NCTC Campus:	Corinth	Gainesville	Flower Mound	Bowie/Graham
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Student Success Centers               Fall 2016

                                    940-668-4209 or 940-498-6412

 

 

 

 

 

 

 

 

VNSG 1227 – ESSENTIALS OF MEDICATION ADMINISTRATION

 

INSTRUCTOR:          Gainesville Campus: Tiffany McQuien, LVN (tmcquien@nctc.edu)

                                    Corinth Campus:  Jane Lopes, RN  (jlopes@nctc.edu)

                                    Bowie Campus: Cathy Carney, RN (ccarney@nctc.edu)

                                    Graham Campus:  Nick Bixby, LVN (nbixby@nctc.edu)

 

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.

 

TEXTBOOKS:

Ogden.  Calculation of Drug Dosages 10^th Edition

Lilley, Rainforth, Collins, Snydey. Pharmacology and the Nursing Process (8th ed.). St. Louis, MO: Mosby.

Springhouse nursing drug guide. (2016). Philadelphia: Lippincott.

 

OTHER RESOURCES:  ATI training modules as assigned by instructor.  Assigned modules may be found on the web at www.atitesting.com

 

GRADING:

Average of scores on two (2) Major Exams        55% of the grade

Quizzes and Outside assignments                      15% of the grade

Final Comprehensive Examination                    30% of the grade

 

 

 

DOSAGE CALCULATIONS TESTING:

One of the learning outcomes of this course is to calculate all types of drug dosages.  Each student must pass a comprehensive Dosage Calculations Test before the student is allowed to administer medications in the clinical setting.  A student must achieve 100 % on this exam by the date specified.  If the student does not make 100% on the first posted date, he/she will be allowed two more testing opportunities on scheduled dates to pass the exam.  An absence from a scheduled test date will be considered as one of the testing opportunities and no make-up date will be given. The Dosage Calculations Test will be recorded as a Pass (P) or Fail (F) grade only.

 

The ability to accurately and consistently perform dosage calculations is considered an essential Vocational Nursing skill and will be tested every semester.

 

Students not achieving 100% in three attempts within the designated time frame will receive an “F” for Essentials of Medication Administration.   Students who receive an “F” in VNSG 1227 Essentials of Medication Administration will be unable to continue in the Vocational Nursing Program at the time the grade is issued.

 

MATH TUTORING:

The North Central Texas College Learning Center offers individual math tutoring to all students.

 

COURSE LEARNING OBJECTIVES:

Upon successful completion of this course, the student will be able to: (DEC 2,8,11,19, 25 )

1. Assume responsibility/accountability for the quality of nursing care provided to patients/families.
2. Provide safe, compassionate, basic nursing care to assigned patients.
3. Implement teaching plans for patients/families with common health problems/ well-defined health learning needs.
4. Communicate/collaborate with patients/families/team.

 

5. Supervise care provided by others for whom the nurse is responsible.

 

UNIT I - Drug Calculation Basics

 

Learning Outcomes- When the content of this unit has been mastered, the student will be able to:

1. 1. Demonstrate proficiency in the following areas of basic math: multiplying and dividing fractions and decimals.
2. Demonstrate knowledge of metric, apothecary, and household systems of measurement.
3. Demonstrate proficiency in calculating and converting from one system of measurement to another.
4. Demonstrate knowledge of terminology and abbreviations associated with medication orders, preparation, and administration.
5. Describe available drug preparation forms and their proper administration.
6. Accurately utilize drug calculation formulas.

 

Learning Activities:

1. Read the chapters.
2. View Power Points
3. Complete Weekly Quizzes
4. Complete assigned ATI Modules

 

 

UNIT II

Chapter 1 – The Nursing Process and Drug Therapy

Learning Outcomes:

1. Discuss the five phases of the nursing process as applicable to drug therapy.
2. Identify the components of the assessment process for patients receiving medications, including collection of

     subjective and objective data.

