NEW MEXICO JUNIOR COLLEGE

Pharmacology

SYLLABUS

  1. GENERAL COURSE INFORMATION
  2. A. Course Title: Pharmacology
    B. Course Number: NU 123B - 10249
    C. Semester: Spring 2019
    D. Days/Time: M 8:30:00 AM - 11:30:00 AM
    E. Credit Hours: 3
    F. Instructor: Wagner, Rachel
    G. Office: McLean Hall (MC) 122B
    H. Email Address: RWagner@nmjc.edu
    I. Office Phone: (575) 492-2537
    J. Office Hours:
    K. Time Zone: Mountain Time
    L. Prerequisite(s): NU103A Pathophysiology II, BI224A A&P II, NU 113A Introduction to Nursing Concepts, NU 114 Principles of Nursing Practice
    M. Corequisite(s): NU 123 Health and Illness Concepts, NU 123A Health Care Participant, NU 124A Assessment and Health Promotion
    N. Class Location: AH155
  3. COURSE DESCRIPTION

    This course introduces the nursing student to pharmacological nursing practice across the lifespan utilizing a conceptual approach. The student identifies the nurse's professional role related to pharmacotherapeutics in diverse populations. Safety issues and minimization of risk potential associated with pharmacotherapeutics, complementary, and alternative medicines are discussed. Evidence-based pharmacological and pathophysiological concepts are integrated to guide medication therapeutics. Health care system protocols, communication methods, and informatics related to pharmacotherapeutics are included in the course content. Common drug classes and the pharmacotherapeutics, pharmacodynamics, and pharmacotherapeutics associated with each class are included in this course. This is a three credit hour course. Prerequisite: NU 113A Introduction to Nursing Concepts, NU 114 Principles of Nursing Practice Corequisites: NU 123 Health and Illness Concepts, NU 123A Health Care Parti

  4. COURSE RATIONALE / TRANSFERABILITY

    This course is transferrable to other New Mexico nursing programs utilizing the New Mexico Nursing Education Consortium (NMNEC) statewide common curriculum. This course has no guarantee of transferability to another college or university that is not participating in NMNEC statewide common curriculum.

  5. REQUIRED / SUGGESTED COURSE MATERIALS

    Required:

    1. Dress code for classroom activities: see Student Nurse Handbook
    2. ATI Package
    3. Basic Function Calculator only
    4. Map coloring pencils

    Required Textbooks:

    1. Adams, Michael, Norman Holland, and Carol Urban. Pharmacology For Nurses, A Pathophysiologic Approach. Fifth ed. N.p.: Pearson, 2017. Print. ISBN: 978-0-13-425516-3
    2. Content Mastery Series Review Modules, Assessment Technologies Institute; LCC
    3. Gray, Morris. Calculate with Confidence, 6th edition. (2014). Elsevier/ Mosby. ISBN: 978-0-323-08931-9
    4. Mosby, Mosby’s Dictionary of Medicine, Nursing & Health Professions, 10th edition. (2016) Mosby/Elsevier. ISBN: 9780323074032
    5. Pagana & Pagana, Mosby’s Manual of Diagnostic and Laboratory Tests, 5th edition. (2013) Mosby/Elsevier. ISBN: 9780323089494.
    6. Vallerand, April H., & Sanoski, Cynthia A. Davis’ Drug Guide for Nurses, 15th edition. (2016) ISBN: 13: 978-0-8036-5705-2

    Suggested:
    None.

    You can buy your books online at the NMJC Bookstore.

  6. GRADING POLICY

    NMNEC Course Grading Scale:

    Grading Scale Letter Grade
    90 – 100 A
    80 – 89 B
    77 – 79 C
    67 – 76 D
    0 – 66 F

    A grade of 77 or higher is the minimum passing grade for nursing.
    A grade of C or higher is required for all nursing courses.
    The student must pass all nursing classes in sequence prior to taking courses in the following semester(s).
    The student receives exactly the earned grade: GRADES ARE NOT ROUNDED.

