WAYNESBURG COLLEGE.doc

581 views
479 views

Published on

Published in: Health & Medicine, Education
0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total views
581
On SlideShare
0
From Embeds
0
Number of Embeds
2
Actions
Shares
0
Downloads
2
Comments
0
Likes
0
Embeds 0
No embeds

No notes for slide

WAYNESBURG COLLEGE.doc

  1. 1. WAYNESBURG COLLEGE DEPARTMENT OF NURSING GRADUATE AND PROFESSIONAL STUDIES Nursing 546 Applied Pharmacology in Clinical Practice Course Number: NUR 546 Course Title: Applied Pharmacology in Clinical Practice Course Credits: 3 Faculty: This course will be co-taught by the following faculty. Faculty for each week is listed in the syllabus in the weekly outline. Wendy Forrest Edgar, MSN, RN, CRNP-BC Course Co-ordinator Wendy received her BS in Nursing from Penn State University in 1992. Upon graduation she completed a 6 month critical care internship at Milton S. Hershey Medical Center in Hershey, PA in the Surgical ICU where she worked until 1998. She received her Masters Degree in nursing after completing the Family Nurse Practitioner Program at Widener University in 1998. Wendy is currently employed in the Emergency Department at Jefferson Regional Medical Center where she practices as nurse practitioner. She is also a part-time member of the undergraduate nursing faculty here at Waynesburg N546/Su07, Southpointe1
  2. 2. College where she teaches physical assessment & pharmacology. Contact information: e-mail: wlf106@comcast.net phone: 724-348-0383 Christine Mitchell, MS, CRNA Chris is a 1992 graduate of the nursing program here at Waynesburg College. Upon graduation she completed a 6 month critical care internship at the Milton S. Hershey Medical Center in Hershey, PA in the Surgical ICU where she worked until 1995. While working on her Masters degree she taught leadership in the undergraduate nursing program here at Waynesburg. Chris received her master’s degree from Laroche College after graduating from the Nurse Anesthetist Program in 1998. She is currently a Certified Registered Nurse Anesthetist at Saint Clair Hospital. Contact information: e-mail address: chmcmm@verizon.net Catalog Description: This course is designed for the graduate nursing student, building on current knowledge of pharmacology. The course focuses on various strategies for teaching nursing students, nursing staff, and patients and families about medications and safe medication administration. N546/Su07, Southpointe2
  3. 3. Course Overview: This course focuses on applied pharmacology for the graduate student who plans a career in nursing education or nursing administration. Basic principles of pharmacology will be examined, and uses of medication for treatment of commonly occurring health conditions will be comprehensively explored. Various sources of medication information will be identified and evaluated. Patient safety issues, from the individual perspective and the healthcare system perspective, will be discussed, including solutions to current concerns. Strategies for teaching patients, students, and staff about medications and safe administration will be described. Techniques for finding the most up-to-date advances and evidence- based practices related to pharmacology will be highlighted. Course Objectives: 1. Examine basic pharmacological principles and drug classifications. 2. Explore relationships between pharmacologic agents and physiologic/pathologic responses in selected patient populations. 3. Discuss the issues that emerge within various populations/age groups regarding medications, including the effects of single and multiple drug regimens on the client’s health and functioning. 4. Design comprehensive and appropriate client education in relation to prescribed regimens. 5. Identify credible sources and references available to get the most up to date information about new medications and warnings related to administration of medications. N546/Su07, Southpointe3
  4. 4. 6. Discuss potential ethical issues emerging within the healthcare system related to pharmacologic treatment of patients. 7. Develop strategies for teaching staff, students, and patients/families regarding safe administration of medications. 8. Create system-wide interventions that reduce medication errors. 9. Identify methods of communicating up-to-date pharmacologic information throughout the healthcare system. Prerequisites: Students are expected to review previous learning regarding basic pharmacology, such as drug classifications, mechanisms of action, generic and trade names. Access to a computer and the Internet is necessary, and knowledge of the American Psychological Association (APA) style format is essential. Students who lack familiarity with APA style should consider purchasing one of the following: APA (2005). Concise rules of APA Style. Washington, D.C.: American Psychological Association. Perrin, R. (2004). Pocket guide to APA style. Boston: Houghton-Mifflin Company. Students will be required to follow basic principles of spelling, punctuation, and grammar in writing papers and in doing presentations. Students who lack competence in writing skills or preparing a scholarly paper should consider purchasing any of the following: N546/Su07, Southpointe4
