House Bill 2504 Fall 2021 VNSG-1227-11 - Essentials of Medication Administration Syllabus


Fall 2021 Course Syllabus Course: VNSG-1227- Section: 11 Essentials of Medication Administration

Instructor Information

Instructor

Lois Holmes

E-mail

holmesll@lamarpa.edu

Phone

(409) 984-6359

Office

Location:	Allied Health - Room: 107-3
Hours:	As posted and by appointment

COVID 19 Information

The Lamar State College Port Arthur (LSCPA) Student Code of Conduct COVID 19 Policy requires students who have been exposed to COVID 19 or diagnosed with COVID 19 to report their condition on the COVID 19 Notification Form (available via a link on the Student Code of Conduct COVID19 webpage). This information will be provided to the Dean of Student Services. In addition, this policy requires all students to wear face coverings in compliance with the criteria included in the policy. For more information please refer to the COVID 19 link on the LSCPA website.

Course Information

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.

Prerequisites

Course Prerequisites
BIO 2301/2101 & BIO 2302/2102 Human Anatomy and Physiology
NURA 1301 Nurse Aide for Health Care Organizations I
NURA 1160 Clinical (VN 1410)
To graduate from the VN program it is required that you must complete either, Business Computer Information Systems (BCIS 1305), or Introduction to Computers (ITSC 1401) prior to graduation.
Students must have a minimum grade of C or better in every course that applies to the VN Program Certificate plan to graduate.

Learning Outcomes

In accordance with the mission of LSC-PA, VNSG 1227 Essentials of Medication Administration assists the student to develop the particular skills, knowledge, and attitudes necessary for success as a vocational nurse. Upon successful completion of the course, the student should be able to:

1.    Function within the legal, ethical and regulatory standards of the nursing profession.
2.    Use a systematic problem-solving process in the care of multiple patients who have predictable health care needs to provide safe, individualized, goal-directed nursing care.
3.    Adopt an approach to nursing practice that promotes safety for patients, significant others, self, and members of the healthcare team.
4.    Cooperate with members of the interdisciplinary health care team to provide optimum, evidence-based, safe, care to patients.

Core Objectives

Communication skills: Students will demonstrate effective written, oral and visual communication.
Critical Thinking Skills: Students will engage in creative and/or innovative thinking, and/or inquiry, analysis, evaluation, synthesis of information, organizing concepts and constructing solutions.
Empirical and Quantitative Skills: Students will demonstrate applications of scientific and mathematical concepts.
Teamwork: Students will demonstrate the ability to work effectively with others to support a shared purpose or goal and consider different points of view.
Social Responsibility: Students will demonstrate intercultural competency and civic knowledge by engaging effectively in local, regional, national and/or global communities.
Personal Responsibility: Students will demonstrate the ability to connect choices, actions and consequences to ethical decision-making.

Program Student Learning Outcomes

PSLO ALPHA: Reading skills - Demonstrates comprehension of content-area reading material.
Upon completion of the Vocational Nursing Program graduates will, under the supervision of a professional licensed nurse and/or licensed physician, function in non-complex settings and should be able to:

1. Demonstrate accurate dosage calculation. (PSLO Alpha; PSLO 2; PSLO 3)
2.    Discuss safe medication administration. (PSLO Alpha; PSLO 2; PSLO 3)
3.    Correctly interpret provider’s orders and medication administration records (MAR). (PSLO Alpha; PSLO 1; PSLO 3; PSLO 4)
4.     Accurately document medication administration. (PSLO Alpha; PSLO 1; PSLO 3)
5.    Explain procedure for obtaining medications from pharmacy. (PSLO Alpha; PSLO 1; PSLO 3; PSLO 4)

Textbooks

Textbook Purchasing Statement: A student attending Lamar State College Port Arthur is not under any obligation to purchase a textbook from the college-affiliated bookstore. The same textbook may also be available from an independent retailer, including an online retailer.

