Date of Approval: December 20, 2019 Bev Temple, Associate Dean

Practical Nurse

PN 261 Pharmacology II

COURSE OUTLINE

Winter 2020

1

PN 261 – Pharmacology II Winter 2020

Academic Calendar Entry: Integrate and demonstrate the safe preparation and administration of medication, by various routes using the nursing process. Accurate medication calculations will be demonstrated. Gerontology considerations will be explored. Credit Hours:

2 -0 -1 2 hours lecture, 1 hours lab per week 15 weeks Jan 6 – April 8

2 credit course

Pre-requisites: PN 254 Co-requisites: PN 259

Lecture Schedule: Section Class Day Class Time Classroom A Asynchronous Asynchronous Online Q Asynchronous Asynchronous Online

Lab Schedule:

Section Class Day Class Time Classroom 01 Wednesday 1500h-1550h 1330 02 Wednesday 0930h-1020h 1332 03 Wednesday 1200h-1250h 1330 04 Tuesday 0900h-0950h 1325 07 Thursday 1030h-1120h CAC Stettler 08 Wednesday 1100h-1150h CAC Drumheller 09 Thursday 1000h-1050h Confluence Campus 10 Tuesday 1630h-1520h Confluence Campus 11 Thursday 0900h-0950h CAC Stettler

Please note: A detailed course schedule is posted on blackboard. Please check the RDC Timetable Information for all rooms as they are subject to change. INSTRUCTOR CONTACT INFORMATION: Section A, 09: Connie Cooper – connie.cooper@rdc.ab.ca Section Q: Jo-Anne Macdonald-Watson- joanne.macdonald-watson@rdc.ab.ca Section 01, 03, 07, 11: Brandi Ward – brandi.ward@rdc.ab.ca. Section 02: Heidi Kabel – Heidi.kabel@rdc.ab.ca Section 10: Sandra Christensen – Sandra.christensen@rdc.ab.ca Section 04, 08: Kurtis Kooiker – kurtis.kooiker@rdc.ab.ca Please allow 2 business days for a response. Include “PN 261” in your subject line. Professional and respectful communication is expected. The instructors contact information is posted on blackboard under the “Instructor & Staff Information” tab. Instructor Office Hours: Drop in or by appointment. Contact me via email or in person to schedule a time to meet. Course Learning Outcomes (CLOs): Upon successful completion of this course, students will be able to: 1. Describe how legislation and agency policy informs medication administration and management in residential

care settings. 2. Describe how ethical and professional requirements inform the PN’s role and responsibilities of medication

delivery and management in residential care settings. 3. Describe the roles of diverse healthcare practitioners in medication delivery and management in residential

care settings. 4. Access and apply relevant best practice pharmacological references and resources to support learning.

2

5. Differentiate the uses, actions, usual dosage range, major side effects, precautions, contraindications, and nursing implications of common medications within the major medication classifications.

6. Describe the gerontology considerations for the use, action, dose, side effects, precautions, contraindications, and nursing implications of common medications within the major medication classifications, and polypharmacy.

7. Practice the principles of safe administration of medication. 8. Apply the use of the nursing process in the safe administration of medications. 9. Demonstrate competency with mathematical medication calculations. 10. Identify the potential interaction of complementary, traditional, and herbal preparations with prescription

medications. 11. Perform medication teaching and support. Lecture Topics:

• Integumentary System: o Drugs for Skin Disorders

• Endocrine System: o Drugs for Pituitary, Thyroid and Adrenal Disorders o Drugs for Diabetes Mellitus

• Immune System: o Drugs for Immune System Modulation o Drugs for Inflammation, Fever, and Allergies o Drugs for Bacterial infections o Drugs for Fungal, Protozoan and Helminthic Infections o Drug for Viral Infections

• Sensory System: o Drugs for Eye and Ear Disorders

• Nervous System: o Drugs for Anxiety and Insomnia o Drugs for Emotional and Mood Disorders o Drugs for Psychoses o Drugs Affecting the Autonomic Nervous System o Drugs for Seizures o Drugs for Degenerative Diseases of the Nervous System o Drugs for Control of Pain

• Respiratory System: o Drugs for Pulmonary Disorders

• Cardiovascular System: o Drugs for Hypertension o Drugs for Lipid Disorders o Drugs for Angina Pectoris, Myocardial Infarction and Cerebrovascular Accident o Drugs for Heart Failure o Drugs for Dysrhythmias o Drugs for Coagulation Disorders o Drugs for Hematopoietic Disorders

