PMSC13003 - Pharmacology in Paramedic Practice
Term 1 - 2017


All details in this unit profile for PMSC13003 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

You will develop an understanding of pharmacotherapy in paramedic practice through investigation of the appropriate use of pharmacological interventions in patient management. You will develop knowledge of specific medications common to patients requiring care by paramedics, as well as skills to calculate medication dosages through a series of coursework and case management exercises.

Details

Career Level Undergraduate
Unit Level Level 3
Credit Points 6
Student Contribution Band 1
Fraction of Full-Time Student Load 0.125

Pre-requisites or Co-requisites

Pre requisites: PMSC12001 Procedures and Skills in Paramedic Care

and

Co requisites: PHRM19001 Pharmacology and Toxicology or BMSC13010 Pharmacology

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
  • 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. Presentation and Written Assessment 50%
2. Online Quiz(zes) 25%
3. Online Quiz(zes) 25%

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.

Evaluation

Term 2 - 2015: The overall satisfaction for students in the last offering of this unit was 3.3 (on a 5 point Likert scale), based on a 68% response rate.

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
More emphasis on the drugs rather than the drug therapy protocols Student feedback This course is about contextualising the drugs learnt in Pharmacology. Students are to now put these drugs into context within the ambulance environment. In depth knowledge of pharmacodynamics is not a learning outcome of this course. Students are provided how the drugs work on receptor sites within the drug therapy protocol presentations
The scientific poster is not relevant to this course Student feedback This scientific poster is relevant to paramedic practice. It allows students review drugs currently used in their ambulance service of choice and then students are required to research an alternative drug. This is consistent with actual practice where paramedics recommend new drugs based on evidence based practice.
On successful completion of this unit, you will be able to:
  1. Describe the indications, pharmacokinetics, actions, routes of administration, contraindications, side effects and precautions of medications and fluids administered by paramedics, and how you would evaluate the effects of administration
  2. Correctly calculate drug doses for the administration of paramedic medications
  3. Discuss the implications of renal or hepatic dysfunction, pregnancy and extremes of age on drug administration in the paramedic context
  4. Research and justify the most effective pharmacological treatment options in the pre-hospital context.

1. The educational institution must demonstrate it has developed a paramedic education course that provides students with the educational base for a graduate appropriate to the level of qualification to be attained, the specified level of competence to meet the requirements for employment as an entry level paramedic.

2. The educational course / curriculum requirements for work readiness must be determined by the curriculum / course development committee through consultation with all major stakeholders in particular, the principal ambulance services in Australia and New Zealand represented by the CAA.

3. The educational couse / curriculum requirements to meet the work readiness requirements of the principal ambulance services in Australia and NZ and should be reviewed on a regular basis as part of a formal paramedic education course review process.

4. Given the complex nature of out of hospital, unscheduled care and the diversity of health care situations encountered, Paramedics must be well educated, skilled and knowledgeable practitioners in a range of subjects and be able to appraise and adopt an enquiry-based approach to the delivery of care

5. Paramedic education courses should produce graduates with an educational base and attributes appropriate to the level of qualification attained and specified level of competence required. These objectives and attributes must be clearly described for each course being assessed.

Alignment of Assessment Tasks to Learning Outcomes

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

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 - Presentation and Written Assessment    
2 - Online Quiz(zes)            
3 - Online Quiz(zes)      

Prescribed Textbooks

Pharmacology for Health Professionals
Author/s: Bryant, BJ and Knights, KM Year: 2015
Edition: 4th Publisher: Elsevier
City: Chatswood State: NSW
Country: Australia
View textbooks at the CQUniversity Bookshop
Note:

Students are encouraged to access the student resources through Evolve Learning System (access details in the front of the textbook) to facilitate their learning in this unit.


IT Resources

You will need access to the following IT resources:
  • CQUniversity Student Email
  • Internet
  • Unit Website (Moodle)
  • Access to podcasts, audio files & videos as they appear on the unit Moodle page
  • Access to Zoom (session log-in details will be provided)
  • Access to eMIMS through the university library Paramedic Science Resource Guide
  • Optional access to textbook student resources through Evolve (information in front of prescribed text)
All submissions for this unit must use the Harvard (author-date) referencing style (details can be obtained here). For further information, see the Assessment Tasks below.
Unit CoordinatorKirsty Shearer (k.shearer@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

Dosage measurements and calculations & review of drug pharmacokinetics & legal & ethical considerations

Text - Chapter 1 – dosage measurements and calculations (p21-30)

Text - Chapter 6 – drug absorption, distribution, metabolism & excretion (p141-161)


