PROFESSIONAL COMPETENCIES Explain foundational concepts associated with pharmacology. Apply mathematical principles in written calculation and problem solving while preparing dosages. Administer medications. Apply knowledge of pharmacokinetics and pharmacodynamics. The Alabama College System Copyright 2004 All Rights Reserved 2 Introduction to Pharmacology NUR 104 MODULE A – INTRODUCTION TO PHARMACOLOGY A1.0 Explain foundational concepts associated with pharmacology. A1.1 This module is measured cognitively. A1.1.1 A1.1.2 A1.1.3 A1.1.4 A1.1.5 A1.1.6 A1.1.7 Define terms associated with pharmacology. Describe the history of pharmacology. Identify sources of drugs and drug information. Define legal and ethical issues in pharmacology. Explain the Controlled Substance Act. Explain pharmacodynamics across the lifespan. Explain pharmacokinetics across the lifespan. MODULE B – BASIC MATH FOR PHARMACOLOGY B1.0 Use mathematic operations and formulas to calculate dosages. B1.1 This module is measured cognitively. B1.1.1 B1.1.2 B1.1.3 B1.1.4 B1.1.5 B1.1.6 B1.1.7 B1.1.8 B1.1.9 Solve problems using addition operations. Solve problems using subtraction operations. Solve problems using multiplication operations. Solve problems using division operations. Solve problems using fractions. Solve problems using decimals. Solve problems using ratios and proportions. Perform calculations using various formulas. Convert between English units of weights and measures and Standard International units. MODULE C – ADMINISTERING MEDICATIONS C1.0 Administer medications. C1.1 Utilizing the nursing process, administer medications in a simulated environment. C1.1.1 C1.1.2 C1.1.3 C1.1.4 C1.1.5 C1.1.6 C1.1.7 C1.1.8 C1.1.9 C1.1.10 C1.1.11 C1.1.12 C1.1.13 C1.1.14 Describe safety issues associated with pharmacology. Explain the six rights of administering medication. Interpret information found on medication orders. Interpret information found on labels. Describe the operation of medication administration equipment. Describe the operation of adaptive equipment. Describe the process of reconstituting medications. Calculate dosages. Describe preparing dosages for administration. Describe information necessary for medication administration. Explain administering medications through various routes. Explain subcutaneous insulin administration. Explain subcutaneous heparin administration. Explain client/family teaching concerning pharmacology. The Alabama College System Copyright 2004 All Rights Reserved 3 Introduction to Pharmacology NUR 104 C1.1.15 Explain the procedures for properly handling and disposing of medication administration supplies. Explain documentation of medication administration. C1.1.16 MODULE D – PEDIATRIC DOSAGES MODULE D – CALCULATING PEDIATRIC DOSAGES D1.0 Calculate dosages for pediatric clients. D1.1 This competency is measured cognitively. D1.1.1 D1.1.2 D1.1.3 D1.1.4 D1.1.5 Describe preparing dosages for pediatric clients based on milligrams/kilograms/body weight. Describe preparing dosages for pediatric clients based on pediatric body surface area. Explain select rules for calculating medications for pediatric clients. Describe the concept of “safe dosage range.” Calculate pediatric dosages. MODULE E – INTRAVENOUS CALCULATIONS E1.0 Calculate intravenous infusion rates. E1.1 This competency is measured cognitively. E1.1.1 E1.1.2 Define terms associated with calculating intravenous infusion rates. Calculate primary and secondary intravenous infusion rates. MODULE F – ADMINISTRATING MEDICATIONS THROUGH TUBES F1.0 Administer medication through GI/GU tubes. F.1.1 Utilizing the nursing process, administer medications through GI/GU tubes in a simulated environment. MODUL F1.1.1 Describe administering medications through various F1.1.2 GI tubes. Describe administering medications through various GU tubes. FF1. MODULE G – INTRODUCTION TO CLASSIFICATION OF DRUGS G1.0 Explain classification of drugs. G.1.1 This module is measured cognitively. G1.1.1 G1.1.2 Explain the concept of classification of drugs. Identify common drug classifications. NS THROUGH T MO The Alabama College System Copyright 2004 All Rights Reserved 4 Introduction to Pharmacology X. NUR 104 OUTLINE OF MODULES MODULE A – INTRODUCTION TO PHARMACOLOGY Terms and definitions History of pharmacology Sources of drugs and drug information Legal and ethical issues ○ Controlled Substance Act ○ Other federal laws ○ State laws Nurse Practice Acts Pharmacodynamics ○ Receptor theory of drug action ○ Nonreceptor drug actions Pharmacokinetics ○ Absorption ○ Distribution ○ Metabolism ○ Excretion ○ Serum half-life MODULE B – BASIC MATH FOR PHARMACOLOGY Mathematical Operations ○ Addition ○ Subtraction ○ Multiplication ○ Division Mathematical operations using fractions and decimals Ratios and proportions Calculation formulas Systems of measurement MODULE C – ADMINISTERING MEDICATIONS Safety Issues Reading and interpreting medication orders Reading and interpreting labels Drug packaging Drug administration equipment/adaptive equipment Reconstitution of medications Calculating dosages Preparing dosages for administration Drug information preparation (Drug cards) The Alabama College System Copyright 2004 All Rights Reserved 5 Introduction to Pharmacology NUR 104 Routes for administering medications Insulin administration Heparin administration The six rights Client/family teaching Documenting medication administration MODULE D – CALCULATING PEDIATRIC DOSAGES Milligrams/kilograms/body weight Body surface area Formulas for calculating pediatric dosages Safe range MODULE E – INTRAVENOUS CALCULATIONS Calculation of rates o Primary o Secondary MODULE F – ADMINISTRATION MEDICATIONS THROUGH TUBES Gastrointestinal tubes ○ Gastrostomy ○ Nasogastric ○ Rectal Genitourinary tubes MODULE G – INTRODUCTION TO CLASSIFICATIN OF DRUGS Concept Common drug classifications The Alabama College System Copyright 2004 All Rights Reserved 6 Introduction to Pharmacology NUR 104 XI. EVALUATION AND ASSESSMENT A. Theory 1. Tests announced or unannounced may be given throughout the course and may incorporate various teaching/learning methods (for example: situational, multiple choice, discussion, performances, etc). 2. All nursing exams should be taken on the day they are scheduled. In the event of illness, bereavement, or court attendance, the student is required to notify the course coordinator or clinical instructor PRIOR to the test. Immediately upon return to campus, the student is required to submit documentation which supports the absence. A make-up exam will be given at the end of the semester IF appropriate documentation has been provided at the time of the absence. 3. All students are required to attend test reviews following exams. Students who score less than 75% on unit exams are required to complete a remediation assignment in the computer lab on a designated day. Students must score a minimum of 80% on the remediation assignment. Remediation assignments must be submitted to the instructor on the day of remediation. STUDENTS WHO DO NOT COMPLETE REQUIRED REMEDIATION ASSIGNMENTS WILL NOT BE ALLOWED TO TAKE THE NEXT UNIT EXAM AND WILL TAKE A MAKE-UP EXAM AT THE END OF THE SEMESTER. 4. Required written assignments are due by the end of the scheduled class period. B. Campus Lab Students must complete campus lab activities in order to safely administer medications in the clinical setting. C. Course Grade 1. The course grade is a composite grade based on the following: a. Unit tests b. Comprehensive final examination c. Campus lab assignments Student must achieve a grade of 75% or above in each course to continue in the nursing program. A grade below 75% will result in a “D” or an “F” depending on the numerical score. The Alabama College System Copyright 2004 All Rights Reserved 7 Introduction to Pharmacology NUR 104 2. Course and instructor evaluation by each student is required. 3. In the event of a failing grade, students are urged to see their instructor for a conference. XII. ATTENDANCE Students are expected to attend all classes for which they are registered. The student must be present 80% of the scheduled class dates in order to demonstrate the expected course outcomes and successfully apply theoretical concepts to the clinical practicum. Students who are unable to attend class regularly, regardless of the reason or circumstance, should withdraw from that class before poor attendance interferes with the student’s ability to achieve the objectives required in the course. Withdrawal from class can affect eligibility for federal financial aid. Withdrawal from class can prohibit progression in nursing and allied health programs. XIII. STATEMENT ON DISCRIMINATION/HARASSMENT The College and the Alabama Board of Education are committed to providing both employment and educational environments free of harassment or discrimination related to an individual’s