    Grade Components for NU123A
    Grade % Distribution
    Examinations 55%
    Unit 1 Exam 13.75%
    Unit 2 Exam 13.75%
    Unit 3 Exam 13.75%
    Unit 4 Exam 13.75%
    Final Comprehensive Exam 20%
    ATI Practice & Proctored Assessments & Remediation 7%
    Dosage Calculations Exam 5%
    Quizzes 7.5%
    Drug Evaluation Assignment Pass/Fail
    ATI Pharmacology Made Easy Modules Pass/Fail

    Total 100%
    Calculation of Course Grade:

    a. Unit Examinations (55%)

    The student will be given proctored 50 question computer exams to assess mastery of content for multiple concepts. Unit exams will be based on didactic/theoretical material. See course calendar for dates and times.

    Each unit exam will contain 5 math questions from the NMNEC level 1 and level 2 curriculum.

    If it is absolutely necessary to miss an exam, the student must notify faculty at least 2 hours prior to the exam. A makeup exam will be arranged and must be taken as soon as the student returns to class. The exam may be a different version or format.

    Unit Exam Content Review Process:

    • After the exam has been completed by all students in the course and grades have been posted, the faculty will hold a content review session with the class. During this session, concepts that were most missed on the exam will be discussed with the class. Individual exam reviews will not be done.

    b. Final Examination (20%)

    There will be a proctored computerized comprehensive final exam consisting of 100 questions. It will not include questions from unit exams. See course calendar for date and time.

    The final exam will contain 10 math questions.


    c. Unit Exams and Final Exam Average

    The first calculation is an average of the unit exam scores and the final exam score. Each unit exam score and the final exam score are weighted equally. An average score of 77% or higher is required.

    When a score of 77% or higher is NOT earned for the unit exam scores and the final exam score average, other course grades are not eligible for computation into a final grade and the student will earn a letter grade of D or F.

    When a score of 77% or higher is earned for the unit exam scores and final exam score average, other course grades are eligible for computation into the final course average.

    Course assignment grades are calculated with other course grades to determine a final grade.

    A course-specific, grade-weighting percentage chart is included in the syllabus of each course.

    When a weighted grade of 77% or higher is NOT earned, the student earns a letter grade of D or F.

    d. Course Assignments

    An assignment is considered to be, but not limited to the following:
    • Exams, care plans, journals, standardized exams (ATIs, etc.), pass/fail assignments, quizzes, posters, presentations, and projects.
    • All assignments should be completed and submitted by due date and time.
    • If an assignment(s) is not completed by the due date, a failing grade may be earned and the grade may result in the student failing the course.

    Graded Assignments

    Late assignments (graded):
    o A late assignment is any assignment submitted after the scheduled due date and time. For example, if an assignment is due by 5:00 pm on a certain day but turned in after 5:00pm on that date, the assignment will be considered one day late.
    o Ten (10) points will be deducted from a late assignment grade for each day the assignment is late.
    o After 10 consecutive days, the student will receive a grade of “0” for the assignment; however, all late assignments must be satisfactorily completed and submitted.
    o All late (printed) assignments must be clocked-in using the time clock in the Nursing Program Office and the clock stamp must be performed in the presence of a nursing program employee. If the assignment was to be turned in on Canvas, the student must email the assignment to his/her instructor and it will be timed and dated according to the time and date the email was sent.
    o All late (printed) assignments must be initialed by a nursing program employee when turned in.
    o Printed assignments must be turned in during Nursing Program Office business hours.

    Pass/Fail Assignments

    The student must satisfactorily complete all pass/fail assignments and achieve at least the designated minimum passing score for the assignment (if specified) in order to pass the course. Failure to complete all assignments in the course may result in course failure.

    A pass/fail assignment is one in which the student is required to complete by the designated due date. Additionally, Module Zero must be completed by the due date, for every course, every semester, no exceptions.

    For most pass/fail assignments, the assignment is considered “passed” when it is completed by the due date regardless of the achieved score. Some pass/fail assignments may have a designated score that must be achieved by the due date in order to pass; however, this score does not count in the overall grade for the course (these pass/fail assignments will be specified in the syllabus).
    If the assignment is not completed by the due date, it is considered “failed” and the following consequences will be assigned to the student:

    • 1st missed assignment:

    o The student will be placed on an action plan by his/her advisor and will be required to complete an alternate assignment by the specified time. This assignment will be related to the content of the assignment missed and may be in another format. If the alternate assignment is not completed by the specified time, it will count as the 2nd missed assignment (see below).

