8/29/2018PH 1

JACKSON COLLEGE ASSOCIATE DEGREE NURSING

NRS 116 PHARMACOLOGY

COURSE SYLLABUS

2018 – 2019

8/29/2018PH 2

8/29/2018PH 3

JACKSON COLLEGE NURSING MODEL

Building on the core values of Jackson College, the JC nursing faculty has conceived a framework that incorporates the Quality and Safety Education for Nurses (QSEN) and the National League for Nursing Educational Competencies to guide the Associate in Applied Science (AAS-N) program’s proposed curriculum. The four NLN inspired program outcome (Human Flourishing, Nursing Judgement, Professional Identity and Spirit of Inquiry) are sequenced over the three levels of the program.

Human Flourishing: “an effort to achieve self-actualization and fulfillment within the context of a larger community of individuals, each with the right to pursue his/her own such efforts…Human flourish encompasses the uniqueness, dignity, diversity, freedom, happiness, and holistic well-being of the individual within the larger family community, and population (NLN, 2010, pp. 66 – 67).

Nursing Judgement: “encompasses three processes: namely, critical thinking, clinical judgment, and integration of evidence-based best practice. Nurses must employ these processes as they make decisions about clinical care, the development and application of research and the broader dissemination of insights and research finding to the community and management and resource allocation (NLN, 2010, p. 67).

Professional Identity: “…the internalization of care values and perspectives recognized as integral to the art and science of nursing. The core values become self-evident as the nurse learns, gains experience, and grows in the profession. The nurse embraces these fundamental values in every aspect of practice while working to improve patient outcomes and promote the ideals of the nursing profession. Professional identity is evident in the lived experience of the nurse, in his/her or ways of “being”, “knowing” and “doing” (NLN, 2010, p.68).

Spirit of Inquiry: “…is a persistent sense of curiosity that informs both learning and practice. A nurse infused by a spirit of inquiry will raise questions, challenge traditional and existing practices, and seek creative approaches to problems. The spirit of inquiry in nursing engenders innovative thinking and extends possibilities for discovering novel solution in ambiguous, uncertain and unpredictable situations (NLN, 2010, p.69). (Jackson College 2018-2019 Nursing Handbook)

Jackson College Values, as shared with the JC Nursing Program

(Jackson College Website: Presidents Office/Mission Documents)

8/29/2018PH 4

QSEN

(QSEN.org)

8/29/2018PH 5

JACKSON COLLEGE NURSING DEPARTMENT

COURSE SYLLABUS

COURSE NUMBER NRS 116 COURSE TITLE Pharmacology DEPARTMENT Nursing CREDITS Three credits CONTACT HOURS 15 weeks x 3 hours = 45 contact hours COURSE FACULTY Julie Bullinger-Ballow MSN, RN, Course Coordinator Whiting Hall 218 517-796-8510 Email: BullingJulieM@jccmi.edu Darlene LoPresto MSN, RN Whiting Hall 223 517-796-8516 Email: LoprestDarleneJ@jccmi.edu

William Bailey MSN, RN Email: BaileyWilliamG@jccmi.edu COURSE DESCRIPTION This course introduces students to basic principles of drug actions and nursing implications within the framework of the nursing process. Students will develop clinical reasoning and drug computation skills necessary to safely administer medications in a culturally responsive, client-centered manner.

8/29/2018PH 6

COURSE OUTCOMES

Human Flourishing:

Upon successful completion of the course, the student will demonstrate pharmacological knowledge related to the relationship among various cultural groups and educate clients to promote self-determination and ongoing growth.

Nursing Judgment

Upon successful completion of the course, the student will demonstrate the knowledge, skills and attitude necessary in the development of clinical reasoning to effectively administer medications safely in the healthcare setting.

Professional Identity

Upon successful completion of the course, the student will demonstrate professional behavior, interpersonal skills, legal and ethical responsibilities regarding medication administration and management.

Spirit of Inquiry

Upon successful completion of the course, the student will recognize evidence-based practice research that guides safe medication use and administration.