3. Discuss the process of formulating nursing diagnoses for patients receiving medications.
4. Identify goals and outcome criteria as related to patients receiving medications.
5. Discuss the evaluation process as it relates to the administration of drugs.
6. Apply all phases of the nursing process as it relates to the administration of medications.
7. Briefly discuss the “7 Rights” of drug administration and the professional responsibility to patients for safe medication

     practice.

8. Review glossary on page 6.

 

Content Outline

1. Overview
2. Assessment
3. Nursing Diagnoses
4. Planning
5. Implementation
6. Evaluation

 

Learning Activities:

1. Read the chapter.
2. Complete the objectives and define the glossary words.
3. Answer the review questions and critical thinking activities at the end of the chapter.
4. Complete assigned ATI Modules

 

 

Chapter 2 - Pharmacologic Principles

Learning Outcomes:

1. Define common terms used in pharmacology.
2. Understand the role of pharmacotherapeutics, pharmacokinetics, and pharmacodynamics in medication administration

     and in use of the nursing process.

3. Discuss the application of the four principles of pharmacotherapeutics to everyday nursing practice as related to drug

    therapy and with a variety of patients in different health care settings.

4. Apply the phases of pharmacokinetics to drug therapy and the nursing process.
5. Discuss the use of natural drug sources in the development of new drugs.
6. Review Glossary on pages 16-17.

 

Content Outline

1. Overview
2. Pharmaceutics
3. Pharmacokinetics
4. Absorption
5. Distribution
6. Metabolism
7. Excretion
8. Half-life
9. Onset, peak, duration
10. Pharmacodynamics
11. Mechanism of action
12. Pharmacotherapeutics
13. Assessment
14. Implementation
15. Monitoring
16. Reassessment
17. Pharmacognosy
18. Toxicology
19. Conclusion

 

Learning Activities:

1. Read the chapter.
2. Complete the objectives and define the glossary words.
3. Answer the review questions and critical thinking activities at the end of the chapter.
4. Complete assigned ATI Modules

     

 

Chapter 3 – Lifespan Considerations

Learning Outcomes:

1. Discuss the influence of age on the effects of medications in a patient.
2. Identify medication-related concerns during pregnancy and the physiologic basis for these concerns.
3. Identify age-related considerations specific to the drug administration process.
4. Discuss the process of pharmacokinetics in relation to lifespan as well as related physiologic concerns.
5. Calculate a drug dosage for a pediatric patient using a variety of formulas.
6. Identify the importance of a body surface area (BSA) nomogram in pediatric patients.
7. Develop a concept map for the administration of medications appropriate to life span considerations.
8. Define the Glossary terms on page 36.

 

Content Outline:

1. Drug therapy during pregnancy
2. Drug therapy during breast feeding
3. Neonatal and Pediatric considerations
4. Physiology and pharmacokinetics
5. Pharmacodynamics
6. Dose calculations for pediatric patients

 

4. Geriatric Considerations
5.  Polypharmacy and drug use
6. Physiologic changes
7.  Pharmacokinetics
8. Problematic geriatric medications

 

Learning Activities:

1. Read the chapter.
2. Complete the objectives and define the glossary words.
3. Answer the review questions and critical thinking activities at the end of the chapter.
4. Complete assigned ATI Modules

           

 

Chapter 4 – Legal, Ethical, and Cultural Considerations

Learning Outcomes: 

1. Discuss the important components of the various drug legislation at the state and federal level.
2. Identify the impact of drug legislation on drug therapy and the nursing process.
3. Discuss the various categories of controlled substances with specific drug examples.
4. Identify the process involved in the development of new drugs, including investigational new drug application, phases

     of investigational drug studies, and the process for informed consent.

5. Discuss the nurse's role in the development of new and investigational drugs and in informed consent.
6. Discuss the ethical aspects of drug administration as related to drug therapy and the nursing process.
7. Discuss the various cultural, genetic, and racial or ethnic factors that may affect or alter an individual’s response to

     medications, as well as their compliance to drug therapy.

8. Define the Glossary terms on page 49-50.

 

Content Outline:

1. U.S. Drug Legislation
2. 1906: Federal Food and Drug Act
3. 1912: Shirley Amendment
4. 1914: Harrison Narcotic Act
5. 1938: Revision of the 1906 Federal Food and Drug Act to create the Federal Food, Drug, and Cosmetic Act
6. 1951: Durham-Humphrey Amendment
7. 1962: Kefauver-Harris Amendment
8. 1970: Controlled Substance Act
9. 1980: Orphan Drug Act
10. 1991: Accelerated Drug Approval
11. New Drug Development
12. Investigational new drug application
13. Informed consent
14. U.S. Food and Drug Administration drug approval process
15. Preclinical investigational drug studies
16. Four clinical phases of investigational drug studies
17. Expedited drug approval
18. Nursing Implications
19. Legal issues
20. Ethical practice
21. Cultural considerations
22. Influence of ethnicity and geriatrics

 

 

 

Learning Activities:

1. Read the chapter.
2. Complete the objectives and define the glossary words.
3. Answer the review questions and critical thinking activities at the end of the chapter.
4. Complete assigned ATI Modules

 

Chapter 5_Gene therapy and Pharmacogenetics

Learning Outcomes:

1. Understand the basic terms related to genetics and drug therapy.
2. Discuss the major concepts of genetics as an emerging segment of health care.
3. Describe the basis of the Human Genome Project and its impact on the role of genetics in health care.
4. Discuss the different gene therapies currently available.
5. Differentiate between direct and indirect forms of gene therapy.
6. Discuss the role of the nurse as it relates to gene therapy.

 

Content Outline:

1. Introduction
2. Basic principles of Genetic Inheritance
3. nucleic acids
4. genetic material
5. chromosomes
6. genotype/phenotype
7. inherited diseases
8. Discovery, structure and function of DNA
9. protein synthesis
10. Human Genome Project
11. Gene therapy
12. Description
13. Limitations
14. Application
15. ethics
16. Pharmacogenetics and Pharmacogenomics
17. technology
18. Genetic principles and the Nursing Process

 

Learning Activities:

1. Read the chapter
2. Complete the objectives and define the glossary words
3. Answer the review questions and the critical thinking activities at the end of the chapter
4. Complete assigned ATI Modules

 

Chapter 6 – Medication Errors: Preventing and Responding

Learning Outcomes:

1. Define the terms adverse drug event (ADE), medication error (ME), and medication misadventure (MM).
2. Discuss the various MEs common to nurses and other health care professionals.
3. Discuss nursing measures to prevent MEs.
4. Identify possible consequences of MEs to patients and to nurses.
5. Discuss the possible impact and consequences of MEs on a patient’s physiologic and psychologic well-being.
6. Identify the impact of MEs on the cost of health care.
7. Discuss the ethical issues of medication administration as related to the nursing process.
8. Analyze the need for political action from professional nurses as related to drug therapy and the prevention of MEs.
9. Define the Glossary terms on pages 69.

 

Content Outline:

1. Introduction
2. General impact of errors on patients:
3. Overview
4. Medication errors
5. Nursing measures to prevent medication errors
6. Possible consequences of medication errors to nurses
7. Psychosocial issues that contribute to errors
8. Organizational issues
9. Educational system issues and their potential impact on medication errors
10. Medication errors and related sociological factors
11. Preventing and responding to errors
12. Reporting and responding to medication errors
13. Other ethical issues
14. Notification of patient regarding errors
15. Whistleblowing
16. Political action
17. An ounce of prevention: nurse advocacy for safer health care organizations
18. Nurses as legislators

 

Learning Activities:

1. Read the chapter.
2. Complete the objectives and define the glossary words.
3. Answer the review questions and critical thinking activities at the end of the chapter.
4. Complete assigned ATI Modules

 

 

 

Chapter 7 – Patient Education and Drug Therapy

Learning Outcomes:

1. Discuss the importance of patient education in the safe and efficient administration of medications, including

     application of the nursing process.