    • 2nd missed assignment:

    o Student will be placed on a learning contract by his/her advisor and will be required to write a paper on professionalism. A rubric and guidelines for the paper will be provided and must be followed. The learning contract will continue with the student throughout enrollment in the nursing program.

    • 3rd missed assignment:

    o Student will be required to meet with the Administrative Nursing Review Committee to discuss repetition of the unprofessional behavior. The student may earn a failing grade for the course and be unable to progress to the next level in the nursing program.

    Assignments (10%)

    • Drug Evaluation Assignment – 5%
    This evaluation will be conducted on a family member or friend. Do not include the name, relationship or any identifying factors of the candidate. Maintain confidentiality. Focus on 2 drugs that the adult is taking. Ask what health problems the person has and why the drug is taken in the patient’s own words. A literature review is then performed on the pathophysiology of the disease process for which the medications are being taken, and the drugs. Specific information about the drug such as names (trade and generic), class, therapeutic actions, indications, absorption and first pass effect, pharmacokinetics, implementation, dose, route, dilution, side effects and other factors that apply to the drug will be listed. A patient medication assessment is then performed to determine what side effects the candidate may have, compliance of medication therapy, results of lab work that applies to the drug, desired effects and adverse effects present. The assessment is then followed by teaching and noncompliance issues that you would address if he or she were your patient. Provide written detail of patient teaching that would benefit your patient. This assignment is due Friday, 03/16/18 at 8:30 am. You may turn it in sooner but not later.

    • Dosage Calculations Exam – 5%
    There will be 25 fill in the blank and/or multiple choice type questions covering basic (oral/injectable) medication dosage calculations. Students must pass the dosage calculation exam with at least 95% accuracy. Students may retake the test once (a second opportunity will be given, if necessary), however the initial score will be used in computing the overall course grade. This content is not taught during class time, and it is the responsibility of the student to use the self-paced, Deborah Gray Morris, Calculate with Confidence workbook to study for this exam as well as attend the 3 mandatory tutoring sessions that will be offered.

    If the Dosage Calculation Exam is not passed with 95% accuracy by the second attempt, the student will fail the course, regardless of overall course grade.

    NMNEC Calculations to be tested at Levels 1 & 2 include:

    • Interpret medication orders and standard abbreviations needed for dosage
    calculations.
    • Convert mcg, mg, g, kg
    • Convert mL, L
    • Convert lbs, Kg
    • Convert ounce, mL
    • Convert teaspoons, mL
    • Convert Metric and Household Systems
    • Calculate dosages of oral medications.
    • Calculate parenteral medication volumes and dosages
    • Determine if an ordered amount is within a safe/recommended range.
    Rounding rules
    o Dosage less than 1, round answers to nearest hundredth.
    o Dosage between 1-10, round answers to nearest tenth.
    o Dosage greater than 10, round answers to the nearest whole number.
    o For all weights, the final answer is rounded to the nearest tenth.
    o Pediatrics round dosage answers to nearest hundredth.
    o All IV hourly rates round to the nearest tenth.
    o All IV drops per minute rates round to the nearest whole number.


    ATI Practice and Proctored Assessment and Remediation (10%)

    The student will take practice and proctored exams and remediate. The student will earn a grade per the ATI grading policy. See grading policy below.

