COURSE SYLLABUS
VNSG 1327 (3:2:2)
ESSENTIALS OF MEDICATION
ADMINISTRATION
**********
VOCATIONAL NURSING
NURSING DEPARTMENT
HEALTH OCCUPATIONS DIVISION
LEVELLAND CAMPUS
SOUTH PLAINS COLLEGE
FALL 2011
VNSG 1327
Levelland
Campus
COURSE SYLLABUS
COURSE TITLE:
Essentials of Medication Administration, VNSG 1327
INSTRUCTOR:
Jennifer Ponto, R.N., B.S.N
OFFICE LOCATION AND PHONE/E-MAIL:
Room TA 204, 716-2471, jponto@southplainscollege.edu
OFFICE HOURS:
By Appointment
SOUTH PLAINS COLLEGE IMPROVES EACH STUDENT’S LIFE
I.
GENERAL COURSE INFORMATION
A. COURSE DESCRIPTION:
General principles of medication administration including determination of dosage,
preparation, safe administration, and documentation of multiple forms of drugs.
Instruction includes various systems of measurement.
B. LEARNING OUTCOMES (WECM):
The student will:
1. Demonstrate accurate dosage calculating
2. Discuss the principles of medication administration safety
3. Identify the elements of accurate documentation of medication administration
Specific Goals/Objective of this course
1. Utilize terminology associated with pharmacology
2. Utilize sources of drug information to research prescribed medication.
3. Apply the six right of medication administration to research prescribed
medication.
4. Utilize individual drug monographs to identify:
a. drug action
b. adverse reactions
c. drug dosage forms
d. recommended dosages and routes of administration
e. nursing intervention appropriate to alleviate or prevent drug adverse reaction
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VNSG 1327
5. Utilize basic knowledge to be able to complete the nursing responsibilities needed
to deliver safe patient care while meeting the pharmacological needs of the
patient.
C. COURSE COMPETENCIES:
Grading Scale:
A
(100-93)
B
( 92-83)
C
( 82-77)
Below 77 is failing
D. ACADEMIC INTEGRITY:
Please refer to SPC Catalog and Vocational Nursing Student Handbook.
E. SCANS AND FOUNDATION SKILLS:
C1, 2, 3, 4, 5, 6, 7, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19
F1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 17
F. VERIFICATION OF WORKPLACE COMPETENCIES:
No external learning experiences provided. Successful completion of the NEAC
Competency statements at the level specified by the course (Level Objectives) will
allow the student to continue to advance within the program. Upon successful
completion of the program, students will be eligible to take the state board exam
(NCLEX) for vocational nurse licensure.
II.
SPECIFIC COURSE/INSTRUCTOR REQUIREMENTS
A. REQUIRED TEXTBOOKS:
1. Curren, A. (2005). Math for Meds Dosage and Solutions (9th Ed.)
2. Clayton, B. & Stock, Y. (2010). Basic Pharmacology for Nurses (15th Ed.).
St. Louis, MO: Mosby.
3. Deglin, J. & Vallerand, A. (2010). Davis’ drug Guide for Nurse (12th Ed.).
Philadelphia, PA: F. A. Davis Company.
4. Elkin, M. & Perry A. & Potter P. (2007) Nursing Interventions and Clinical Skills
(4th Ed.). St. Louis, MO: Mosby.
Occasionally outside references will be required.
C. ATTENDANCE POLICY:
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(48 hours) The student will be dropped from the course if more than 6(six) hours are
missed. Three (3) tardies count as one (1) hours' absence. Refer to SPC catalogue
and Vocational Nursing Student Handbook. Students are expected to attend all
classes and to remain for the entire class period. Attendance will be taken at the
beginning of class. Students not responding to roll are marked absent in the
attendance record. Practice times and filming times for skills outside regular class
hours may be necessary. The student is expected to keep appointments in the skills
lab or an absence will be recorded.
D. ASSIGNMENT POLICY:
All assignments are to be turned in by 8:00 a.m. on the due date assigned.
Assignments turned in after 8:00 a.m. will be counted late and 10 points will be
deducted each day after the due date. Failure to complete assignments will result in a
grade of INCOMPLETE. Please refer to the Student Handbook for vocational
nursing. Also, please note specific information regarding drug cards.
