Assessment 1

Overall Weighting: 20%

Due Date: Staggered, please see below

Assessment 1 consists of 5 separate tasks (1 Continuing Professional Development activity [certificate] and 4 quizzes) that are spread out over the 12 week unit. Each quiz will be opened and closed on a specific date. Please note the due dates for each quiz as they differ. There is no option to complete quizzes once they are closed unless you have been approved an extension before the closing date (see ‘Essential Information’ regarding quizzes below). You need to score at least 25% of overall marks for this assessment to pass the unit and satisfy the leaning outcomes.

NPS Medicinewise Course (Continuing Professional Development activity [certificate]):

Due Date: Friday 23^rd March 2018 (Wk 3) NB: no marks are awarded for certificates not submitted by the due date without an approved extension.

Weighting: 12.5% (of overall weighting for this assessment)

NPS Medicinewise Course: ‘Quality Use of Medicines for Health Professional Students’ (NB: Do not compete the case studies)

Allow 2 - 2.5 hours to complete this course.

Step 1: Accessing the ‘NPS Medicinewise Learning website’: http://learn.nps.org.au/ and completing the course 'Quality Use of Medicines for Health Professional Students'. The link to this site is also available under the ‘Assessment for this unit’ tab on the Moodle site.

When you first access the ‘NPS Medicinewise Learning’ website you will need to create a new account. Scroll down the list of 2018 courses to find: ‘Quality Use of Medicines for Health Professional Students’ and click on ‘start now’. This course is free of charge

Step 2: Once course is completed you will receive a certificate which needs 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.

Ensure that you double check the name of the course and the year. Only certificates for Quality Use of Medicines for Health Professional Students 2018 will be accepted.

Multiple Choice Quiz 1 (5 Questions) -

Due Date: Opened Friday 16th March 2018 (wk 2). Closed Friday 23rd Mar 2018 (wk 3)

Weighting: 12.5% (of overall weighting for this assessment)

Content Examined: unit modules 1 & 2 are examined here.

Multiple Choice Quiz 2 (10 Questions) –

Due Date: Opened Friday 6^th April 2018 (wk 5). Closed Friday 20^th May 2018 (wk 6).

Weighting: 25% (of overall weighting for this assessment)

Content Examined: unit modules 3, 4, & 5

Multiple Choice Quiz 3 (10 Questions) –

Due Date: Opened Friday 4^th May 2018 (wk 8). Closed Friday 11^th May 2018 (wk 9).

Weighting: 25% (of overall weighting for this assessment)

Content Examined: unit modules 6, 7 & 8

Multiple Choice Quiz 4 (10 Questions) –

Due Date: Opened Friday 25^th May 2018 (wk 11). Closed Friday 1^st June 2018 (wk 12).

Weighting: 25% (of overall weighting for this assessment)

Content Examined: unit modules 9, 10, 11 & 12

Essential Information – applies to ALL quizzes

· Access to all quizzes are available via the links under the ‘Assessment for this unit’ tab on the Moodle site and are titled Quiz 1, Quiz 2, Quiz 3, and Quiz 4 completed on the Moodle site – no uploads required.

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

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

The Certificate must be submitted by uploading this to the assessment site on the Moodle page

Quiz 1, 2, 3 & 4 are only Online quizzes and are marked online.

Assessment 2

Overall Weighting: 30%

Due Date: Tuesday 17th April 2018 6pm (Week 6)

Word Length: 1500words (+/- 10%) (500 words per topic). NB: In-text references are included in the word count.

Assessment 2 consists of completing 3 (three) topics with questions linked to a Coronial Clinical case summary. You are required to read the Coronial clinical case summary. The link to this is available under the ‘Assessment for this Unit’ tab: Assessment 2.

Three (3) topics with questions are listed below and you are expected to attempt all three topics.

Academic essay format is required therefore this written work requires 1 (one) introduction and 1 (one) conclusion for all three topics.

The following format is to be used to present your essay (including topic headings as stated below):

- First page: Cover page

- Next page: Essay

     · Introduction

    · Topic 1: Medication Errors

     · Topic 2: Ethical Principles

     · Topic 3: Legislation

     · Conclusion

- Last page: References

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 10 years old, textbooks and other sources less than 5 years old should only be used.

This assessment has a 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.

Topics

Topic 1: Medication Errors

There was a significant medication error that occurred that led to a poor outcome for this patient in this Coronial clinical case summary.

- Describe this medication error, explain how it occurred and identify how it affected patient safety

- Propose one strategy that could have prevented this error occurring. 

- Explain how this strategy you identified, could prevent the risk of such a medication error occurring again or be minimised?

Topic 2. Ethical Principles

Ethical principles relate to medications just as they do to any other nursing practice. Therefore ethical principles apply to the nurses’ practice in the administering of medication to Mrs T.

After reading the Coronial clinical case summary;

Describe each of the following ethical principles and discuss how each apply to this clinical case summary:

• veracity
• non-maleficence
• Were these ethical principles upheld by these nurses? Yes or no. Explain your response.

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

Topic 3. Legislation

Mrs T is administered medication to treat her diagnosis of depression. Many Laws and Acts govern medication and medication administration and therefore the Registered Nurse has a responsibility to be aware of those that are relevant to their practice.

- Discuss the significance of drug legislation to nursing. Include a brief description of the Australian schedules for medicines and poisons listed below:

      - Schedule 2,

      - Schedule 3,

      - Schedule 4 and

      - Schedule 8.

- After Mrs T aortic valve replacement operation, she was taking Panadol Osteo and Endone for a short while for on-going post-op pain. Identify the generic names of each of these medication and what schedules they belong.