    Assessment Technologies Institute (ATI) Testing Policy
    Content Mastery Series Proctored Examinations


    Step 1: Complete Practice Assessment A and Remediation by Due Date
    20 Points
    • Minimum of one (1) hour Focused Review
    • Complete three critical points to remember for each topic missed (must be legibly hand written)
    • Rationales will be made available after practice assessment has been completed (must remediate first attempt)
    Step 2: Complete Practice Assessment B and Remediation by Due Date
    20 Points
    • Minimum of one (1) hour Focused Review
    • Complete three critical points to remember for each topic missed (must be legibly hand written)
    • Rationales will be made available after practice assessment Rationales will be made available after practice assessment has been completed (must remediate first attempt)



    Step 3: First Proctored Assessment and Remediation by Due Date
    Achieve Level 3
    40 Points Achieve Level 2
    30 Points Achieve Level 1
    10 Points Achieve Below Level 1
    0 Points
    Remediation
    20 Points Remediation
    20 Points Remediation
    20 Points Remediation
    20 Points
    ● Minimum 1 hour Focused Review
    ● Complete three critical points to remember for each topic missed (must be legibly hand written) ● Minimum 2 hours Focused Review
    ● Complete three critical points to remember for each topic missed (must be legibly hand written) ● Minimum 3 hours Focused Review
    ● Complete three critical points to remember for each topic missed (must be legibly hand written) ● Minimum 4 hours Focused Review
    ● Complete three critical points to remember for each topic missed (must be legibly hand written)



    Step 4: Second Proctored Assessment - Retake
    Achieve Level 3 Achieve Level 2 Achieve Level 1 Achieve Below Level 1
    Retake (Optional) Retake (Optional) Retake (Required) Retake (Required)
    If the student achieves a higher level on the retake, the student will get an additional 10 points added to the proctored exam (Levels 2, 1, and below 1 only).


    Total points earned when Steps 1-4 are complete
    100 Points 90 Points 70 Points 60 Points


    Pass/Fail Assignments (ATI Pharmacology Made Easy Modules)

    The student must complete all ATI modules as assigned in the syllabus/course schedule. Specific guidelines will be discussed during class and posted in Canvas modules. Instructors may use these assignments in class, as homework, or as a ticket to class. These assignments are pass/fail.

    STUDENT RECEIVE EXACTLY EARNED GRADE. GRADES ARE NOT ROUNDED.

    Incomplete Grade
    - See Student Nurse Handbook

    Progression to Level III, Semester III of the Nursing Program

    The student must achieve a final course grade of 'C' (77%) or higher for NU124A, and
    NU123, NU123A and NU123B to be eligible to progress to Level III, Semester III of the
    Nursing Program.

    General Course Assignment Policies
    - See Student Nurse Handbook

    X. Class and/or Laboratory Attendance and Tardy
    - See Student Nurse Handbook

    XI. Examination Policies
    - See Student Nurse Handbook

  7. INSTITUTIONAL STUDENT LEARNING OUTCOMES

    New Mexico Junior College’s institutional student learning outcomes represent the knowledge and abilities developed by students attending New Mexico Junior College. Upon completion students should achieve the following learning outcomes along with specific curriculum outcomes for respective areas of study:

  8. DEPARTMENTAL STUDENT LEARNING OUTCOMES

    L2.1: Recognize and assess diverse patient's values, beliefs, and attitudes related to health.
    L2.2: Apply safety measures to well patient populations.
    L2.3: Implement evidence-based practices in care of well populations across the lifespan.
    L2.4: Adhere to policies and procedures in health care delivery settings.
    L2.5: Communicate with other health care providers to meet the needs of well patients.
    L2.6: Utilize informatics for well patient care.

  9. SPECIFIC COURSE STUDENT LEARNING OUTCOMES

    Upon successful completion of this course, the student will:

    1. Identify the nurse’s professional role related to pharmacotherapeutics in diverse populations across the lifespan.
    2. Identify safety issues and minimize risk potential associated with pharmacotherapeutics and complementary and alternative medicine.
    3. Utilize evidence-based information integrating pharmacologic and pathophysiologic concepts to guide medication therapeutics.
    4. Describe health-care system protocols related to pharmacotherapeutics.
    5. Identify methods for communication with the health care team related to pharmacotherapeutics.
    6. Utilize informatics systems related to pharmacotherapeutics.
    7. Describe common classes of drugs that are used in health care, including pharmacokinetics, pharmacodynamics, and pharmacotherapeutics.

  10. ADDITIONAL INFORMATION

    Student is responsible for material presented in class and all assigned reading whether or not the assigned material has been discussed in class. The instructor may change the outline as warranted or needed.

