NURS12154 - Pharmacology for Nursing Practice
Term 1 - 2017


All details in this unit profile for NURS12154 have been officially approved by CQUniversity and represent a learning partnership between the University and you (our student). The information will not be changed unless absolutely necessary and any change will be clearly indicated by an approved correction included in the profile.

Overview

This unit provides you with information based on evidence and best practice principles in the safe use of medications across the lifespan. Knowledge of pharmacodynamics and pharmacokinetics as well as biochemical and microbial considerations are included to ensure safe nursing practice and quality use of medicines. You will also become familiar with the Australian legal requirements and ethical issues as they relate to the administration of medications. The content of this unit will be applied in the clinical nursing practice units.

Details

Career Level Undergraduate
Unit Level Level 2
Credit Points 6
Student Contribution Band [not found]
Fraction of Full-Time Student Load 0.125

Pre-requisites or Co-requisites

Pre-requisites

NURS11161 Clinical Nursing Practice 1 or NURS11154 Foundations of Nursing Practice 2

BIOH11005 Introduction to Anatomy and Physiology

Co-requisite

BIOH11006 Advanced Anatomy and Physiology

Attendance Requirements

All on-campus students are expected to attend scheduled classes – in some units, these classes are identified as a mandatory (pass/fail) component and attendance is compulsory. International students, on a student visa, must maintain a full time study load and meet both attendance and academic progress requirements in each study period (satisfactory attendance for International students is defined as maintaining at least an 80% attendance record).

Offerings

Term 1 - 2017
  • Bundaberg
  • Distance
  • Rockhampton

Website

This unit has a website, within the Moodle system, which is available two weeks before the start of term. It is important that you visit your Moodle site throughout the term. Go to Moodle

Recommended Student Time Commitment

Each 6-credit Undergraduate unit at CQUniversity requires an overall time commitment of an average of 12.5 hours of study per week, making a total of 150 hours for the unit.

Class Timetable

Assessment Overview

Assessment Task Weighting
1. Online Quiz(zes) 20%
2. Written Assessment 30%
3. Written Assessment 50%

This is a graded unit: your overall grade will be calculated from the marks or grades for each assessment task, based on the relative weightings shown in the table above. You must obtain an overall mark for the unit of at least 50%, or an overall grade of ‘pass’ in order to pass the unit. If any ‘pass/fail’ tasks are shown in the table above they must also be completed successfully (‘pass’ grade). You must also meet any minimum mark requirements specified for a particular assessment task, as detailed in the ‘assessment task’ section (note that in some instances, the minimum mark for a task may be greater than 50%). Consult the University’s Grades and Results Procedures for more details of interim results and final grades.

All University policies are available on the IMPortal.

You may wish to view these policies:

  • Grades and Results Procedure
  • Assessment Policy and Procedure (Higher Education Coursework)
  • Review of Grade Procedure
  • Academic Misconduct Procedure
  • Monitoring Academic Progress (MAP) Policy and Procedure – Domestic Students
  • Monitoring Academic Progress (MAP) Policy and Procedure – International Students
  • Refund and Excess Payments (Credit Balances) Policy and Procedure
  • Student Feedback – Compliments and Complaints Policy and Procedure
  • Acceptable Use of Information and Communications Technology Facilities and Devices Policy and Procedure

This list is not an exhaustive list of all University policies. The full list of University policies are available on the IMPortal.

Feedback, Recommendations and Responses

Every unit is reviewed for enhancement each year. At the most recent review, the following staff and student feedback items were identified and recommendations were made.

Feedback Source Recommendation
"I really would have liked a video explaining the assignments." "A more thorough explanation and direction for the assessment tasks would have been helpful." "I believe that there should have been clearer expectations and explanations for the written assignments." Moodle course evaluation Video created that explains assessments.
"I do wish the weekly collaborate sessions continued up until end of term as they were so helpful" Moodle course evaluation Collaborate session to continue to end of course. Initially they were designed to be an alternative for distance students to have face-to-face time as the internal students had on-campus classes.
On successful completion of this unit, you will be able to:
  1. Examine the principles of quality use of medicines (QUM), as related to nursing practise
  2. Consider the pharmacokinetic, pharmacodynamics, biochemical and microbial influences medications can have upon individuals across the lifespan
  3. Analyse the professional and ethical implications of medication administration and the associated legislative requirements to nursing practise
  4. Explore the use and implications of non-traditional and complementary pharmacological therapies.

The learning outcomes are linked to the Australian Nursing and Midwifery Accreditation (ANMAC) Standards for registered nurses and the Nursing and Midwifery Board of Australia (NMBA) registered nurse standards for practice.

Alignment of Assessment Tasks to Learning Outcomes

Assessment Tasks Learning Outcomes
1 2 3 4
1 - Online Quiz(zes)
2 - Written Assessment
3 - Written Assessment

Alignment of Graduate Attributes to Learning Outcomes

  • Introductory Level
  • Intermediate Level
  • Graduate Level
Graduate Attributes Learning Outcomes
1 2 3 4
1. Communication
2. Problem Solving  
3. Critical Thinking
4. Information Literacy  
5. Team Work    
6. Information Technology Competence  
7. Cross Cultural Competence  
8. Ethical practice  

Alignment of Assessment Tasks to Graduate Attributes

  • Introductory Level
  • Intermediate Level
  • Graduate Level
Assessment Tasks Graduate Attributes
1 2 3 4 5 6 7 8
1 - Online Quiz(zes)  
2 - Written Assessment
3 - Written Assessment

Prescribed Textbooks

There are no prescribed textbooks

Other Resources

These are not compulsory, but may assist you:
Pharmacology in Nursing: Australian & New Zealand Edition with Student Resource Access 12 Months
Author/s: Broyles, B, Reiss, B, McKenzie, G, Pleunik, S & Page, R Year: 2017
Edition: 2nd edn Publisher: Cengage Learning Australia
City: South Melbourne State: Vic
Country: Australia
Other resources may be available at CQUniversity Library. Note:
All readings are supplied as CROs (unit resource online) accessed on Unit Moodle page. If requiring a textbook, see the above recommended text.

