NUR 104 - Pharmacology
Updated 9/5/08NUR 104Introduction to PharmacologyPlan of InstructionEffective Date: 2008Version Number: 2008-1COURSE DESCRIPTIONThis course provides opportunities to develop competencies necessary to meet theneeds of individuals throughout the lifespan in a safe, legal, and ethical manner usingthe nursing process.This course introduces students to basic principles ofpharmacology and the knowledge necessary to safely administer medication. Coursecontent includes legal implications, pharmacokinetics, pharmacodynamics, calculationsof drug dosages, medication administration, and an overview of drug classifications.Students will be able to calculate and administer medications.CREDIT HOURSTheory0 credit hoursLab1 credit hourClinical0 credit hoursTotal1 credit hourTotal contact hours - 3NOTE: Theory credit hours are a 1:1 contact to credit ratio. Lab credit is 3:1. Clinical credit is3:1.The Alabama Community College SystemCopyright 2008All rights reserved
Introduction to PharmacologyNUR 104PREREQUISITE COURSES BIO 103 – Principles of Biology I (or satisfactory performance on the AlabamaCollege System approved placement exam) NOTE: Only required if student istaking BIO 201 and 202 sequences.CO-REQUISITE COURSES NUR 102 – Fundamentals of Nursing NUR 103 – Health Assessment BIO 201 – Anatomy and Physiology or NUR 101 – Body Structure and Function (ifselected by PN students) Math requirementINSTRUCTIONAL NOTE: Students perform skills in a simulated setting for this course.SUMMARY OF CHANGES:8/22/08 – Module FChanged reference to GU to GI/GU and added related learning objectivesRemoved bladder irrigation and vaginal insertions from lab skillsAdded enteral medications and irrigations to Clinical/Lab SkillsINSTRUCTIONAL GOALSCognitive - comprehend foundational knowledge of pharmacology.Performance - apply foundational knowledge of pharmacology.PROFESSIONAL COMPETENCIES/OBJECTIVESUnless otherwise indicated, evaluation of student’s attainment of cognitive andperformance objectives is based on knowledge and skills gained from this course.Competencies specified for each module may be set by certification agencies, nationaland state codes, health care facility policies, locally developed lab/clinical assignments,or any combination. Students are expected to utilize relevant technology for client careand documentation.PROFESSIONAL COMPETENCIES Explain foundational concepts associated with pharmacology. Apply mathematical principles in written calculation and problem solving whilepreparing dosages. Administer medications. Apply knowledge of pharmacokinetics and pharmacodynamics.ACCS Copyright 2008All rights reserved2
Introduction to PharmacologyNUR 104MODULE A – INTRODUCTION TO PHARMACOLOGYPROFESSIONAL COMPETENCIESA1.0 Explain foundational conceptsassociated with pharmacology.LEARNING OBJECTIVESPERFORMANCE OBJECTIVESA1.1 This module is measuredcognitively.A1.1.1 Define terms associated with pharmacology.A1.1.2 Describe the history of pharmacology.A1.1.3 Identify sources of drugs and drug information.A1.1.4 Define legal and ethical issues in pharmacology.A1.1.5 Explain the Controlled Substance Act.A1.1.6 Explain pharmacodynamics across the lifespan.A1.1.7 Explain pharmacokinetics across the lifespan.LAB SKILLSKSAIndicatorsBABAABBB There are no clinical skills directly associated with this module.MODULE A OUTLINE Terms and definitions History of pharmacology Sources of drugs and drug information Legal and ethical issues Controlled Substance Act Other federal laws State lawso Nurse Practice Acts Pharmacodynamics Receptor theory of drug action Nonreceptor drug actions Pharmacokinetics Absorption Distribution Metabolism Excretion Serum half-lifeACCS Copyright 2008All rights reserved3
Introduction to PharmacologyNUR 104MODULE B – BASIC MATH FOR PHARMACOLOGYPROFESSIONAL COMPETENCIESB1.0 Use mathematic operations andformulas to calculate dosages.PERFORMANCE OBJECTIVESB1.1 This module is measuredcognitively.KSAIndicatorsCLEARNING .7B1.1.8B1.1.9Solve problems using addition operations.Solve problems using subtraction operations.Solve problems using multiplication operations.Solve problems using division operations.Solve problems using fractions.Solve problems using decimals.Solve problems using ratios and proportions.Perform calculations using various formulas.Convert between English units of weights and measures and StandardInternational units.LAB SKILLS There are no clinical skills directly associated with this module.CCCCCCCCCMODULE B OUTLINE Mathematical operations Addition Subtraction Multiplication Division Mathematical operations using fractions and decimals Ratios and proportions Calculation formulas Systems of measurementACCS Copyright 2008All rights reserved4
Introduction to PharmacologyNUR 104MODULE C – ADMINISTERING MEDICATIONSPROFESSIONAL COMPETENCIESC1.0 Administer medications.PERFORMANCE OBJECTIVESC1.1 Utilizing the nursing process,administer medications in asimulated environment.LEARNING OBJECTIVESC1.1.1 Describe safety issues associated with pharmacology.C1.1.2 Explain the six rights of administering medication.C1.1.3 Interpret information found on medication orders.C1.1.4 Interpret information found on labels.C1.1.5 Describe the operation of medication administration equipment.C1.1.6 Describe the operation of adaptive equipment.C1.1.7 Describe the process of reconstituting medications.C1.1.8 Calculate dosages.C1.1.9 Describe preparing dosages for administration.C1.1.10 Describe information necessary for medication administration.C1.1.11 Explain administering medications through various routes.C1.1.12 Explain subcutaneous insulin administration.C1.1.13 Explain subcutaneous heparin administration.C1.1.14 Explain client/family teaching concerning pharmacology.C1.1.15 Explain the procedures for properly handling and disposing of medicationadministration supplies.C1.1.16 Explain documentation of medication administration.LAB SKILLS Use the Six Rights Methods of administering medications Oral Parenteral (excluding intravenous) Topical (optic, otic, sublingual, buccal, rectal, nasal, percutaneous) Inhalation Disposal protocols Document and report medication administrationMODULE C OUTLINE Safety Issues Reading and interpreting medication orders and labels Drug packaging Drug administration equipment/adaptive equipment Reconstitution of medications Calculating dosages Preparing dosages for administration Drug information preparation (Drug cards) Routes for administering medications Insulin administration Heparin administration The six rights Client/family teaching Documenting medication administrationACCS Copyright 2008All rights reservedKSAIndicators1bBBCCBBBCBBBbbbbb5
Introduction to PharmacologyNUR 104MODULE D – CALCULATING PEDIATRIC DOSAGESPROFESSIONAL COMPETENCIESPERFORMANCE OBJECTIVESD1.0 Calculate dosages for pediatricD1.1 This competency is measuredclients.cognitively.LEARNING OBJECTIVESD1.1.1 Describe preparing dosages for pediatric clients based onmilligrams/kilograms/body weight.D1.1.2 Describe preparing dosages for pediatric clients based on pediatric bodysurface area.D1.1.3 Explain select rules for calculating medications for pediatric clients.D1.1.4 Describe the concept of “safe dosage range”.D1.1.5 Calculate pediatric dosages.LAB SKILLS There are no clinical skills directly associated with this module.KSAIndicators1bBBBBCMODULE D OUTLINE Milligrams/kilograms/body weight Body surface area Formulas for calculating pediatric dosages Safe rangeMODULE E – INTRAVENOUS CALCULATIONSPROFESSIONAL COMPETENCIESE1.0 Calculate intravenous infusionrates.PERFORMANCE OBJECTIVESE1.1 This competency is measuredcognitively.KSAIndicatorsCLEARNING OBJECTIVESE1.1.1 Define terms associated with calculating intravenous infusion rates.E1.1.2 Calculate primary and secondary intravenous infusion rates.LAB SKILLS There are no clinical skills directly associated with this module. Note: This module excludes titration and IV push.MODULE E OUTLINEAC Calculation of rates Primary SecondaryACCS Copyright 2008All rights reserved6
Introduction to PharmacologyNUR 104MODULE F – ADMINISTERING MEDICATIONS THROUGH TUBESPROFESSIONAL COMPETENCIESF1.0 Administer medication throughGI/GU tubes.PERFORMANCE OBJECTIVESF1.1 Utilizing the nursing process,administer medications throughGI/GU tubes in a simulatedenvironment.KSAIndicators1bLEARNING OBJECTIVESF1.1.1 Describe administering medications through various GI tubes.F1.1.2 Describe administering medications through GU tubes.LAB SKILLS Administer medications through GI/GU tubes. Enteral medications and irrigations DocumentationMOUDLE F OUTLINE GI/GU tubesbb Bladder irrigations Vaginal Irrigations Enteral medications and irrigationsMODULE G – INTRODUCTION TO CLASSIFICATION OF DRUGSPROFESSIONAL COMPETENCIESG1.0 Explain classification of drugs.PERFORMANCE OBJECTIVESG1.1 This module is measuredcognitively.KSAIndicatorsBLEARNING OBJECTIVESG1.1.1 Explain the concept of classification of drugs.G1.1.2 Identify common drug classifications.LAB SKILLSBA There are no clinical skills directly associated with this module.MODULE G OUTLINE Concept Common drug classificationsACCS Copyright 2008All rights reserved7
