GREAT BASINCOLLEGE

NURSING PROGRAM

Course: NURS 209 : PRINCIPLES OF INTRAVENOUS THERAPEUTICS& INTRAVENOUS THERAPY FOR LPNs and RNs

Credits : 2

Hours: 20 Didactic hours 10 Clinical Hours

Course Dates: March 1 thru April 25th

Didatic/Theory / Clinical Practicum-GBC Skills Lab
Online on Webcampus from March 1st thru April 25thth / Friday April 25, 2008 6 PM -9PM
Saturday April 26, 2008 8 AM – 4PM

Course Description:This Basic Intravenous Therapy for Licensed Practical Nurses Course is directed toward establishingacceptable standards so the student is able to delineate the beginning skills and knowledge neededto administer and manage IV therapy. Basic Guidelines include: background information; legalaspects of IV system; fluid and electrolyte balance; procedure for venipuncture; prevention andassessment of complications; principles of pharmacology as related to IV therapy; and demonstration

and practice of required skills.

Pre- and Co-Requisites:

1) Current Nevada licensure as an LPN or RN in Nevada.

2) Proof of current PPD/Newgative Tuberculosis status

Instructor Information:

Diane Elmore RN, MSN

GallagherHealthSciencesBuilding Office #116

Office Phone: 775-777-1810

Office Hours: By appointment

Preferred E-mail: Webcampus E-mail System

E-mail:

Office Hours: By appointment

**I would prefer that you use the WebCampus mailbox for this course to correspond with me. I receive many emails via address and I don’t want to accidentally overlook something that you might send to me. I will respond to emails within 24 hours, but more likely it will be sooner than that as I check each WebCampus course site several times each day (and night). Please note that emails sent after 3PM on Friday may not receive a reply until Monday morning (unless it’s a holiday) – although I probably will have read them and responded if it appears urgent, pressing, etc.

Textbooks and Materials:

No Text book

Description of How the Course will be Conducted:

The didactic portion of this class will be conducted in a structured online format using WebCampus. The clinical portion of this class will be held in face –to- face meeting times in the pre-arranged clinical settings

A. Teaching methods include online classroom modules and assignments, demonstrations, return demonstration, supervised clinical practice, and classroom and clinical performance evaluations.

B. Regularly scheduled quizzes will be given during the course and will be timed and open book/open notes. These quizzes will be available on WEBCAMPUS. A comprehensive final examination will be given in addition to the regularly scheduled online quizzes. A final clinical practicum examination/pass-off will be given in addition to a minimum number (3) of supervised successful venipunctures.

C. The final examination will only be given to those students who have demonstrated

successful completion of all the didactic and clinical portions of the class.

D. A minimum of three (3) supervised successful venipunctures must be completedto finish the course.

Learner Outcomes:

At the completion of this course the learner will be able to:

1.List the policies, procedures, rules and regulations that govern the Licensed Practical Nurse in the State of Nevada when administering and managing IV therapy.

2. List legal implications when administering and managing IV therapy.

3. Demonstrate verbally and/or in writing a basic knowledge of the anatomy and

physiology of the adult circulatory system.

4. Identify the role of fluid and electrolytes in maintenance of homeostasis.

5. Identify the principles of pharmacology as they relate to IV therapy.

6. Demonstrate a knowledge of the drugs and solutions commonly used in IV

therapy and discuss their action, correct dosage, and adverse effects.

7. Demonstrate safe use of selected IV equipment.

8. Demonstrate the ability to correctly calculate flow rate and regulate selected

infusions.

9. Demonstrate the ability to safely perform venipunctures with selected equipment.

10. Demonstrate safe, effective care of patients receiving IV therapy and discuss the

signs and symptoms associated with effective Intravenous therapy

11. List the complications that may occur from IV therapy and discuss the signs and

symptoms of possible complications

12. Outline the nursing action to be taken if complications occur.

Assessment of Learner Outcomes:

Examinations via Webcampus over unit contents / Clinical demonstrations, competency checklist / Assignments & Class
Activities
1 List the policies, procedures, rules and regulations that govern the Licensed Practical Nurse in the State of Nevada when administering and managing IV therapy. / X / X
2. List legal implications when administering and managing IV therapy. / X / X
3. Demonstrate verbally and/or in writing a basic knowledge of the anatomy and physiology of the adult circulatory system. / X / X / X
4. Identify the role of fluid and electrolytes in maintenance of homeostasis. / X
5. Identify the principles of pharmacology as they relate to IV therapy. / X / X / X
6. Demonstrate a knowledge of the drugs and solutions commonly used in IV therapy and discuss their action, correct dosage, and adverse effects. / X / X
7. Demonstrate safe use of selected IV equipment. / X / X
8. Demonstrate the ability to correctly calculate flow rate and regulate selected
infusions. / X / X / X
9. Demonstrate the ability to safely perform venipunctures with selected equipment. / X / X
10. Demonstrate safe, effective care of patients receiving IV therapy and discuss the signs and symptoms associated with effective intravenous therapy / X / X / X
11. List the complications that may occur from IV therapy and discuss the signs and symptoms of possible complications of Intravenous therapy / X / X / X
12. Outline the nursing action to be taken if complications occur. / X / X / X

