UNIVERSITY of ALBERTA Faculty of Nursing Undergraduate Programs

UNIVERSITY OF ALBERTA Faculty of Nursing Undergraduate Programs BScN COLLABORATIVE PROGRAM Grande Prairie Regional College Keyano College Red Deer College University of Alberta Bilingual Nursing Program RPN to BScN Nursing Program After Degree Nursing Program

Winter 2021

NURS 252 PHARMACOLOGY II Foundational Minimal Pass COURSE OUTLINE New Curriculum

University of Alberta BScN Collaborative Program

Date: December 22, 2020

©UNIVERSITY OF ALBERTA COLLABORATIVE BScN PROGRAM, 1999 All rights reserved. No part of this course outline may be reproduced in any form or by any means without the publisher’s written permission. Approved: Shireen Bell

ACADEMIC CALENDAR ENTRY: The course explores selected episodic and chronic health alterations and the related pharmacological concepts. The focus is on applying foundational knowledge of pathophysiology and pharmacology to evidence-informed nursing practice. Note: Available only to students in the BScN program. Credit may be obtained for only one of NURS 308 OR NURS 251 and NURS 252.

COURSE DESCRIPTION: Second of two pharmacology courses that focuses on the mechanisms of action of drugs, their therapeutic uses and side effect profiles. General principles related to drug absorption, distribution, metabolism and excretion will be addressed. The nursing role in promoting optimal therapeutic regimens and in the management of side/adverse effects will be included.

CREDIT HOURS: NURS 252 (3-0-0) (3 hours of lecture) (15 week term).

Pre-requisites: Co-requisites: NURS 251 NURS 237, NURS 253

COURSE SCHEDULE: Section Instructor Class Time Room # NURS 252 A Nicole Pattullo Thursday 1200-1320 Class is online Friday 0930-1050 NURS 252 B Dr. Brenda Query Tuesday and Wednesday Class is online 0800 - 0920 Please note: A detailed course schedule is posted on blackboard.

INSTRUCTOR CONTACT INFORMATION Students are to contact instructors through BB messages on their N252 Blackboard course. During the week (between 0800 & 1700), we will try to respond to you within 24 hours. We will not respond between 1700 Friday and 0800 Monday, as we will be enjoying down time with our families or friends.

INSTRUCTOR OFFICE HOURS Office hours will vary per instructor. Please send a message on Blackboard and let your instructor know what day and time during the business week will work for you, keeping in mind that she is also in clinical.

PREFERRED CONTACT INFORMATION Preferred communication will be via Blackboard course site using a combination of course announcements and messages. Please allow 2 business days for a response for non-urgent messages and for messages sent outside of the business week. Professional and respectful communication is expected.

COURSE LEARNING OUTCOMES Upon successful completion of the course, students will be able to: 1. Apply knowledge of anatomy and physiology to pathophysiological and pharmacotherapeutic concepts. 2. Demonstrate theoretical understanding of pathophysiology as it relates to changes in health status. 3. Demonstrate theoretical understanding of pharmacokinetic and pharmacodynamics principles in pharmacotherapeutics. 4. Describe the pharmacotherapeutic classification, mechanism of action, properties, and effects of drugs. 5. Explain the relationship between pathophysiological concepts and pharmacotherapeutic concepts at an advanced level. 3

6. Apply the pathophysiology and pharmacotherapeutic concepts to focused increasingly complex clinical examples at an advanced level. 7. Identify the nursing implications in relation to pathophysiology and pharmacotherapeutics at an advanced level. 8. Predict common trajectories for pathophysiological processes and pharmacotherapeutic treatments at an advanced level.

UNIVERSITY OF ALBERTA COURSE OBJECTIVES See above

COURSE TOPICS Anemia Drugs Central Nervous System Depressants and Muscle Relaxants Central Nervous System Stimulants and Related Drugs Antiepileptic drugs Psychotherapeutic Drugs Substance Misuse Adrenergic Drugs Adrenergic Blocking Drugs Cholinergic Drugs Cholinergic Blocking Drugs Antianginal Drugs Heart Failure Drugs Diuretic Drugs Adrenal Drugs Acid Controlling Drugs Antiemetic and Antinausea Drugs Antiviral Drugs Antitubercular Drugs Antifungal Drugs Anti-inflammatory and Antigout Drugs Vitamins and Minerals Fluid and Electrolytes

LEARNING ACTIVITIES Lecture (through Collaborate Ultra), small and large group discussions online, online activities and games

COURSE RESOURCES: Required:

Lilley, L. L., Rainforth Collins, S., Snyder, J. S., & Swart, B. (2017). Pharmacology for Canadian health care practice (3rd Canadian ed.). Toronto, ON, Canada: Elsevier.