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VNSG 1327
WRITTEN ASSIGNMENT:
SEE STUDENT HANDBOOK FOR FAILURE TO COMPLETE WRITTEN ASSIGNMENTS.
The drug cards will need to be satisfactorily completed in order to "Count" in the required total
cards. The student must turn in cards as assigned for the unit, which is to begin during that week.
A poster in the classroom will indicate when drug cards are due. If student has neglected to turn
in cards for 2 weeks during the year, a counseling form will be filled out. The student will be
referred to the Admission Committee if drug cards have not been turned in for 3 weeks. Cards
which need to be corrected will be due the following Monday. Timely completion of all assigned
corrected cards is required for completion of the vocational nursing program.
Drug cards are due every Monday – see page 5
This information should be included on each medication card:
1. Medication names: Brand and generic
2. Classification BE SPECIFIC: "Anti-infective" is not specific enough. State if this
anti-infective is an aminoglycoside, a cephalosporin, etc. Also, a medication for
blood pressure control should be listed by its specific category, such as beta-blocker,
vasodilator, etc.
3. Route and Dosage: List dosage range per route for adults. If medication was ordered
for child, state pediatric dosage.
4. Indications: List
5. Action. How does this medication work in the body?
6. Adverse reactions. First list the most life threatening in ALL CAPS. Then list the
most common.
7. Contraindications. List the conditions which would prohibit use of this drug.
8. Food/Drug interactions and/or incompatibility. List.
9. Nursing measures: List assessments and monitoring necessary for safe administration
of this drug.
10. Implementations and Patient teaching. List appropriate measures for safe
administration of this drug. There is a list of common nursing assessments and
interventions for the student to "check". Don't repeat information.
11. Reason prescribed: If this drug card is an assigned card, please "assigned". If
prescribed for a patient list detailed reason. For example: theophylline should be
listed as prescribed for "bronchodilating effect for patient with emphysema: not "for
patient with emphysema". Also medications can be prescribed for a variety of
reasons, and the student should list the particular reason this drug was prescribed for
this patient. As an example, Benadryl is normally listed as an antihistamine for
allergies. It can also be prescribed for sedation and as a medication for patients with
Parkinson's Disease to decrease adverse reactions. Completing this section properly
will require additional effort!!!
12. Include the student's name, reference page number and drug card number, patient
initials and date of care.
4
Brand Names: _____________
Generic Names: _________________________________________
Classification ___________________________________________________________________________________________________
Route
Dosage _______________________ Frequency ________________________
Indications _____________ _______________________________________________________________________________________
Actions ________________________________________________________________________________________________________
_______________________________________________________________________________________________________________
Adverse Reactions _______________________ _______________________________________________________________________
_______________________________________________________________________________________________________________
________________________________________________________________________________________________________________
Contraindications________________________________________________________________________________________________
_Food / Drug Interactions /
Incompatibility____________________________________________________________________________
________________________________________________________________________________________________________________
Nursing Implications: Assessment___________________________________________________________________________________
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
Implementations
______________________________________________________________________________________________________________
________________________________________________________________________________________________________________
Patient Teaching _________________________________________________________________________________________________
________________________________________________________________________________________________________________
_
Dizzy / Drowsy / Safety Precautions
I & O / Daily Weight
Postural hypotension precautions
Antidote
Give with meals to decrease GI distress
Monitor / Report / Treat as prescribed:
Superinfection
GI Bleeding
____
Anaphylaxis
Monitor ___________________ VS Why? __________________________________________________________________________
Monitor __________________ Lab Why?_______________ _________________________________________________________
Assigned Card? ______________ (OR) Pt Initials __________________ Why is Pt taking __________________________ _________
Drug Card #
Student
___________________________________ Date ____________________
Brand Names: _____________
Generic Names: _________________________________________
Classification ___________________________________________________________________________________________________
Route
Dosage _______________________ Frequency ________________________
Indications _____________ _______________________________________________________________________________________
Actions ________________________________________________________________________________________________________
_______________________________________________________________________________________________________________
Adverse Reactions _______________________ _______________________________________________________________________
_______________________________________________________________________________________________________________
________________________________________________________________________________________________________________
Contraindications________________________________________________________________________________________________
_Food / Drug Interactions /
Incompatibility_________________________________________________________________________________________________
________________________________________________________________________________________________________________
Nursing Implications: Assessment___________________________________________________________________________________
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
Implementations
______________________________________________________________________________________________________________
________________________________________________________________________________________________________________
Patient Teaching _______________________________________________________________________________________ __________
________________________________________________________________________________________________________________
_
Dizzy / Drowsy / Safety Precautions
I & O / Daily Weight
Postural hypotension precautions
Antidote
Give with meals to decrease GI distress
Monitor / Report / Treat as prescribed:
Superinfection
GI Bleeding
____
Anaphylaxis
Monitor ___________________ VS Why? __________________________________________________________________________
Monitor __________________ Lab Why?_______________ _________________________________________________________
Assigned Card? ______________ (OR) Pt Initials __________________ Why is Pt taking ___________________________________
Drug Card #
Student
___________________________________ Date ____________________
E.
