Lincoln Memorial UniversitySchool of NursingNursing 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 inthe clinical/campus laboratory setting, in individual and group conferences, and on written materials, the ability to: 1. Describe ways in which the patient’s safety can be promoted in the home and health care setting.2. Discuss the nurse’s role in emergency preparedness.3. Discuss safety risks across the lifespan.4. Describe safety devices used in health care settings, and indications for their use.5. Describe nursing responsibilities for fire safety.6. Describe preventive strategies to decrease the incidence of patient falls.7. Utilize the nursing process to develop a plan of care for a patient with safety needs.8. Explain ways to maintain a safe environment for patients with sensory alterations.9. Describe the role of the skeletal, muscular, and nervous system in the physiology of movement.10. Identify variables that influence body alignment and mobility.11. Differentiate isotonic, isometric, and isokinetic exercise.12. Develop a teaching plan for the patient with impaired body alignment and joint mobility.13. Outline the correct procedures for lifting.14. Describe the effects of exercise and immobility on major body systems.15. Discuss the safe use of assistive devices when ambulating and positioning patients, including proper body mechanics.16. Describe the psychosocial effects of immobilization.17. Utilize the nursing process to plan care for an immobilized patient.18. Describe circadian rhythms and their influence on biological function.19. Describe the characteristics of each stage of the sleep cycle.20. Compare and contrast the sleep requirements of patients at different age levels.21. Describe the functions of sleep.22. Identify factors that normally promote and disrupt sleep.23. Discuss characteristics of common sleep disorders.24. Utilize nursing process for patients with sleep disorders.25. Describe how room environment affects rest and sleep.26. Recognize the nurse’s legal responsibilities in drug prescription and administration.27. Describe drug names, types of preparation and types of drug orders. 28. Discuss adverse effects of drugs, including allergy, tolerance, cumulative effect,idiosyncratic effect, and interactions.29. Calculate drug dosages, using the various systems of equivalents.30. Describe principles used to safely prepare and administer medications, orally, parenterally, topically, and by inhalation.31. List the essential information that is included in a correctly stated medication order.32. Discuss the legal and safety time parameters related to drug administration.33. Outline information necessary in obtaining a patient’s medication history.34. Use the nursing process to meet patient needs specific to medication administration.35. Discuss factors unique to an individual that influence drug actions.36. Describe factors to consider in choosing routes of drug administration.37. List the 5 rights of drug administration.38. Explain the different sites and equipment used in each type of injection. 39. Use military time in administering, documenting medications.TOPICAL OUTLINE: I. SafetyA. Environmental HazardsB. Emergency PreparednessC. Risks of Developmental StagesD. Safety and the Nursing Process1. Assessment of Behavior2. Assessment of Stimuli3. Nursing Diagnosis4. Goal Setting5. Intervention6. Evaluation II. Body MechanicsA. Overview/DefinitionsB. Review of Anatomy and PhysiologyC. PrinciplesD. Developmental ChangesE. Pathological InfluencesF. Body Mechanics and the Nursing Process1. Assessment of Behavior2. Assessment of Stimuli3. Nursing Diagnosis4. Goal Setting5. Intervention6. Evaluation III. ImmobilityA. Overview/DefinitionsB. Effects of Immobility/Exercise1. Adaptive Responses2. Ineffective ResponsesC. Immobility and the Nursing Process1. Assessment of Behavior2. Assessment of Stimuli3. Nursing Diagnosis4. Goal Setting5. Intervention6. EvaluationIV. Rest and Sleep as a Basic NeedA. RestB. SleepC. Purpose of Rest/SleepD. Life Span ConceptsE. BiorhythmsF. Physiology of SleepG. Factors Affecting SleepH. Common Sleep DisturbancesI. Sleep and the Nursing Process1. Assessment of Behavior2. Assessment of Stimuli3. Nursing Diagnosis4. Goal Setting5. Intervention6. EvaluationJ. Pharmacological Management1. Hypnotics2. SedativesV. Administering MedicationsA. Drug NomenclatureB. Legal ConceptsC. Nature of Drug ActionsD. Routes of AdministrationE. Medications DeliveryF. Medication and the Nursing Process1. Assessment of Behavior2. Assessment of Stimuli3. Nursing Diagnosis4. Goal Setting5. Intervention6. Evaluation VI. Dosage CalculationsA. Special Types of Intravenous CalculationsB. Dosage Problems for Infants and ChildrenREQUIRED 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 5Karch, 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 BRMC & SMMCM V2 V15 V6 Avoiding Medication Errors M FS/C C12 & 13 C7&8 Calculate with Care Part I & IICLINICAL SKILLS: 1. Recognize the role of the student nurse within the agency policies on disaster or fire.2. Identify various types of fire extinguishers and locate their whereabouts on the assigned clinical unit.3. Identify safety hazards in your patient’s environment.4. Move and position patient in bed.5. Perform active and passive range of motion exercises.6. Help patient ambulate with or without mechanical aids.7. Provide care for an immobilized patient.8. Make an occupied and unoccupied bed.9. Care for a patient with sleep disturbances.10. Correctly calculate and administer