BEHAVIORAL OBJECTIVES

Human Flourishing: The student will: 1. Recognize the influence that age, cultural practices, and ethnicity play in medication actions and identify specific risks associated with these groups. 2. Identify pharmacological teaching needs for clients that promote self-determination and support the medication regimen. Nursing Judgment The student will: 1. Demonstrate knowledge of common drug classes and the skills and attitudes necessary to safely administer medications. 2. Explain the use of the nursing process in drug therapy. 3. Demonstrate accuracy in calculation dosages of drugs. Professional Identity The student will: 1. Identify members of the health team who collaborate with the nurse in providing care for clients receiving medications.

8/29/2018PH 7

2. Describe the legal and ethical responsibilities of the professional nurse when administering medications. Spirit of Inquiry The student will: 1. Explore nursing research for evidence supporting the steps necessary to administer medications safely and efficiently.

BASIC COMPETENCIES REQUIREMENTS

Ability to read an above average amount of technical material Ability to compute simple algebraic problems Ability to use the metric system of measurement

PREREQUISITES

Math: MTH 133 or higher Anatomy and Physiology: This Prerequisite is Program Specific. BIO 132 OR BIO 253 and 254* *May take BIO 254 concurrent with NUR 121 if grade in BIO 253 was 3.0 or higher with instructor

permission. OR Body Structure and Function LPN 141 or MOA 141

Chemistry recommended General Education Outcomes (GEOs) Addressed in this Course (if appropriate)

STUDENT RESPONSIBILITIES

1. Be present and on time for class. 2. If absence is unavoidable, obtain lecture notes and other information shared

in class from a fellow student prior to returning to class. Students are responsible for all information shared in class regardless of attendance.

3. Complete all assigned readings. Assignments should be read before coming to class. Online quizzes are due before class. Be prepared for discussion of the assigned topic.

4. Review the behavioral objectives for each unit frequently and use them as a study guide when preparing for tests.

5. If you need to drop the class for any reason, be sure to do so before the last date to drop. Your instructor must issue a grade for any un-dropped class.

6. Seek instructor guidance as needed.

8/29/2018PH 8

CELL PHONE POLICY

While the nursing faculty recognizes that communication with family and friends is important, the use of cell phones and beepers in class is very distracting to other students and to your instructor. Please keep all electronic devices on either vibrate or voice mail mode during class. If you are experiencing a family emergency and must keep a cell phone on, please let your instructor know prior to class. We appreciate your cooperation in providing an environment conducive to learning for all students. Cell phones are not permitted in place of calculators on exams. All types of electronic devices must be turned off and put away during an exam or an exam review. Failure to abide by this policy will result in dismissal from the course. No exceptions!

DIVERSITY

Our classrooms are becoming more and more diverse, and this may or may not be evident as we look around the classroom. We can all learn from each other. As your instructor, I invite you to share your unique perspectives on class topics based on your background. I expect that students and instructor will be considerate of one another’s differences.

ONLINE COURSE MANAGEMENT (JetNet) Your instructor will use the online course management system (JetNet) to communicate with you via email, post grades, or to post messages about upcoming classes or exams. Online quizzes will be due weekly, prior to class. Your 10 best quiz scores will be used as part of your final grade.

CHECKING YOUR COURSE GRADE OR TRANSCRIPT

Report cards are no longer mailed from JCC. All grades and transcript information can be accessed online. Following are instructions.

A. Go to www.jccmi.edu. B. Click on e-Services. C. Choose the Students tab. D. Find transcripts and grades.

8/29/2018PH 9

INSTRUCTIONAL METHODS

Assigned and optional readings Lecture Class Discussion Group Exercises

PowerPoint presentations Videos Homework assignments Quizzes/Exams

.

TEXTBOOKS

Required Textbook Rosenjack Burchum, J., Rosenthal, L.D. Lehne's Pharmacology for Nursing

Care, 9th ed. Saunders, 2016.

Textbook Zero: This text is available to rent or purchase in digital format through the JC

Bookstore.