Ogden, S.J. & Fluharty, L.K. (2016). Dosage Calculations (10th ed.). St. Louis: Elsevier
Mosby ISBN: 9780323310697

Lecture Topics
Outline

Additional classroom policies include:
Students and faculty of the Lamar State College-Port Arthur Vocational Nursing Program are expected to assist in maintaining a classroom environment that is conducive to learning. To assure that faculty have the opportunity to teach and students have the opportunity to benefit from time spent in class, unless otherwise approved by the instructor, students are prohibited from engaging in distracting classroom behavior:
1. I understand that promptness is expected. I will be on time for the beginning of all classes and will return from breaks promptly.
2. I understand that I am expected to come to theory and lab experiences prepared and present myself as a sincere, adult learner.
3. I will return phone calls and/or text messages only during scheduled breaks.
4. I will keep cell phones on vibrate in classroom and off and out of reach during testing and test reviews. In the event of an emergency, your family should contact you through AH Secretary, VN Coordinator, or Department Chair.
5. I agree that on-campus computers will only be used for classroom work.
6. I agree that all information shared by other students and instructors will remain confidential.
7. I will not repeat or discuss what is shared with anyone.
8. I agree that I will not engage in ?side-bar? discussions.
9. I agree that I will direct my comments to the front of the room.
10. I agree to participate in all discussions, activities, and exercises.
11. I agree to be open to new ideas and experiences.
12. I agree to take risks and step outside of my comfort zone.
13. I agree to maintain a positive attitude.
14. I agree to give supportive feedback and make corrections without belittling anyone.
15. I agree to suspend judgment and be responsible for my actions.
16. I agree to be responsible for learning as much as I can from this experience.
17. I agree to ask for what I need from my instructors.
18. I agree to get better acquainted with my fellow students so we can all identify ways to support one another, work together as a team and develop professionally.
19. I agree to follow the guidelines and policies in the LSC-PA Vocational Nursing Student Handbook.
Should I be unable to maintain these expectations or stated program requirements, dismissal from the program may occur.

The following behaviors will result in the student being asked to cease the action and/or leave the classroom:
Inappropriate and/or disruptive use of cell phones or other electronics devices in classroom
talking or sleeping while the instructor is giving instructions or during class discussions/presentations
displaying a rude or negative attitude/behavior to the instructor or other students
If any of these behaviors result in the student being asked to leave the room, the student will receive a counseling note and may result in a loss of 5 points on the next exam.

Calculator Usage:

1. Use of a BASIC FUNCTION CALCULATOR is allowed with the following exceptions
a. Calculator/cell phone combinations (cell phones are prohibited)
b. Programmable calculators.
2. Calculators not specifically covered by this section shall not be allowed without express consent of the instructor.

Major Assignments
Schedule

Date: 09/08/2021 Exam I Time: 1200
Date: 09/22/2021 Exam II Time: 1200
Date: 10/06/2021 Exam III Time: 1200
Date: 10/27/2021 Exam IV Time: 1200
Date: 11/24/2021 Exam V Time: 0800