Introduction to PharmacologyNUR 104Learning Objectives Table of specificationsThe table below identifies the percentage of cognitive objectives for each module.Instructors should develop sufficient numbers of test items at the appropriatelevel of A/a43%00050%050%B/b57%081%80%0100%50%Module AModule BModule CModule DModule EModule FModule GACCS Copyright 2008All rights 50%00Evaluation/CompleteTheoryD/d00000008
Introduction to PharmacologyNUR 104Knowledge, Skills, and Attitudes (KSA) IndicatorsValueKey Word(s)HighlyProficientAffectiveKnowledgeKnowledge oficient1Limited Facts*5Characterization ingdcDefinitionPerforms competency quickly and accurately. Instructs others how to dothe competency.Performs all parts of the competency. Needs only a spot check ofcompleted work.Performs most parts of the competency. Needs help only on hardest parts.Performs simple parts of the competency. Needs to be told or shown howto do most of the competency.Predicts, isolates, and resolves problems about the competency.Identifies why and when the competency must be done and why each stepis needed.Determines step-by-step procedures for doing the competency.Names parts, tools, and simple facts about the competency.Evaluates conditions and makes proper decisions about the subject.Analyzes facts and principles and draws conclusions about the subject.Identifies relationship of basic facts and states general principles about thesubject.Identifies basic facts and terms about the subject.Acting consistently with the new valueIntegrating a new value into one's general set of values, giving it someranking among one's general prioritiesShowing some definite involvement or commitmentShowing some new behaviors as a result of experienceBeing aware of or attending to something in the environmentAlpha Scale Values - Any item with an upper case letter (A, B, C, D) by itself is taught as general information on a topic. This information may be related to thecompetency or encompass multiple competencies. Examples might include mathematical computations or knowledge of principles such as Ohm’s Law.A lower case letter indicates a level of ”Knowledge of Skills." Individuals are taught information pertaining to performing a competency. These may be indicatedalone or in conjunction with a numerical scale value. A lower case letter by itself indicates the individual is not required to perform the task-just know about the task.(Example: Can state or explain procedures for doing a task).Numerical Scale Values - The numbers reflect the levels the individual will be able to perform a competency. Number values are always accompanied by lowercase letters (i.e. 1a, 2b, 3c.etc.) in order to specify the level of knowledge of skills associated with the competency.Example: An individual with a competency with a scale indicator of 3b has received training of knowledge of skills whereby he or she can determine the correctprocedures and perform with limited supervision; only requiring evaluation of the finished product or procedure.Asterisk items indicate desired affective domain levels and are used to indicate the desired level for a given competency. They may be used independently or withother indicators (i.e. 1a-*1, 2c-*3). If used with another indicator, separate with a hyphen.NOTE: Codes indicate terminal values.ACCS Copyright 2008All rights reserved9
A1.1.1 Define terms associated with pharmacology. A1.1.2 Describe the history of pharmacology. A1.1.3 Identify sources of drugs and drug information. A1.1.4 Define legal and ethical issues in pharmacology. A1.1.5 Explain the Controlled Substance
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104.8.4 Case 104.8.5 Payments 104.8.6 Reports 104.8.7 Correspondence 104.8.8 Administration 104.9 VIEWING PAGES 104.10 BROADCAST MESSAGES 104.11 OFFICE INFORMATION 104.12 DATA CORRUPTION . PELICAN CCW is displayed in Internet Explorer, a Web browser. When using PELICAN CCW, the most important navigational tools in Internet Explorer .
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2 For referenced ASTM standards, visit the ASTM website, www.astm.org, or contact ASTM Customer Service at service@astm.org. For Annual Book of ASTM Standards volume information, refer to the standard’s Document Summary page on the ASTM website. 1
