CON Medication Math Competency Requirements: Difference between revisions

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         <td width="60%"><big>'''Medication Math Competency Requirements Procedure'''</big></td>
         <td width="60%"><big>'''Medication Math Competency Requirements'''</big></td>
         <td width="40%"><big>Subsection: '''5.2.2'''</big></td>
         <td width="40%"><big>Subsection: '''5.2.2'''</big></td>
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         <td valign="top" width="60%">Section 5.0 - Students</td>
         <td valign="top" width="60%">Section 5.0 - Student Policies</td>
         <td width="40%">Originating Dates: August, 2004</td>
         <td width="40%">Originating Dates: August 2004</td>
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         <td valign="top" width="60%">Responsible Reviewing Agency:<br /><div style="margin-left:3em; line-height:1.2;">Undergraduate Curriculum Committee</div></td>
         <td valign="top" width="60%">Responsible Reviewing Agency:<br /><div style="margin-left:3em; line-height:1.2;">Undergraduate Curriculum Committee</div><br />Final Approving Agency:<br /><div style="margin-left:3em; line-height:1.2;">General Faculty Organization</div></td>
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                 <td>Revised: December, 2008<br />Revised: [[CON Medication Math Competency Requirements Procedure version May 2010|May, 2010]]<br />Reviewed: November, 2012</td>
                 <td>Revised: December 2008<br />Revised: [[Special:PermanentLink/4301|May 2010]]<br />Reviewed: [[Special:PermanentLink/9390|November 2012]]<br />Revised: [[Special:PermanentLink/10559|November 2017]]<br />
Revised: [[Special:PermanentLink/12729|December 2018]]<br />Revised: [[Special:PermanentLink/14560|April 2022]]<br />Revised: October 2023 ([[Special:Diff/14560/{{REVISIONID}}|changes]])</td>
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    <td><small>J:/RESOURCE MANUAL/Table of Contents College of Nursing Resource Manual</small></td>
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===Policy:===
===Purpose===
<ol style="max-width:70em !important;">
<p>Establishes criteria for math competencies.</p>
<li style="margin-bottom:15px;">Math competency exams will be administered at each level of the curriculum. Testing these competencies is the responsibility of the Patient Centered Care Clinical courses, I, II, III &amp; IV.</li>
===Scope===
<li style="margin-bottom:15px;">Students must pass the level math competency exam with at least a 95%.</li>
<p>This policy applies to all undergraduate students.</p>
<li style="margin-bottom:15px;">The exam pool of questions and the test blueprint shall be the same across all campuses.</li>
===Policy===
<li style="margin-bottom:15px;">The first 1-2 attempts should be administered within the first few weeks of the term to allow students maximum time to meet the requirement.</li>
<ol style="max-width:67em !important;">
<li style="margin-bottom:15px;">Students who do not pass with a 95% after the 2nd attempt, will be given the student agreement form to sign.
<li style="margin-bottom:15px;">Math competency exams will be administered at each level of the curriculum. Testing these competencies is the responsibility of the Patient Centered Care Clinical (PCCC) courses I, II, III and IV. Faculty will provide students with practice exams prior to taking the first competency math test. </li>
         <ol style="list-style-type: lower-alpha;">
<li style="margin-bottom:15px;">Competency content includes all items to be tested via the medication math competency. Content will be assessed via quizzes or unit exams during the semester.</li>
            <li style="margin-bottom:15px; margin-top:15px;">All instructors in clinical courses in the semester will be given a copy of the signed agreement for their information.</li>
<li style="margin-bottom:15px;">The following conversions are expected of students in both forward and backward directions :<br />
            <li style="margin-bottom:15px;">The student will be allowed to set up or pass medications for learning purposes only with direct supervision of the instructor.</li>
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            <li style="margin-bottom:15px;">The student will take responsibility for appropriate remediation on medication dosages and calculations.</li>
 