Final Exam Date

December 7, 2021 - 8:0 AM Through December 7, 2021 - 11:0 AM

Grading Scale

90-100 = A 80-89 = B 75-79 = C 60-74 = D Below 60 = F

Determination of
Final Grade

1. Examinations are based on course objectives.
2. Course content from pre-requisite courses will be included on exams, as appropriate.
3. This course consists of a lab section where students are able to apply principles of medication safety learned in theory. Students are highly encouraged to participate in lab sessions, ask questions and perform practice exercises to ensure comprehension of content and readiness for exams.
4. No hat or hoodies may be worn during exams. No hats/caps/hoodies/smart watches/personal possessions other than keys, earbuds, and a pencil may be brought in to the exam.
5. No make-up unit exams are given. The numerical grade attained on the Comprehensive Final exam is substituted for any missed unit exam(s); providing the student has followed proper protocol in reporting absence.
6. Students who arrive after the exam starts, but before it ends may take the exam without penalty, however, they will not be allowed additional time. If a student must miss an exam, s/he must contact the instructor prior to the exam or within twenty-four (24) hours of the exam. A no-call/no-show for an exam will result in a grade of 0
7. Test grades will not be available for a minimum of 24 hours post test.
8. Evaluation of Examinations: After each exam, the faculty uses psychometric principles to evaluate the examination. Items missed by 50% or more of the class are reviewed. If an item is found to be flawed, the faculty may give credit for more than one answer or nullify the item. When an item is nullified, the key is changed so that all answers are credited as correct. That is, if a student answered the item as originally keyed, the student will retain the credit for the item. If a students answer differs from the one originally keyed, the student is credited for the nullified item. In other words, everyone gets credit for the item and no one loses credit.
9. If a student scores less than a 75 on a unit examination, the student is required to make an appointment with an instructor prior to the next examination. At that time, the student and instructor will review the examination and, with the assistance of the instructor, identify strategies to improve performance on subsequent examinations. Failure to review will result in a 5 point deduction of the next exam.
10. Any challenge to exam questions must be presented in writing, with documentation, within one (1) week of the review of the exam. Disputed exam items must be submitted by the student along with proposed answer supported by documentation from the current textbook, handouts, and/or lecture reference material.
11. A Comprehensive Final Exam must be taken and is weighted equivalent to two (2) unit exams.
12. Any assignment or exam submitted without a students name will not receive credit. The following method will be used to determine each students grade in the course:
Exam I Grade
Exam II Grade
Exam III Grade
Exam IV Grade
Exam V Grade
Final Grade
Final Grade
Total/7 Grade
A minimum average of 75% in VNSG 1227 independent of all other requirements is necessary to pass the course.

Course Policies

Instructor Policies

Attendance Policy

VNSG-1227 - Essentials of Medication Administration will be conducted online and will consist of voice over power point lectures, recorded and live lectures via video/audio chat. Schedules may be changed at the discretion of the faculty and vocational nursing coordinator. All attendance policies are in effect whether conducted online or in the class room setting.

Research has shown a cause and effect relationship between attendance and college success. Policies for this course are described below:
1. Because poor attendance is a leading reason for termination from a job in all areas of employment, attendance at all scheduled classes is expected.
2. A student who is absent from course activities for more than three (3) days without notification to faculty may be dropped from the program by the Program Director.
3. Late arrival to class is disruptive. Students who consistently arrive after the beginning of the class (2 or more times) will be counseled and a plan of corrective action determined. Class will begin promptly at the scheduled time. Students who arrive fifteen (15) minutes after the beginning of class should not enter the classroom and should wait until break to enter. Repetitive tardiness will result in a 5-point deduction on next exam grade.
4. It is the students responsibility to notify the instructor of any absence. If the student is unable to contact the instructor(s), the student should call 409-984-6356 or 1-800-477-5872 ext. 6356. The student should also email the faculty or call the faculty office and leave a voicemail.
5. In addition to notifying an instructor, students must submit a Student Excuse Form, upon the first day of return, each time the student is absent, delayed from attending or must depart early from class, clinical or lab. Failure to complete the Student Excuse Form will result in a declaration of a No Call, No Show for the number of days absent and may result in the student being dismissed from the program.
6. Class is scheduled to begin at 1200 PM unless otherwise stated.
The Program Director or Department Chair has the right to initiate the administrative withdrawal of any student whose attendance, conduct, scholastic abilities, attitude or lack of aptitude for Vocational Nursing making it inadvisable for that student to continue in the program.

Academic Honesty

Academic honesty is expected from all students, and dishonesty in any form will not be tolerated. Please consult the LSC-PA policies (Section IX, subsection A, in the Faculty Handbook) for consequences of academic dishonesty.

Facility Policies

No food or tobacco products are allowed in the classroom.
Only students enrolled in the course are allowed in the classroom, except by special instructor permission.
Use of electronic devices is prohibited.