Assessment 2 Marking Criteria

Student name:                                                                                         Student Number:

*up-to-date= journal articles less than 10 years, textbooks and other sources less than 5 years

This Assessment is worth 30% of the weighting for this unit.

Late Penalty (if applicable):      %         Overall Marks:     /100         (Overall Percentage: /30%)

Markers Comments:

Marker:

NURS12154: Pharmacology for Nursing Practice - Term 1 2018

Assignment 3: Drug Protocol and Critical Discussion

Overall Weighting: 50%

Due Date: Thursday 24th May 2018 (Wk 11), 6pm

Learning Outcomes:

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

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.

Word Count: Part A – no word limit

Part B – 1200 words (+/- 10%) including in-text referencing.

Assessment 3 contains 2 (two) parts:

Part A: Drug Protocol (NO word limit)

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 study 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 represents the supplied case study 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 for this medication. You approach the Nurse Unit Manager who suggests you develop a drug protocol for this medication to be utilised by others on the ward.

Step1: Download the Template 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 convert this template to a PDF.

Step 2: Complete the template supplied (which contains all the headings and additional information [in italics] guiding you as what is required) and complete a drug protocol for atorvastatin.

You need to develop the protocol to communicate to other staff what this medication is and how to safety administer it. It is not specific for the patient in the supplied case study but to be used within the ward environment by other nursing staff. An exemplar is supplied on Moodle site as a guide. You need to ensure that copying and pasting information from a pharmacology reference is kept to a minimum e.g. side effects (inclusion/exclusion criteria) can be listed as dot points but not the entire list copied and pasted directly from the source. PK and PD sections needs to be in your own words and not directly copied and pasted, so as to demonstrate to the reader your understanding of how this medication works.

Step 3: Add the critical discussion.

Part B: Critical Discussion (1200 words +/- 10%)

The discussion section covers the management of medications in patient health involving the safety and the quality use of medications and the principles of drug therapy. These elements are clarified for the Registered Nurse (RN) when nursing care is implemented through the five step clinical decision making process: assessment, diagnosis; planning; implementation; evaluation (ADPIE). Applying nursing care through this process equips the RN with knowledge and a background of the patient’s health which assists in determining if the prescribed medications will be effective for meeting their individual needs. Through understanding the intentional effects and actions of the required medications and therapeutic substances the RN can evaluate their appropriateness and effectiveness.

Step 1: Read case study below.

Step 2: Using this case study:

- Show your application of the clinical decision making process using only the assessment, implementation and evaluation parts as it relates to this patient in regards to the medications listed for Mavis on discharge.

- Discuss the 2 nursing responsibilities - patient education and cultural requirements that relate to this patient and her medications. What is required to ensure safety in administering this medication with regards to these nursing responsibilities for this patient?

Essential Information:

Both parts, including reference list, is to be submitted as one document to the assessment area of the Moodle site (see exemplar supplied for clarification).

Part A in-text referencing is to follow the Exemplar supplied on Moodle site. Part A in-text referencing - include citations within the table itself next to the relevant information, just as you would do with a standard text citation.

Only one reference list is required for both the drug protocol and discussion and presented at the end of the assessment. 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.

NB: Part B – critical discussion needs to adhere to an academic essay format which includes an introduction and conclusion. 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 10 years old, textbooks and other sources less than 5 years old should only be used.

*This assessment has a 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.

Case Study

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

Mavis is a 45 year old indigenous woman who lives in Darwin. She cares for her husband, who has vascular disease that resulted in below-the-knee amputation five years ago. She also periodically cares for her 12 year old granddaughter. Both her daughter and son-in law live nearby.

Mavis is not in good health. She has a 10 year history of type 2 diabetes mellitus. She knows that she should pay more attention to her diet, but she says she does not have the time and is not able to read the time on her watch anymore. She rarely takes her blood sugar level (BSL). She is prescribed metformin 500 mg twice a day but often forgets to take them. Consequently her diabetes is not under control. Mavis has put on some weight over the past few years and is 85kgs and 150 cm in height (BMI 37).

She has come for a visit with her doctor at the clinic as she has a wound on her left foot. She tells the nurse that she knocked it whilst out walking some months ago and it won’t heal. The doctor reviews Mavis and thoroughly assesses her and advises she needs to be admitted to hospital for treatment of her wound infection.

On admission her BP is 180/90, afebrile, pulse 94 and orders blood tests for cholesterol, HbA1c and renal function. On return of the test results she is told her serum cholesterol is 8.4mmol/L, triglycerides is more than 5.8mmol/L, and HbA1c is greater than 8. The doctor adds glibenclamide 5mg each morning for further blood sugar level control and atorvastatin to reduce high cholesterol.

Allergies: penicillin – rash many years ago

Medications on Admission:

· metformin 500mg twice a day (morning and afternoon)

· glibenclamide 5mg mane

· atorvastatin 40mg nocte

· erythromycin 400 mg (oral) every 6 hours

After a short stay in hospital, Mavis is to be discharged home.

Medications on Discharge:

· metformin 500mg twice a day (morning and afternoon)

· glibenclamide 5mg mane

· atorvastatin 40 mg nocte

Assessment 3 Marking Criteria

Student name:                                                                                  Student Number:

*up-to-date= journal articles less than 10 years, textbooks and other sources less than 5 years

This Assessment is worth 50% of the weighting for this unit.

Late Penalty (if applicable):         %                       Overall Marks:        /100                       (Overall Percentage: /50%)

Markers Comments:

Marker: