JOHN A. LOGAN COLLEGE
ADN 231
ADVANCED PHARMACOLOGY II
(Part-time – Sections 80, 81, 82)
L. Bertolini – SP 09
1.5 cr. (1-1)
COURSE DESCRIPTION:
Pharmacologic therapy plays an important role in the treatment of patients experiencing
health problems. This course is designed to provide the student with further depth of
study into the drugs used in treating patients experiencing metabolic, endocrine,
gastrointestinal, genital-urinary, orthopedic, dermatologic, obstetric and pediatric
problems. Emphasis will be placed on pharmacological classifications, major drugs
under each classification, physiologic mechanism of action, usual dosages, routes of
administration, expected therapeutic effect, specific nursing considerations, side effects,
adverse/toxic effects and patient education.
PREREQUISITES: ADN 230
COURSE OBJECTIVES:
At the completion of this course, the student should be able to:
1.
Identify the major classifications of drugs used in pharmacologic therapy related
to patients experiencing infectious processes, metabolic-endocrine,
gastrointestinal, nutritional, reproductive immune, and dermatological problems.
2.
Identify the most common drugs used in each major classification related to
patients experiencing infectious processes, metabolic-endocrine, gastrointestinal,
nutritional, reproductive, immune, and dermatological problems.
3.
Discuss the physiologic mechanism of action of common drugs used in the
treatment of patients experiencing infectious processes, metabolic-endocrine,
gastrointestinal, nutritional, reproductive, immune, and dermatological problems.
4.
Identify and describe the desired therapeutic effect of common drugs used in the
treatment of patients experiencing infectious processes, metabolic-endocrine,
gastrointestinal, nutritional, reproductive, immune, and dermatological problems.
5.
Identify nursing considerations specific to common drugs used in the treatment of
patients experiencing infectious processes, metabolic-endocrine, gastrointestinal,
nutritional, reproductive, immune, and dermatological problems.
6.
Identify the expected dose range and route of administration of common drugs
used in the treatment of patients experiencing infectious processes, metabolicendocrine, gastrointestinal, nutritional, reproductive, immune, and dermatological
problems.
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7.
Identify contraindications of common drugs used in the treatment of patients
experiencing infectious processes, metabolic-endocrine, gastrointestinal,
nutritional, reproductive, immune, and dermatological problems.
8.
Discuss expected side effects and/or adverse effects of common drugs used in
the treatment of patients experiencing infectious processes, metabolic-endocrine,
gastrointestinal, nutritional, reproductive, immune, and dermatological problems.
9.
Identify important patient education needed in administering common drugs used
in the treatment of patients experiencing infectious processes, metabolicendocrine, gastrointestinal, nutritional, reproductive, immune, and dermatological
problems.
10.
Demonstrate accuracy in the calculation of drug dosage IV drip delivery rates
and infusion rates of IV push drugs in the treatment of patients experiencing
infectious processes, metabolic-endocrine, gastrointestinal, nutritional,
reproductive, immune, and dermatological problems.
11.
Identify major incompatibilities of IV drugs in the treatment of patients
experiencing infectious processes, metabolic-endocrine, gastrointestinal,
nutritional, reproductive, immune, and dermatological problems.
12.
Describe the safe and accurate administration of blood transfusions.
13.
Describe the safe and accurate administration of hyperalimentation and other
nutritive products.
14.
Compare and contrast various central intravenous catheters.
15.
Identify relevant federal and state regulations related to medication
administration, including the Nurse Practice Act.
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COURSE OUTLINE:
Part-Time – Sections 80, 81, 82
Date
Chapters
January 14
Chapter 28: Medications used to treat Hematopoietic Disorders
Chapters 43, 44: Medications used to treat Endocrine Disorders
Due Date: First attempt for Online Pharmacology Practice test A
January 28
Chapters 43, 44, 45, 46: Medications used to treat Endocrine Disorders
February 11
Chapters 30, 31: Medications used to treat GU and Metabolic Disorders
February 25
Chapters 40, 41, 42: Medications used to treat GI Disorders
March 18
Exam I covering all class handouts, lectures, PowerPoint slides and Chapters 28, 30, 31, 40,
41, 42, 43, 44, 45, 46
Due Date: First attempt for Online Pharmacology Practice test B
April 1
Chapters 32, 33, 34, 35, 36: Medications used to treat Infections
April 15
April 29
Chapters 32, 33, 34, 35, 36: Medications used to treat Infections
Chapter 37: Medications used to treat Neoplasms
Chapter 47, 48, 49: Medications used to treat Bone and Joint Disorders
Medications used to treat Skin Disorders
ATI Online Practice exams A & B deadline for achieving scores of 90% to be completed
by April 27
COURSE REQUIREMENTS:
A. Theory Requirements
a. Exams
b. Videos
c. Student Participation
d. ATI Pharmacology Online Practice tests with score at a 90% by April 27th
e. NCLEX-RN review questions done weekly
f. ATI NCLEX-RN Pharmacology Comprehensive Predictor Exam with composite
score at a “Level 2” or above
Assessment Technologies Institute (ATI) Pharmacology Testing – Students are
required to take the ATI Pharmacology Online Practice Tests A & B as diagnostic
indicators of their baseline knowledge in pharmacology. These tests will identify
strengths and weaknesses which can be used in assisting them to develop an
educational plan for this class to maximize their understanding of pharmacological
therapies. Class time will not be allotted for these practice tests; they must be taken on
the student’s own time. Due dates for the first attempt at these online practice tests are
noted in the Course Outline. All students are required to achieve a minimum score
of 90% on each of these practice tests by April 27. Students may retake these
online pretests as often as necessary until they reach that benchmark.
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Students will be given the ATI Pharmacology RN proctored Exam A at the conclusion of
ADN 231 Pharmacology II. Students will be required to make a score at or above a
“Level 2” on this secure exam in order to receive a passing grade in ADN 231. Students
who do not make the minimum composite score at a “Level 2” will receive an
Incomplete for ADN 231. The student should review their scores carefully and do the
recommended remediation. Students requiring a retake will be allowed one (1) more
opportunity to pass the ATI Pharmacology RN proctored Exam B. The retake may be
done one week after the Exam A. But retakes must be completed no later than the first
Monday after the last day of finals of the next semester. If the student does not make a
composite score at a “Level 2” on the Exam B, then they will receive a failing grade (E)
for ADN 231.
Required NCLEX-RN questions. The course textbook has an accompanying
instructional CD that contains chapter specific supplemental resources to assist
students in learning the material. Included in this supplemental disc are drug dosage
questions, drug review, drug classification review, case studies, care plans, glossary
and pronunciation guide. Students are strongly encouraged to use these supplemental
resources throughout the semester. Each chapter also includes 10 NCLEX-RN
questions. Students are required to complete these questions and e-mail their
results to the instructor prior to class. All NCLEX-RN responses must be sent to
the following address: pharm@whitleyworld.com via the web access set up on
the text CD. Use only this e-mail address for submitting questions. Completion
of the questions prior to class is a course requirement.
No Cellular Phones. Turn off all cell phones before entering the classroom or lab. If
you are in an employment situation that requires emergency contact, please put your
phone on vibration mode. The ringing of phones, especially those with musical tones, is
disruptive to the class. If your phone rings, leave the classroom or laboratory until the
next break.
Class Attendance. Students are expected to attend all classes. Students who are
absent for 2 or more consecutive Pharmacology classes or miss 3 or more classes
throughout the semester will be considered not attending and receive a failing grade for
ADN 231. Students who are absent from class will be required to make up class with
computer time in the area of pharmacology. A list of approved computer make-up
programs and assignments will be provided by the instructor. Two (2) make-up hours
will be required for each one (1) hour of class time missed.
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Blackboard and ATI Website. Students are required to register on the Blackboard and
ERI website as supplements to this course. It is best to use Internet Explorer 6 for
Blackboard.
Blackboard www.jalc.edu
Select:
Distance Learning
Select:
Blackboard
Select:
Blackboard Login
Logon
Select:
Courses
Select:
Course Catalog
Select:
Nursing
Select:
ADN Advanced Pharmacology II
Select:
Enroll
PowerPoint slides will be available to you on the Blackboard website. Students are not
to print PowerPoint handouts on the ADN Lab (G211) printer or in the Career
Assistance Lab (room 238). Students are to print their material either from their
personal printer or use the printers located in the JALC Library.
To sign up for ATI testing:
Go to www.atitesting.com
Select: Create a new account
Follow all prompts to create a username and password
RECORD your user ID number as you will be required to have this for all ATI
testing
Professional Behavior. Students are expected to conduct themselves in a professional
manner that is conducive to a learning environment in the classroom and lab setting.
Students who are perceived as disruptive or interfering with the educational process in
any way will be required to leave the classroom. A meeting with the Director of Nursing
will be required before the student is allowed to return to the classroom. The use of
laptop computers in class for note taking is acceptable. However, the use of laptop
computers for activities other than those related strictly to in-class content will not be
tolerated. Students who use their computers for non-class related activities during class
time will be prohibited from using their computers in this and other ADN classes.
All PowerPoint material, tests handouts, pictures, instructional (written and
computerized) materials including Blackboard notes are copyright protected and
are the property of the instructor and John A. Logan College and are forbidden to
be sold or copied for other students. Violation will result in removal from the
program and/or possible legal repercussions.