Important Information

ADA Considerations

The Americans with Disabilities Act (ADA) is a federal anti-discrimination statute that provides comprehensive civil rights for persons with disabilities. Among other things, this legislation requires that all students with disabilities be guaranteed a learning environment that provides for reasonable accommodation of their disabilities. If you believe you have a disability requiring an accommodation, please contact the the Office for Disability Services Coordinator, Room 231, in the Madison Monroe Building. The phone number is (409) 984-6241.

MyLSCPA

Be sure to check your campus E-mail and Course Homepage using MyLSCPA campus web portal (My.LamarPA.edu). When you've logged in, click the email icon in the upper right-hand corner to check email, or click on the "My Courses" tab to get to your Course Homepage. Click the link to your course and review the information presented. It is important that you check your email and Course Homepage regularly. You can also access your grades, transcripts, and determine who your academic advisor is by using MyLSCPA.

Other

UNIT OBJECTIVES

1. Chapter 6-7 Systems of Measurement

a. Interpret and properly express metric, apothecary, and household notation
b. Recall metric, apothecary, and household equivalents
[Differentiated Essential Competencies (DEC) I A, B II A, B, D, E, F, G III B IV A, B, C, D]

2. Chapter 6-7 Conversions: Metric, Apothecary, and Household Systems

a. Convert between units of measurement within the same system
b. Convert units of measurement from one system to another
[DEC: I A, B II A, B, D, E, F, G III B IV A, B, C, D]
3. Handouts Equipment Used In Dosage Measurement

a. Recognize and select the appropriate equipment for the medication, dosage, and method of administration ordered
b. Read and interpret the calibrations of each utensil presented
[DEC: I A, B II A, B, D, E, F, G III B IV A, B, C, D]
4. Chapter 9 Interpreting Drug Orders

a. Read and write proper medical notation
b. Write the standard medical abbreviation from a list of common terminology
c. Classify the notation that specifies the dosage, route, and frequency of the medication to be administered
d. Interpret physician orders and medication administration records
[DEC: I A, B II A, B, D, E, F, G III B IV A, B, C, D]
5. Chapter 10 Understanding Drug Labels

a. Find and differentiate the brand and generic names of drugs
b. Determine the dosage strength
c. Determine the form in which the drug is supplied
d. Determine the supply dosage or concentration
e. Identify the total volume of the drug container
f. Differentiate the total volume of the container from the supply dosage
g. Find the directions for mixing or preparing the supply dosage of drugs as needed
h. Recognize and follow drug alerts
i. Identify the administration route
j. Check the expiration date
k. Identify the lot number, National Drug Code, and bar code symbols
l. Recognize the manufacturer?s name
m. Differentiate labels for multi-dose containers from unit dose packets
n. Identify combination drugs
[DEC: I A, B II A, B, D, E, F, G III B IV A, B, C, D]

6. Chapter 8 & Handouts Preventing Medication Errors

a. Describe the cost and consequences of medication errors
b. Name the steps involved in medication administration
c. Identify causes of medication errors
d. Identify the role of the nurse in preventing medication errors
e. Provide rationale for medication administration and the importance of accurate and safe dosage calculations and medication administration
[DEC: I A, B II A, B, D, E, F, G III B IV A, B, C, D]
7. Chapter 11 Oral Dosage of Drugs

a. Convert all units of measurement to the same system and same size units
b. Estimate the reasonable amount of the drug to be administered
c. Use the formula D
--- X Q = X (amount to administer) to calculate drug dosage
H
d. Calculate the number of tablets or capsules that are contained in prescribe dosages
e. Calculate the volume of liquid per dose when the prescribed dosage is in solution form
[DEC: I A, B II A, B, D, E, F, G III B IV A, B, C, D]

8. Chapter 12 Parenteral Dosage of Drugs

a. Apply the three steps for dosage calculations: convert, think, and calculate
b. Use the formula D
--- X Q = X (amount to administer) to calculate drug dosage
H
c. Reconstitute and label medications supplied in powder or dry form
d. Differentiate between varying directions for reconstitution and select the correct set to prepare the dosage ordered
e. Measure insulin in a matching insulin syringe
[DEC: I A, B II A, B, D, E, F, G III B IV A, B, C, D]
10. Chapter 13 Unit Measurement
a. Solve problems involving drugs measured in unit dosages
b. Calculate and properly mark insulin syringe to indicate units desired
c. Calculate and properly mark heparin in syringe to indicate units desired
[DEC: I A, B II A, B; II A, D, E, G; III B, D; IV A, B, D]

11. Chapter 14 Reconstitution of Solutions
a. Define and apply the terms solvent, solute, and solution
b. Reconstitute and label medications supplied in powder or dry form
c. Differentiate between varying directions for reconstitution and select the correct set to prepare the dosage ordered
d. Calculate the amount of solute and solvent needed to prepare a desired strength and quantity of an irrigating solution or enteral feeding
[DEC: I A, B II A, B, D, E, F, G III B IV A, B, C, D]
12. Chapters 15 & 16 Intravenous Solutions, Equipment, and Calculations

a. Identify common IV solutions and equipment
b. Calculate the amount of specific components in common IV fluids
c. Define the following terms: IV, peripheral line, central line, primary IV, secondary IV, saline locks, IVPB, and IV push
d. Calculate milliliters per hour: mL/h and units/hr
e. Recognize the calibration or drop factor in gtt/mL as stated on the IV tubing package
f. Apply the formula method to calculate IV flow rate in gtt/min

V (volume) mL/h
---------------------- = mL/hr ________ = gtt/min
Total hours 60

g. Calculate small volume piggyback IV?s (IVPB).
[DEC: I A, B II A, B, D, E, F, G III B IV A, B, C, D]
11. Chapter 18 Pediatric Dosages

a. Convert pounds to kilograms.
b. Consult a reputable drug resource to calculate the recommended safe pediatric dosage per kilogram of body weight.
c. Compare the ordered dosage with the recommended safe dosage.
d. Determine whether the ordered dosage is safe to administer.
e. Apply body weight dosage calculations to patients across the life span.
[DEC: I A, B II A, B, D, E, F, G III B IV A, B, C, D]

Reviewed and Revised Fall 2018
1. Gates Memorial Library located at 317 Stillwell
2. Open computer Lab-Gates Memorial Library
3. Student Success Center Building
4. Evolve Website (HESI) School Code : 195024, Web Site:
https://evolve.elsevier.com
5. Board of Nursing (BON) School Code: US 27 1 00900, Web Site:
http://www.bon.state.tx.us
6. Pearson Vue Web Site: http://www.vue.com/
7. National Council of State Boards of Nursing Web Site: http://ncsbn.org/
8. National Student Nurse Association (NSNA) http://www.nsna.org/
9. National Council of State Boards of Nursing Learning Extension
www.learningext.com
10. Lamar State College ? Student Handbook - https://www.lamarpa.edu/Current-Students/Student-Activities/Student-Handbook
11. Lamar State College Faculty Handbook http://www.lamarpa.edu/Lamar/media/Lamar/Files/full-time.pdf?ext=.pdf
12. Lamar State College 2018-2019 Catalog
http://www.lamarpa.edu/Current-Students/College-Catalog
13. Lamar State College Port Arthur, textbook locator: http://www.lamarpa.edu/General/Maps/Bookstore

HB 2504

This syllabus is part of LSC-PA's efforts to comply with Texas House Bill 2504.

Department

If you have a grievance, complaint, or concern about this course that has not been resolved through discussion with the Instructor, please consult the Department Chair.
Allied Health
Chair:	Shirley MacNeill
E-mail:	macneisb@lamarpa.edu
Phone:	(409) 984-6365