2. Discuss some of the teaching-learning principles related to patient education and drug therapy and the nursing process

     in any health care setting and with patients of any age.

3. Identify the impact of the various developmental phases (as per Erikson) on patient education and drug therapy.
4. Develop a comprehensive patient teaching concept map for medication administration.

 

Content Outline:

1. Assessment of learning needs related to drug therapy
2. Nursing diagnoses appropriate to drug therapy
3. Planning related to learning needs and drug therapy
4. Implementation related to drug therapy
5. Evaluation related to drug therapy

 

Learning Activities:

1. Read the chapter.
2. Complete the objectives and define the glossary words.
3. Answer the review questions and critical thinking activities at the end of the chapter.
4. Complete assigned ATI Modules

 

 

Chapter 8 – OVER THE COUNTER DRUGS AND HERBAL PRODUCTS

Learning Outcomes:

1. Discuss the differences between prescription, over-the-counter (OTC) drugs, and herbal products, including the legal

     implications.

2. Explain the differences in federal legislation that govern the promotion and sale of prescription versus OTC drugs and

     herbal products.

3. Describe the advantages and disadvantages of OTC drugs and herbal products.
4. Explain the proper use of OTC drugs and herbal products.
5. Discuss the potential dangers associated with OTC drugs and herbal products.
6. Develop a concept map for the patient who is self-administering OTC drugs or herbal products.
7. Define the Glossary terms on page 87.

 

Content Outline:

1. Over-the-counter drugs
2. Herbal products
3. History
4. Consumer use of herbs
5. Safety
6. Epidemiology

 

Learning Activities:

1. Read the chapter.
2. Complete the objectives and define the glossary words.
3. Answer the review questions and critical thinking activities at the end of the chapter.

 

 

 

 

 

Chapter 9 – SUBSTANCE ABUSE

Learning Outcomes:

1. Define substance abuse.
2. Discuss the significance of the substance abuse problem in health care.
3. Identify the major drug categories for substance abuse and the major individual agents in each category.
4. Identify the signs and symptoms of and drugs used for opiate withdrawal.
5. Identify the commonly abused stimulants and treatment regimens.

 

6. Describe the signs and symptoms of depressant abuse and the treatment process for benzodiazepine and barbiturate

    withdrawal.

7. Describe the alcohol abuse syndrome and its treatment.
8. Identify the signs and symptoms of ethanol withdrawal, ranging from mild to severe withdrawal, and medications used

    to treat the various stages of withdrawal.

9. Develop a concept map with all phases of the nursing process for the patient being treated for chemical dependency

   and/or abuse.

10.Identify the various resources, including websites, for substance abuse information.

11.Define the Glossary terms on page 97.

Content Outline

1. Opioids                                    
2. Mechanism of action and drug effects                                                                                    
3.   Indications                                                                                                                     
4. Contraindications
5. Side effects and adverse effects                                                                                             
6. Stimulants
7. Mechanism of action and drug effects
8. Indications
9. Contraindications
10. Side effects and adverse effects
11. Depressants
12. Mechanism of action and drug effects
13. Indications
14. Contraindications
15. Side effects and adverse effects
16. Alcohol
17. Mechanism of action and drug effects
18. Indications
19. Contraindications
20. Side effects and adverse effects
21. Nicotine
22. Mechanism of action and drug effects
23. Indications
24. Contraindications
25. Side effects and adverse effects

 

Learning Activities:

1. Read the chapter.
2. Complete the objectives and define the glossary words.
3. Answer the review questions and critical thinking activities at the end of the chapter.
4. Complete assigned ATI Modules

 

 

 

Chapter 10 – Photo Atlas of Drug Administration

Learning Outcomes:

1. Describe the administration of medications
1. Enteral Drugs (oral, sublingual , buccal, nasogastric, gastrostomy, rectal)
2. Parenteral Drugs (Intramuscular, Subcutaneous, Intradermal, Z-track, Intravenous)
3. Topical Drugs (Eye Medications, Ear Medications, Nasal Medications, Inhaled Drugs, Skin Medications, Vaginal Medications)

 

 

Content Outline:

1. Enteral Drugs
1. oral
2. sublingual
3. buccal
4. nasogastric
5. gastrostomy
6. rectal
2. Parenteral Drugs
1. Intramuscular
2. Subcutaneous
3. Intradermal
4. Z-track
5. Intravenous
3. Topical Drugs
1. Eye Medications
2. Ear Medications
3. Nasal Medications
4. Inhaled Drugs
5. Skin Medications
6. Vaginal Medications

 

Learning Activities:

1. Read the chapter.
2. Practice the assigned skills.
3. Complete assigned ATI Modules

 

 

 

 

 

 

 

 

 

 

 

 

VNSG 1227

STUDENT COURSE EVALUATION

Date _______________

 

The faculty of this course is seeking feedback from you through course evaluation about your experience in VNSG 1227. This evaluation will serve to assist the faculty in assessing the teaching/learning process within the course.  Student input is an important, integral part of the evaluation process.

Your perceptions are valuable in determining the strengths and weaknesses of VNSG 1227. The information which you impart will have no effect on your grade whatsoever.  Therefore, please, be candid, yet thoughtful, and honest as you consider each item on the evaluation.

Directions:  On this sheet, circle the letter that best describes your evaluation according to the following scale:

A-Strongly Agree    B-Agree       C-No Opinion       D-Disagree      E-Strongly Disagree

_____________________________________________________________________________

Textbook

1. Readable (clear concise, understandable)             A B C D E
2. Appealing (charts, illustrations, tables) A B C D E
3. Adequately covers course objectives A B C D E

_____________________________________________________________________________

Theory

1. The objectives built on previous course content A B C D E
2. The objectives were stated clearly and understandably A B C D E
3. The Learning Activities were clear A B C D E
4. Of the Learning Activities for class, I completed approximately 75-100%

(Circle Appropriate %)                                                                      50-75%

                                                                                                                  25-50%

                                                                                                                  25% or less

_____________________________________________________________________________

Syllabi

1. The course syllabus clearly state course expectations A B C D E

_____________________________________________________________________________

Testing

1. The test questions consistently related to course objectives A B C D E
2. The test questions were written clearly and concisely A B C D E
3. The number of exams were adequate to cover course content A B C D E

_____________________________________________________________________________

Overall, I feel the content in this course is of benefit to me as a beginning

 practitioner of nursing.                                                                               A B C D E

_____________________________________________________________________________

Write below - Use back of page if necessary.

I feel the best part of the course was:

 

 

Given the opportunity, I would change what?  How?

 

 

 

 

 

 

 

 

 

For students in this course who may have a criminal background, please be advised that the background could keep you from being licensed by the State of Texas.  If you have a question about your background and licensure, please speak with your faculty member or department chair.  You also have the right to request a criminal history evaluation letter from the applicable licensing agency.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Instructor Office Hours & Teaching Schedule

 

Name: Nicholas Bixby

Department: VN Graham

Department Office Campus Location: Graham

Office: Health Sciences Building

Email: nbixby@nctc.edu

Phone Number: 940-521-0720 ext 7105

 

Teaching Schedule:

Monday	Tuesday	Wednesday	Thursday	Friday
9:00 to 4:00	9:00 to 4:00	9:00 to 4:00

 

Office Hours:

 

Office Hour walk-ins welcome Monday thru Wednesday.  By appointment only on Thursdays and Fridays

 

Monday	Tuesday	Wednesday	Thursday	Friday
8:00 to 9:00	8:00 to 9:00	8:00 to 9:00	8:00 to 4:00	9:00 to 12:00