Study Guide

Objective

The student understands his/ her professional responsibility for securing and promoting the safety of patients receiving drug and fluid care. The student knows how to plan, implement and evaluate more complicated drug and fluid care safely. Based on a doctor's instructions, the student is able, under supervision, to plan, implement and evaluate intravenous drug and fluid care and blood transfusions for patients of all ages. Under supervision, the student practices the safe use of more complicated i.v routes. The student knows how to plan, implement and evaluate safe drug and fluid care for different patient groups and for special treatments. The student knows how to observe side and combined effects of medicines and how to evaluate the effectiveness of drug care. The student can perform more problematic drug calculations and infusion rates correctly. The student performs sustainable development in medication and fluid care.

Content

IV and fluid care. Safe blood transfusions. Special features in drug and fluid care of patients of various ages. Drug and fluid care for special treatments. Drug and fluid care for different patient groups. Side and combined effects of medicines. Evaluation of the patient's drug care. Actions in various risk situations.
Under supervision, the student practices: drug calculations, blood transfusions, the safe use of Epidural catheter, CVK-line and Port-a-Cath. The student follows aseptic rules in medication and fluid care. The student knows the principles of sustainable development in medication and fluid care.
Drug calculations are tested.

Materials

- Boyd C. 2022. Medicine Management Skills for Nurses, 2nd Edition, Wiley, Blackwell,
- Study material pointed out by Teacher
- Material in Moodle

Teaching methods

- Theory lessons
- Independent studying
- Skills labs
- Theory exam
- Drug calculations exam

Exam schedules

To be announced separately during the course

Student workload

1 ECTS corresponds to 27h of student work, for a total of 2 x 27h = 54h

Evaluation scale

1-5

Assessment criteria, satisfactory (1)

1-2
- The student knows how to seek information about safe drug and fluid care from various sources and the student uses the knowledge to implement drug and fluid care.
- The student demonstrates that he/ she is familiar with the knowledge foundation and core contents of safe drug and fluid care.
- Under supervision, the student has adequate knowledge to act safely in blood transfusions.
- The student works with a client-centered approach in implementing drug and fluid care and blood transfusions.
- Under supervision, the student is able to solve common tasks and problems related to safe drug and fluid care when administering medication and fluids into CVK line and into port-a-cath.
- Under supervision, the student is able to explain the use of Epidural catheter.
- The student observes the safety and ethical principles defined for drug and fluid care implemented by registered nurses.
- The student shares his/ her drug and fluid care competence with other members of the group narrowly.
- The student evaluates his/ her strengths and development needs in professional development.

Assessment criteria, good (3)

- The student actively seeks information about safe drug and fluid care and explains the reasons for using various sources.
- The student consistently uses the knowledge foundation on safe drug and fluid care.
- The student explains his/ her actions using evidence-based knowledge of safe drug and fluid care.
- The student applies knowledge of professional, safe drug and fluid care to various situations, within the scope of responsibility as a registered nurse.
- The student works with a client-centered approach and with responsibility in implementing safe drug and fluid care.
- Under supervision, the student has adequate knowledge to act safely in blood transfusions.
- Under supervision, the student is able to solve common tasks and problems related to safe drug and fluid care when administering medication and fluids into CVK line and into port-a-cath.
- Under supervision, the student is able to explain the use of Epidural catheter.
- The student knows how to take correct action when implementing safe drug and fluid care in various settings, within the scope of responsibility as a registered nurse.
- The student explains the actions in drug and fluid care using the ethical principles for registered nurses, and evaluates the safety of the drug and fluid care implemented.
- The student is capable of purposeful action in teams implementing safe drug and fluid care within the registered nurses' scope of responsibility.
- The student develops himself/ herself professionally in safe drug and fluid care.

Assessment criteria, excellent (5)

5
- The student applies concepts and knowledge of safe drug and fluid care competently and extensively.
- The student uses and evaluates evidence-based knowledge of safe drug and fluid care.
- The student applies knowledge of safe drug and fluid care to various situations in drug and fluid care.
- The student is able to evaluate the consequences of his/ her actions in drug and fluid care.
- The student works with a client-centered approach and with responsibility in implementing safe drug and fluid care.
- The student has adequate knowledge to act safely in blood transfusions.
- The student is able to solve common tasks and problems related to safe drug and fluid care when administering medication and fluids into CVK line and into port-a-cath.
- The student is able to explain the use of Epidural catheter.
- The student seeks and applies alternative solutions in decision-making concerning safe drug and fluid care.
- The student evaluates drug and fluid care using professional ethical principles for registered nurses.
- The student is capable of working in multi-professional and/ or multidisciplinary teams implementing safe drug and fluid care within the registered nurses' scope of responsibility.
- The student systematically develops himself/ herself, the profession and work community in safe drug and fluid care.