• Gastrointestinal System: o Drugs for Peptic Ulcer Disease o Drugs for Gastrointestinal Disorders o Drugs for Nutritional Disorders

• Natural Health Products and Alternative Therapies • Genitourinary System:

o Drugs for Disorders and Conditions of the Female Reproductive System o Drugs for Disorders and Conditions of the male Reproductive System o Drugs for Renal Disorders and Diuretic Therapy o Drugs for Fluid, Electrolyte and Acid-Base Disorders

• Drugs for Neoplasia • Musculoskeletal System:

o Drugs for Muscle Spasms and Spasticity o Drugs for Bone and Joint Disorders o Drugs for Local and General Anesthesia

3

Lab Topics:

• Documentation and Medical Records • Oral Medications • Medication Cards • Intradermal and Subcutaneous Injections • Intramuscular Injections • Simulation • All Other Routes of Medication Administration • Medication Administration OSCEs

Course Resources: Required: Adams, M. P., Quam Urban, C., El-Hussein, M., Osuji, J., & King, S. L. (2018). Pharmacology for nurses: A

pathophysiological approach (2nd Canadian ed.). Toronto, ON: Pearson Canada Inc. American Psychological Association. (2010). Publication manual of the American psychological association (6th ed.). Washington, DC: Author. Nursing 2019 drug handbook. (37th ed.). (2019). Philadelphia, PA: Wolters Kluwer . Kozier, B., Erb, G., Berman, A., Snyder, S. J., Buck, M., Yiu, L., Leeseberg Stamler, L. (2014). Fundamentals of

Canadian nursing: Concepts, process, and practice (3rd Canadian ed.). Toronto, ON: Pearson Canada. Safe Medicate-Medication Math Software Any additional resources and videos are available within the Blackboard course. They are considered relevant and accurate. Recommended: N/A Materials & Special Fees: The purchase of a lab kit from the Bookstore is mandatory for all lab courses. Learning Activities:

• Lecture • Discussion • Group work • Note taking • Writing • Interactive activities • Assignments and Quizzes • Textbook Readings

Lab Activities:

• Documentation • Psychomotor skills • Discussion • Demonstration • Med calculations • Group/partner work • Low-fidelity Simulation • OSCE Evaluation

4

ASSESSMENT OF STUDENT PERFORMANCE See the Blackboard assessment tab for more details, descriptions, and marking rubrics.

Assignment/Task Weight Description Due Date

Quiz 1 15% Quiz #1 (all content of weeks 1, 2, 3, 4 and 5). This will be an online open resource quiz. To be completed individually.

Feb 14, 2020

Medication Math

Pass/fail (90% needed to pass. 2 attempts allowed) -online module self-study units. Safe Medicate quiz (individual)

Jan 17, 2020

Quiz 2 20% Quiz # 2 (all content of weeks 6, 8, 9, 10). This will be an online open resource quiz. To be completed individually.

March 20, 2020

Med Knowledge 3 X 5% = 15% Students will submit Medication knowledge for evaluation. See BB Rubric for marking Guide. To be submitted in one of the three formats outlined in the assignment description.

#1 Feb 2, 2020 #2 Feb 16,2020 #3 Mar 8, 2020

Low Fidelity Sim Required for the integration of knowledge.

Medication Administration Principles. Sim dates and times TBA.

Week 13 During lab

times OSCE

20%

(2 attempts. Must achieve a passing grade to pass the

course) Pass station 1st attempt – 100%

Pass station 1st attempt with conditions – 90%

Pass station on 2nd attempt – 80%

Pass station 2nd attempt with conditions – 70%

See BB for OSCE times and marking guide. This is an individual lab skills exam.

Week 14 During Lab time

Quiz 3 20% Quiz #3 (all content of weeks 11,12,13 & 14). This will be an online open resource quiz. To be completed individually.

April 9, 2020

Learning Activities 10% Students will complete learning activities for evaluation. This will be a group submission due at 11:59 on the above dates. One member from each group will submit on behalf of the group.