Online Resources:

Alberta Health Services. (2019). Medication reconciliation e-learning module for AHS staff and physicians. Retrieved from 4

https://www.albertahealthservices.ca/info/Page8171.aspx

Canadian Pharmacists Association. (2020). The electronic compendium of pharmaceuticals and specialties (e-CPS). Retrieved from https://www.e-therapeutics.ca/search

Elsevier. (2020). Evolve learning system. Retrieved from http://evolve.elsevier.com/Canada/Lilley/pharmacology/

Elsevier Adaptive Quizzing (EAQ) is purchased through the Red Deer College bookstore for N217. Orientation to the EAQ program will occur in N217. The EAQ is a required online NCLEX prep resource that is available for students to purchase at the bookstore if they have not done so prior to this course. The EAQ will assist students with preparing to write the NCLEX RN registration exam. This resource will provide students with a 36-month online review/prep course to use as they progress through years 2, 3 and 4 of the BScN program.

Recommended: Lilley, L.L., Rainforth Collins, S., Snyder, J.S., & Swart, B. (2016). A study guide for pharmacology for Canadian health care practice (3rd Canadian ed.). Toronto, ON, Canada: Elsevier.

A Nursing Drug Guide [book, computer program, or handheld application] or the e-CPS. Our suggested resource:

Lexicomp. (2020). Adult drug information handbook: A clinically relevant resource for all healthcare professionals (29th edition). Hudson, OH: Lexicomp.

Additional Resources: PowerPoint presentations, learning activities, supplementary readings, animations, and links to media resources will be posted on Blackboard course site per topic.

MATERIAL AND SPECIAL FEES None applicable for this course

ACADEMIC SCHEDULE DATES Jan 4 First day of classes for Winter term 2021 Jan 11 Last date to add/drop courses without financial penalty Feb 15 Family Day 2021. College closed. Feb 16 - 19 Reading break. No credit classes. March 1 Midterm feedback for Winter term 2021 April 2 Good Friday. College Closed. April 5 College open. No credit classes April 9 Last day of classes for Winter term 2021 April 9 Last day to withdraw from Winter term courses and receive a WD. April 13 First day of final exams April 17 Last day of final exams

CHANGES TO THE COURSE OUTLINE Changes to the course outline will be made with the consent of the course instructor and students. Changes will be reviewed by the Associate Dean of the School for consistency with College policies.

OVERARCHING STATEMENT Students are responsible to familiarize themselves with the CARNA Entry-Level Competencies for the practice of Registered Nurses (2019), CASN baccalaureate framework and Student Success: BScN Program Benchmarks which are identified in the BScN student handbook All students are also responsible to practice in a manner that is consistent with: 5

• CARNA Requisite Skills and Abilities for Becoming a Registered Nurse in Alberta (2011) • CARNA Nursing Practice Standards (2013) and all other CARNA standards • The CNA Code of Ethics for Registered Nurses (2017) • Red Deer College Policies regarding student conduct.

ASSESSMENT OF STUDENT PERFORMANCE To successfully complete N252, students must complete ALL of the following assignments and assessments that are used to meet the learning outcomes of this course. Grades are cumulative and final marks will be converted to a letter grade.

Assignment/Task Weight Description Due Date

% Brief description of the activity

EAQ 5% Students are required to answer questions April 5th at 1200 on EAQ in the topic of pharmacology to reach mastery (level 3) in the four sub- topics. See below for details Quizzes 20% Completed online in class. Please note See Schedule that for exam security reasons only general feedback will be provided to students should they want to meet to discuss their quiz results. Midterm Exam 15% Completed in class. Please note that for February 23rd and exam security reasons only general February 25th feedback will be provided to students should they want to meet to discuss their exam results. Case study- #1 15% Written responses to patient case study Released January questions 23rd due January 31st at 1200 Case study- #2 15% Written responses to patient case study Released March 6th questions due March 14th at 1200 Final Exam 30% Completed during scheduled exam TBA; within RDC session. Please note that for exam exam week, security reasons only general feedback April 13th – 17th will be provided to students should they want to meet to discuss their exam results.