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All patient data is sensitive and falls under the federal law titled HIPAA (Health
Insurance Portability and Accountability Act). Therefore, ALL patient data
including beginning shift/clinical reports in clinical agencies, lab reports, process
notes and recordings, care plans must be destroyed by shredding and may not
be in possession of a student after the class/clinical. Violation may result in
failing the class/clinical and may include removal from the nursing program for
one year.
B. Lab Requirements
A concurrent lab experience is required. These labs will provide an opportunity to
integrate theory with practice and refine psychomotor skills. Topics will include, but not
be limited to, the following: central line IV management and total parenteral nutrition,
blood product administration. There are no make-ups for missed labs. Labs will be
held in G211 on:
Part-Time
Jan. 22 8-4 p.m.
Jan. 29 8-4 p.m.
Student Success Center. Tutors may be obtained through the Student Success Center.
Contact the staff in C219 if this service is desired. John A. Logan College will make
reasonable accommodations for students with documented disabilities under Section
504 of the Rehabilitation Act of 1973, and the Americans with Disabilities Act of 1990.
Any student with a disability that may have some impact on work in this class, who feels
she/he needs an accommodation, should make an appointment with the Coordinator of
Services for Students with Disabilities on campus, Jennifer Frost, Room C219B, Ext.
8516. Before services can be provided, this advisor must determine eligibility and
arrange appropriate academic adjustments. It is the student=s responsibility to
register in advance of a school term with this office and to turn in a schedule
each term to ensure that there is every opportunity for success in this class.
English Writing Center/Tutoring. For assistance with writing assignments in any college
course, students are encouraged to visit “The Write Place” in Room E109. English
instructors are available for one-on-one tutoring each semester during hours posted at
the center.
Financial Aid. Students who receive financial assistance and completely withdraw from
classes prior to 60% of the semester being completed (approximately 2-3 weeks after
midterm) could be responsible to return a portion of their Federal Pell Grant award.
Prior to withdrawing from courses, students should contact the Financial Aid Office.
Course Withdrawal Information. It is expected that you will attend this class regularly.
If you stop attending for any reason, you should contact your advisor and withdraw
officially to avoid the posting of a failing grade (an E) to your transcript. It is also
advisable to discuss the situation with your instructor before dropping.
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METHOD OF EVALUATION:
Exams, Case Studies, Class and Lab Participation, Lab Assignments
ADN 231 Pharmacology II is a Pass/Fail class. There will be two exams. Students
must receive a minimum of 75% on each exam in order to pass.
Students who make less than 75% on an exam may retake an exam 2 additional times.
The retake exams will cover the same material and will be offered in the Learning Lab.
Retaken exams will not be subject to a grade adjustment (curve) and a deadline will be
established for the retakes. Failure to make an 80% by the established deadline will
result in a failure for ADN 230. No “Incompletes” will be issued under these
circumstances. Students who wish to retake an exam will be required to review and
sign a contract outlining the responsibilities of the student and instructor.
Incompletes
“Incompletes” will only be issued in the following circumstances:
1. In case of a medical or family emergency.
2. Pending successful completion of the ATI Pharmacology RN secure post exam
per the standard and guidelines noted above.
Grading Scale
Pass = 75% or more
Fail = 74% or less
The final grade for ADN 231 Pharmacology II will be computed and assigned only if:
1.
2.
3.
4.
5.
Students attend all Labs and meet course attendance requirements as specified
in syllabus.
Class and Lab assignments are completed.
Class computer make up assignments are turned in by the end of the semester.
Students have completed weekly NCLEX questions on time.
All educational contracts have been completed for ADN 231.
METHODS OF PRESENTATION:
Lecture, class discussion, PowerPoint presentations, applicable handouts,
computerized instruction, pharmacological websites, Education Resources, Inc.
website, Educational Resources, Inc. pharmacologic audio remediation, medication
videos, chalkboard, case studies, professional nursing journal, newspaper articles, and
Blackboard.
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Notes on Program Requirements
NCLEX-RN Comprehensive Predictor Exam
This is a reminder to students that at the end of the ADN program in May, during final
exams week, students will be required to take the ATI NCLEX-RN Comprehensive
Predictor Exam. This RN assessment exam has been developed by a national testing
company, Assessment Technologies Institute (ATI). The exam will cover questions in
pharmacology, mental health, pediatrics, maternity, medical and surgical nursing,
nursing process, providing a safe, effective care environment, maintaining physiological
integrity, maintaining psychological integrity and promotion of health. The student is
required to pass this NCLEX-RN Comprehensive Predictor Exam at a “Level 2” or
above in order to pass the ADN program. Please review the Fall 2008 JALC Nursing
Handbook for specifics on retaking this exam. In preparation for this exam, students
should seek remediation for any deficiencies, follow their individualized education plan,
take achievement exams when required or when offered, study mock NCLEX-RN
questions weekly and actively pursue competency in preparation for the comprehensive
predictor and the NCLEX-RN exam. The student should actively be using a NCLEX-RN
Review book throughout the academic year.