  5. 5. Dees, R. (2000). Writing the modern research paper. 3 rd Edition. Needham Heights, MA: Allyn & Bacon, Pearson Education Company. Hacker, D. (2003). A writer’s reference. 5 th Edition. Boston: Bedford/St. Martin’s. Hacker, D. (2000). Rules for writers. 4 th Edition. Boston: Bedford/St. Martin’s. Lutz, G. & Stevenson, D. (2005). The writer’s digest grammar desk reference. Cincinnati: Writer’s Digest Books. Class Attendance Policy: Refer to the MSN Student Handbook for the Waynesburg College policy regarding class attendance. *Please note that class participation is key in this class and if you miss one or more classes, points will be deducted from the class participation portion of your grade. Policy for late assignments: No late assignments will be accepted. If an assignment is not received by the due date the student will receive a “0” for the assignment, without exception. Extra Credit Assignments: None Grading Policy: A =93-100% B- =81-83% *Graduate courses do not offer A-=90-92% C+=78-80% a Passing grade below a C B =84-86% C =75-77% N546/Su07, Southpointe5
  6. 6. Teaching Strategies: Lecture Group discussion Case Studies Written assignments Class presentations (individual & group) Course Requirements and points/percentages  Class participation 5%  Entrance Paper (Needs Assessment) 5%  Development of drug calculation test 15%  Internet Project 10%  Mid-Term exam 15%  Medication error case study 5%  Individual education project 15%  Group education project 15%  Comprehensive final exam 15% Required Text: Lilley, Harrington, & Snyder. Pharmacology and the Nursing Process 5 th ed. (2007). Mosby. Study Guide to accompany Pharmacology and the Nursing Process 5 th ed. (2007). Mosby. N546/Su07, Southpointe6
  7. 7. Recommended Text: Any nursing drug reference. Assignment prior to start of first class: Entrance paper (your needs assessment) is due at the first class meeting, answering the following questions:  What is your nursing background? Describe your previous education and professional nursing experience.  What are your pharmacological strengths? (What drugs or class(es) of drugs are you most familiar/comfortable with?)  What are your pharmacological weaknesses? (What drugs or age groups do you feel that you don’t know enough about?)  What new medications do you currently use in your clinical practice area?  Have you participated in or observed any clinical trials? If yes, describe your experience.  What are your learning goals? What do you expect to get out of this course?  Where do you currently obtain medication information and updates?  What is the most commonly utilized drug reference in your current practice? What do you like/dislike about it?  This assignment does NOT need to be in APA format. COURSE OUTLINE N546/Su07, Southpointe7
  8. 8. Session I Tuesday May 8, 2007: Wendy Edgar Content: Course overview Principles of Pharmacology Chapter 2 Life span considerations Chapter 3 Weight-based drug and drip calculations Teaching drug calculations ⇒ Drug classes: Analgesics Chapter 10 Diuretics Chapter 25 Learning Activities:  Review of entrance papers.  Review of basic pharmacology principles  Review of drug calculations  Discussion of medication test you will be developing to hand in next week. Assignment due week 1: Entrance paper/Needs Assessment can be brought to class or e-mailed prior to class to: wlf106@comcast.net. Session II Tuesday May 15, 2007: Chris Mitchell N546/Su07, Southpointe8
  9. 9. Content: Pharmacological Physiology JCAHO National Patient Safety goals for 2006 Student issues related to medication errors Individual patient issues related to medication errors Strategies to decrease medication errors Root Cause Analysis Solutions for Resolving Medication Errors System Individual ⇒ Drug Classes: CNS depressants & muscle relaxants Chapter 12 Local & Genetal Anesthetics Chapter 11 Learning Activities:  Be prepared to discuss the following:  What is your institution doing to address JCAHO National patient safety goals for 2006  How is the process of medication reconciliation implemented?  What are the common causes of medication errors?  How does your setting solve problems related to medication errors?  What is the best way to handle medication errors in a nursing unit? In a hospital? With nursing students  Case studies  Discussion of Case studies on Root cause analysis due next week N546/Su07, Southpointe9
  10. 10. Assignment due week 2: Drug calculation test Session III Tuesday May 22, 2007: Wendy Edgar Content: Finding credible sources of medication information Off label uses of medications How and where to find information on uses of medications Experimental use of medication/Clinical trials Evaluation of information Legal issues ⇒ Drug classes: Antilipemics Chapter 28 Coagulation modifier agents Chapter 27 Antidiabetic agents Chapter 31 Learning activities:  Exploration of various drug references, including the internet, discussing the strengths & weaknesses of each.  Please bring the most common drug reference that you currently utilize in your practice.  Discussion of internet project due next week. Assignment due week 3:  root cause analysis case study paper N546/Su07, Southpointe10
