House Bill 2504

Spring 2011 Course Syllabus

VNSG-1227-01 (Essential Medication Admn)

Faculty Information
SemesterSpring 2011
InstructorMulliner, Mary A.
Phone(409) 984-6364
Allied Health
Chair:Janet Hamilton
Telephone:(409) 984-6354
Hours:M-T 8-4, W 2-4, Th-F 8-4
Building:Allied Health (AH)
Room #:117
Course Information
Course ID #10359
Course Subject-Number-SectionVNSG-1227-01
Course TitleEssential Medication Admn
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.
Course Prerequisites BIOL 2401 & BIOL 2402 Human Anatomy and Physiology

NURA 1301 Nurse Aide for Health Care Organizations I

NURA 1160 Clinical

Required Textbooks 1 Pickar, Gloria D. (2008). Dosage Calculations (8th edition). New York: Thompson-Delmar Learning
Learning Objectives 1.        Chapter 3        Systems of Measurement

a.        Interpret and properly express metric, and household notation.

b.        Recall metric, and household equivalents.

2.        Chapter 4        Conversions: Metric, and Household Systems

a.        Convert between units of measurement within the same system.

b.        Convert units of measurement from one system to another.

3.        Chapter 6        Equipment Used In Dosage Measurement

a.        Recognize and select the appropriate equipment for the medication, dosage, and method of administration ordered.

b.        Read and interpret the calibrations of each utensil presented.

4.        Chapter 7        Interpreting Drug Orders

a.        Read and write proper medical notation.

b.        Write the standard medical abbreviation from a list of common terminology.

c.        Classify the notation that specifies the dosage, route, and frequency of the medication to be administered.

d.        Interpret physician orders and medication administration records.        

5.        Chapter 8        Understanding Drug Labels

a.        Find and differentiate the brand and generic names of drugs.

b.        Determine the dosage strength.

c.        Determine the form in which the drug is supplied.

d.        Determine the supply dosage or concentration.

e.        Identify the total volume of the drug container.

f.        Differentiate the total volume of the container from the supply dosage.

g.        Find the directions for mixing or preparing the supply dosage of drugs as needed.

h.        Recognize and follow drug alerts.

i.        Identify the administration route.

j.        Check the expiration date.

k.        Identify the lot number, National Drug Code, and bar code symbols.

l.        Recognize the manufacturer’s name.

m.        Differentiate labels for multi-dose containers from unit dose packets.

n.        Identify combination drugs.

6.        Chapter 9        Preventing Medication Errors

a.        Describe the cost and consequences of medication errors.

b.        Name the steps involved in medication administration.

c.        Identify causes of medication errors.

d.        Identify the role of the nurse in preventing medication errors.

e.        Provide rationale for medication administration and the importance of accurate and safe dosage calculations and medication administration.

7. Chapter 10        Oral Dosage of Drugs

a.        Convert all units of measurement to the same system and same size units.

b.        Estimate the reasonable amount of the drug to be administered.

c.        Use the formula


        ---        X Q = X (amount to administer) to calculate drug         H


d.        Calculate the number of tablets or capsules that are contained in prescribe dosages.

e.        Calculate the volume of liquid per dose when the prescribed dosage is in solution form.

8.        Chapter 11        Parenteral Dosage of Drugs

a.        Apply the three steps for dosage calculations: convert, think, and calculate.

b.        Use the formula


        ---        X Q = X (amount to administer) to calculate drug         H


c.        Reconstitute and label medications supplied in powder or dry form.

d.        Differentiate between varying directions for reconstitution and select the correct set to prepare the dosage ordered.

e.        Measure insulin in a matching insulin syringe.

9.        Chapter 12        Reconstitution of Solutions

        a.        Define and apply the terms solvent, solute, and solution.

        b.        Reconstitute and label medications supplied in powder or dry form.

        c.        Differentiate between varying directions for reconstitution and select the correct set to prepare the dosage ordered.

        d.        Calculate the amount of solute and solvent needed to prepare a desired strength and quantity of an irrigating solution or enteral feeding.

10.         Chapter 15 Intravenous Solutions, Equipment, and Calculations

a.        Identify common IV solutions and equipment.

b.        Calculate the amount of specific components in common IV fluids.

c.        Define the following terms: IV, peripheral line, central line, primary IV, secondary IV, saline locks, IVPB, and IV push.

d.        Calculate milliliters per hour: mL/h.

e.        Recognize the calibration or drop factor in gtt/mL as stated on the IV tubing package.

f.        Apply the formula method to calculate IV flow rate in gtt.min.:

V (volume)                                mL/h

---------------------- = mL/hr         ________ = gtt/min

Total hours                                60

g.        Calculate small volume piggyback IV’s (IVPB).

11.         Chapter 14 Pediatric Dosages

a.        Convert pounds to kilograms.

b.        Consult a reputable drug resource to calculate the recommended safe pediatric dosage per kilogram of body weight.

c.        Compare the ordered dosage with the recommended safe dosage.

d.        Determine whether the ordered dosage is safe to administer.

e.        Apply body weight dosage calculations to patients across the life span.

