Lincoln Memorial University School of Nursing Nursing 115 UNIT IV LESSON PLAN Safety Activity and Rest DATES TIMES See Class Schedule OBJECTIVES Upon the completion of this unit the student will be able to demonstrate in the clinical campus laboratory setting in individual and group conferences and on written materials the ability to 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 Describe ways in which the patient s safety can be promoted in the home and health care setting Discuss the nurse s role in emergency preparedness Discuss safety risks across the lifespan Describe safety devices used in health care settings and indications for their use Describe nursing responsibilities for fire safety Describe preventive strategies to decrease the incidence of patient falls Utilize the nursing process to develop a plan of care for a patient with safety needs Explain ways to maintain a safe environment for patients with sensory alterations Describe the role of the skeletal muscular and nervous system in the physiology of movement Identify variables that influence body alignment and mobility Differentiate isotonic isometric and isokinetic exercise Develop a teaching plan for the patient with impaired body alignment and joint mobility Outline the correct procedures for lifting Describe the effects of exercise and immobility on major body systems Discuss the safe use of assistive devices when ambulating and positioning patients including proper body mechanics Describe the psychosocial effects of immobilization Utilize the nursing process to plan care for an immobilized patient Describe circadian rhythms and their influence on biological function Describe the characteristics of each stage of the sleep cycle Compare and contrast the sleep requirements of patients at different age levels Describe the functions of sleep Identify factors that normally promote and disrupt sleep Discuss characteristics of common sleep disorders Utilize nursing process for patients with sleep disorders Describe how room environment affects rest and sleep Recognize the nurse s legal responsibilities in drug prescription and administration Describe drug names types of preparation and types of drug orders Discuss adverse effects of drugs including allergy tolerance cumulative effect idiosyncratic effect and interactions Calculate drug dosages using the various systems of equivalents Describe principles used to safely prepare and administer medications orally parenterally topically and by inhalation List the essential information that is included in a correctly stated medication order Discuss the legal and safety time parameters related to drug administration Outline information necessary in obtaining a patient s medication history Use the nursing process to meet patient needs specific to medication administration 35 36 37 38 39 Discuss factors unique to an individual that influence drug actions Describe factors to consider in choosing routes of drug administration List the 5 rights of drug administration Explain the different sites and equipment used in each type of injection Use military time in administering documenting medications TOPICAL OUTLINE I Safety A B C D Environmental Hazards Emergency Preparedness Risks of Developmental Stages Safety and the Nursing Process 1 Assessment of Behavior 2 Assessment of Stimuli 3 Nursing Diagnosis 4 Goal Setting 5 Intervention 6 Evaluation II Body Mechanics A Overview Definitions B Review of Anatomy and Physiology C Principles D Developmental Changes E Pathological Influences F Body Mechanics and the Nursing Process 1 Assessment of Behavior 2 Assessment of Stimuli 3 Nursing Diagnosis 4 Goal Setting 5 Intervention 6 Evaluation III Immobility A Overview Definitions B Effects of Immobility Exercise 1 Adaptive Responses 2 Ineffective Responses C Immobility and the Nursing Process 1 Assessment of Behavior 2 Assessment of Stimuli 3 Nursing Diagnosis 4 Goal Setting 5 Intervention 6 Evaluation IV Rest and Sleep as a Basic Need A Rest B Sleep C Purpose of Rest Sleep D E F G H I J V VI Life Span Concepts Biorhythms Physiology of Sleep Factors Affecting Sleep Common Sleep Disturbances Sleep and the Nursing Process 1 Assessment of Behavior 2 Assessment of Stimuli 3 Nursing Diagnosis 4 Goal Setting 5 Intervention 6 Evaluation Pharmacological Management 1 Hypnotics 2 Sedatives Administering Medications A Drug Nomenclature B Legal Concepts C Nature of Drug Actions D Routes of Administration E Medications Delivery F Medication and the Nursing Process 1 Assessment of Behavior 2 Assessment of Stimuli 3 Nursing Diagnosis 4 Goal Setting 5 Intervention 6 Evaluation Dosage Calculations A Special Types of Intravenous Calculations B Dosage Problems for Infants and Children REQUIRED READINGS Buchholz S 2006 Henke s med math dosage calculation preparation administration 5th ed Philadelphia Lippincott Williams Wilkins Ch 9 10 12 13 Evans Smith P 2005 Taylor s clinical nursing skills A nursing process approach Philadelphia Lippincott Williams Wilkins Ch 5 Karch A 2007 2007 Lippincott s nursing drug guide Philadelphia Lippincott Williams Wilkins pg assignments TBA Taylor C Lillis C LeMone P 2005 Fundamentals of nursing The art and science of nursing care 5th ed Philadelphia Lippincott Williams Wilkins Ch 26 29 39 40 Taylor C Lillis C LeMone P 2005 Study guide to accompany fundamentals of nursing The art and science of nursing care 5th ed Philadelphia Lippincott Williams Wilkins Ch 26 29 39 40 AUDIOVISUAL MATERIALS Harrogate Hiwassee M V2 V15 M FS C C12 13 CLINICAL SKILLS 1 2 3 4 5 6 7 8 9 10 BRMC SMMC V6 Avoiding Medication Errors C7 8 Calculate with Care Part I II Recognize the role of the student nurse within the agency policies on disaster or fire Identify various types of fire extinguishers and locate their whereabouts on the assigned clinical unit Identify safety hazards in your patient s environment Move and position patient in bed Perform active and passive range of motion exercises Help patient ambulate with or without mechanical aids Provide care for an immobilized patient Make an occupied and unoccupied bed Care for a patient with sleep disturbances Correctly calculate and administer medication