  11. 11. Session IV-Tuesday May 29, 2007: Chris Mitchell Content: Student issues related to medication errors Individual patient issues related to medication errors Patient Safety and Medication Errors Chapter 5 Strategies to decrease medication errors ⇒ Drug classes: Positive Inotropes Chapter 21 Antidysrhythmic agents Chapter 22 Antianginal agents Chapter 23 Learning Activities:  Pharmacology mid-term exam  Discussion of direct consumer marketing.  You are reminded to bring an advertisement for a drug or medical product from a consumer magazine and one from a nursing or medical journal for discussion in next week’s class. Assignment due week 4:  none  Internet project due week 5 Session V-Tuesday June 5, 2007: Wendy Edgar N546/Su07, Southpointe11
  12. 12. Content: Consumer marketing Role of the pharmaceutical sales representative Role of the nurse educator/nurse manager Patient education: How to help patients and families interpret medication information correctly. Chapter 6 ⇒ Drug classes: Antibiotics Chapter 37 Antiviral agents Chapter 38 Immunizations Chapter 45 Learning activities:  Discussion of advertisements for drugs/medical products from consumer magazines vs. medical/nursing journals  Be prepared to discuss the following: • Direct consumer marketing. How much power do the drug companies have in influencing patients and health care providers? How does that influence occur? • How helpful are drug companies to nurses and nursing students with providing educational materials? • What are the ethical guidelines pharmaceutical companies follow, or should follow? What are the ethical issues (if any) that you see in your practice setting? • Are there some companies that are more helpful/more ethical than others? How do you decide? N546/Su07, Southpointe12
  13. 13. • What changes have you seen in the past several years, if any, in your interactions with pharmaceutical representatives? Why have those changes happened? • How are pharmaceutical companies regulated?  Discussion of US Department of Health & Human Services Agency for Health Care Research and Quality  see Learning activity for week 6 for web address and assignment for discussion in next week’s class. Assignments due week 5:  Internet project assigned week #3 Session VI-Tuesday June 12, 2007: Wendy Edgar Content: New medications Polypharmacy Multiple drug interactions/adverse drug events Prescriptions from multiple healthcare providers Discussion of clinical practice guidelines Discussion of US Department of Health & Human Services Agency for Health Care Research and Quality ⇒ Drug classes: Psychotherapeutic agents Chapter 15 Women’s health Chapter 33 N546/Su07, Southpointe13
  14. 14. Learning activities:  Lecture/discussion  Access www.ahrq.gov to find a clinical practice guideline pertinent to you area of practice, and provide an overview of the recommended guideline. Be prepared to lead a 10-minute class discussion related to your topic. BE SURE TO INCLUDE THE PHARMACOLOGIC INTERVENTIONS.  Bring examples of new pharmacologic treatment protocols from your current areas of nursing practice. Assignment due week 7:  Start of group education project presentations Session VI Tuesday June 19, 2007: Chris Mitchell Content: Teaching groups or populations about pharmacologic issues common to that group or population ⇒ Drug classes: Antihypertensive agents Chapter 24 Bronchodilators & other respiratory agents Chapter 36 Learning activity:  Present to the class the design of the teaching project you have chosen. Session VIII N546/Su07, Southpointe14
  15. 15. Learning activities  Cumulative medication final examination (2 hours)  Course evaluations  Continuation of group presentations (if needed)  What’s new on the horizon? ⇒ Please note: All written assignments MUST be typed and all references must be in APA format. N546/Su07, Southpointe15
  16. 16. NUR 546 Summer I, 2007 Activity Checklist Graded Activities Activity Due Date Grade Class participation (5%) Weekly Entrance Paper/ Needs Assessment (5%) 5/8 –Session 1 Drug Test Development (15%) 5/15-Session 2 Med Error Case Study/Root cause analysis (5%) 5/22-Session 3 Midterm (15%) 5/29-Session 4 Internet Project (10%) 6/5-Session 5 Group Education Project (15%) 6/19 & 6/26-Sessions 7 & 8 Individual Education Project (15%) As assigned Starting 5/15-Sessions 2- 7 Final Exam (15%) 5/26-Session 8 Learning Activities (please refer to syllabus for details) Activity Date Be prepared to discuss: How institutions are addressing the JCAHO safety goals 5/15-Session 2 Explore drug references: Bring to class 5/22-Session 3 N546/Su07, Southpointe16