IT Resources

You will need access to the following IT resources:
  • CQUniversity Student Email
  • Internet
  • Unit Website (Moodle)
All submissions for this unit must use the American Psychological Association (APA) referencing style (details can be obtained here). For further information, see the Assessment Tasks below.
Unit CoordinatorNicole Blunt (n.blunt@cqu.edu.au)
Note: Check the Term-Specific section for any additional contact information provided by the teaching team
Week Begin Date Module/Topic Chapter Events and Submissions
Week 1 06-03-2017 Understanding Pharmacology

View On-line Lectures - Part a & b

Refer Readings Library CRO - see Moodle unit site

All students view on line introduction/welcome message in Moodle.

Review assignment tasks - especially due dates for Assessment 1.

Week 2 13-03-2017 QUM and safety in medication administration

View On-line Lectures - Part A & B

Refer Readings Library CRO - see Moodle unit site

Enrol in the NPS Medicationwise Learning website and commence modules/courses:

1. 'Quality Use of Medications for Health Professional Students' - excluding case studies

and

2. ‘Get it Right! Taking a Best Possible Medication History’

Week 3 20-03-2017 Legal and ethical considerations in medication administration

View On-line Lecture

Refer Readings Library CRO - see Moodle unit site

Complete both modules/courses from NPS Medicinewise Learning website to obtain certificates for Part 1 of Assessment 1.
Week 4 27-03-2017 Medication across the lifespan: The Elderly, Paediatrics and Pregnant women

View On-line Lecture

Refer Readings Library CROs - see Moodle unit site

Part 1 of Assessment 1 due Tuesday.

Part 2 of Assessment 1 - Quiz 1 opened Friday.

Week 5 03-04-2017 Agents used to treat Endocrine Imbalance

View On-line Lecture

Refer Readings Library CRO & Article from Medicinewise website - see Moodle unit site

Complete Part 2 of assessment 1 - Quiz 1 closed Friday
Vacation Week 10-04-2017 Break Week
Week 6 17-04-2017 Agents used to treat Cardiovascular Disorders

View On-line Lectures

Refer Readings Library CRO - see Moodle unit site

Assessment 2 due Friday

Written Assessment - Short Answer Questions Due Friday (21 Apr 17) 11:45 PM AEST
Week 7 24-04-2017 Anticoagulant agents

View On-line Lecture

Refer Readings Library CRO & videos - see Moodle unit site

Part 3 of Assessment 1 - Quiz 2 opened Friday.

Week 8 01-05-2017 Agents used to treat Respiratory Disorders

View On-line Lecture

Refer Readings Library CRO - see Moodle unit site

Complete Part 3 of Assessment 1 - Quiz 2 - closed Friday
Week 9 08-05-2017

Module 9: Antimicrobial Agents

Module 10: Agents used to control Pain and Inflammation


View On-line Lectures for Modules 9 & 10

Refer Readings Library CRO for each Module - see Moodle unit site

Week 10 15-05-2017

Agents used treat Mental Health Disorders


View On-line Lecture

Refer Readings Library CRO - see Moodle unit site

Part 4 of Assessment 1 - Quiz 3 - opened Friday.

Week 11 22-05-2017 Non-traditional and Complementary Pharmacological Therapies

View On-line Lectures - Pats 1 & 2

Refer Readings Library CROs - see Moodle unit site

Complete Part 4 of assessment 1 - Quiz 3 - closed Friday
Week 12 29-05-2017 Review Week

View On-line Lecture - Unit Review

Assessment 3 due Monday
Written Assessment - Development of Drug Protocol Due Monday (29 May 17) 11:45 PM AEST
Review/Exam Week 05-06-2017
Exam Week 12-06-2017

Return Assessment 3 Monday 19th June (3 weeks after submission)

1 Online Quiz(zes)

Assessment Title Modules and Online Quizzes
Task Description

Assessment 1

Assessment 1 is spread out over the 12 week unit. This means that each part of assessment 1 will be opened at different times throughout the unit. Please ensure you note the due dates for each part of this assessment piece as there is no option to complete the quizzes once they are closed (see ‘Essential Information’ below).

Assessment 1 consists of 4 parts:

Part 1 - NPS Medicinewise Modules: consists of completion of 2 modules (5%). Due: Tues 28th March

· This part of the assessment is completed by accessing the NPS Medicinewise Learning website. The link to this is available under the ‘Assessment for this unit’ tab on the Moodle site. Once modules are completed, certificates need to be saved and then uploaded to the Moodle site – see Assessment tab left hand side of the Moodle page or the link under the ‘Assessment for this unit’ tab.