GRADING POLICY/METHODS OF EVALUATION
Unit Tests:
A. Principles of Pharmacology
B. Pain Medication and Sedatives
C. *Medication Dosage Calculation Test
D. Medication Administration-Test
*Skills check-off Grade
Pop Quiz/Written Assignments
Medication cards
70%
10%
10%
10%
* Please see specific policies for medication calculation test
and check-off for medication administration.
F.
SPECIAL REQUIREMENTS:
1. There will be an exam after the completion of each assigned unit. A make-up
exam will be given at the discretion of the instructor. An essay exam maybe given
at the discretion of the instructor. Always be prepared for an unannounced pop
quiz. Pop quizzes are not eligible for make-up and a grade of zero (0) will be
automatically given.
2. MEDICATION CALCULATION TEST POLICY
The student will not administer medication in the clinical setting unless the
medication calculation test is passed with a score of 90% or above and the clinical
lab check-off is completed satisfactorily. Faculty approved calculators may be
used.
The student will be required to pass the medication calculation test with a score of
90% or higher. If the student does not pass with a score of 90% or higher, the
student will make an appointment with the pharmacology instructor for review of
the test to identify weak areas.
The next week, a second test will be given. If this test is not passed with a 90% or
higher, the student will be assigned 4 hours of review time, after meeting with the
instructor.
The student will re-test the following week; if not passed with a 90% or higher,
the student will be assigned 4 more hours of review time. Failure to pass on the
3rd attempt will result in failure of the course.
3. CHECK-OFF FOR MEDICATION ADMINISTRATION
Please refer to check-off sheet. The student must pass each check-off with a score
of 95% or more. Failure to pass on the 3rd attempt will result in failure of the
course.
VNSG 1327
4. ORAL:
Four hours documented practice time must be completed before taping will
begin.
The student will film the oral mediation administration skill and turn the tape in
on or before the assigned due date. If the film is not satisfactory, the student must
practice for 4 hours, as documented by the skills lab director. The student must
film the skill again by the assigned due date. If this is not satisfactory, the student
will film the skill for the 3rd time, after another 4 hours documented practice time.
Failure to pass on the 3rd attempt will result in failure of the course.
TOPICAL/PARENTERAL
The student will check off the skill with an instructor. If the skill is not passed on
the first attempt, the student must practice for 4 hours, as documented by the skills
lab director. The student must check off the skill again by the assigned due date.
If this is not satisfactory, the student must practice for 4 hours, documented by the
skills lab director. The student will check off on the skill for the 3rd time. Failure
to pass on the 3rd attempt will result in failure of the course.
FAILURE TO COMPLETE ALL SKILLS BY THE ASSIGNED DUE DATE WILL RESULT
IN COURSE FAILURE.
5. See Pharmacology Syllabus for drug Card Assignments
6. Medication cards will be picked up by the instructor at 0800 on the due dates listed
on the classroom calendar.
Weekly grades will be averaged together and will be 10% of the course grade.
5 cards per week due
5/5 = 100%
4/5 = 80
3/5 = 60
2/5 = 40
1/5 = 20
0/5 = 0
10 cards per week due
10/10 = 100%
9/10 = 90
8/10 = 80
7/10 = 70
Etc. . . . .
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III.