For complete assignment descriptions and assessment details, please refer to your assignment folder in Blackboard.

COURSE PROCEDURES & CONSEQUENCES: See above

EXAMS See above

MIDTERM FEEDBACK See Grading System You have the right to know your progress in this course so you can assess your performance and make decisions regarding your academic standing. Midterm grades will be posted on Blackboard by the date set in the Academic Schedule (see important 6

dates). You are strongly encouraged to consult with your instructor (by appointment) if your academic performance is below a C+. You instructors are available to meet with you throughout the term regarding any concerns you may have.

PARTICIPATION & PROFESSIONAL CONDUCT

PARTICIPATION Learning is enhanced by actively engaging in the course material. While attendance is the first step towards your success in this course, your active participation in learning activities during class time and outside of class is also necessary. It has been found that students who actively participate in class activities learn more and achieve higher grades than those who do not. Please remember that you get out of a course what you put into it.

PROFESSIONAL CONDUCT It is important that all course participants exhibit professional behaviour in the classroom/lab at all times to optimize the teaching and learning experience for everyone. This conduct includes the instructor(s) and students. Non-negotiable expectations of behaviour for all course participants include: - Arrive on time, be prepared, and remain for the duration of the class/lab. - Use of a cell phone in class/labs is limited to learning activities led by the instructor. If a student or the instructor needs to use a cellphone during class (not related to class activities), this need should be communicated ahead of time. - Use of laptops and tablets are welcome but only for notetaking or class activities. - Communicate respectfully with others at all times. - Maintain a positive learning environment by listening to others, providing constructive suggestions, asking questions, and providing comments that are relevant to the topic. - Ensure written communication (e.g. email) is always professional, respectful, clear and grammatically correct. TECHNOLOGY GUIDELINES Students will be required to bring appropriate technology (laptop, mobile device, etc.) to scheduled classes to complete the learning activities and quizzes/exams. Cellphones are to remain off unless used for class activities.

The BScN Program at Red Deer College recognizes that the use of technology in nursing has the potential to enhance learning and communication. We also recognize our obligation to use this technology responsibly and in a way that complies with the standards outlined by Red Deer College and by professional organizations such as CARNA and UNA. We are also aware of our obligation to represent nursing in a professional manner outside of the Red Deer College context. Students are asked to review the technology guidelines that are included in their student handbook. In addition, all students should be aware of the Health Services Code of Conduct as it applies to nurses: http://www.albertahealthservices.ca/pub-code-of-conduct.pdf Computer Requirements

BLACKBOARD Blackboard will be used for messages, document submission, and general communication at Red Deer College. Students are responsible for accessing Blackboard for their course. Course information, important notices, course content and correspondence relating to all students in the course will be posted on the course Blackboard site.

It is the student’s responsibility to be familiar with the use of Blackboard and to access the Blackboard course site on a regular basis throughout the term. Failure to do so may result in missing important course-related information, resources, instructor feedback, and announcements. If students are unable to access Blackboard to receive and send their assignments, correspondence, etc., it is the student’s responsibility to contact the RDC IT service desk to address this issue. 7

STATEMENT ON AUDIO-VISUAL RECORDING Audio or video recording, digital or otherwise, of lectures, labs, seminars or any other teaching environment by students are allowed only with the prior written consent of the instructor or as a part of an approved accommodation plan. Student or instructor content, digital or otherwise, created and/or used within the context of the course is to be used solely for personal study, and is not to be used or distributed for any other purpose without prior written consent from the content author(s).

ACADEMIC POLICIES As a student at RDC, you have rights and responsibilities. It is your responsibility to be familiar with the information contained in this Course Outline and to clarify any areas of concern with the instructor.

It is also your responsibility to be familiar with RDC Policies. Please take the time to familiarize yourself with the policies that might impact you while you are here: Final Exam Policy Student Academic Integrity & Misconduct Student Misconduct - Non-Academic Student Appeals

FINAL EXAM POLICY The RDC Final Examination Policy will be followed with respect to Final Examinations. Please review this document to ensure you understand the contents and implications of the policy.