Be sure to check out the student disk and website included with your text – printable

pharmacology flashcards are provided for you, as well as other resources.

Optional Resources Craig, G. Clinical Calculations Made Easy: Solving Problems using Dimensional

Analysis, Lippincott Math Magic tutorial: See course JetNet site

STUDENT EVALUATION CRITERIA

1. Each student is evaluated on satisfactory knowledge of theory as demonstrated by the grade averaged from tests and class assignments. A. Tests are given periodically and are scheduled at least one week in advance. B. Testing will be based on the behavioral objectives identified in the lecture outlines. Tests will consist primarily of multiple choice, matching and short answer questions. C. Any test question determined by the instructor to be unworthy of counting against the grade (i.e., bad question) will be cheerfully adjusted by giving credit for any answer on that question. D. Any student who chooses to cheat on a test will receive a maximum grade of 1.5 in the course. (See Academic Honesty policy.)

8/29/2018PH 10

E. Upon completion of the medication calculations unit, students will be given a medication calculations exam. Because the ability to accurately calculate medication dosages is vital to safe nursing practice, all students will be required to pass this exam with a minimum of 90%. If it is not passed with a 90% grade, students are advised to use the calculations web resource available on JetNet or purchase the calculations text and complete it independently. The calculations exam may be retaken until it is passed with a 90% grade. If the calculations exam is not passed at 90% by the last day of the course, the student will receive a maximum 1.5 grade in the course. Once the competency is met, the average of all medication calculations exams taken will be used to figure the final grade.

2. This course will contain three grading components. One component will consist of tests. The second component will consist of quizzes and practice calculations. The third component will be the medication calculations competency exam. A student must earn a minimum of 78% in the test component and a 78% average in the course and a 90% on the calculations exam in order to pass the course. Although the student may pass the course with less than 78% average on quizzes, group work, or other activities, the student should be aware that the grade in these components will still be averaged into the final grade and could cause a failure. A student who earns less than a 78% average on the test component or less than 90% on the math competency will receive a maximum grade of 1.5 for the course.

Summary The following requirements must be met to pass NRS 116 with a 2.0 grade: 1. Minimum of 78% average on all exams 2. Minimum of 90% on medication calculations competency exam (may be

retaken until 90% grade is achieved) 3. Minimum of 78% average on all course requirements combined Note: other assignments vary and will be averaged into total course requirements.

3. A final grade of 2.0 (78%) or above is required for entering or continuing in the nursing program.

4. Each student is expected to keep a record of grades so he/she will be aware of his/her grade at all times.

5. Please note that it is the policy of the nursing department that extra credit assignments are inappropriate sources of points for students wishing to enter a health field. 6. Testing Answers not entered on the Scantron will NOT count.

8/29/2018PH 11

ADVICE FROM STUDENTS

Math Advice

I have never used unit analysis before this class ... but I did buy the "Clinical

Calculations Made Easy: Solving Problems Using Dimensional Analysis" book from

the book store. I used that book to practice on a variety of questions and found it

extremely helpful. I think if other people are having difficulties they should

consider buying it. It was definitely worth the cost and time. I have to admit that

I had a lot of fun with them ... it became kind of like a game. I used to have

problems with unit conversions in general but this makes sense to me. I am so glad

I learned it using this method that you recommended ... I think it will be very

helpful in the future (with nursing as well as other areas).

Note from your faculty – we also now have a free web based tutorial in the course

that does an excellent job teaching unit analysis.

Regina’s Study Plan

The most helpful study tip is repetition. I reviewed each outline section at

least 10 times. This was fairly easy to do, as the sections were

small. Sometimes my review was done 15 minutes before I went to bed,

other times I was able to review more thoroughly, spending more time on

difficult concepts ( like RAAS ). I also made flash type cards for the drugs

and committed them to memory by breaking it into quantity per day. I

learned 5 drugs (class, generic name and trade name, plus pertinent

information like serious side effects or contraindications) per day. It's not

so overwhelming of a task if it is broken down in such a way. Some sections

required that only 2 or 3 per day be memorized. This was, for me, the most

time consuming part of the class because it is straight memorization

of words that are difficult to pronounce and thus

remember. By memorizing a few per day, I recalled most of them without

having to review again. Additionally, I read the chapters, but only for

general information or to clarify a concept introduced in class. The outline

provided was very complete and was what I used for studying for the tests.