Assessment Technologies Institute (ATI) achievement exams and practice modules are
available for critical care, adult medical-surgical nursing, nursing management, nursing
leadership, mental health nursing, fundamental skills, maternity nursing, pediatric
nursing, pharmacology, and nutrition. Throughout the academic year, based upon prior
testing, academic performance or clinical performance, ADN Faculty may require
students to take achievement exam/s to determine the student’s competency level in
specific areas of nursing. Practice exams are available for the student to access online
at any time. Other exams are secure and the student may request to take selected
exams on their own by contacting Marilyn Falaster, DON.
In addition, ADN students will be required to complete the ERI/ATI RN review right after
final exams in May.
Re-entry Students
Students who are repeating ADN 231for ANY reason or have had to leave the ADN
Program for academic reasons, or who have dropped out for personal reasons, are
required to RETAKE the LPN GAP Exam or its ATI equivalent prior to re-entry into the
ADN Program. Transfer students are also required to take the LPN GAP Exam prior to
entry into the ADN Program. The student must pass each of the major areas of mental
health nursing, medical nursing, surgical nursing, obstetric nursing, and pediatric
nursing with a score at or above a “Level 2.” Refer to the Fall 2008 JALC Nursing
Handbook for specifics on retaking this exam and the number of retakes allowed.
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For the nursing sections in the LPN GAP that the student is below the national average
score, the student must remediate until each section is at or above the national average
score prior to re-entry/entry (or transfer students) into the ADN Program. It is
recommended that the student begin this process the semester before the desired reentry/entry.
Transfer Students
Students who take ADN 231 and fail, then retake a Pharmacology class at another
institution, must demonstrate competency in this subject area in order for credits to be
transferable into the JALC ADN Program. Competency must be demonstrated by
taking the ATI RN Pharmacology Secure Posttest and achieving a composite score at
or above a “Level 2.”
TEXT:
Required Texts
Adams, M., Josephson, D., Holland, L. (2008). Pharmacology for Nurses A
Pathophysiologic Approach. (2nd edition) Upper Saddle River, NJ: Prentice hall.
Otto, S. (2005) Pocket Guide Series: Infusion Therapy. (5th edition). St. Louis: Mosby,
Inc.
Recommended Texts
LeMone, P. and Burke, K. M. (2004) Medical Surgical Nursing: Critical Thinking in
Client Care. (3rd edition) Menlo Park: Prentiss Hall.
Pagana, J., Pagana, D. & Pagana, T. (2006) Diagnostic and Laboratory Test Reference
(7th edition) St. Louis: Mosby.
Deglin, J. H. and Vallerand, A. H. (2006) Davis Drug Guide for Nurses (10th edition)
Philadelphia: F. A. Davis Company.
DISCLAIMER:
The purpose of this class is to provide the student nurse with a better understanding of
the purpose, action and rationale of medications that are being administered in the
clinical setting. The nursing student can gather more comprehensive information on
specific drugs by referring to the drug’s pharmaceutical insert or the Physician’s Desk
Reference (PDR). However, at no time is this class, medication administration inserts,
PDR, journal articles, etc., to be used for self-medication or in the advising of
medication therapy to other individuals which is outside the parameters of the nursing
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profession. The student and/or any other individual are to always seek their own
professional health care provider for all medication prescription, information and advice.
INSTRUCTOR:
Theory:
Leslie Bertolini, RN, MSN
Office: G218D
Phone: 985-2828, Ext. 8318
Home phone: 993-5327
E-mail: leslie@whitleyworld.com
NCLEX Questions to be e-mailed only to:
pharm@whitleyworld.com
Lab
DATE:
Leslie Bertolini, RN, MSN
Janet Followell, RN, MSN
Julie Horecker, RN, MSN, PhD
Spring, 2009
John A. Logan College Telephone Numbers
Carterville and Williamson County .................................................... 985-3741 (operator)
................................................................................... 985-2828 (direct extension access)
Carbondale and Jackson County ...................................................... 549-7335 (operator)
................................................................................... 457-7676 (direct extension access)
Du Quoin ............................................................................................................ 542-8612
West Frankfort .................................................................................................... 937-3438
Crab Orchard, Gorham, & Trico areas ..................................................... 1-800-851-4720
TTY (hearing-impaired access) .......................................................................... 985-2752
John A. Logan College does not discriminate on the basis of race, religion,
color, national origin, disability, age, sexual orientation, or gender orientation.
12-19-08-1d SP 09