    Teaching Strategies used during instruction in NU123B include:

    Quizzes, Interactive Lecture, Role-Play, Discussion, Examinations, Assessment, Case Studies, Team based Learning, Audiovisual Media, Concept Maps, Internet Resources,
    Computer Assisted Instruction, Standardized Testing




  11. GENERAL/MISCELLANEOUS

    Students will be held responsible for the information on these pages.

    Academic Honesty
    Each student is expected to maintain the highest standards of honesty and integrity in online academic and professional matters. The College reserves the right to take disciplinary action, up to and including dismissal, against any student who is found guilty of academic dishonesty or otherwise fails to meet these standards. Academic dishonesty includes, but is not limited to, dishonesty in quizzes, tests, or assignments; claiming credit for work not done or done by others; and nondisclosure or misrepresentation in filling out applications or other College records. Cheating or gaining illegal information for any type of graded work is considered dishonest and will be dealt with accordingly.

    Americans with Disabilities Act (ADA) Information
    Any student requiring special accommodations should contact the Special Needs Student Services Coordinator at (575) 492-2576 or by e-mail at specialneeds@nmjc.edu.

    Attendance Policy
    Attendance is required at every session of each course for which the student is enrolled. When unavoidable circumstances make attendance impossible, students must provide a satisfactory explanation of their absences to their professors. College-sponsored activities are considered excused absences and the appropriate sponsor of those students who will be absent from class will notify professors. Students having absences due to college-sponsored activities will need to make arrangements with the affected classes / professor to take care of required work; however, arrangements for make-ups should be made within a reasonable time frame, usually within one week of the absence. Regarding make-up work, absences due to late registration are considered the same as regular absences.

    Cell Phones/Pagers
    All cell phones and pagers must be turned off when the student is participating in any lecture, laboratory, or other learning activity.

    Classroom Conduct
    The professor is responsible for maintaining a class environment best suited for effective learning. By registering for this class, the student is assumed to have entered into an agreement with New Mexico Junior College and the professor to attend the class regularly and to behave in an appropriate manner at all times. Disruptive behavior may result in the student being removed from the class.

    Food and Drink Policy
    Food items and soft drinks may not be consumed in NMJC classrooms. Students are also discouraged from bringing food and drink items into the classroom even though these items remain in sealed packaging. Bottled water is permissible.

    No Children in the Classroom
    In order to adhere to instructional procedures as well as maintain the safety of children, NMJC’s policy of no children in the classrooms (lecture, lab, etc.) will be followed.

    Plagiarism
    Offering the work of another as one’s own, without proper acknowledgment, is plagiarism; therefore, any student who fails to give credit for quotations or essentially identical expression of material taken from books, encyclopedias, magazines and other reference works, or from the themes, reports, or other writings of a fellow student, is guilty of plagiarism. Plagiarism violates the academic honesty policy and is considered cheating.

    Smoking/Use of Tobacco
    New Mexico Junior College is cognizant of the health hazards associated with smoking / use of tobacco for the smoker, as well as the non-smoker. In an effort to provide a healthy environment for students, employees, and others who may frequent the campus, NMJC prohibits smoking / use of tobacco inside any campus building or facility.

    Tutoring Assistance
    Free tutoring services are available to all NMJC students through Brainfuse and the Academic Success Center located at the Pannell Library on the 1st floor.

    Withdrawal Policy
    Regular, punctual attendance is required for all classes at NMJC. Although the professor has the right to drop any student who has missed the equivalent of 2 weeks of instruction (based on a 16 week semester) whether it’s a face to face, online, or a hybrid course, it is not guaranteed that the professor will drop the student. If the student chooses to stop attending a class, he/she should withdraw from the class by accessing your student account in the T-Bird Web Portal at www.nmjc.edu, or submitting the required paperwork to the Registrar’s Office by 5:00 p.m. on Thursday, April 18, 2019. All students are encouraged to discuss their class status with the professor prior to withdrawing from the class.

  12. CRITICAL INCIDENT AND EVACUATION PLAN
  13. ACADEMIC CALENDAR
  14. FINALS SCHEDULE