Jan 12,19,26 Feb 2,23 Mar 1,8,22,29 April 5

For complete assignment descriptions and assessment details, please refer to your assignment folder in Blackboard. Students may pass and obtain credit for this course with a D (1.0), however, a student’s overall GPA must be 2.0 or

5

higher in order to successfully complete the program. In courses with OSCEs or clinical evaluations, these assessments need a pass on all ethical components and a minimum grade of a C (2.0) or a pass. Please see the Student Handbook for grading schema. In a course where there is an OSCE used for assessment: If a student is not successful on their first OSCE attempt, they will be required to receive feedback and request a second OSCE attempt from their instructor, the maximum mark the student can receive on a second attempt is 73% or a C+. If the student is not successful on their second attempt, they will be required to make an informal appeal to the Associate Dean for a third attempt. If a third attempt is granted by the Associate Dean, feedback will be required, there will be two instructors marking the OSCE, and the maximum mark that can be achieved is a C or 70%. Grading Schema:

Letter Grade GPA Value Percentage Description RDC Grading

System

A+ 4.0 95-100% Exceptional: superior knowledge of subject matter that exceeds expectation.

Exceptional Achievement

A 4.0 90-95% Exceptional: superior knowledge of

subject matter. Excellent

Performance A- 3.7 86-90% B+ 3.3 83% B 3.0 80%

Excellent: outstanding knowledge of subject matter. Good Performance B- 2.7 76%

C+ 2.3 73% C 2.0 70%

Good: knowledge of subject matter mastered.

Satisfactory Performance C- 1.7 66%

D+ 1.3 63%

D 1.0 60% Satisfactory/Acceptable: knowledge of subject matter adequately mastered. Pass

F 0.9-0.0 Below 60% Fail Fail Course Procedures & Consequences: Late Assignments:

• Assignments are to be completed and submitted as scheduled in the course unless the instructor has granted an extension. Requests for extensions must be made to the instructor at least 24 hours prior to the time the assignment is to be submitted.

• One grade category (5% per day) will be deducted for each day an assignment is late without a prior approved extension.

• All written assignments must be referenced using APA format (6th edition). I recognize that life can conflict with your studies at times and, in the event that something happens, communication is key. Please contact me as soon as possible to discuss any interruptions to your learning in this course so that we can discuss options. Midterm Feedback You have the right to know your progress in this course so you can assess your performance and make decisions regarding your academic standing. Midterm grades will be posted on Blackboard by the date set in the Academic Schedule (see important dates). I strongly encourage you to consult with me (by appointment) if your academic performance is below a C. I am available to meet with you at any time throughout the term regarding any concerns you may have. Final Exam Policy Following the Final Examinations Policy, exams written in the last 7 days of classes are weighted at less than 20% of the final mark and scheduled final exams have a weighting of at least 20% and no more than 50% of the final grade. If you have questions or concerns, please talk to me as soon as possible.

6

The RDC Final Examination Policy will be followed with respect to Final Examinations. Please review this document to ensure you understand the contents and implications of the policy. http://rdc.ab.ca/sites/default/files/uploads/documents/52219/final-examinations-policy.pdf Attendance, Participation & Professional Conduct Attendance: The faculty of the RDC Practical Nurse Program believe that students learn best when they are committed to their programs and their learning. Attendance to all classes is strongly recommended. However, we recognize there are times students must take time away from the required learning experiences. Faculty are committed to supporting students learning if class time is missed. However, students are responsible for making arrangements to cover missed classes. An absence can cause a disruption of the learning process and may make it difficult to achieve learning objectives. Lab: Lab time provides students the opportunity to learn and practice nursing skills that will be used in clinical practice. CLPNA practice standards require all nurses to practice professionally and with competence. Therefore, lab attendance is mandatory.

If a lab is missed, a Missed Lab Assessment will be required. Practice time for the missed lab will occur during drop-in lab time. When the student feels they are adequately prepared, they will contact the lab instructor to arrange for an assessment. The missed lab assessment must take place prior to the next scheduled lab. Students will not be permitted to participate in the next lab until the previously missed lab has been made up. Demonstration of knowledge and skill related to missed content will be required before a skill can be practiced in clinical, as determined by the course and lab instructor. A student will have restrictions placed on clinical practice until the lab has been made up.