Assessment criteria, approved/failed

Fail=0
- The student is not adequately familiar with the concepts of safe drug and fluid care, or is unable to use them.
- The student uses the knowledge foundation on drug and fluid care only narrowly and has little knowledge of the relevant sources of information.
- The student does not demonstrate adequate skills or knowledge in safe drug and fluid care, and applies knowledge incorrectly.
- The approach to safe drug and fluid care is not adequately client-centered.
- The student does not adequately observe safety and ethical principles for registered nurses when implementing drug and fluid care.
- The student is not familiar with safe blood transfusion.
- The student is not familiar with safe use of CVK line and port-a-cath.
- The student is not familiar with safe use of Epidural catheter.
- The student has problems with drug calculations and patient safety is jeopardized.
- The student is not prepared to develop himself/ herself in safe drug and fluid care.

Assessment methods and criteria

- Drug calculations exam: pass/fail, 100% of the answers must be correct
- Theory exam: numerical assessment 1-5
- Compulsory participation in skills labs, absences must be replaced in another group

Assessment criteria, satisfactory (1)

- The student is not adequately familiar with the concepts of safe drug and fluid care, or is unable to use them.
- The student uses the knowledge foundation on drug and fluid care only narrowly and has little knowledge of the relevant sources of information.
- The student does not demonstrate adequate skills or knowledge in safe drug and fluid care, and applies knowledge incorrectly.
- The approach to safe drug and fluid care is not adequately client-centered.
- The student does not adequately observe safety and ethical principles for registered nurses when implementing drug and fluid care.
- The student is not familiar with safe blood transfusion.
- The student is not familiar with safe use of CVK line and port-a-cath.
- The student is not familiar with safe use of Epidural catheter.
- The student has problems with drug calculations and patient safety is jeopardized.
- The student is not prepared to develop himself/ herself in safe drug and fluid care.

Assessment criteria, good (3)

The student knows how to seek information about safe drug and fluid care from various sources and the student uses the knowledge to implement drug and fluid care.
- The student demonstrates that he/ she is familiar with the knowledge foundation and core contents of safe drug and fluid care.
- Under supervision, the student has adequate knowledge to act safely in blood transfusions.
- The student works with a client-centered approach in implementing drug and fluid care and blood transfusions.
- Under supervision, the student is able to solve common tasks and problems related to safe drug and fluid care when administering medication and fluids into CVK line and into port-a-cath.
- Under supervision, the student is able to explain the use of Epidural catheter.
- The student observes the safety and ethical principles defined for drug and fluid care implemented by registered nurses.
- The student shares his/ her drug and fluid care competence with other members of the group narrowly.
- The student evaluates his/ her strengths and development needs in professional development.

Assessment criteria, excellent (5)

- The student actively seeks information about safe drug and fluid care and explains the reasons for using various sources.
- The student consistently uses the knowledge foundation on safe drug and fluid care.
- The student explains his/ her actions using evidence-based knowledge of safe drug and fluid care.
- The student applies knowledge of professional, safe drug and fluid care to various situations, within the scope of responsibility as a registered nurse.
- The student works with a client-centered approach and with responsibility in implementing safe drug and fluid care.
- Under supervision, the student has adequate knowledge to act safely in blood transfusions.
- Under supervision, the student is able to solve common tasks and problems related to safe drug and fluid care when administering medication and fluids into CVK line and into port-a-cath.
- Under supervision, the student is able to explain the use of Epidural catheter.
- The student knows how to take correct action when implementing safe drug and fluid care in various settings, within the scope of responsibility as a registered nurse.
- The student explains the actions in drug and fluid care using the ethical principles for registered nurses, and evaluates the safety of the drug and fluid care implemented.
- The student is capable of purposeful action in teams implementing safe drug and fluid care within the registered nurses' scope of responsibility.
- The student develops himself/ herself professionally in safe drug and fluid care.

Assessment criteria, approved/failed

- The student applies concepts and knowledge of safe drug and fluid care competently and extensively.
- The student uses and evaluates evidence-based knowledge of safe drug and fluid care.
- The student applies knowledge of safe drug and fluid care to various situations in drug and fluid care.
- The student is able to evaluate the consequences of his/ her actions in drug and fluid care.
- The student works with a client-centered approach and with responsibility in implementing safe drug and fluid care.
- The student has adequate knowledge to act safely in blood transfusions.
- The student is able to solve common tasks and problems related to safe drug and fluid care when administering medication and fluids into CVK line and into port-a-cath.
- The student is able to explain the use of Epidural catheter.
- The student seeks and applies alternative solutions in decision-making concerning safe drug and fluid care.
- The student evaluates drug and fluid care using professional ethical principles for registered nurses.
- The student is capable of working in multi-professional and/ or multidisciplinary teams implementing safe drug and fluid care within the registered nurses' scope of responsibility.
- The student systematically develops himself/ herself, the profession and work community in safe drug and fluid care.

Qualifications

Registered Nurse's Core Competencies Module I and II
Medication Management and drug calculations