Your email address will not be published. Wow, that was a tongue twister . Please be specific about the year or years of the program you are discussing. Keep that in mind if youre asked to figure out the rate of something administered over less than 1 hour. Your patient weighs 25 lbs. Results here indicated that 21/44 (48%) indicated a strong (4) or somewhat (17) agreement; while 14/44 (32%) noted a somewhat (10) or strong (4) disagreement, with 9/44 (20%) being undecided. ; supervision, project administration, data curation, writingoriginal draft preparation, D.H.J. . 01 . Question 21 proposed that, I was able to use the math skills learned in the dosage program in my clinical area in a timely manner (i.e., I felt confident with my math skills in order to perform related tasks) Feedback from participants indicated that 20/44 (45%) indicated a strong (8) or somewhat (12) agreement; while 9/44 (20%) noted a somewhat (6) or strong (3) disagreement, with 15/44 (34%) undecided. Coben D., Weeks K. Meeting the mathematical demands of the safety-critical workplace: Medication dosage calculation problem-solving for nursing. In your view, how prepared are the graduating nurses for the NUCLEX and nursing practice in terms of their required mathematical skills and confidence relating to these skills? Your applicants will use our pre-employment math tests online through EmployTest.com. Finally, youll take that number and multiply it by that drop factor you were given (gtt/ml). See ourprivacy policyfor more information. One of the challenges for students with the self-directed nature of the new model was just planning when one would complete the practice work and then write the final test. In the previous model, each clinical course was a pass/fail course requiring an overall Satisfactory completion designation in order for a nursing student to progress through the program. In other words, although the primary mode of new math skill learning was independent and self-directed using the Elsevier portal and Blackboard LMS, it was not uncommon for students to make their own arrangements to review DCCT material with others, in pairs or small groups. So lets begin with a few reference points. Nursing Program is contingent upon space availability and . I was able to use the math skills learned in the dosage program in my clinical area in a timely manner (i.e., I felt confident with my math skills in order to perform related tasks). The protocol says to give them a bolus of 40 units/kg of heparin. You need to infuse 50 ml of an antibiotic over 1 hour. The software would then proceed to present all subsequent module content and related questions/solutions using only, or predominantly, that selected method for sake of consistency. V,B *)iiRY2? So, I mean, you should be teaching the math skills kind of theoretically, but you have to push it into a practical context because nursing is nothing but, you know, practical knowledge. Try a FREE Math Quiz! Another likewise explained: P12: It offers you four or five different ways to complete the same question, depending on your learning style. Its set up so that it presents ways to approach each of those questions with different math styles, like proportional, or dimensional, or ratio analysis. You cant measure a partial drop, so rounding is important with drip rates. P11: I think one of the strengths is that it allows the students to take as much time as they need, and sort of adjust their studying to when its good for them. Saturday, September 10, 2022. Accessibility The interviews were recorded using Zoom video-conferencing software (Zoom, San Jose, CA, USA), then were transcribed by a graduate student and returned to participants for member checking of the content for accuracy. 40. First, some noted that there was a mismatch between module practice and final tests. Far more serious than the perceived inconsistencies regarding teacher practice was the fact that each year a growing group of nursing students would ultimately be unsuccessful (even after further re-write attempts) in the math/dosage aspects of the clinical courses, and in some cases would eventually be forced out of the program as a result of two such clinical failures, as per program policy. ] W{BtmeW\_eoV?,7aPOa9uV>Y}bf3Y`gY!\-sNFQeV<9G68+keTzxb)V5mAmEEDnca=UajPM~]v. d5&/ iu]cD Amoxicillin and clavulanate potassium 300 mg p.o q8h (ordered according to dose of amoxicillin). It was just whoever had already done the modules, or who understood it the best, would just explain it to everybody else, and if multiple people understood it, then they would just kind of break off into smaller groups and talk one-on-one with somebody. So, go ahead and get your phone out, and do 25% of 37, you know, I would do that with a phone too, but I have to at least be able to go, Yeah, I think that answer is correct because 37 is close to 40, so a quarter of that has to be just less than 10. They should be able to know that. And you know the bottom-line consequences, if you dont know how much, or why, and you give someone the wrong drug, well, youre legally responsible for that, and you could go to jail. Human error is huge in the healthcare system. | NURSING.com, Lets change our lbs to kg 25 2.2 = 11.36 kg, Lets first convert our weight 19 lbs 2.2 = 8.636363.. We will round up to 8.64 kg. Calculation Competency: Rounding Rules lbs to kg or hours to minutes). The physician orders morphine 5mg IM PRN for pain. Brown L.G., Curtis A., Harris L.C. Youre used to doing your dosage math on your own, and theres no strict time to come and write it, so I appreciated being able to do it online (P09). If you're eligible to take the legacy test for nursing associates. We dont need to worry about the normal saline, the IVPB, or the 3 hours again the question is merely asking how many milligrams are in 2.5 grams. and T.R.M. This is necessary because the dose that the patient needs may not always match exactly how it comes. Another way to improve mathematical competency among undergraduate nursing students is to provide more consistent and competent clinical instruction [ 4, 12 ]. A third type of learning experienced by students in the new DCCT model was that of contextual (or embedded) learning. You need to give 1000 ml of normal saline over 4 hours. Name:_____ OB Math Competency Test 1 Note: You must show your work to receive credit. Calculators can also be in the MAR or on the computer you are using if the clinical instructor freaks about having cell phones (mine did). I think some nurses would use it as a calculator, but I think that was it. Another stated, You werent supposed to have your cell-phone on you. After this, its a pretty straightforward calculation. Based on the survey data and interview transcripts, several different types of learning relating to the new DCCT model became evident. You can do this! nursing education, mathematics, dosage calculation, curriculum, technology, online learning. In the remainder of this paper, we outline the rationale for, and issues relating to, the transition from the previous model to the existing DCCT model; present findings based on a case study involving an online survey and subsequent student/instructor interviews; and offer a series of related recommendations for schools of nursing that may be contemplating similar changes to their program. The drop factor of the IV set is 15 gtt/mL. Perhaps the most distinctive feature of the new DCCT model was the self-directed learning aspect of both the module-based math content learning and of the assessment experiences. NURSING.com is the BEST place to learn nursing. How many units of insulin is the patient receiving every hour? 7. So, definitely a social setting for curriculum review, of working together, and understanding it together, and figuring out what the requirements were (P06). A number of researchers make the case for a multi-faceted or more balanced approach, calling for an amalgam of strategies that include both technology-enhanced and face-to-face components [16,17]. We gratefully acknowledge that this research was made possible through internal SSHRC Institutional Grant (SIG) funding (#102092) as well as Graduate Research Assistant (GRA) funding at Nipissing University. Valdez L.P., de Guzman A., Escolar-Chua R. A structural equation modeling of the factors affecting student nurses medication errors. Gabapentine (Neurontin) Nursing Pharmacology Considerations, QOD 35: Child Developmental Tasks (Respiratory/Health Promotion and Maintenance), Dear Other Guys, Stop Scamming Nursing Students . Faculty will provide students with practice exams prior to taking the rst competency math test. `Q%L0qH1C%NU3nk=@n8P#lp y)Z b=w. Using the references above, lets solve some problems. Another participant shared: For things like basic drug calculations, we did have to do them in clinical class and we also did that in the lab, which is really neat, and we had evaluations based on that (P13). The research design combined a quantitative survey of Year 14 nursing students, followed by a series of qualitative, semi-structured interviews with nursing students and program instructors. Background: Medication administration is an important component of the work of registered nurses. 9. However, not all participants observed smartphone usage among nurses and students on clinical placements. Nursing math tests are like many of your other exams in nursing school: sometimes there are multiple distractions in the question that you have to weed through to get down to the meat of it. Fundamentals of Nursing Final Exam - Exam Results. We dont care about the 3 hours, the IVPB, the normal saline, or even the name of the drug! They are asking for how many milligrams the patient will receive. How long have you been associated with the Nursing Program/School at Nipissing U? P07: I have not ever in my four years seen a nurse calculate with pencil-and-paperI have always seen them use a calculator. Theres a calculator at their dosage station, but for emergency situations they might have their phone in their pocket, and so they would just pull that out and use that as a calculator. However, for now it is important to specify what theyre asking for. Q16 survey results regarding participants perceptions of their own math skill strengths reflecting back on when they entered the program. Lets go through some basic (you really really need to know this) conversion stuff. How many capsules will the patient receive for the 8 AM dose? What-the-Tonic? Per-minute? P03: When I left three years ago [ca. Nurses must be able to complete dosage calculations, with and without the use of digital machines, and to be able to judge dosage calculations for reasonableness. How many mL/hr should the patient receive? Ask your coworkers, talk to the pharmacist, and use your resources if youre ever in doubt. .o3R>3NcsxU2H\Y1YZ"CiZ=DF]6wrR RXbezomZXMYr)+a$dY_uetG+ijZ$E,@Ci'NjU=Mi[vYH6)K5xA]9o.Tbtxmy\|.# BKD0AZ#YlTMlQc ft &sk' "jWg*v]k"~bjia05,GI)O+x)ET`mW p The answer should be in both ml/hr and gtts/min. The physician orders 750 mg of amoxicillin. 1, or fill in the box above and we'll send . In your opinion, what has been the most challenging aspect of the dosage course experience? A senior student concurred: I think it would be very helpful, yes, especially for second, third, and fourth years. Nursing students who were not successful in obtaining the 90% baseline achievement in their first writing of the DCCT were usually provided with remedial support and then allowed to attempt the DCCT assessment again. Another instructor further shared, It became problematic, not only for our student population, which we were very concerned about, but our CASN [Canadian Association of Schools of Nursing] accreditation body was not looking at it favourably either (P02). Fundamentals of Nursing (NUR100) Introduction to Philosophy (PHIL 1402) Trending. Itll naturally happen, as thats the way nursing students study, they tend to do a lot in groups, even for their final NCLEX [National Council Licensure Examination-RN] exam. Ralph N., Graham C., Beccaria L., Rogers C. Entry requirements in nursing: Results from a national survey of nurse academics on entry requirements in Australian bachelor of nursing programs. Keep in mind, that while we will go over quite a bit here, there are a few things that youll just simply have to memorize. We were there. Students will not pass medications in the clinical area until they have passed the exam. B 3. 6. Those of us working in the United States are used to weighing people in pounds, however, it is essential to convert this number to kilograms. So, I havent seen anybody with any cell-phones or using themeven the staff there werent allowed to do it (P08). PART TWO: Dosage Calculations for Nursing Students (an intro to dimensional analysis). %PDF-1.3 How many gtt/min should you infuse using a 15gtt/mL IV set? In this section, we will address Research Question 2 by exploring further themes that emerged from the case study data dealing with student and instructor perceptions of overall DCCT model effectiveness in terms of mathematical confidence and competency. This page is designed to help nursing students and current nurses succeed. Which Resources Do You Use for Nursing Math? If you cant figure that out, then youre in trouble. Koharchik L., Hardy E., King M., Garibo Y. Evidence-based approach to improve nursing student dosage calculation proficiency. % semester nursing students (those who are not LPNs) who pass NUR 135. Learn how to perform dosage calculations with this fun interactive nursing quiz. Faculty will provide students with practice exams prior to taking the first competency math test. Now its just a simple dooooo daaaaaaa times amount question! These requirements must be met regardless of your major or the number of transferable hours you have earned. Start Create your own Quiz COMPETENCY QUIZ: A score of 80% must be reached by all students based on of the Competency quiz (unlimited retakes). 2. Question 22 stated more specifically that, The dosage program, in combination with my clinical courses, make me feel confident with my ability to safely give medications in the clinical setting Here, survey respondents indicated that 24/44 (55%) were in strong (8) or somewhat (16) agreement; while 5/44 (11%) noted a somewhat (5) or strong (0) disagreement, again with 15/44 (34%) undecided. How many mL should your patient receive? All links on this site may be affiliate links and should be considered as such. All of our student participants described having experienced or observed this kind of spontaneous and informal social learning behavior while in the program. The recommended dose range is 3-5mg/kg IV twice weekly. You had to get a 90% or above or you failed the entire class, no matter what the rest of . In your opinion, what has been the most beneficial aspect of the dosage course experience? We are committed to providing students with only the best questions and explanations. We use the Test of Competence (ToC) to assess the skills and knowledge of people applying to join our register from overseas or rejoin our register after a long period away from practice. Testing these competencies is the responsibility of the Patient Centered Care Clinical (PCCC) courses I, II, III and IV. Are you given milligrams but theyre asking for grams? 2 mL. Existing in-depth literature reviews in this area provide extensive background information [22,23]. Content tested and taught in semesters 1, 2 and 3. One student shared, We learned about calculating primary, secondary, and continuous drip calculations in the lab, and then at the end, we had to get individually tested on it (P09). A patient is to receive lidocaine 1mg/min IV. Not only would the new DCCT model involve a logical progression of nursing math skills and a clinical prerequisite approach, it would also feature an in-depth collaboration with a software company, Elsevier, and the co-creation of a uniquely tailored online learning and assessment system. The following conversions are expected of students in both forward and backward directions : Calculate number of pills/milliliters to give, Correctly read labels of vials, ampules, tubexes, and bottles, Calculate the correct amount of dilute solution for medication (powder reconstitution or diluting total dose). If you do not, many websites will helpfully provide tables filled with this information for quick reference. Privacy Policy | Terms of Use | Medical Disclaimer | Accessibility | Drug List | NURSING. All of the Year 14 nursing students in the Collaborative BScN program (i.e., a joint university/college program) were invited to participate in the online survey (see Appendix A). She had been a neuro ICU nurse for decades and when I asked her a math question, she paused and got her phone out and her calculator and double-checked a math question that one could easily do in their head, right on her phone. They provided a calculator, drug book, paper and pencil. For example, a Year 3 student recollected: I remember they were saying things like, So, you guys know how to do this, right? 1. In order to address this lack of mathematical competency among students, undergraduate nursing programs have implemented a number of different strategies to address this important issue. The physician orders Wellcovorin 1mg IM. I hated nursing school math exams. Focus on a Mandatory Prerequisite Structure: As opposed to a model wherein the dosage calculation component was a composite and assessed feature of clinical courses, dosage testing/competence is now also a prerequisite for each clinical admission. Remember, it really helps to have as much understanding of pharmacology and med math under your belt as possible. However, other researchers have argued the opposite case, highlighting the potential effectiveness of online instructional formats in realizing the goal of increased student achievement regarding mathematical competency [1,15]. Your testing account can be set up today so you can start testing immediately. 22-23 gtts/min. Before I dive into each specific step, I just want to remind you to check out our Med Master course, which is the perfect compliment to this post about med math. According to Faculty Lead, it also allows for adequate time for study. In the new DCCT model, students are assigned modules essentially in an online textbook that they work through, learning at their own pace. If you do not, many websites will helpfully provide tables filled with this information for quick reference. Faculty members were originally hesitant and cautiously reluctant to move towards an Internet-based assessment process for fear of potential student cheating. Some examples include medication dosages, insulin injections, and intravenous flow rates. Computation is not the problem, since calculator use did not help students obtain the correct answer. Is capable of staying mentally switched on, even if there is a risk of something serious happening (e.g. Your patient is to receive 500mg Levaquin IV daily. Is this an appropriate dose for this patient? The Faculty Lead noted that an attempt was made to help students with this challenge by arranging for library study rooms and vacant former office spaces in the university to be used for potential quiet writing sites. Over the past few decades, a disturbing phenomenon has emerged within undergraduate nursing education. Many of the calculations needed in nursing practice relate to the metric system. The site is secure. Los Angeles County Department of Public Health Nursing Medication Calculation Exam (MCE) Age: Please indicate your current age bracket. Some contend that the dosage testing must be carried out within a clinical practice context in order to be authentic and truly beneficial for students [ 13, 14 ]. We were given a book and told to study for it. Mackie J.E., Bruce C.D. Click the card to flip Definition 1 / 58 1 cc = 1 ml Click the card to flip Flashcards Learn Test Match Created by awesomeJJ_ Terms in this set (58) How many cc's in an ml? of calculators is not permitted for any of the math competency exams in our program. Here's a quick rundown of our 6 steps to nursing med math success! The drug comes in powdered form in a vial containing 50mg. To go from kilograms to grams, you divide by 1000. Focus on Cyclic and Data-Driven Program Evaluation: Ongoing review of the DCCT model is conducted through regular student surveys, student achievement data analysis, and faculty/clinical instructor input that is shared via email and at departmental meetings. If the student fails to pass the math competency exam after three attempts, this will result in failure of the clinical course. The drug on hand is 250mg/capsule. Medication administration is a cornerstone of most schools of nursing and is included in standards of practice for nurses at the regulatory [3], as well as the institutional level (e.g., hospitals, community care homes). 4 0 obj One of the main reasons for staggering the implementation of the model was the cost of the software for students, thus the first group of students would have access to the online software for at least three, if not four years. I believe the dosage program has helped me with my understanding of medication administration. I think that this approach has reduced the anxiety overall, and gives them a repetitiveness thats often required to retain these kinds of things. See my handy-dandy chart below. How many mL should the patient receive? P06: Every nurse Ive seen in practice has their cell-phone on them, using it for dosage calculations or to look up medications. One of the applications that is loaded onto all of the hospital accounts is called UpToDate, where it has all of the information, like medication administration, processes, and common symptoms. 38. Part of this mathematical calculation competency involves basic mathematical knowledge such as working with fractions, ratios, and rates, as well as being proficient with conversions between unit measures (e.g., milligrams to grams, teaspoons to tablespoons) and systems (Imperial to metric). Chronologically, the model moved from final dosage tests being written by hand in classrooms, to being written on a computer within a lab proctored by an instructor or designate, to ultimately being written off-site using the Internet and a combination of security programs in order to prohibit or reduce potential cheating. 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