Multiple missed labs (e.g. two or more) can have significant consequences related to lab knowledge and in turn, the ability to safely participate in clinical. Therefore, multiple missed labs at any point in the semester will result in the student having to meet with the Program Chair or Associate Dean to discuss the ability to continue in the course. A learning contract may also be required, especially if a pattern of missed labs persists. Student Process for a Missed Lab Assessment:

1. The student will email the Lab Instructor (and cc the Course Instructor) requesting a Missed Lab Assessment/Observation within one week of a missed lab. The student will include a completed Missed Lab Planning Form (template available in Blackboard within the Lab Folder), which will include course name, lab title and missed content.

2. The Lab Instructor will email the student (and cc the Course Instructor) with the drop-in lab schedule and available time slots. Note: the missed lab content will not be taught to or reviewed with the student by the Lab Instructor.

3. The student will need to come prepared for the missed lab by reviewing readings and resources as well as consulting with peers. The student will be assessed/observed one-on-one by the Lab Instructor, which will include the student demonstrating understanding of knowledge as well as any practice skills associated with a missed lab.

4. The Lab Instructor will communicate to the Course Instructor the student’s completion of the missed lab (i.e. satisfactory or if unsatisfactory then a request for a meeting with the Lab Instructor).

Multiple missed labs (e.g. two or more) will result in the student having to meet with the Program Chair. A learning contract may also be required, especially if a pattern of missed labs persists.

Participation Learning is enhanced by actively engaging in the course material. While attendance is the first step towards your success in this course, your active participation in learning activities during class time and outside of class is also necessary. It has been found that students who actively participate in class activities learn more and achieve higher grade than those who don’t. Please remember that you get out of a course what you put in. In a course where there is group (or partnered) assignments, known group members that do not participate with in normal group functions may be asked to do the project on their own, in addition to a 10% grade reduction due to not completing the assignment as it was intended. Professional Conduct

7

The CLPNA Code of Ethics requires all nurses to conduct themselves based on the values of the profession. Professional behaviour is expected to be maintained in the classroom, lab and the clinical setting at all times to optimize learning for all students. Expectations of behaviour include:

• To arrive on time, prepared and to stay the duration of class and lab • To turn cell phones off in classroom, and labs: no cell phones or other technical devices in clinical, except

calculators at the instructor’s discretion. • To use lap top computers and other devices such as iPads only for note taking or accessing relevant

information in the classroom or lab. • To listen and consider all feedback provided by faculty. • To be respectful at all times with all communication with and about faculty, facility staff and co-students.

This includes verbal, written and electronic forms of communication inside and outside of the classroom, lab and the clinical settings

• To maintain a positive learning environment by listening to others, providing constructive suggestions, questions, and comments in relation to the topic being discussed.

Professional Dress & Appearance For guidelines re: Professional Dress and Appearance see Student Handbook. TECHNOLOGY GUIDELINES Students will be required to bring appropriate technology (laptop, mobile device, etc.) to scheduled classes in order to complete the learning activities and exams. Cellphones are to remain off unless used for class activities. The PN Program at Red Deer College recognizes that the use of technology in nursing has the potential to enhance learning and communication. We also recognize our obligation to use this technology responsibly and in a way that complies with the standards outlined by RDC and by professional organizations such as the CLPNA. We are also aware of our obligation to represent nursing in a professional manner outside of the RDC context. Students are asked to review the technology guidelines that are included in their student handbook. In addition, all students should be aware of the Health Services Code of Conduct as it applies to nurses: http://www.albertahealthservices.ca/pub-code-of-conduct.pdf Blackboard Blackboard will be used for email, document submission, and general communication at Red Deer College. Students have a “central” course, and individual section courses; students are responsible for accessing both sites for information sharing. Course information, important notices, course content and correspondence relating to all students in the course will be posted on the Course Central Blackboard site. It is the student’s responsibility to be familiar with the use of Blackboard and to access their Blackboard site on a regular basis throughout the term. Failure to do so may result in missing important course-related information, resources, instructor feedback, and announcements. If students are unable to access Blackboard to receive and send their TAGs, correspondence, etc., it is the student’s responsibility to contact the RDC Computer HELP desk to address this issue. Audio-Visual Recording Audio or video recording, digital or otherwise, of lectures, labs, seminars or any other teaching environment by students is allowed only with the prior written consent of the instructor or as a part of an approved accommodation plan. Student or instructor content, digital or otherwise, created and/or used within the context of the course is to be used solely for personal study, and is not to be used or distributed for any other purpose without prior written consent from the content author(s). ACADEMIC POLICIES As a student at RDC, you have rights and responsibilities. It is your responsibility to be familiar with the information contained in this Course Outline and to clarify any areas of concern with the instructor. It is also your responsibility to be familiar with RDC Policies. Please take the time to familiarize yourself with the policies that might impact you while you are here: Student Misconduct: Academic and Non-Academic Policy Appeal: Formal Policy Appeals: Informal Resolution Policy Student Rights and Responsibilities ACADEMIC MISCONDUCT