· The 2 modules to be completed are:

a) ‘Quality Use of Medicine for Health Professional Students’ (2.5% for uploading certificate confirming completion of module and submitted by due date). NB: Do not compete the case studies

b) ‘Get it Right! Taking a Best Possible Medication History’ (2.5% for uploading certificate confirming completion of module and submitted by due date)

NB: please ensure the modules completed are 2017 and are the ones stated above. No other certificates will be accepted.

Part 2. Quiz 1 - 10 multiple choice questions - opened Friday 31st March 2017 (wk 4). Closed Friday 7th April 2017 (wk 5). (5%)

· Content of the unit modules 1, 3 and 4 are examined here.

Part 3. Quiz 2 - 10 multiple choice questions - opened Friday 28th April 2017 (wk 7). Closed Friday 5th May 2017 (wk 8). (5%)

· Content of the unit modules 5, 6 and 7 are examined here.

Part 4. Quiz 3 - 10 multiple choice questions - opened Friday 19th May 2017 (wk 10). Closed Friday 26th May 2017 (wk 11). (5%)

· Content of the unit modules 8, 9, 10 & 11are examined here.

Access to quizzes are available via the links under the ‘Assessment for this unit’ tab on the Moodle site and are titled Quiz 1, Quiz 2 and Quiz 3, completed on the Moodle site – no uploads required.

Essential Information

· Each online quiz is opened for 7 (seven) days (1 week – Friday to Friday) and a time limit of 1(one) hour to complete. There will be 2 (two) attempts available for each quiz.

· For online quizzes, there is no option for late completion. Once the quiz is closed as per the stipulated date, no further accesses to quizzes are available. Each quiz must be completed within the stipulated time-frame unless an approved extension has been granted. In the absence of an approved extension, there will be no opportunity to complete tasks after the stipulated closing date for each quiz and there will be no opportunity to apply a late penalty of 5% per day.

Number of Quizzes 4
Frequency of Quizzes Other
Assessment Due Date Part 1 Certificates: Tuesday 28th March 2017; Part 2 Quiz 1: Opened Friday 31st March 2017 (wk 4)/Closed Friday 7th April 2017 (wk 5); Part 3 Quiz 2: Opened Friday 28th April 2017 (wk 7)/Closed Friday 5th May 2017; Part 4 Quiz 3: Opened Friday 19th May 2017 (wk 10)/Closed Friday 26th May 2017.
Return Date to Students Part 1: available 2 weeks after submission - 11th April 2017. Each online quiz will be marked online and results returned on completion.
Weighting 20%
Assessment Criteria

Part 1 must be submitted by uploading 2 certificates to the assessment site on the Moodle page.

Online quizzes are marked online.

Conditions Minimum mark or grade - You need to obtain at least 25% of the total overall marks to pass the unit and satisfy the learning outcomes.
Submission Online

Certificates from completed Modules are to be uploaded via the submission site on the Moodle unit page.On-line quizzes are compled via the Moodle site.

Learning Outcomes Assessed
This section can be expanded to view the assessed learning outcomes

1. Examine the principles of quality use of medicines (QUM), as related to nursing practise

2. Consider the pharmacokinetic, pharmacodynamics, biochemical and microbial influences medications can have upon individuals across the lifespan

3. Analyse the professional and ethical implications of medication administration and the associated legislative requirements to nursing practise

4. Explore the use and implications of non-traditional and complementary pharmacological therapies.

Graduate Attributes
This section can be expanded to view the assessed graduate attributes

1. Communication

2. Problem Solving

3. Critical Thinking

4. Information Literacy

6. Information Technology Competence

7. Cross Cultural Competence

8. Ethical practice



2 Written Assessment

Assessment Title Written Assessment - Short Answer Questions
Task Description

Assignment 2 - Short Answer Questions (Topics)

Weighting: 30%

Instructions

· Choose 3 (three) topics from the list of topics below. All students must complete topic 1 and choose another 2 (two) topics to answer from the remaining list.

· For each topic, you are required to write 500 – 600 words (+/- 10%). Each topic is an individual topic and needs to adhere to the stipulated word count (500-600 words). The total word count for all three topics: 1500-1800 words (+/- 10%).

· In-text referencing is excluded in the word count.

· Academic essay format is required which includes an introduction and conclusion for each topic you select which is included in the word count. As each topic is 500 - 600 words, a general rule of no more than 10% of the total word count should apply to these (50-60 words). For help with writing an academic essay please click the link ‘Writing an Academic Essay’ on the Moodle site (under the 'Assessment' tab) or see the ALC (Academic Learning Centre) for assistance.

· APA referencing is required (please click this link to access the APA abridged guide available via this link or on the course Moodle site under the 'Assessment' tab). Please note that referencing is worth 15% of your overall mark for this assessment.

· The study guide, course profile, and power-points supplied in the course Moodle site are NOT to be used as reference sources but are good resources to guide your answers. NB: journal articles less than 5 years old and textbooks less than 10 years old should only be used.

List of Topics

Topic 1: Compulsory (All students must complete)

Read the clinical summary found on the Moodle site under Assessment 1 regarding the case study originating from a coronal inquest. Write 500-600 words addressing the following questions:

a) Discuss and describe the type of medication error that occurred in this scenario.

b) The Director of Medical Services gave evidence that a number of measures had been implemented following an investigation using a root cause analysis of this incident.

Discuss 1 (one) or 2 (two) safety measures that you feel would have been implemented to minimise the risk of such an error in drug administration occurring again.

Topic 2.

‘Nurses are regularly confronted with ethical dilemmas in day to day practice and are regularly required to make ethical decisions, despite not always being aware of this fact (Oh & Gastmans, 2015)’.

You are required to identify an ethical principle and how this relates to clinical practice with reference to medications.

Instructions: To answer this topic, you are required to watch a short vignette involving Stanley and a nurse. In your response, in 500-600 words, address the following:

  • Describe what is happening (the situation/scenario)
  • Identify at least one ethical principle that could apply to this scenario, and describe what that principle/s mean in relation to this situation/scenario
  • Discuss the ethical issues and or outcomes in applying that principle to the specific situation you described.

The vignette is supplied on the course Moodle site under the Assessment tab – Assessment 2.

It is expected that you write in third person (no ‘I’ or ‘we’ statements).

Topic 3.

Understanding pharmacokinetics (PK) is important for safety administrating medications to patients. However the PK of drugs are altered by age i.e. in the elderly population group, when compared to adults.

Discuss PK i.e. absorption, distribution, metabolism and excretion that includes one aspect (for each part) that differs in the elderly in comparison to adults. Include in your discussion at least 2 (two) to 3 nursing implications/interventions to ensure safety in administering medications to this population group.

Topic 4.

After reading the case study below, discuss in your answer, the questions that follow.

Case Study:

Mr. Benjamin Brown is a 16 year old male who has been admitted to hospital with a diagnosis of new–onset diabetes. His initial symptoms prior to his admission included a 10kg weight loss over the past few weeks, nausea, increased thirst and urination. He is stabilized, then placed initially on regular insulin – Humulin R.

Provide a discussion, with reference to Mr. Brown, that includes the following:

a) Discuss the pathophysiology of Type 1 Diabetes (T1DM) vs Type 2 Diabetes (T2DM).

b) State which type of diabetes (T1DM or T2DM) Mr. Brown has most likely been diagnosed with and why. Explain the rationale for why insulin is prescribed as the preferred medication to treat his diabetes.

c) Describe the mechanism of action of insulin prescribed for Mr Benjamin Brown.

d) Discuss considerations the nurse may need to be aware of when insulin is ordered and/or administered.

Assessment Due Date Week 6 Friday (21-Apr-2017) 11:45 PM AEST
Use online Moodle assessment link.
Return Date to Students Week 9 Monday (08-May-2017)
Students who submit by the due date will have their assignments returned on Monday week 9.
Weighting 30%
Assessment Criteria

Assessment 2 Marking Criteria: NURS12154 Pharmacology for Nursing Practice Term 2 2016

Short Answer Topics

Student name: Student Number:

HD 85-100% D 75-84% C 65-74% P 50-64% F <50% Marks
Structure -15%
Excellent presentation of assignment with inclusion of all correct components, double line spaced, and 12 point font. Consistently accurate with spelling, grammar and use of punctuation. 5 Well-presented assignment, double line spaced, and 12 point font. Generally accurate (1 or 2 errors) in spelling, grammar or use of punctuation. 4 Well-presented assignment, double line spaced, and 12 point font. Occasional inaccuracies (3 or 4 consistent errors) with spelling, grammar or use of punctuation. 3 Adequate assignment presentation, double line spaced with 12 point font. Frequent inaccuracies (5 to 7 consistent errors) with spelling, grammar or use of punctuation. 2.5 Poorly presented assignment. Double spacing not used, 12 point font not used. Many inaccuracies in spelling, grammar or use of punctuation. <2.5 /15
Clear and succinct introduction that introduces and outlines the direction for each chosen topic and a conclusion that sums up each discussion. 5 Clear and appropriate introduction that introduces and outlines the direction for each chosen topic and a conclusion that sums up each discussion. 4 Appropriate introduction that introduces and outlines the direction for each chosen topic and a conclusion that sums up each discussion. 3 Introduction and conclusion is apparent but there is no clear direction of the topic and topic not summarised as discussed. 2.5 No recognisable introduction— the topic is not introduced and/or there is no direction offered as to the topic discussed and/or summarised or concluded as discussed. 2.5
Content is clearly relevant, the approach clearly and comprehensively addresses each topic and the discussion proceeds logically for each topic. Well linked to supporting literature. 5 Content is relevant, the approach clearly addresses each topic and proceeds logically for each topic. Supporting literature is used appropriately. 4 Content is appropriate and addresses each topic and for the most part proceeds logically for each topic. Minimal omissions in links to supporting literature. 3 Content addresses each topic but at times is repetitive or lacks cohesion. Supporting literature used but frequent omissions in links identified. 2.5 Content is irrelevant and or does not address each topic. There is a lack of cohesion. Little to no links to supporting literature. <2.5
Approach and Argument -70%
Comprehensive consideration of all aspects of the assigned assessment task. Thorough understanding of relevance of content to nursing practice is clearly evident. 8.5-10 Broad consideration of most aspects of the assigned assessment task. Clearly demonstrates understanding of how content to nursing practice is relevant. 7.5-8 Adequate consideration of most aspects of the assigned assessment task. Generally demonstrates understanding of how content to nursing practice is relevant. 6.5-7 Content addresses the assigned assessment task. Demonstrates limited understanding of how content to nursing practice is relevant. 5-6 Content does not address the assigned assessment task. Fails to demonstrate understanding of required content. <5
Topic 1 (Compulsory Topic) Comprehensively includes a detailed discussion of the topic with clear, coherent and convincing critical thought displayed. 17-20 Extensively includes a thorough discussion of the topic with well-developed critical thought evident. 15-16 Generally includes a reasonable discussion of the topic with critical thought developed and presented. 13-14 Demonstrates a limited discussion of the topic. Perceptible critical thought demonstrated. 12-10 Not able to provide a discussion or lacks cohesion in discussion of the topic. Lacks critical thought. <10
Topic 2 (2nd Topic student’s paper) Comprehensively includes a detailed discussion and understanding on the various aspects of the selected topic as per the assessment piece. 17-20 Extensively includes a thorough discussion on the various aspects of the selected topic as per the assessment piece. 15-16 Generally includes a reasonable discussion on the various aspects of the selected topic as per the assessment piece. 13-14 Demonstrates a limited discussion of the various aspects on the selected topic as per the assessment piece. 12-10 Not able to provide a discussion of the various aspects on the selected topic as per the assessment piece. Lacks critical thought. <10
Topic 3 (3rd Topic student’s paper) Comprehensively includes a detailed discussion and understanding of the various aspects of the selected topic as per the assessment piece. 17-20 Extensively includes a thorough discussion of the various aspects of the selected topic as per the assessment piece. 15-16 Generally includes a reasonable discussion of the various aspects of the selected topic as per the assessment piece. 13-14 Demonstrates a limited discussion of the various aspects of the selected topic as per the assessment piece. 12-10 Not able to provide a discussion of the various aspects of the selected topic as per the assessment piece. Lacks critical thought. <10 /70
Referencing - 15%
Consistently accurate with in-text referencing to support and reflect all ideas, factual information and quotations. 5 1 or 2 consistent in-text referencing errors identified to support and reflect all ideas, factual information and quotations. 4 3 or 4 consistent in-text referencing errors identified to support and reflect all ideas, factual information and quotations. 3 5 or 6 inconsistent in-text referencing errors identified to support and reflect all ideas, factual information and quotations. 2.5 Referencing is not consistent with APA style. Many inaccuracies with in-text referencing to support and reflect all ideas, factual information and quotations. <2.5 /15
A minimum of 10 up-to-date references used including 5 or more up-to-date journal articles as well as relevant books and web sites spread consistently across all topics answered. 5 A minimum of 9 references used including 4-5 journal articles as well as relevant books and web sites spread consistently across all topics answered. 4 A minimum of 8 references used including 3-4 journal articles as well as relevant books and web sites spread consistently across all topics answered. 3 A minimum of 7 references used including 1-2 journal articles as well as relevant books and web sites spread consistently across all topics answered. 2.5 The required number of 7 references not used, required journal articles not sourced, or consistently spread across all topics answered. Relevant web sites not used. <2.5
Reference list appears in alphabetical order and fully adheres to reference list presentation guidelines APA style. 5 Reference list appears in alphabetical order and consistently adheres to reference list presentation guidelines APA style. 4 Reference list appears in alphabetical order and frequently adheres to reference list presentation guidelines APA style. 3 Reference list appears in alphabetical order and occasionally adheres to reference list presentation guidelines APA style. 2.5 Reference list appears in no alphabetical order and does not adhere to reference list presentation guidelines APA style. <2.5
Total Marks /100

Grade:

Markers Comments:

Marker

Conditions Minimum mark or grade - You need to score at least 25% of overall marks for this assessment to pass the unit and satisfy the leaning outcomes.
Referencing Style American Psychological Association (APA)
Submission Online

Using Moodle assessment link

Learning Outcomes Assessed
This section can be expanded to view the assessed learning outcomes

1. Examine the principles of quality use of medicines (QUM), as related to nursing practise

2. Consider the pharmacokinetic, pharmacodynamics, biochemical and microbial influences medications can have upon individuals across the lifespan

3. Analyse the professional and ethical implications of medication administration and the associated legislative requirements to nursing practise

4. Explore the use and implications of non-traditional and complementary pharmacological therapies.

Graduate Attributes
This section can be expanded to view the assessed graduate attributes

1. Communication

2. Problem Solving

3. Critical Thinking

4. Information Literacy

5. Team Work

6. Information Technology Competence

7. Cross Cultural Competence

8. Ethical practice



3 Written Assessment

Assessment Title Written Assessment - Development of Drug Protocol
Task Description
Assignment 3: Developing a Drug Protocol

Due Date: Monday 29th May, 2017

Weighting: 50%

A protocol defines a set of procedures or steps to be followed for the accomplishment of a given task. Your task for this assignment is to develop a drug protocol that covers all the requirements for you and other health personnel to follow in a hospital ward environment to ensure both safety and quality requirements for administering your chosen medication (as per the case studies below) are met.

General Information

You are working on a ward and are a newly registered nurse to this area. You are required to administer medication to one of the patients assigned to you (which represent one of the supplied case studies below). You are unsure of how to give the medication and seek out the unit’s medication protocol for help but are unable to find one. You approach the Nurse Unit Manager who suggests you develop a drug protocol for this medication to be utilised on the ward which includes consideration of the patient when discharged i.e education.

Instructions:

1. You are to choose ONE of the following case studies below to write for your assignment.

2. The assignment consists of 2 parts (see point 3).

You are required to download the Template (which will form Part A of your assignment) supplied in a word document format which will allow you to directly add-in the information to each section. Any information supplied in italics in the template is to be deleted and replaced with your information. No section of this template is to be left blank. If no information is available then ‘N/A’ (indicating ‘not applicable’) is to be used.

Please do not submit or convert this template to a PDF. This completed document, along with your discussion (Part B) is to be submitted as one document to the assessment area of the Moodle site (see exemplar on the Moodle site).