            <li style="margin-bottom:15px;">The student must pass the semester math competency exam before the end of the term (or sooner if the time frame is specifically addressed in the course syllabus) in order to progress to the next level or to NRSG 419 Transition to Professional Nursing course.</li>
===Criteria for Math Competencies===
         </ol>
<table style="max-width:67em !important;" width="100%" border="1">
    <tr>
        <td width="20%">&nbsp;</td>
        <td width="40%">&nbsp;&nbsp;&nbsp;'''Competency Content'''</td>
        <td width="40%">&nbsp;&nbsp;&nbsp;'''Content To Be Taught'''</td>
    </tr>
    <tr>
        <td valign="top">&nbsp;&nbsp;&nbsp;Semester 1</td>
        <td valign="top"><ol style="margin-left:25px;">
<li>Knowledge from previous courses</li>
<li>Calculate number of pills/milliliters to give</li>
<li>Conversions of mcg to mg</li>
<li>pounds to kilograms</li>
<li>inches to centimeters </li>
<li>Kg to mg</li>
<li>Ounces to mL, teaspoons to mL </li>
<li>L to mL</li>
<li>Gm to kg</li>
</ol>
        </td>
        <td>
<ol style="margin-left:25px;">
<li>Correctly read labels of vials, ampules, tubexes, and bottles</li>
<li>Calculate dose for syringes</li>
<li>Calculate correct dosage of insulin</li>
<li>Calculate the correct amount of dilute solution for medication (powder reconstitution or diluting total dose)</li>
<li>Calculating administration rate of enteral feedings.</li>
<li>Calculate range (upper and lower according to recommended range) and dose versus daily amount.</li>
</ol>
         </td>
    </tr>
    <tr>
        <td valign="top">&nbsp;&nbsp;&nbsp;Semester 2</td>
        <td valign="top">&nbsp;&nbsp;&nbsp;Content tested and taught in semester 1.</td>
        <td>
<ol style="margin-left:25px;">
<li>Calculate body surface area, dose/m<sup>2</sup> ; mg/body surface area</li>
<li>Calculate the rate to administer IV solution/med for a given set rate or order (per different tubing delivery rates)</li>
<li>Calculate length of time IV solutions will run</li>
<li>Calculating rate of IVP medications</li>
<li>Calculate concentration of solution/medication</li>
</ol>
        </td>
    </tr>
    <tr>
        <td valign="top">&nbsp;&nbsp;&nbsp;Semester 3</td>
        <td valign="top">&nbsp;&nbsp;&nbsp;Content tested and taught in semesters 1 and 2.</td>
        <td>
<ol style="margin-left:25px;">
<li>Calculate amount of drug when ordered by prescribed units/mL, mL/hour, units/min and units/hour (e.g. heparin, lidocaine)</li>
</ol>
        </td>
    </tr>
    <tr>
        <td valign="top">&nbsp;&nbsp;&nbsp;Semester 4</td>
        <td valign="top">&nbsp;&nbsp;&nbsp;Content tested and taught in semesters 1, 2 and 3.</td>
        <td>
<ol style="margin-left:25px;">
<li>Calculate infusion rates of a drug for a specific body weight per unit time (mcg/kg)</li>
</ol>
         </td>
    </tr>
</table>
</li>
</li>
<li style="margin-bottom:15px;">The Director of the Undergraduate Program will be notified of any student failing to meet the math competency requirements in any semester or before the NRSG 419 Transition to Professional Nursing course.</li>
<li style="margin-bottom:15px;">Each test will be administered within the first two weeks of a student's scheduled patient care clinical in that semester.  The number of questions on the math competency exam will be agreed upon in the cross campus meetings for the PCCC course. Questions will cover the content taught in previous courses/semester (For example: At the beginning of semester 2, the math exam will cover content tested and learned in semester 1.) Students cannot miss more than one question on the exam. </li>
</ol>
<p style="margin-bottom:15px;"><small>(This procedure replaces 5.2.3c & Appendix O; Originating Dates: Appendix O – August 2004; 5.2.3c – October 2005)</small></p>


===Agreement:===
<li style="margin-bottom:15px;">Students do not pass the required math competency exam if they miss more than one question. Students are able to take the test up to a total of five times during the semester. Students are required to complete remediation between exams under the guidance of a faculty member. Students will be allowed to repeat the exam when both student and faculty member are prepared to do so. Students will not pass medications in the clinical area until they have passed the exam. Students will also receive a Needs Improvement (NI) related to medications on the clinical evaluation tool until the student passes the exam if they are in a patient care setting where passing medications is an expectation. If the student fails to pass the math competency exam after five attempts, this will result in failure of the clinical course. </li>
<p align="center">UNIVERSITY OF NEBRASKA MEDICAL CENTER<br />
COLLEGE OF NURSING</p>
<p style="margin-bottom:15px;"><strong>Student Agreement - Medication Math Competency Requirement</strong></p>
<p style="margin-bottom:15px;"><span style="text-decoration:underline; font-weight:bold;">Background:</span> Medication administration is an important component of the work of registered nurses. A recent Institute of Medicine report on patient safety indicates errors in drug dosages cause at least 7,000 deaths annually. As the health professionals who interact most frequently with patients in all settings, nurses’ actions are directly related to patient outcomes. Better educated nurses often defend against medical errors and in one study conducted in two hospitals, nurses intercepted 86% of medication errors before they reached patients. (AACN)</p>


<p style="margin-bottom:15px;">The requirement for safe effective practice as a nurse mandates an ability to correctly calculate medication dosages and IV drip rates for the safe administration of drugs. As part of the educational process of preparing professional nurses UNMC-CON has established entrance and level competencies for Math and drug dosage calculations related to safe medication administration. Meeting the established competencies is required for progression through the program and graduation.</p>
<li style="margin-bottom:15px;">The Director of the Undergraduate Program and division assistant dean will be notified of any student not meeting the math competency requirements in any semester.</li>
 
</ol>
<p style="margin-bottom:15px;"><span style="text-decoration:underline; font-weight:bold;">Memorandum of Agreement:</span> Please initial each statement indicating you have read it and you understand each statement.</p>
 
<p style="margin-bottom:15px;">I understand that I have not met the competencies established for safe medication administration for my current level in the curriculum. _______</p>
 