COURSE OUTLINE
A. REQUIRED READINGS:
Texts as stated above, Chapters as assigned. See drug list for individual unit
assignments (from Pharmacology Syllabus). The student is also required to complete
the assigned drug cards for the week. It is required that students read the assigned
chapter(s) prior to the first lecture hour. The student is responsible for completing the
learning objectives and learning the key terms at the beginning of the chapter.
Reading Assignments and Student Activities
Unit A – Principles of Pharmacology
Chapters 1, 2, 3, 4, 5, 7 (Clayton)
8 hours lecture
Unit B – Pain Medications and Sedatives
Chapters 14 and 20 (Clayton)
8 hours lecture
Drug cards as instructed 1-40
Unit C – Medication Dosage Calculation
12 hours lecture
2 hour test
14 (lecture)
Handouts
Student Activities
1. Study for “Pop Quiz: over medication administration terminology and
abbreviation.
2. Complete all practice problems in the assigned chapters and handouts.
3. Be prepared for short “Pop Quizzes” over assignments.
4. Prepare for Medication Calculation Test.
5. Practice Comprehensive Test
6. Drug cards as assigned.
Unit D – Medication Administration –
2 hours lecture
Chapters over med administration: Skills book (Elkin)
16 lab hours
Students Activities
1. Films
2. Practice-Four hours documented practice time is required PRIOR to
taping or check off.
3. Student will need to pass an oral, a topical and a parental medication
check-off (3 separate check-off will need to be passed with a score of 95%
or higher).
4. Administrating of oral med must be completed via videotape.
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VNSG 1327
5. Drug cards as assigned
Check-off for Oral/Topical Medication Administration
Topical –(Must complete all aspects to receive 100%. May complete in
over 20 minutes for 95%):
Able to state contraindications for topical use
Clean gloves required
Administers eyedrop into conjunctival sac
Administers eye ointment into conjunctival sac
Administers ear drops properly into the ear canal
Administers skin ointment in a sterile fashion if skin is broken
Administers vaginal suppository – patient has empty bladder
provides privacy
Administers rectal suppository – provides privacy caution with
vagal stimuli
Parenteral
Must complete all aspects to receive 100%. May complete in over
20 minutes for 95%.
Selects appropriate needle and syringe
Draws up appropriate amount of medication
Uses appropriate injection technique, angle, etc…
Uses sterile technique for parenteral medication
Disposes of used syringes and needles (Don’t recap)
Able to identify and administer within appropriate injection
site
IV.
ACCOMMODATION
Students with disabilities, including but not limited to physical, psychiatric, or learning
disabilities, who wish to request accommodations in this class should notify the Special
Services Office. In accordance with federal law, a student requesting accommodations
must provide acceptable documentation of his/her disability to the Special Services
Coordinator. For more information, call or visit the Special Services Office in the
Student Services Building, 894-9611 ext. 2529, 2530.
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VNSG 1327
ESSENTIALS OF MEDICATION ADMINISTRATION
Students must wear the school approved lab coat, have hair properly restrained and
conduct self in a professional manner. Students failing to do so will be asked to leave the
lab and will be counted absent. It will be necessary for the student to spend time outside
the scheduled lab and lecture hours to practice skills, film skills and to view required
instructional videos. The lab will be open additional hours as scheduled by the lab
director.
The student must submit a successfully completed video for several skills on or before the
assigned due date. See Student Handbook and Clinical Guidelines and syllabi for
Essentials of Medication Administration for penalty if not in compliance.
It will be the student's responsibility to identify self on the tape, to speak coherently and
in an appropriate volume, have all equipment organized, perform the skill properly, and
to turn in the tape personally to the instructor on or before the deadline.
NO NOTES OR PROMPTING MAY BE USED DURING THE TAPING. THE
STUDENT MAY UTILIZE DRUG CARDS OR DRUG GUIDE DURING TAPING.
The tape submitted must NOT be edited by the student or others. A new tape, rewound to
the beginning of the skill to be viewed, must be submitted or it will not be graded by the
instructor. Students who do not meet the deadline requirements will be considered failing
that component. This may result in course failure.
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LECTURE OUTLINE PHARMACOLOGY
Drug Classification
Use(s)
Actions
Contraindications and Cautions
Adverse Reactions
Life Threatening/Serious Reactions
Common Adverse Reactions
Nursing Implications
Assessments Prior To Giving Medication
Laboratory Tests
Nursing Interventions
Patient/Family Education
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MED CARDS
1.
Aspirin
2.
Acetaminophen
3.
Ibuprofen
4.
Naproxen
5.
Meperidine
6.
Morphine sulfate
7.
Hydrocodone
8.
Codeine
9.
Fentanyl
10.
butorphanol
11.
Eszopiclone
12.
Temazepam
13.
Chloral hydrate
14.
Naloxone
15.
Celecoxib
16.
Gentamycin
17.
Cefaclor
18.
Azithromycin
19.
Penicillin V potassium
20.
Ciprofloxacin
21.
Trimethoprim – sulfamethoxazole – must look up both meds or combination
22.
Doxycycline
23.
Synercid
24.
Primaxin
25.
Fluticasone
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26.
Pseudoephedrine
27.
Diphenhydramine HCL
28.
Loratadine
29.
Vancomycin
30.
cromolyn Sodium
31.
Dextromethorphan
32.
Guaifenesin
33.
Acetylcysteine – (use for acetaminophen overdose NOT respiratory)
34.
Ipratropium bromide
35.
Beclovent inhaler
36.
Theophylline
37.
Singulair
38.
Lovastatin
39.
Atenolol
40.
Enalapril
41.
Losartan
42.
Clonidine
43.
Doxazosine
44.
Diltiazem
45.
Nitroglycerine – sublingual for acute attacks, MI etc (be specific)
46.
Nitroglycerine – skin patch
47.
Imdur
48.
Inamrinone
49.
Digoxin – details on digoxin levels & other labs, antidote
50.
Furosemide
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51.
Chlorthalidone
52.
Spironolactone
53.
Pentoxifyllin
54.
Clopidodrel.
55.
Heparin – details on lab test monitoring
56.
Coumadin – details for lab test monitoring
57.
Alteplase
58.
Enoxaparin – include information specific to injection technique
59.
Advair Diskus (must discuss both meds)
60.
Klor-Con
61.
Nexium
62.
Januvia
63.
Metoprolol
64.
Sildenafil
65.
Lidocaine IV use for arrythmias
66.
Esmolol
67.
Amiodarone
68.
Adenosine
69.
Gabapentin
70.
Zolpidem
71.
Tramadol
72.
Donepezil
73.
Miralax
74.
Lactulose
75.
Advertised medications
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76.
Advertised medications
77.
Advertised medications
78.
Advertised medications
79.
Advertised medications
80.
Advertised medications
81.
Advertised medications
82.
Advertised medications
83.
Advertised medications
84.
Advertised medications
85.
Maalox
86.
Misoprostol (pregnancy testing?)
87.
Omeprazole
88.
Cimetidine
89.
Sucralfate
90.
Metoclopramide
91.
Phenergan (lots of details on definitions and labs)
92.
Zofran
93.
Dramamine
94.
Lomotil
95.
Bisacodyl
96.
Bromocriptine
97.
Sinemet
98.
Selegiline
99.
Phenobarbital-for seizures
100. Clonazepam
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101. Phenytoin (lots of labs and definitions)
102. Valproic Acid
103. Carbamazepine
104. Protonix-for IV use-will require additional reference
105.
Epinephrine-IV use for emergencies
106. Propranolol
107. Neostigmine
108. Atropine IM use for pre-surgical use
109. Detrol
110. Patient's medications (not already on list)
111. Patient's medications (not already on list)
112. Patient's medications (not already on list)
113. Patient's medications (not already on list)
114. Patient's medications (not already on list)
115. Regular Insulin
116. NPH insulin
117. Metformin
118. Glipizide
119. Levothyroxine
120. Methimazole
121. SSKI-details on how to administer to avoid teeth stains
122. Florinef
123. Prednisone
124. Fentanyl Transdermal
125. Premarin
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126. Provera
127. Testosterone Cypionate
128. Dinoprostone - topical application
129. Oxytocin
130.
Miconazole Vaginal cream
131. Metronidazole
132. Ortho/Novum-oral contraceptives
133. Nystatin-for vaginal use
134. Lorazepam
135. Buspirone
136. Phenelzine (list foods high in tyramines)
137. Amitriptyline
138. Fluoxetine
139. Bupropion
140. Lithium carbonate (labs!!)
141. Chlorpromazine
( need lots of details on AR’s, definitions and labs)
142. Haloperidol
143. Risperidone
144. Mental health medication not listed above
145. Mental health medication not listed above
146. Mental health medication not listed above
147. Mental health medication not listed above
148. Mental health medication not listed above
149. Finasteride
150. Norfloxacin
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151. Phenazopyridine
152. Mannitol
153. Dorzolamide
154.