3. The assignment has two parts.

Part A: Development of Drug Protocol (see exemplar on Moodle site)

Your task for this part of this assignment is to utilise the template supplied (which contains all the headings and additional information [in italics] guiding you as what is required) and develop a drug protocol that is specific medication related to the illness or disease stated in your chosen case study.

This means that if you choose:

Case study 1: You need to develop a drug protocol for the administration of salbutamol for treatment of asthma.

Case study 2: You need to develop a drug protocol for the administration of rivaroxaban for treatment in patients with atrial fibrillation.

Case study 3: You need to develop a drug protocol for the administration of ibuprofen for treatment of a pain and fever in children (birth to 5 years).

You are to only choose 1 (ONE) case study from the list below.

Part B: Justification and Critical discussion (1200 words MAX)

You are required to justify and discuss this medication for treatment of the disease/illness in your chosen case study. Therefore this means if you choose Case Study 1, you need to justify or discuss why salbutamol is drug of choice to be prescribed for treatment of asthma i.e. what is the mechanism of action, what local guidelines exist, what evidence supports the use of this medication etc. that would, or would not, support administering this medication for the treatment of asthma. Suggested word length for this section – 500 to 600 words (max).

You are also required to critically discuss administering this medication to your patient incorporating the drug protocol in Part A. Basically your task here is to individualise the drug protocol to fit your patient. The drug protocol is a generic protocol and contains general information. Each case study has questions to assist in addressing this section of the discussion. You need to consider cultural and teaching aspects e.g: the section of your drug protocol titled ‘Patient Advice & Education’ may guide your discussion for this section: e.g if your patient education and advice includes a pamphlet, then you need to discuss whether or not this pamphlet would be appropriate taking into account the patient’s culture or social background. Is it educationally appropriate for the age of the patient? What additional considerations would you need to consider? In your discussion you may need to consider the laboratory testing and or other medications prescribed that may be supplied in your case study. These are only suggestions to be used as a guide. Suggested word length for this section – 500 to 600 words (max).

NB: This section – Part B, needs to adhere to an Academic essay format which includes an introduction and conclusion – the justification and critical discussion are not individual sections so only requires one introduction and one conclusion for the entire discussion.

References are required to be in APA format. For help with writing an academic essay please refer to the articles under the Assessment tab of the Moodle page or see the ALC (Academic Learning Centre) for assistance. Only one reference list is required for both the drug protocol and discussion and presented at the end of the assessment.

The study guide, course profile, and power-points supplied in the course Moodle site are NOT to be used as reference sources but are good resources to guide your answers. Journal articles less than 5 years old and textbooks less than 10 years old should only be used.

Total word count for Section B = 1000 – 1200 (max) words – excluding in-text referencing.

Case Studies

The following case studies are fiction in both name and any personal information. Any relevance to any person or place is merely co-incidental.

Your requirement for this assignment is to choose ONE case study below.

Case study 1:

Miss Shana Bell is an 18 year old who has a history of asthma. She has been admitted to the medical ward after presenting to the emergency department via ambulance with a severe flare-up of her asthma. She presented to the emergency department with a 3 (three) day history of increasing shortness of breath requiring increasing use of her salbutamol puffer (which she had run out of that morning) and unable to talk full sentences on arrival.

Miss Bell has a partner and young child who accompany her to the ward. Miss Bell is a heavy smoker and has been smoking since the age of 14. The acute signs and symptoms of her asthma has passed and Miss Bell is being prepared for discharge in the following days from the medical ward. Both her and her partner are unemployed and live in a 1 bedroom apartment so have very little money for medications.

The doctor has charted Miss Bell 2 (two) puffs every 4 (four) hours of salbutamol (Ventolin) metered dose inhaler (MDI) PRN, and 3 days of high dose prednisolone 50 mgs daily. She is for regular 4th hourly observations. Recent observations are within normal ranges. Miss Bell has had bloods attended and results are unremarkable.

All medications are listed below.

Past medical history is of previous presentations with uncontrolled asthma with no history of admissions to hospital previously.

Medications on admission:

· salbutamol (Ventolin) inhaler 2 puffs 4hrly PRN

· prednisolone 50 mg daily for 5 days

Miss Bell is to be discharged on an inhaled corticosteroid - fluticasone propionate 250mcg (Flixotide) MDI 2 puffs daily.

Questions (to assist in answering the critical discussion section of Part B):

a) Does this protocol fit, or is it able to be utilised, for Miss Bell?

b) Discuss the importance of this medication in treatment of Miss Bell’s asthma. Are there any perceivable issues relevant to Miss Bell’s circumstances?

c) What potential problems exist for Miss Bell in adhering to her medication regime to control her asthma? What strategies could be suggested to assist her monitoring/reducing flare-ups of her asthma?

d) What advice and education could be offered to Miss Bell and/or her family to help ensure adherence to her medication regime including the addition of taking the new inhaled medication fluticasone?

Case Study 2:

Mr Lee is a 78 year old gentleman who has recently emigrated to Australia from China and speaks little to no English. He has been admitted to the medical ward for monitoring and commencement of an anticoagulant after presenting to the emergency department with new onset of atrial fibrillation. Mr Lee weighs 75 kgs and is 158cms tall. Mr Lee is accompanied by his wife, Chen and adult daughter, Xia who are always in attendance. Mr Lee currently resides with his wife at their daughter’s residence. His daughter speaks for Mr Lee in all communications with the staff and translates basic information for him including his menu choices. His wife assists with Mr Lee’s ADLs. Mr Lee is being prepared for discharge in the next couple of days and his heart rhythm remains in atrial fibrillation. Past medical history is unremarkable other than hypertension and high cholesterol.