<p style="margin-bottom:15px;">I understand that I may not prepare or pass any medications to any patient in any clinical arena without the DIRECT supervision of a faculty member. ________</p>
 
<p style="margin-bottom:15px;">I understand that I must meet the minimum passing level of 95% for safe medication administration before I can progress to the next level in the curriculum or to the NRSG 480 Transition course. I understand that I will not progress if I do not meet this competency by the end of the term (or sooner if the time frame is specifically addressed in the course syllabus). _________</p>
 
<p style="margin-bottom:15px;">I understand that I must accept personal responsibility to engage in the necessary remediation to bring my calculation skills to the required level. ________</p>
 
<p style="margin-bottom:15px;">I understand that it is my responsibility to inform my clinical faculty and/or preceptors in any and all clinical areas that I am assigned that I have not yet attained the standard of competency in medication administration established for this level. __________</p>
 
<p style="margin-bottom:15px;">I have read the above document and I agree to abide by the requirements stated here.</p>
 
<table width="100%">
<tr>
<td>__________________________________</td>
<td width="50px">&nbsp;</td>
<td>____________</td>
</tr>
<tr>
<td>Student Signature</td>
<td width="50px">&nbsp;</td>
<td>Date</td>
</tr>
<tr>
<td>__________________________________</td>
<td width="50px">&nbsp;</td>
<td>____________</td>
</tr>
<tr>
<td>Faculty Witness</td>
<td width="50px">&nbsp;</td>
<td>Date</td>
</tr>
</table>
<p>&nbsp;</p>
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Latest revision as of 11:42, March 10, 2024

Home   Student Policies                    


UNIVERSITY OF NEBRASKA MEDICAL CENTER
COLLEGE OF NURSING
Medication Math Competency Requirements Subsection: 5.2.2
Section 5.0 - Student Policies Originating Dates: August 2004
Responsible Reviewing Agency:
Undergraduate Curriculum Committee

Final Approving Agency:
General Faculty Organization
Revised: December 2008
Revised: May 2010
Reviewed: November 2012
Revised: November 2017
Revised: December 2018
Revised: April 2022
Revised: October 2023 (changes)


Purpose

Establishes criteria for math competencies.

Scope

This policy applies to all undergraduate students.

Policy

  1. Math competency exams will be administered at each level of the curriculum. Testing these competencies is the responsibility of the Patient Centered Care Clinical (PCCC) courses I, II, III and IV. Faculty will provide students with practice exams prior to taking the first competency math test.
  2. Competency content includes all items to be tested via the medication math competency. Content will be assessed via quizzes or unit exams during the semester.
  3. The following conversions are expected of students in both forward and backward directions :

    Criteria for Math Competencies

         Competency Content    Content To Be Taught
       Semester 1
    1. Knowledge from previous courses
    2. Calculate number of pills/milliliters to give
    3. Conversions of mcg to mg
    4. pounds to kilograms
    5. inches to centimeters
    6. Kg to mg
    7. Ounces to mL, teaspoons to mL
    8. L to mL
    9. Gm to kg
    1. Correctly read labels of vials, ampules, tubexes, and bottles
    2. Calculate dose for syringes
    3. Calculate correct dosage of insulin
    4. Calculate the correct amount of dilute solution for medication (powder reconstitution or diluting total dose)
    5. Calculating administration rate of enteral feedings.
    6. Calculate range (upper and lower according to recommended range) and dose versus daily amount.
       Semester 2    Content tested and taught in semester 1.
    1. Calculate body surface area, dose/m2 ; mg/body surface area
    2. Calculate the rate to administer IV solution/med for a given set rate or order (per different tubing delivery rates)
    3. Calculate length of time IV solutions will run
    4. Calculating rate of IVP medications
    5. Calculate concentration of solution/medication
       Semester 3    Content tested and taught in semesters 1 and 2.
    1. Calculate amount of drug when ordered by prescribed units/mL, mL/hour, units/min and units/hour (e.g. heparin, lidocaine)
       Semester 4    Content tested and taught in semesters 1, 2 and 3.
    1. Calculate infusion rates of a drug for a specific body weight per unit time (mcg/kg)
  4. Each test will be administered within the first two weeks of a student's scheduled patient care clinical in that semester. The number of questions on the math competency exam will be agreed upon in the cross campus meetings for the PCCC course. Questions will cover the content taught in previous courses/semester (For example: At the beginning of semester 2, the math exam will cover content tested and learned in semester 1.) Students cannot miss more than one question on the exam.
  5. Students do not pass the required math competency exam if they miss more than one question. Students are able to take the test up to a total of five times during the semester. Students are required to complete remediation between exams under the guidance of a faculty member. Students will be allowed to repeat the exam when both student and faculty member are prepared to do so. Students will not pass medications in the clinical area until they have passed the exam. Students will also receive a Needs Improvement (NI) related to medications on the clinical evaluation tool until the student passes the exam if they are in a patient care setting where passing medications is an expectation. If the student fails to pass the math competency exam after five attempts, this will result in failure of the clinical course.
  6. The Director of the Undergraduate Program and division assistant dean will be notified of any student not meeting the math competency requirements in any semester.
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