CON Medication Math Competency Requirements Procedure
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UNIVERSITY OF NEBRASKA MEDICAL CENTER COLLEGE OF NURSING 

Medication Math Competency Requirements Procedure  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 

Policy
 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.
 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.
 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  Knowledge from previous courses
 Calculate number of pills/milliliters to give
 Conversions of mcg to mg
 pounds to kilograms
 inches to centimeters
 Kg to mg
 Ounces to mL, teaspoons to mL
 L to mL
 Gm to kg
 Correctly read labels of vials, ampules, tubexes, and bottles
 Calculate dose for syringes
 Calculate correct dosage of insulin
 Calculate the correct amount of dilute solution for medication (powder reconstitution or diluting total dose)
 Calculating administration rate of enteral feedings.
 Calculate range (upper and lower according to recommended range) and dose versus daily amount.
Semester 2 Content tested and taught in semester 1.  Calculate body surface area, dose/m^{2} ; mg/body surface area
 Calculate the rate to administer IV solution/med for a given set rate or order (per different tubing delivery rates)
 Calculate length of time IV solutions will run
 Calculating rate of IVP medications
 Calculate concentration of solution/medication
Semester 3 Content tested and taught in semesters 1 and 2.  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.  Calculate infusion rates of a drug for a specific body weight per unit time (mcg/kg)
 Each test will be administered within the first two weeks of the semester for all but semester 1 students. Semester 1 students will be administered the test two weeks prior to start of their clinicals. 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.
 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 three 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 an unsatisfactory related to medications on the clinical evaluation tool until the student passes the exam. If the student fails to pass the math competency exam after three attempts, this will result in failure of the clinical course.
 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.