race, color, gender, religion, national origin, age, or disability. Such harassment is a violation of State Board of Education policy. Any practice or behavior that constitutes harassment is a violation of State Board of Education policy. Any practice or behavior that constitutes harassment or discrimination will not be tolerated. XIV. AMERICANS WITH DISABILITIES The Rehabilitation Act of 1973 (Section 504) and the American with Disabilities Act of 1990 state that qualified students with disabilities who meet the essential functions and academic requirements are entitled to reasonable accommodations. It is the student’s responsibility to provide appropriate disability documentation to the College. Please contact the ADA representative. XV. COURSE CALENDAR Course Calendar will be provided to student by the first day of class. The Alabama College System Copyright 2004 All Rights Reserved 8 Introduction to Pharmacology NUR 104 XVI. STUDENT ACKNOWLEDGEMENT FORM I have received the Course Syllabus for NUR 104: Introduction to Pharmacology. My signature indicates that I have read and understand the contents. ___________________________________ Student’s Signature ___________________________________ Print Name ____________________________________ Date The Alabama College System Copyright 2004 All Rights Reserved 9 Introduction to Pharmacology NUR 104 Northeast Alabama Community College Evaluation of Learning Outcomes for Career/Technical Courses Student Learning Outcomes Form 1 Faculty regularly review the extent to which the course and program learning outcomes identified in a course syllabus are being attained by students who complete the course. Each syllabus identifies the assessment method that will be used to demonstrate student mastery of the desired learning outcomes for that course. Before teaching a course, faculty should review the syllabus to understand how the learning outcomes will be evaluated. Once the course is complete, this form is used by the instructor to report how well students demonstrated mastery of those course learning (and by extension, program learning) outcomes. Course Prefix & No.: NUR 104 Instructor: Doilene Frasier Semester: Type of Delivery – Mark One*: Course Title: Introduction to Pharmacology Date: Section Number(s): Dual Enrollment Online Traditional *Double click on the appropriate box. When the form field menu appears, select “checked” under Default value. Note: To insert or delete rows on the table, click on Table on the tool bar. Learning Outcome Evaluation Method Evaluation Results (Industry or Professional Competency) Explain how each learning outcome for this course is assessed. Of the students who earned a grade of C or better for the course, what percentage demonstrated attainment of the stated outcomes? Prepare for transition to the workplace. The student will score 75% or greater on the Job Search assignment (cover letter, resume, followup letter). The student will score 850 or greater on the HESI exit exam with a maximum of two attempts. The student will successfully complete “Medication Sheet” for clients prescribed medications with at least 90% accuracy. The student will, within three attempts, successfully complete written calculation examination with a score of 75% or greater. (Math exam and IV calculations exam) Prepare for the NCLEXPN. Explain foundational concepts associated with pharmacology. Apply mathematical principles in written calculation and problem solving while preparing dosages. Administer medications. The student will, in a maximum of three attempts, successfully administer medications by scoring 100% on the “Medication Check-Off.” Apply knowledge of The student will demonstrate knowledge of pharmacokinetics and pharmacokinetics and pharmacodynamics by pharmacodynamics. successfully completing “Medication Sheet” for clients prescribed medications with at least 90% proficiency. Use of Evaluation Results Explain how evaluation results will be used to improve the course. Note: To insert or delete rows on the table, click on Table on the tool bar. *Reviewed: Cindy Jones Division Director or Program Supervisor *To be completed by Division Director or Program Supervisor Only SLO FORM 1 Student Learning Outcomes Committee. Copyright © 2005. [Northeast Alabama Community College]. All rights reserved. Revised 05/04/10. Permission for use of this form by other institutions may be requested via email to the Office of Institutional Planning & Assessment.