Week 2 13-03-2017 The essentials

Oxygen

Sodium chloride 0.9%

Water for injection

The home pharmacy…

Street drugs

QAS DTP's: oxygen, sodium chloride 0.9%, water for injection

Text - Chapter 28 – pp 605-608

ARC Guideline 11.6.1

Text - Chapter 21 - pp 440-483

Week 3 20-03-2017

Special Considerations

Pregnancy

Paediatrics

Geriatrics

Renal failure

Hepatic dysfunction

The effects of shock

Chapter 9 pp 189-202
Week 4 27-03-2017

Analgesics

Fentanyl

Methoxyflurane

Morphine

Paracetamol

QAS DTP's - fentanyl, methoxyflurane, morphine, paracetamol

Text - Chapter 15, fentanyl p324, methoxyflurane p38, 284, morphine p322, paracetamol p67, 329

Week 5 03-04-2017

Adrenaline

Box jellyfish antivenom

Ceftriaxone

Droperidol

QAS DTP's - adrenaline, box jellyfish antivenom, ceftriaxone, droperidol

Text - adrenaline p235-241 (including review of SNS), box jellyfish antivenom p1088-9, ceftriaxone p931-3, droperidol p388-9

Presentation and Written Assessment Due Friday (07 Apr 17) 11:45 PM AEST
Vacation Week 10-04-2017
Week 6 17-04-2017

Drugs affecting clotting

ANTI-PLATELETS

Aspirin

Clopidogrel

Ticagrelor

ANTI-COAGULANTS

Enoxaparin

Heparin

FIBRINOLYTICS

Tenecteplase

QAS DTP's - aspirin, clopidogrel, ticagrelor, enoxaparin, heparin, tenecteplase

Text - aspirin p329-330, clopidogrel & ticagrelor p585, enoxaparin p578, heparin p577, tenecteplase p586

Week 7 24-04-2017

Glucagon

Glucose gel

Glucose 10%

QAS DTP's - glucagon, glucose gel, glucose 10%

Text - glucagon p764

Week 8 01-05-2017

Glyceryl trinitrate

Hydrocortisone

Hydroxocabalamin

Ipratropium bromide

QAS DTP's - glyceryl trinitrate, hydrocortisone, hydroxocabalamin, ipratropium bromide

Text - glyceryl trinitrate p513-518 (including review of vascular smooth muscle), hydrocortisone p745-749, ipratropium bromide p615

Week 9 08-05-2017

Lignocaine 1%

Magnesium sulphate

Midazolam

Naloxone

QAS DTP's - lignocaine 1%, magnesium sulphate, midazolam, naloxone

Text - lignocaine 1% p295, magnesium sulphate p1089, midazolam p347, naloxone p328

Online Quiz(zes) Due Friday (12 May 17) 11:45 PM AEST
Week 10 15-05-2017

Ondansetron

Oseltamivir

Oxytocin

Salbutamol

Tetanus & influenza immunisation

QAS DTP's - ondansetron, oseltamivir, oxytocin, salbutamol, tetanus immunisation, influenza vaccine

Text - ondansetron p653, oseltamivir p954, oxytocin p723-4, salbutamol p615


Week 11 22-05-2017 When to call for back-up - CCP drugs
Online Quiz(zes) Due Friday (26 May 17) 11:45 PM AEST
Week 12 29-05-2017 Any last minute concerns...


Review/Exam Week 05-06-2017
Exam Week 12-06-2017

1 Presentation and Written Assessment

Assessment Title Presentation and Written Assessment
Task Description

Historically, ambulance services followed a medical model for determining future clinical direction, often deferring to a medical advisory board or medical director to determine new skills, procedures or pharmacology. More recently, there has been a shift in thinking towards paramedics researching and determining their own destiny in a clinical sense. It is therefore becoming an important skill for paramedics to be able to look at current research and new trends, and to analyse the evidence base to determine whether a new skill, procedure or pharmacology should be adopted (or not)

You have been tasked by a medical advisory board to review the introduction of either a new drug (approved by the TGA) or another service's drug (not currently used by your chosen service) into the already extensive armament of drugs on offer in your chosen ambulance service. Please note that simply altering the indications for a current drug or the route of administration of a current drug is not sufficient for this task. The medical advisory board would like for you to report on the introduction of this drug into the ambulance service and therefore require 2 parts to this proposal.

Part one (25%) will require you to develop a paper including a review of the literature on your drug of choice. You will be required to review recent (no greater than 5 years) research articles (aim for 5 articles) in relation to this drug of choice. It is preferred that the literature review is in narrative form (that is, explain the research in your own words). The word limit for this section is 1500 words.

Using information you obtain from the journals you will combine the information, critique the literature and your report should include:

Introduction - your report aim
Research articles - identify the research designs, the study participants and describe how the data was collected for each study
Discussion - What conclusions can be drawn from the studies? Discuss the implications of introducing this drug into paramedic practice, for example, do you need to cease the use of one drug for the introduction of another? Are there any cost/equipment implications?
Conclusion - what are your recommendations (drug therapy protocol to be developed here or as an appendix - either way it is included in your word count)
Reference List

Part two (25%) - using the information collected in part one, you will be required to develop a scientific poster.