8/29/2018PH 12

NURSING DEPARTMENT ACADEMIC HONESTY POLICY

Honesty and integrity are essential qualities in the profession of nursing. Any student found to be cheating on an exam, quiz, or other assessment will receive a maximum grade of 1.5 in the course. Lack of integrity in the classroom or clinical setting may result in failing a course or removal from the program. Cheating can take on many forms. These may include but are not limited to:

1. Bringing an answer source to the testing site. 2. Copying from another student’s test. 3. Making copies or taking cell phone pictures of test or course material 4. Changing an answer after a test has been submitted. 5. Sharing information about a test with someone who has not yet taken

it. 6. Uploading Prohibited Course Materials to any internet site or facilitating

others to do so. Periodic audits of the internet are performed. All course materials have been specifically prohibited for distribution by instructors unless specifically indicated otherwise. This includes but is not limited to graded quizzes and exams, group work answers, etc., along with any questions that are or might be intended for future quizzes and exams.

7. Unauthorized Possession or Disposition of Academic Materials includes the unauthorized selling or purchasing of exams, quizzes; using information from or possessing exams/quizzes that a faculty member did not authorize for release to students.

8. Taking quizzes with another student. Quizzes are to be done individually-do not share answers with others in person, through email, or on the phone. Sharing answers is considered cheating and will be treated as such.

Not everything is cheating. Some examples of acceptable practices include:

A. studying together prior to an exam. B. sharing notes from class. C. using quotes in papers and referencing them appropriately.

If you are unsure if a practice might be considered cheating, please check with an instructor and/or do not engage in that practice. Please remember that failing a course may mean permanent dismissal from the program.

THE BEST POLICY IS ALWAYS HONESTY AND INTEGRITY.

8/29/2018PH 13

MAKE-UP POLICY: If a student is absent on the day of a test, it must be made up before the next class. A student may take one late test (within the one-week window) without penalty. Five percent will be deducted from any subsequent test taken late, ten percent from the third late test, and so on. Any test that is not made up prior to the next class will receive an automatic grade of 0 (zero), unless previously arranged with the instructor. (This is to discourage you from getting behind – doing so will harm your chances for success in the course!) If a student misses an online quiz, those points will be lost. Quizzes and other non-test work may not be made up for credit. If a student arrives late to a test, he or she will have the remaining (reduced) time to do the test, but must finish within the time allotted to the rest of the class. If a test must be missed, the student should contact the instructor for make-up arrangements. Remember, the test must be taken prior to returning to class the following week in order to receive credit. Make up tests will be placed in the Testing Lab located in Bert Walker Hall Room 121. Check the JCC web site for Testing Lab hours.

AVAILABLE LEARNING SERVICES: Tutors may be available and are free of charge. The Center for Student Success can also offer general course assistance.

Go to www.jccmi.edu

Click on Departments tab.

Scroll down to College Offices and Services.

Choose Center for Student Success

Click on Tutor Schedule, located on Right tab menu

Select campus and course for available tutors and times. The student should contact the instructor if help is needed. Don’t wait until it is too late. GRADING SCALE:

4.0 = 94 -100% 3.5 = 90 -93% 3.0 = 86 -89% Non-passing grades 2.5 = 82 -85% 2.0 = 78 -81%

1.5 = 74 –77% 1.0 = 70 –73% 0.5 = 66 –69% 0.0 = < 66%

8/29/2018PH 14

COURSE OUTLINE: Drug action, measurement, administration, use, side effects, nursing implications, and client education related to the following drug categories will be covered:

1. Drugs used to treat infections 2. Drugs used in cancer treatment 3. Drugs that affect the autonomic nervous system 4. Drugs that affect the central nervous system 5. Drugs that affect the cardiovascular system 6. Drugs that affect the endocrine system 7. Drugs that affect the respiratory system 8. Drugs that affect the digestive system

8/29/2018PH 15

JACKSON COMMUNITY COLLEGE

ASSOCIATE IN APPLIED SCIENCE – NURSING

TESTING AGREEMENT

Student Copy

____ No study aids (textbooks, notebooks, etc.) are allowed in the testing room.

____ No papers, books, food or drink, pens, purses, wallets, watches, beepers, cell

phones or any other electronic devices are allowed in the testing room.