*This course has a final exam scheduled by the Registrar. You must be available for the entire final exam period and deferrals will not be granted unless there is serious cause.* Following the Final Examinations Policy, exams written in the last 7 days of classes are weighted at less than 21% of the final mark and scheduled final exams have a weighting of at least 21% and no more than 50% of the final grade. If you have questions or concerns, please talk to your instructor as soon as possible.

ACADEMIC & NON-ACADEMIC MISCONDUCT Academic misconduct in all its forms is a serious offence. Academic misconduct is the giving, taking, or presenting of information or material that unethically or dishonestly aids oneself or another on any work which, under normal circumstances, is to be considered in the determination of a grade or the compilation of academic requirements or the enhancement of that student’s record or academic career. The two key areas of academic misconduct are plagiarism and cheating. Please read the definitions that follow.

Plagiarism: The use of close imitation of language, paintings, films, prototypes and ideas of another author and representation of them as one’s own original work. The most common forms of plagiarism are: copying or paraphrasing another author’s work without proper acknowledgement, using the ideas or lines of reasoning of another author’s work without proper acknowledgement, submitting work to which someone else has made substantial improvements to the content, and submitting the same work for multiple courses without approval. Plagiarism can be judged to have occurred if the instructor has both the submitted material and original source that was copied, or if the student is unable to explain the terminology or ideas of a submission.

Cheating: Any attempt to give or obtain unsanctioned assistance in a formal academic exercise (e.g. examination). Some examples of cheating are unauthorized cheat sheets in a test or quiz or exam, the unauthorized use of electronic devices during quizzes/exams, and copying from another student.

Note: a plagiarism detection tool is used in this course.

Plagiarism Tool: Having easy access to the internet and other technology can make it easy and enticing to use someone else’s work as one’s own. Because of the high incidence of plagiarism in post-secondary education, assignments in the course may be submitted through SafeAssign on Blackboard. SafeAssign compares your work to a global repository of student work at RDC and to published work online. You are able to access the Originality Report in Blackboard. If you have concerns with your Originality Report, please come and see your instructor to discuss what it means.

Plagiarism can be judged to have occurred if the instructor has both the submitted material and original source that was copied, or if the student is unable to explain the terminology or ideas of a submission.

Please note: non-academic misconduct as described in the Student Misconduct Guidebook is also addressed at Red Deer College. Students should be familiar with this term and potential consequences and disciplinary actions that may result.

Respondus Lockdown Browser with webcam: Respondus lockdown browser with webcam feature (Respondus Monitor) will be used for all quizzes/exams in this course. It is the responsibility of the student to ensure that all components (i.e. Computer, webcam) are charged, working and up to date prior to the quiz/exam. Specific instructions to ensure that all equipment is working properly, including directions for completing a required practice quiz beforehand, will be sent out through Blackboard prior to the quizzes/exams. It is strongly recommended that students log into the class early to receive any additional instructions for quiz/exam completion. All quizzes/exams will have a limited time for completion. Students will not be given a time extension for technology issues or delayed entry to the quiz/exam. Please see BScN student handbook for further information.

RECOGNITION OF PRIOR LEARNING This course may be eligible for prior learning assessment and recognition. Please refer to the RDC Academic Calendar for a list of excluded courses. Prior Learning Assessment & Recognition

STUDENT SERVICES Students are encouraged to explore the Services that RDC has to support them on the RDC Website, in Blackboard, and on the Loop. Student Services

Students should be aware that Personal Counselling, Career, Learning and Disability Services are provided at RDC. Inquire about locations at the Information Desk. It is the student’s responsibility to discuss specific learning needs with the appropriate service provider.

RDC offers several learning support services: course-based peer tutoring, the Math Learning Centre, the Writing Skills Centre, and help with general learning strategies (e.g., time management, study skills, exam preparation and writing). RDC also offers services for students with disabilities. To access any of these services, visit the Learning Support desk in the Library, call (403) 357-3629, or email either [email protected] or [email protected].

Classroom learning resources may be available to students in alternative formats. It is the student’s responsibility to discuss learning needs with their instructor.

BScN PROGRAM SPECIFIC

ASSESSMENTS

CROSS MARKING PROCESS Cross marking is one strategy used in this course for selected assessments to enhance consistency of marking expectations across the teaching team. Please see the student handbook posted on the course Blackboard site for marking and grading practices in the BScN program.