  17. 17. a copy of the drug reference used at your workplace Bring advertisement from consumer magazine and journal 6/5-Session 5 Access www.ahrq.gov 6/12-session 6 What new medications/guidelines are being utilized in your workplace 6/26-Session 8 N546, Summer I, 2007 Detailed descriptions of graded assignments with grading rubrics ⇒ Please hand in the grading rubric sheet with each assignment. ⇒ ALL assignments are expected to be typed and done using APA format, unless otherwise noted.  Entrance Paper/Needs Assessment: Due 5/8/07 Entrance paper (your needs assessment) is due at the first class meeting, answering the following questions:  What is your nursing background? Describe your previous education and professional nursing experience.  What are your pharmacological strengths? (What drugs or class(es) of drugs are you most familiar/comfortable with?)  What are your pharmacological weaknesses? (What drugs or age groups do you feel that you don’t know enough about?)  What new medications do you currently use in your clinical practice area? N546/Su07, Southpointe17
  18. 18.  Have you participated in or observed any clinical trials? If yes, describe your experience.  What are your learning goals? What do you expect to get out of this course?  Where do you currently obtain medication information and updates?  What is the most commonly utilized drug reference in your current practice? What do you like/dislike about it?  This assignment does NOT need to be in APA format.  Drug Calculation Test development: Due 5/15/07  Target audience: Junior nursing students who are entering a medical- surgical unit that receives pediatric overflow patients. Assume that the students have already completed a pharmacology course. N546/Su07, Southpointe18
  19. 19.  You are to develop a drug calculation test that is designed to identify students with a weakness in drug calculations prior to entering the clinical unit. The test should be based on 100 points/percentage. Number of questions is dependent on difficulty level, however you should have AT LEAST 25.  Provide answer key with the rationale for each question.  Please bring “clean” copy (test without answers) to distribute in class. Grading Rubric Drug Calculation Test Development Test questions appropriate for target audience 15 points _______ Well-constructed questions 40 points ________ Answer key correct and includes thorough rationale/explanation of answer (ie “work-out” the problem) 40 points ________ Copies available for students N546/Su07, Southpointe19
  20. 20. 5 points _______ ⇒ Total _____  Medication Error/Root Cause analysis Case Study:  Due 5/22  You will be given a case study dealing with medication errors.  You will write a short 2-3 page paper analyzing the case study using root cause analysis. Grading Rubric Medication Error Case Study Well-developed analysis 85 points ______ Paper well written: correct grammar and good sentence structure 10 points ______ APA format followed N546/Su07, Southpointe20
  21. 21. 5 points _______ Total _______  Internet Project Due: 6/5  You are to log onto the internet and find three (3) web sites that have drug information. (For example: Search the internet to find information of Singulair) • At least one site needs to be consumer oriented • At least one site needs to be health care provider focused (ie: NIH, CDC, AMA, etc.) • You need to include the complete web site address using APA format.  You are to then write a 4-6 page paper addressing the following: • Discuss the differences among the various sites and give your analysis of the amount & accuracy of N546/Su07, Southpointe21
  22. 22. information and the facts/concepts that your patients are learning. What differences, if any are noted between the sites? Is there a discrepancy of information? Is the information presented differently? (give examples) How accurate are the sites? • You will need to include the following information about the web sites you’ve chosen: o Who is managing the site? o What are their credentials? o Do you feel that the information you’ve obtained from each site is reliable? o Please provide rationale. • Is the world wide web the best place for your patients, students, or staff nurses to get information? Why or why not? • Discuss techniques that would be useful in teaching consumers, students, and nurses in finding accurate information on the internet. N546/Su07, Southpointe22
  23. 23. Grading Rubric Internet Project Three websites perused. References in APA format 10 points ______ Discussion of site differences 20 points _______ Analysis of accuracy of information 20 points _______ Inclusion of site information: Who is managing the site? What are their credentials? Do you feel that the information you’ve obtained from each site is reliable? Rationale 20 points _______ N546/Su07, Southpointe23
  24. 24. Discussion of how patients, students, and nurses should utilize the World Wide Web. Include teaching tips. 20 points _______ Paper well written: correct grammar and good sentence structure 10 points _______ Total: _______  Group Education Project: Due 6/19 & 6/26  You and a partner will pick a particular group/population and discuss the important issues or concepts related to medications that nurses need to address with that particular group.  Come up with a creative way to accomplish this, whether it’s in the home setting, outpatient setting, hospital, or the classroom.  Create an outline for the class and then you and your partner will conduct a 20-30 minute presentation for the class discussing your teaching plan and how you would address the issues in that particular population.  Please bring copies of any handouts you would use in teaching the group or population you have chosen N546/Su07, Southpointe24
  25. 25.  Make sure you allow time for class discussion of the topic.  Some possible examples that you MIGHT want to consider: o Children  Parent teaching, correct dosages, etc. o Elderly  Polypharmacy, remembering when to take medications. o People with chronic illnesses  How to keep patients compliant with treatment regimens and how to deal with acute illness in the face of a chronic illness. o New parents  Correct dosages of drugs & what drugs are considered safe. o Middle-aged adults  Dealing with the start of medical problems: HTN, high cholesterol and starting to take medications. o Nursing students  Safe administration of drugs o People with disabilities  How would you teach a person who is illiterate, hearing impaired, visually impaired, mobility impaired, etc. Grading Rubric for Group Education Project N546/Su07, Southpointe25
  26. 26.  Names: ____________________________________________  Topic: _____________________________________________ o Issues 20 points ______ o Plan 20 points______  Learning objectives are well defined & appropriate for particular group chosen. o Outline 20 points ______  Concise & helpful o Handouts 10 points ______  Appropriate developmental level, reading level, and easy to understand. o Creativity 10 points ______ o Presentation 10 points ______  Professional, interesting, limited use of notes o Use of time 10 points ______  Total Points: _________ N546/Su07, Southpointe26
  27. 27.  Comments:  Individual lecture on selected pharmacology concept/drug classification(s): 5/15-6/19  You will each be assigned a drug, class of drugs or pharmacology concept and will prepare a 15 – 20 minute lecture for the class on that particular drug/class/concept. You will decide whether the presentation is designed for undergraduate nursing students (please specify what level) or staff development (please specify what unit, years experience of nurses)  You are also asked to prepare five test questions that pertain to the material you are presenting along with the answers to the questions. You need to provide the rationale and rate the difficulty of each of the questions. They can be multiple choice, matching, or completion. N546/Su07, Southpointe27
  28. 28. o At least 3 of the 5 need to be multiple choice, and one needs to be some sort of calculation problem relating to a drug in the class you have presented. o These will be handed in along with an outline for your lecture.  You will be graded on your creativity, use of time allotted, accuracy of information and your ability to communicate the information to the group.  A portion of your grade will also be determined by your fellow students: o They will be asked to anonymously evaluate your presentation and provide feedback. All feedback will be compiled and handed back to you. o They will be using the same grading rubric as the facilitator. The points will be totaled and averaged to give you the student feedback portion of your grade. Grading Rubric Individual lecture on selected pharmacology concept and drug classification(s) N546/Su07, Southpointe28
  29. 29. Presentation: includes objectives, description of pharmacology concept/ drug classification, appropriate pathophysiology, inclusion of disease(s)/disorder(s) treated, side effects, drug-drug interactions, contraindications, patient teaching, nursing considerations. Content is well researched using resources other than textbook required for class. Please submit references to facilitator. 50 points: _______ Comments:_____________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ ________________________________________________ Professional presentation: creative, positive, interactive, uses allotted time 10 points: ________ Comments:_____________________________________________________________ _______________________________________________________________________ N546/Su07, Southpointe29
  30. 30. _______________________________________________________________________ ________________________________________________ Outline: Concise, helpful 15 points:_______ Comments:_____________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ ________________________________________________ Test questions: Well written question, well written answers (if appropriate), referenced rationale 20 points: _______ Comments:_____________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ ________________________________________________ N546/Su07, Southpointe30
  31. 31. Student feedback 5 points:__________ Student comments: ___________________________________________________________ ___________________________________________________________ ___________________________________________________________ ___________________________________________________________ ___________________________________________________________ ___________________________________________________________ ___________________________________________________________ ___________________ Total points: _______ N546/Su07, Southpointe31

×