____ No hats, scarves, or coats may be worn in the testing room.

____ One sheet of blank paper and one pencil may be taken into the testing room.

The paper must be turned in to the proctor upon leaving the room.

____ Candidates must present a photo ID prior to testing. The ID will be returned

when the test is submitted.

____ Candidates may not leave the testing room without the test proctor’s

permission. If the candidate must leave the room for a restroom break, the

photo ID and exam will be left with the proctor until the student’s return.

____ Irregular behavior – for example not listening to proctor, talking during the test,

or rude behavior may result in dismissal from the center and test failure.

____ Accessing the internet or any other item on the computer (other than the

assigned test) during a test is prohibited.

____ Removing any paper or other resources from the testing area is prohibited.

____ CANDIDATES WILL NOT UNDER ANY CIRCUMSTANCES

DISCLOSE ANY EXAMINATION MATERIALS INLCUDING THE

NATURE OR CONTENT OF EXAMINATION ITEMS BEFORE,

DURING, OR AFTER THE EXAMINATION. VIOLATION WILL

RESULT IN IMPLEMENTATION OF THE NURSING DEPARTMENT

ACADEMIC HONESTY POLICY AND MAY RESULT IN A ZERO

GRADE ON THE EXAM AND/OR THE COURSE.

I understand that failure to comply with any of the above regulations before, during, or

after a test may result in dismissal from the testing area and/or test and/or course failure.

SIGNED Student Date

8/29/2018PH 16

This page left intentionally blank

8/29/2018PH 17

JACKSON COMMUNITY COLLEGE

ASSOCIATE IN APPLIED SCIENCE – NURSING

TESTING AGREEMENT

Student

Faculty Copy

Student please review each statement and initial agreement.

____ No study aids (textbooks, notebooks, etc.) are allowed in the testing room.

____ No papers, books, food or drink, pens, purses, wallets, watches, beepers, cell

phones or any other electronic devices are allowed in the testing room.

____ No hats, scarves, or coats may be worn in the testing room.

____ One sheet of blank paper and one pencil may be taken into the testing room.

The paper must be turned in to the proctor upon leaving the room.

____ Candidates must present a photo ID prior to testing. The ID will be returned

when the test is submitted.

____ Candidates may not leave the testing room without the test proctor’s

permission. If the candidate must leave the room for a restroom break, the

photo ID and exam will be left with the proctor until the student’s return.

____ Irregular behavior – for example not listening to proctor, talking during the test,

or rude behavior may result in dismissal from the center and test failure.

____ Accessing the internet or any other item on the computer (other than the

assigned test) during a test is prohibited.

____ Removing any paper or other resources from the testing area is prohibited.

____ CANDIDATES WILL NOT UNDER ANY CIRCUMSTANCES

DISCLOSE ANY EXAMINATION MATERIALS INLCUDING THE

NATURE OR CONTENT OF EXAMINATION ITEMS BEFORE,

DURING, OR AFTER THE EXAMINATION. VIOLATION WILL

RESULT IN IMPLEMENTATION OF THE NURSING DEPARTMENT

ACADEMIC HONESTY POLICY AND MAY RESULT IN A ZERO

GRADE ON THE EXAM AND/OR THE COURSE.

I understand that failure to comply with any of the above regulations before, during, or

after a test may result in dismissal from the testing area and/or test and/or course failure.

SIGNED

Student Date

8/29/2018PH 18

This page left intentionally blank