The doctor has charted Mr Lee rivaroxaban orally 10mg due 6pm daily on admission to the medical ward. All other medications are listed below.

Additional Medications on admission:

· metoprolol 50mgs daily

· atorvastatin 40 mg nocte

· aspirin 150 mg mane

Most recent observations and laboratory results:

· Heart rate: 72 – 87 beats/min and irregular on palpation of radial artery

· Blood pressure: 129/65

· Temperature: afebrile

· ECG: shows atrial fibrillation

· CrCl: 50mL/min

Questions (to assist in answering the critical discussion section of Part B):

a) Does this protocol fit, or is it able to be utilised, for Mr Lee?

b) Discuss any potential issues taking rivaroxaban with current medications.

c) Discuss advice and education/strategies that can be offered to Mr Lee and his daughter/wife to help adhere to the medication regime and safely taking rivaroxaban at home? Consider cultural aspects.

Case Study 3:

You are the nurse at a local health centre. Mrs Broome has brought Makayla, her 2 year old daughter for concerns regarding an ongoing earache. Makayla is from an indigenous background and resides with her extended family in a rural and remote area of Australia. Both she and her mother have travelled some distance to see the doctor. Makayla has a temperature of 38.5 and unsettled with bouts of crying. The doctor diagnoses Makayla with acute otitis media (middle ear infection) and has prescribed some antibiotics. Makayla has had 4 (four) previous episodes of otitis media in the last 12 months otherwise has no other health problems and takes no regular medications. The doctor has advised Mrs Broome to administer ibuprofen for pain and fever associated with this infection and calls you to administer a dose of ibuprofen prior to Makayla and her mother leaving the clinic. Makayla weighs 14kgs.

The doctor has prescribed 140mg ibuprofen 6hrly PRN for the pain and fever.

Questions (to assist in answering the critical discussion section of Part B):

a) Does this protocol fit, or is it able to be utilised, for Makayla Broome?

b) Discuss if this medication can be safely administered to Makayla.

c) Discuss education necessary for Makayla’s mother to adhere to the safe administration of ibuprofen. Consider cultural aspects.

d) What education and advice could be suggested to Makayla’s mother to assist with preventing further episodes of otitis media as a means of employing preventive measures decreasing medication requirements? Consider cultural aspects.

Assessment Due Date Week 12 Monday (29-May-2017) 11:45 PM AEST
Use online Moodle assessment link.
Return Date to Students Exam Week Friday (16-Jun-2017)
NB: Return date is 3 weeks after due date which is Monday 19th June 2017 NOT 16th June. Marked assessments will be uploaded into moodle.
Weighting 50%
Assessment Criteria

Assessment 3 Marking Criteria: NURS12154 Pharmacology for Nursing Practice: Drug Protocol

Student name: Student Number:

HD 85-100% D 75-84% C 65-74% P 50-64% F <50% Marks
Structure -15%
Excellent presentation of assignment with inclusion of all correct components. 1.5 line spacing, and 12 point font used in the discussion. Consistently accurate with spelling, grammar and use of punctuation. 5 Well-presented assignment with inclusion of correct components – minor discrepancies. 1.5 line spacing and 12 point font used in the discussion. Generally accurate (1 or 2 errors) in spelling, grammar or use of punctuation. 4 Well-presented assignment with inclusion of all components. 1.5 line spacing, and 12 point font used in the discussion. Occasional inaccuracies (3 or 4 consistent errors) with spelling, grammar or use of punctuation. 3 Adequate assignment presentation. Minor exclusion of components. 1.5 line spacing with 12 point font used in the discussion. Frequent inaccuracies (5 to 7 consistent errors) with spelling, grammar or use of punctuation. 2.5 Poorly presented assignment. Absence/major exclusion of important components. 1.5 line spacing not used and 12 point font not used in the discussion. Many inaccuracies in spelling, grammar or use of punctuation. <2.5 /15
Clear and succinct introduction and conclusion that introduces and outlines the direction of the case study discussed and a conclusion that sums up the discussion. 5 Clear and appropriate introduction and conclusion that introduces and outlines the direction of the case study discussed and a conclusion that sums up the discussion. 4 Appropriate introduction and conclusion that introduces and outlines the direction of the case study discussed and a conclusion that sums up the discussion. 3 Introduction and conclusion is apparent but there is no clear direction of the case study discussed and/or a conclusion that sums up the discussion. 2.5 No recognisable introduction and/or conclusion — topic is not introduced and/or no direction offered of the case study discussed and/or no conclusion that sums up the discussion. <2.5
Content is clearly relevant to the topic. The approach clearly and comprehensively addresses the topic and the discussion proceeds logically. Well linked to supporting literature. 5 Content is relevant to the topic, the approach clearly addresses the topic and proceeds logically. Supporting literature is used appropriately. 4 Content is appropriate and addresses the topic and for the most part proceeds logically. Minimal omissions in links to supporting literature. 3 Content addresses the topic but at times is repetitive or lacks cohesion. Supporting literature used but frequent omissions in links identified. 2.5 Content is irrelevant and or does not address the topic. There is a lack of cohesion. Little to no links to supporting literature. <2.5
Approach and Argument (70%)
Comprehensive consideration of all aspects of the assessment piece. Demonstrated thorough understanding of relevance of content is clearly evident to nursing practice. 8.5-10 Broad consideration of most aspects of the assigned assessment task. Clearly demonstrates understanding of how content is relevant to nursing practice. 7.5-8 Adequate consideration of most aspects of the assigned assessment task. Generally demonstrates understanding of how content is relevant to nursing practice. 6.5-7 Content addresses the assigned assessment task. Demonstrates limited understanding of how content is relevant to nursing practice. 5-6 Content does not address all aspects of the assessment task. Inadequate description of required content and no demonstration of understanding of required content relevant to nursing practice. <5
Comprehensively presents a detailed drug protocol that includes the considerations for the appropriate administration of the medication relevant to the diagnosed disease process in the case study with clear, coherent and convincing critical thought displayed. 17-20 Extensively includes a thorough drug protocol including the considerations for the appropriate administration of the medication relevant to the diagnosed disease process in the case study with well-developed critical thought evident. 15-16 Generally includes a reasonable presentation of drug protocol including considerations for the appropriate administration of the medication relevant to the diagnosed disease process in the case study with critical thought developed and presented. 13-14 Basic presentation of drug protocol and discussion with basic consideration for the appropriate administration of the medication relevant to the diagnosed disease process in the case study. Perceptible critical thought. 10-12 Incomplete, inadequate or no presentation of drug protocol with minimal, inadequate inclusion of considerations for the appropriate administration of the medication relevant to the diagnosed disease process in the case study. <10
Comprehensively includes an extensive detailed discussion justifying the use of the medication relevant to the disease process in the case study with clear, coherent and convincing critical thought displayed. 17-20 Extensively includes a thorough discussion justifying the use of the medication relevant to the disease process in the case study with well-developed critical thought displayed. 15-16 Generally includes a reasonable discussion of justifying the use of the medication relevant to the disease process in the case study with critical thought evident. 13-14 Basic presentation of a discussion justifying the use of the medication relevant to the disease process in the case study. Perceptible critical thought. 10-12 Incomplete, inadequate, minimal, or no discussion of justifying the use of the medication relevant to the diagnosed disease process in the case study. Limited or no critical thought demonstrated. <10
Comprehensively includes an extensive detailed discussion critically analysing factors involved in utilising the written drug protocol relevant to the individual circumstances in the case study with clear, coherent and convincing critical thought displayed. 17-20 Extensively includes a thorough discussion critically analysing factors involved in utilising the written drug protocol relevant to the individual circumstances in the case study with well-developed critical thought evident. 15-16 Generally includes a reasonable discussion analysing factors involved in utilising the written drug protocol relevant to the individual circumstances in the case study with critical thought evident. 13-14 Basic discussion of factors involved in utilising the written drug protocol relevant to the individual circumstances in the case study. Perceptible critical thought. 10-12 Incomplete, limited or no discussion of factors involved in utilising the written drug protocol relevant to the individual circumstances in the case study. <10 /70
Referencing - 15%
Consistently accurate with in-text referencing to support and reflect all ideas, factual information and quotations. 5 1 or 2 consistent in-text referencing errors identified to support and reflect all ideas, factual information and quotations. 4 3 or 4 consistent in-text referencing errors identified to support and reflect all ideas, factual information and quotations. 3 5 or 6 inconsistent in-text referencing errors identified to support and reflect all ideas, factual information and quotations. 2.5 Referencing is not consistent with APA style. Many inaccuracies with in-text referencing to support and reflect all ideas, factual information and quotations. <2.5 /15
A minimum of 10 up-to-date references used including 5 up-to-date journal articles as well as relevant books and web sites. 5 A minimum of 9 references used including 4 journal articles as well as relevant books and web sites. 4 A minimum of 8 references used including 4 journal articles as well as relevant books and web sites. 3 A minimum of 7 references used including 3 journal articles as well as relevant books and web sites. 2.5 The required number of 7 references not used journal articles not sourced. Relevant web sites not used. <2.5
Reference list appears in alphabetical order and fully adheres to reference list presentation guidelines APA style. 5 Reference list appears in alphabetical order and consistently adheres to reference list presentation guidelines APA style. 4 Reference list appears in alphabetical order and frequently adheres to reference list presentation guidelines APA style. 3 Reference list appears in alphabetical order and occasionally adheres to reference list presentation guidelines APA style. 2.5 Reference list appears in no alphabetical order and does not adhere to reference list presentation guidelines APA style. <2.5
Total Marks /100

Grade:

Markers Comments:

Marker:

Conditions Minimum mark or grade - You need to score at least 25% of the overall marks for this assessment to pass the unit and satisfy the leaning outcomes.
Referencing Style American Psychological Association (APA)
Submission Online

Using online Moodle Assessment link.

Learning Outcomes Assessed
This section can be expanded to view the assessed learning outcomes

1. Examine the principles of quality use of medicines (QUM), as related to nursing practise

2. Consider the pharmacokinetic, pharmacodynamics, biochemical and microbial influences medications can have upon individuals across the lifespan

3. Analyse the professional and ethical implications of medication administration and the associated legislative requirements to nursing practise

4. Explore the use and implications of non-traditional and complementary pharmacological therapies.

Graduate Attributes
This section can be expanded to view the assessed graduate attributes

1. Communication

2. Problem Solving

3. Critical Thinking

4. Information Literacy

5. Team Work

6. Information Technology Competence

7. Cross Cultural Competence

8. Ethical practice




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