Pilocarpine-for Opthalmic use
155. Timolol Ophthalmic details on how to administer to avoid systemic effect
156. Cyclobenzaprine
157. Atracurium
158. Colchicine
159. Probenecid
160. Zemuron
161. Megace
162. Topical medication
163. Topical medication
164. Tamoxifen
165. Cytoxan
166. Methotrexate
167. Adriamycin
168. Interferon
169. Epogen
170. Neupogen
171. Chemotherapy agent
172. Chemotherapy agent
173. Chemotherapy agent
174. Ferrous Sulfate (po)
175. Calcium Citrate (po)
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VNSG 1327
176. Fosamax (po)
177. Herbal or natural product
178. Herbal or natural product
179. Herbal or natural product- St. John's wort
180. Herbal or natural product-Echinacea
181. Herbal or natural product- Ginkgo Biloba
182. Herbal or natural product- Ginseng
183. Herbal or natural product-Product of interest
184. Hepatitis B vaccine #181-187 require outside refs. Specifics on scheduling
185. Hepatitis A vaccine
186. DPT vaccine
187. Haemophilus influenza type B
188. Poliovirus injection
189. MMR
190. Varicella-Zoster
191. Patient's medications
192. Amphotericin -IV use
193. Fluconazole
194. Acyclovir
195. Ribavirin
196. Valacyclovir
197. Zidovudine
198. Ganciclovir
199. Propofol
200. Midazolam
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VNSG 1327
Due Dates will be announced in class.
Arrive 20 minutes prior to scheduled time. You will be given a patient “chart” and a
cassette tray. After this has been given to you, you may NOT leave the lab. You must
complete this assignment without assistance from others. Your patient’s chart will
contain 4 of the medications researched and you will have to perform 1 or 2 calculations.
Compare the MAR against the physician’s orders, perform any necessary calculations.
Check the medications against the MAR twice for accuracy before the filming starts.
When filming starts:
Introduce yourself and identify procedure being filmed. Discuss the medications
prescribed. List drug names, intended action, possible uses, possible contraindications
and cautions and the MAIN AR’S. List life threatening AR’s first, then the common
AR’s. Discuss necessary nursing assessments and nursing interventions. (Takes 6-8
minutes) Pronounce the words properly. YOU MAY USE NOTES FOR THIS.
State the first two checks have been performed in the med. room with an instructor.
The last check is the patient’s bedside and needs to be taped. Go to the patient’s “room”.
Be sure to use the patient’s door tag, “knock”, wash hands, introduce self, check the
patient’s ID band, compare against MAR and cassette, explain procedure. Describe any
calculations performed. State the patient’s name, each medication, dose, route, time to be
given during this 3rd check. Make sure you line up the medications and go from top to
bottom, stating and comparing each med, the dose, route and time to be given before you
administer the medication.
Open medications at the bedside and assist patient as needed. (Have pt sitting up, give
“water” etc.)
Document, perform completion Protocol. Rewind tape to where you want instructor to
grade. (please just pretend to write on the MARs)
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VNSG 1327
CHECKOFF-PO MEDICATION ADMINISTRATION
Student_________________________
SKILL
Date____________________________
PASS FAIL
On camera: Introduce self. Able to discuss
medication intended actions, main adverse
reaction and associated nursing intervention.
Uses appropriate terminology and
pronunciation.
Compares MAR against prescribed meds.
Performs necessary calculations. Performs 1st
2 checks of medications. (states)
Goes to patient room. Check door tag.
Knocks, Washes hands, introduces self to pt,
explains procedure
Checks pt’s ID band against MAR and
cassette Automatic failure if does not check
ID band.
Performs 3rd check at bedside, demonstrating
knowledge of the 6 rights of med.
administration.
Opens medication at bedside. Pours liquid
med, placing cup at eye level.
Assists patient with medications as needed.
Completion protocol.
Discusses documentation.
Completes within 20 minutes.
Comments
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COMMENT