Methods of Instruction:

Instructional Methods: Course content will be covered via the following methods:

a. Online delivery for didactic portion of the class via WEBCMPUS

b. Selected interactive websites

c. Aaudiovisual materials

d. Printed handouts

e. Clinical demonstrations

Evaluation Methods:

a. Examinations via Webcampus over unit contents

b. Clinical demonstrations, competency checklist

c. Student evaluation of course/ instructor/ instructional materials

d. Student self-evaluation

Concepts/Principles applied in Course Content:

a. Intravenous therapy assessment skills

b. Principles of aseptic techniques

c. Principles of pharmacology

d. Clinical mathematics

e. Patient education

f. Principles of anatomy and physiology related to IV therapy

g. Principles of intravenous fluid administration

Grading Policy and Grading Criteria:

Didactic:

10 Online quizzes worth 20 pts each 200 pts.

10 Online class assignments worth 20 pts each 200 pts.

Final Examination worth 100 pts 100 pts.

Total 500 pts

Clinical Performance: Pass /Fail

In order to successfully pass this course, all clinical requirements must be passed-off with a satisfactory score on all demonstrations and the final clinical pass-off.

450-500 pts = A

400-449 = B

380-399 = C

Below 380 pts is below 76% and will be counted as an F and failure for the course.

Attendance/Make-up Policy:

  1. All assignments, quizzes, and the Final Exam will have a window of 1 week to be completed and submitted online. As such, no make-up work will be accepted after the final due date.
  2. Attendance will be MANDATORY for the clinical days associated with this class. The clinical days/times will be announced to the class at least 6 weeks prior to the scheduled clinical days.

ACCOMMODATIONS FOR DISABILITIES:

GBC supports providing equal access for students with disabilities. An advisor is available to discuss appropriate accommodations with students. Please contact the ADA Officer (Julie Byrnes) in Elko at 775.753.2271 at your earliest convenience to request timely and appropriate accommodation

NEVADA REVISED STATUTUES CONCERNING IV THERAPY

NAC 632.465Course on intravenous therapy: Prerequisites to offering. (NRS 632.120)Any course on intravenous therapy must comply with the requirements set forth in NAC 632.475 before it is offered to licensed practical nurses for the purpose of complying with the requirements of NAC 632.450 to 632.475, inclusive.

[Bd. of Nursing, § V subsec. E par. 1, eff. 8-21-81]—(NAC A 11-6-95)

NAC 632.470Course on intravenous therapy: Place of instruction; faculty. (NRS 632.120)

1. The course must be taught in an educational institution or a medical facility as defined in NRS 449.0151.

2. The course must be taught by a registered nurse who has had, during the 2-year period before the course is taught:

(a) At least 6 months’ experience as a member of a team which performed intravenous therapy in a licensed health and care facility;

(b) At least 6 months’ experience, which included starting and superimposing fluids, in a clinical area with a high volume of intravenous therapy; or

(c) Experience in teaching courses in intravenous therapy.

3. The ratio of faculty members to students in the laboratory or in an area used for clinical practice in the course must not be more than 1 to 10.

[Bd. of Nursing, § V subsec. E pars. 2, 4 & 5, eff. 8-21-81]—(NAC A 1-24-92; R081-06, 6-28-2006)

NAC 632.475Course on intravenous therapy: Subjects and hours required; improvement of skills. (NRS 632.120)

1. The course must include the following subjects:

(a) The current regulation concerning licensed practical nurses and intravenous

therapy;

(b) The anatomy, physiology and physics related to intravenous therapy;

(c) Identifying the purposes of intravenous therapy;

(d) Identifying the major routes for fluid replacement;

(e) Locating and naming the common intravenous sites;

(f) Identifying the types of fluids used in intravenous therapy;

(g) Preparing patients for intravenous therapy;

(h) Administering intravenous therapy, including:

(1) Setting up equipment for intravenous therapy;

(2) Inserting devices that act like needles in the periphery, which are not longer

than 3 inches;

(3) Inserting tubing into bottles of additives;

(4) Calculating drops per minute;

(5) Regulating intravenous flow according to calculation;

(6) Using electronic regulating mechanisms;

(7) Superimposing and piggybacking containers of solutions;

(8) Discontinuing peripheral intravenous devices that act like needles which are

not longer than 3 inches; and

(9) Recording intravenous therapy;

(i) Identifying possible complications from intravenous therapy;

(j) The management of intravenous therapy;

(k) The pharmacology of medications and solutions used in intravenous therapy; and

(l) The appropriate technique for changing a sterile dressing on a peripheral and

central venous site.

2. The course must include at least 20 hours of instruction and 10 hours of clinical practice. The clinical practice must include three successful venipunctures on live subjects.

3. A licensed practical nurse shall provide evidence of the maintenance or improvement of his knowledge and skills required to perform venipuncture and intravenous therapy to his employer or the Board, or both, upon request.

[Bd. of Nursing, § V subsec. E pars. 3 & 6, eff. 8-21-81]—(NAC A 3-26-90; 1-24-92)