8

Academic misconduct in all its forms is a serious offence. Academic misconduct is the giving, taking, or presenting of information or material that unethically or dishonestly aids oneself or another on any work which, under normal circumstances, is to be considered in the determination of a grade or the compilation of academic requirements or the enhancement of that student’s record or academic career. The two key areas of academic misconduct are plagiarism and cheating. Please read the definitions that follow. Plagiarism: The use of close imitation of language, paintings, films, prototypes and ideas of another author and representation of them as one’s own original work. The most common forms of plagiarism are: copying or paraphrasing another author’s work without proper acknowledgement, using the ideas or lines of reasoning of another author’s work without proper acknowledgement, submitting work to which someone else has made substantial improvements to the content, and submitting the same work for multiple courses without approval. Plagiarism can be judged to have occurred if the instructor has both the submitted material and original source that was copied, or if the student is unable to explain the terminology or ideas of a submission. Cheating: Any attempt to give or obtain unsanctioned assistance in a formal academic exercise (e.g. examination). Some examples of cheating are unauthorized cheat sheets in a test or exam, the unauthorized use of electronic devices during exams, and copying from another student. Plagiarism Tool A plagiarism detection tool may used in this course. Having easy access to the internet and other technology can make it easy and enticing to use other someone else’s work as one’s own. Because of the high incidence of plagiarism in post-secondary education, assignments in the course may be submitted through SafeAssign on Blackboard. SafeAssign compares your work to a global repository of student work at RDC and to published work online. You are able to access the Originality Report in Blackboard. If you have concerns with your Originality Report, please come and see me to discuss what it means. Important Dates Last Day to Add/Drop: January 13, 2020 Last Day to Withdraw without Academic Penalty: April 8, 2020 January 1, 2020 New Years Day 2020. College closed. January 2 & 3, 2120 College open. No credit classes. January 6, 2020 First day of classes for Winter term 2020. January 6, 2020 Tuition fee for Winter term 2020 due. January13, 2020 Last day to apply for Supplemental Exams for Fall term 2019. January 13, 2020 Last day to register, add or drop Winter term 2020 courses. February 17, 2019 Family Day 2020. College closed February 18-21, 2020 Reading Break. No credit classes except for practicum or clinical courses. February 24, 2020 Credit classes resume. March 2, 2020 Mid-term feedback for Winter term 2020 March 3, 2020 Emergency Response Day 2020. March 18, 2019 Continuing Student Registration opens for 2019-20. March 13, 2020 Final exam schedule posted for Winter term 2020. March 16, 2020 Continuing Student Registration opens for 2020-21. April 1, 2020 First day to apply for Winter term 2021. April 10, 2020 Good Friday 2020. College closed. Recognition of Prior Learning This course may be eligible for prior learning assessment and recognition. Please refer to the RDC Academic Calendar for a list of excluded courses. Student Support Students should be aware that Personal Counselling, Career, Learning and Disability Resources are provided by RDC. Students may inquire about locations at the Information Desk. It is the responsibility of students to discuss their specific learning needs with the appropriate service provider. Learning Support (Library: 403-342-3264, help_learn@rdc.ab.ca)

• Writing Skills Centre (writingskills@rdc.ab.ca) • Math Learning Centre (math concepts and advanced theoretical math)

9

• Learning Strategies (note-taking, studying, and exam-writing strategies) • Peer-Assisted Study / Tutoring (one-on-one tutoring by students)

Disability Resources (Library: 403-357-3629, disabilityservices@rdc.ab.ca)

• Coordination of services (tutoring, alternate format text, note-taking, and so on) • Academic accommodations, including exam accommodations

Counselling and Career Centre (Room 1402: 403-343-4064, counselling@rdc.ab.ca) CHANGES TO THE COURSE OUTLINE Changes to the course outline will be made with the consent of the course instructor and students. Changes will be reviewed by the Associate Dean of the School for consistency with College policie