There is no specific word limit here, as you will be using the information gained in Part 1. Remember to summarise your information for presentation.


Assessment Due Date Week 5 Friday (07-Apr-2017) 11:45 PM AEST
Return Date to Students Week 7 Friday (28-Apr-2017)
Weighting 50%
Assessment Criteria

Part one (25%) - The paper will be assessed on:

Presentation and layout: information presented in a clear & logical sequence; content clearly written; appropriate word count; abbreviations & diagrams used appropriately

Questions: selected drug meets criteria; most current literature used; introduction; discussion of research design & data; implications of introducing the drug; recommendations

Drug therapy protocol: developed appropriately; all information included; effective layout; sources acknowledged

Referencing: use of Harvard referencing; all sources referenced appropriately; reference list

Part Two (25%) – The poster will be assessed on:

Required content: looking at the main points covered & content

Presentation: looking at visual engagement; use of visual elements; graphics & overall presentation

Mechanics: looking at grammar & spelling & referencing

The assessment rubric used in marking this assessment task can be found on the unit Moodle page.

Conditions Minimum mark or grade - 50%
Referencing Style Harvard (author-date)
Submission Online

Part One and Part Two submitted through Moodle.

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

1. Describe the indications, pharmacokinetics, actions, routes of administration, contraindications, side effects and precautions of medications and fluids administered by paramedics, and how you would evaluate the effects of administration

4. Research and justify the most effective pharmacological treatment options in the pre-hospital context.

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

8. Ethical practice



2 Online Quiz(zes)

Assessment Title Online Quiz(zes)
Task Description

You will be required to complete this online quiz by the end of week 9, this quiz will become available in Week 7 and will have a specific time limit imposed to complete the quiz. The quiz will be made up of case based management exercises including drug calculations in accordance with the Queensland Ambulance Service DTP's. This is an individual assessment with no collaboration allowed.

Number of Quizzes 1
Frequency of Quizzes Other
Assessment Due Date Week 9 Friday (12-May-2017) 11:45 PM AEST
The quiz will open 0800hrs on Monday of week 8 and closes at 2345hrs AEST (Australian Eastern Standard Time) on Friday of week 9.
Return Date to Students Week 11 Friday (26-May-2017)
Weighting 25%
Assessment Criteria

You will be required to answer each question as a whole at ACP2 level to receive the full marks allocated to that question. This assessment task must be completed by 2345hrs on the Friday of Week 9 (12 May 2017). In the absence of an approved extension, there will be no opportunity to complete the task after this date, and there will be no opportunity to apply a late penalty of five percent per day. This quiz is worth 25% of your overall mark. All assessment pieces must be completed to pass this unit.

Conditions Minimum mark or grade - 50%
Submission Online

You will be required to complete this task in an allocated time, there will be no option to save your answers and to go back to the quiz later.

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

2. Correctly calculate drug doses for the administration of paramedic medications

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

3. Critical Thinking

4. Information Literacy



3 Online Quiz(zes)

Assessment Title Online Quiz(zes)
Task Description

You will be required to complete this online quiz by the end of week 11, this quiz will become available in Week 10 and will have a specific time limit imposed to complete the quiz. The quiz will be made up of short answer questions related to material offered throughout the unit as well as in accordance with the Queensland Ambulance Service DTP’s.

Number of Quizzes 1
Frequency of Quizzes Other
Assessment Due Date Week 11 Friday (26-May-2017) 11:45 PM AEST
The quiz will open 0800hrs on Monday of week 10 and closes at 2345hrs AEST (Australian Eastern Standard Time) on Friday of week 11.
Return Date to Students Exam Week Friday (16-Jun-2017)
Weighting 25%
Assessment Criteria

You will be required to answer each question as a whole at ACP2 level to receive the full marks allocated to that question. This assessment task must be completed by 2345hrs on the Friday of Week 11 (26 May 2017). In the absence of an approved extension, there will be no opportunity to complete the task after this date, and there will be no opportunity to apply a late penalty of five percent per day. This quiz is worth 25% of your overall mark. All assessment pieces must be completed to pass this unit.

Conditions Minimum mark or grade - 50%
Submission Online

You will be required to complete this task in an allocated time, there will be no option to save your answers and to go back to the quiz later.

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

1. Describe the indications, pharmacokinetics, actions, routes of administration, contraindications, side effects and precautions of medications and fluids administered by paramedics, and how you would evaluate the effects of administration

3. Discuss the implications of renal or hepatic dysfunction, pregnancy and extremes of age on drug administration in the paramedic context

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

1. Communication

2. Problem Solving

3. Critical Thinking

4. Information Literacy

8. Ethical practice




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