ASSESSMENT OF STUDENT PERFORMANCE CON’TD If a student is sick or will be missing an in-class or “real time” assessment, the instructor must be notified at least one hour prior to the start of the assessment. If sufficient notification is not provided, a mark of zero will be given on the assessment.

The assessments in all courses are linked to the overall course outcomes. Vital information is learned through the completion of assessments. Any missed or uncompleted assessments will impact overall learning and may impact students’ ability to meet the minimal course grade in-program requirement.

LATE ASSIGNMENTS A 10%-mark reduction per calendar day will be applied to all late assignments unless the instructor has given prior consent for an extension. Submit extension requests directly to the instructor at least 24 hours prior to the due date.

If an assessment is submitted 10 or more days after the established due date, a zero will be given on the assessment with no opportunity to re-do the assessment.

GRADING SYSTEM

Theory Courses: By the midterm feedback date as per academic calendar, following the academic schedule, students will be able to access their letter grade standing in the course with 30% of their grade completed. Students will be able to see this grade in the weighted total column in Blackboard.

Each assessment is marked and given a score that is a portion of the final grade. All assessment marks are added together and equate to a final raw score out of 100 points. This final score is then translated into a letter grade, which correlates with a grade point for the final course grade.

Final Grade Distribution

Letter Grade Percent A+ 94.5 – 100 A 90.5 – 94.4 A- 86.5 – 90.4 B+ 82.5 – 86.4 B 78.5 – 82.4 B- 74.5 – 78.4 C+ 70.5 – 74.4 C 66.5 – 70.4 C- 62.5 – 66.4 D+ 58.5 – 62.4 D 54.5 – 58.4 F 0 – 54.4

STRUGGLING STUDENTS 10

FITNESS TO PRACTICE From the CARNA website: Fitness to practise (FTP) is "all the qualities and capabilities of an individual relevant to their capacity to practise as a registered nurse, including but not limited to, freedom from any cognitive, physical, psychological or emotional condition and dependence on alcohol or drugs that impairs his or her ability to practise nursing" (The Canadian Nurses Association, 2017). When students experience health concerns that affect their skills, abilities and judgement they may not be able to provide safe, competent and ethical nursing care in the best interest of the public and patient safety.

HOW TO MEET THIS REQUIREMENT All students must: 1. Declare their Fitness to Practice at the beginning of each year of their nursing program. 2. Be aware that, when presenting themselves to class, lab or clinical, they are declaring their Fitness to Practice to their instructor. 3. Be aware that, should their Fitness to Practice change during the term, students must immediately inform their instructor. See the student handbook for further FTP processes and guidelines.

ATTENDANCE PREPARATION FOR CLASS: Student success in a Concept-Based Curriculum is partly dependent on the willingness of students to prepare for learning. In any course (theory, lab, and/or clinical), students may be assigned pre-work that is connected directly to their ability to successfully learn in class. Students may be assessed prior to engagement in a learning activity for their level of preparation based on assigned pre-work. Students who do not demonstrate a sufficient level of preparation may be required to leave the learning environment. Students who are required to leave may be required to meet with their Instructor or Associate Dean. This expectation would align with the following Student Rights Policy statements: B3: “Respect the instructor’s right to determine the course content, instructional methodology, and grading and assessment methods.”

B5: “Undertake to complete course requirements as described in the Course Outline and observe deadlines and schedules contained therein.” OTHER EQUIPMENT . Laptop computer with webcam . Professional and appropriate dress (see BScN student handbook) . RDC Nametag . Smart phones with appropriate apps may be useful but are not required

STUDENT HANDBOOK Please check course blackboard for reference to the BScN Student Handbook

FOUNDATIONAL MINIMAL PASS (FMP) RATIONALE In a professional program such as nursing, it is important to secure solid results in foundational studies as this is highly correlated with success in future clinical courses. As a result, in September 2019, the Bachelor of Science in Nursing Program implemented a minimum pass grade (C+) in foundational courses. As per the Red Deer College (RDC) Calendar Bachelor of Science in Nursing (BScN) In-Program Requirements “a. Students wishing to proceed in the Nursing program must achieve a grade of least a C+ in the foundational Nursing courses. A student who has not passed all foundational courses may not be able to progress.”

FIRST ATTEMPT IN A FOUNDATIONAL COURSE In the first attempt, students not meeting the foundational minimal pass of C+ in any of the required 11

courses (per term) will not be permitted to progress in their BScN program and will be required to repeat the foundational course where the FMP requirement was not met. If this occurs, students will receive a notice from the registrar and any registrations in BScN NURS courses in upcoming terms will be removed.

SECOND ATTEMPT IN A FOUNDATIONAL COURSE As per the RDC Calendar Bachelor of Science in Nursing In-Program Requirements “a. If a student receives a grade less than C+ in the second attempt of a foundational course, the student will normally be required to withdraw from the program.” Any registrations in BScN NURS courses in upcoming terms will be removed. WITHDRAWING FROM A FOUNDATIONAL COURSE Students have the option of withdrawing from a Foundational course by the final withdrawal deadline in the term. However, students should take into consideration several factors before choosing to do so and it is recommended that students make an appointment with the Student Advisor to discuss these factors before making the decision [email protected].

SOME FACTORS TO CONSIDER BEFORE WITHDRAWING FROM A FOUNDATIONAL COURSE

• Students who withdraw from a foundational course are still considered to have not met the foundational minimal pass and will not be permitted to progress in their program. Students would be required to repeat the foundational course and it would be considered their second attempt at the course. Students may also be required to withdraw from all co-requisite courses. • If students receive a passing grade of a D or higher in a foundational course, they will still receive credit for the course on their RDC transcript which could be used for other programs, but not the Bachelor of Science in Nursing program. • The longer students remain in the course the more they are exposed to all the material covered, which will help build on existing knowledge to improve outcomes when taking the course for a second time. • For students who continue in the course and who receive a grade of C or less, please note that it can also have a negative effect on their GPA. Students are required to achieve an overall 2.0 GPA to be able to apply to the University of Alberta at the end of 3rd year and to remain in Good standing at RDC. Note that students with a term GPA of less than 1.7 will be required to withdraw from the BScN program. Please refer to the RDC calendar In-Program Requirements “d. Standing.” https://rdc.ab.ca/programs/health-sciences/bachelor-science-nursing-collaboration-university- alberta

Deadline: The withdrawal request must be submitted by the withdrawal deadline and the student should make an appointment with the Student Advisor to discuss the withdrawal beforehand [email protected].

SPECIAL CONSIDERATIONS Privacy: All students and instructors have obligations under the Health Information Act (2001/2018) and Alberta Electronic Health Record Regulation (2010) related to the “collection, use, disclosure, and security of health information that protects the privacy and confidentiality of individuals and their health information” (CARNA 2020, Privacy & Management of Health Information Standards, p.2). Students are accountable for ensuring that they follow all relevant privacy legislation and policies, and understand the privacy requirements that apply to their nursing practice. Secure access and handling of health information, along with mandatory reporting of potential or actual breaches are required of students and faculty.

COVID: Due to the ongoing COVID global pandemic and the potential of unanticipated public health requirements, course components may be shifted from the originally stated modality within the semester to accommodate completion of course objectives. All attempts will be made to ensure student progression is not affected, wherever possible. 12

Use of Online and/or Electronic Resources: Students are responsible for the legitimate access and academic integrity in using any online resources such as extra exam-like questions and learning activities, including appropriate distribution according to copyright guidelines. Any questions related to use of online or electronic study resources should be forwarded to the course instructor.

Notification of Online Recording

Please be aware that lectures, quizzes/exams, and other online educational services, may be recorded during online delivery.

Red Deer College takes the protection and privacy of student information seriously. We recommend students ensure that no other people are in the room and there is nothing identifiable or sensitive in scope of the camera/recording view (personal belongings, records, photographs, medications, etc.) prior to the commencement of an online course delivery or quizzes/exams. The information collected will only be used for the purposes of delivery and administration of remote quiz/exam processes, and educational training and services. This information is collected under the authority the Freedom of Information and Protection of Privacy Act of Alberta, section 33(c). For general questions about the collection, use, or disclosure of information, please contact the Access & Privacy Coordinator, Red Deer College, Telephone: 403-356-4987, [email protected]. For specific questions on how the recordings will be used or disclosed, please contact your instructor.