Major Assignments Date        Topic        Reading Assignment

01/19/2011        Syllabus

Systems of Measurement

Conversions: Metric System, Household System        

Chapter 3 (pgs 59 – 72)

Chapter 4 (pgs 73 – 90)

01/26/2011        Conversions Continued        

02/02/2011        Exam 1        Chapters 3 & 4

02/09/2011        Equipment Used in Dosage

Interpreting Drug Orders

Understanding Drug Labels

Chapter 6 (pgs 101 – 116)

Chapter 7 (pgs 117 – 132)

Chapter 8 (pgs 133 – 148)

02/16/2011        Exam 2        Chapters 6,7,8

02/23/2011        Preventing Medication Errors

Oral Dosage of Drugs        Chapter 9 (pgs 149 – 164)

Chapter 10 (pgs 171 – 203)

03/02/2011        Oral Dosage Continued        

03/16/2011        Exam 3        Chapters 9 & 10

03/23/2011        Parenteral Dosage of Drugs

Reconstitution of Solutions        

Chapter 11 (pgs 205 – 239)

Chapter 12 ( pgs 241 – 284)

03/30/2011        Parenteral Dosage Continued        

04/06/2011        Exam 4        Chapters 11 & 12

04/13/2011        Intravenous Calculations        

Chapter 15 (pgs 355 – 402)

04/20/2011        Pediatric Dosages        

Chapter 14 (pgs 309 – 339)

04/27/2011        Intravenous and Pediatric Dosages review         

05/11/2010        Exam 5        Chapters 14 & 15

05/11/2011        Review all aspectsd of dosage        

05/17/2011        Comprehensive Final Exam        

Discussion Topics The current topics that are scheduled for that particular day.
Attendance Policy 1.        Attendance at all scheduled classes is expected.

2.        A student who is absent from class for 3 days, may be withdrawn from the program by the program director.

3.        Students on campus but not in class are considered absent.

4.        Late arrival to class is disruptive. Students who consistently arrive after the beginning of class (2 or more times) will be counseled and a plan of corrective action determined. Class will begin promptly at the scheduled time. Students who arrive fifteen (15) minutes after the beginning of class will not be allowed to enter the classroom and must wait until break to enter.

5.        It is the student’s responsibility to notify the instructor of any absence. If the student is unable to contact the instructor the student should call 409-984-6356 or 1-800-477-5872 ext. 6356. The student should also e-mail the instructor or call the instructors office and leave a voice mail.

6.        Students who arrive after an exam starts but before it ends may take the test without penalty. They are given no additional time.

Determination of Final Grade 11.        The following method will be used to determine each student’s grade in the course:

Exam I                                Grade

Exam II                                Grade

Exam III                        Grade

Exam IV                                Grade

Exam V                                Grade

Final                                Grade

Final                                 Grade

Total divided by 7

Final Exam Date May 17, 2011 - 8:00 AM
Campus Policies
Lamar State College - Port Arthur

Mission Statement

Lamar State College-Port Arthur is an open-access, comprehensive public two-year college offering quality instruction leading to associate degrees and a variety of certificates. The college, a member of The Texas State University System, has provided affordable, quality educational opportunities to residents of the Southeast Texas area since 1909.Lamar State College-Port Arthur embraces the premise that education is an ongoing process that enhances career potential, broadens intellectual horizons, and enriches life. The faculty, staff, and administration share a commitment to a mission characterized by student learning, diversity, and community service. The foundations for student success include compensatory education programs designed to fulfill our commitment to accommodate students with diverse goals and backgrounds, technical education programs that provide for the acquisition of the skills and demeanor necessary for initial and continued employment, and a core curriculum that develops the values and concepts that allow the student to make a meaningful contribution in the workplace or community. Student achievement is measured by the completion of courses and programs of study, successful performance following transfer to a baccalaureate program, and the attainment of individual goals.

Lamar State College-Port Arthur operates in the belief that all individuals should be:

* Treated with dignity and respect;

* Afforded equal opportunity to acquire a complete educational experience;

* Given an opportunity to discover and develop their special aptitudes and insights;

* Provided and opportunity to equip themselves for a fulfilling life and responsible citizenship in a world characterized by change.

 College Grading Scale

Below 59F

(Some specialized programs may have different grading scales)


 Academic Dishonesty

Academic dishonesty in any form will not be tolerated.  Please consult the student handbook for consequences of academic dishonesty.  These policies will be strictly enforced.


 Facility  Policies

        No food, drinks, or tobacco products are allowed in the classroom.

        Only students enrolled in the course are allowed in the classroom.

        Cell phones and/or pagers are allowed ONLY on vibrate mode. Leaving the classroom to answer a page or phone call may constitute an absence or a tardy.


 Special Considerations

         The American with Disabilities Act (ADA) is a federal anti-discrimination statute that provides comprehensive civil rights for persons with disabilities. Among other things, this legislation requires that all students with disabilities be guaranteed a learning environment that provides for reasonable accommodation of their disabilities. If you believe you have a disability requiring an accommodation, please contact the Special Populations Coordinator, Room 231, in the Madison Monroe Building. The phone number is (409) 984-6251.

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