QUILT Conference on Technology-Enhanced Education Using technology to support le

QUILT Conference on Technology-Enhanced Education Using technology to support le www.phwiki.com

QUILT Conference on Technology-Enhanced Education Using technology to support le

Graves, Kenny, Host has reference to this Academic Journal, PHwiki organized this Journal QUILT Conference on Technology-Enhanced Education Using technology to support learning at a distance Calculations as long as Non-Medical Prescribing: The successful development of a flexible, low technology strategy as long as distance learning. George McWhirter Calculations as long as Non-Medical Prescribing: The successful development of a flexible, low technology strategy as long as distance learning. Background: 2004 – Supplementary nurse prescribing established (Wales) 2007 – Independent nurse prescribing Jointly planned, administered in addition to delivered by: Cardiff School of Nursing in addition to Midwifery Studies Welsh School of Pharmacy, Cardiff University – shared learning between nurses in addition to pharmacists (N.B. Now Non-Medical prescribing – all healthcare professions) George McWhirter Calculations as long as Non-Medical Prescribing: The successful development of a flexible, low technology strategy as long as distance learning. Pre Nov 2006: Calculations skills as long as prescribing were: taught in a as long as mal classroom setting 25-30% referred at first attempt (mostly nurses) additional tutorials required at lunchtimes some students required a third attempt problems with setting up calculations & with numeracy high levels of anxiety (refs: Lerwill, 1999; Glaister, 2007) George McWhirter

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Calculations as long as Non-Medical Prescribing: The successful development of a flexible, low technology strategy as long as distance learning. Post Nov 2006: Day 1 – diagnostic assessment in addition to individual feedback Individual student directed to appropriate tutorials Series of PowerPoint® tutorials with voice commentary available on Blackboard throughout the course Regular support, as required, in person or by e-mail Summative written assessment George McWhirter – New strategy Calculations as long as Non-Medical Prescribing: The successful development of a flexible, low technology strategy as long as distance learning. Advantages of strategy: Not being patronising to those who are already highly numerate Allowing flexible access to the materials in college in addition to from home Providing a non-threatening approach as long as those with high anxiety levels Offering a low technology, low cost solution with minimal lecturer time dem in addition to George McWhirter Calculations as long as Non-Medical Prescribing: The successful development of a flexible, low technology strategy as long as distance learning. Tutorial design: Calculations modelled using: Logical sequencing using animation Visual mapping using colour Audible explanation using voice commentary – Self test questions with feedback of correct calculation George McWhirter

Calculations as long as Non-Medical Prescribing: The successful development of a flexible, low technology strategy as long as distance learning. The tutorials: Conversion between S.I. units of measurement Basic dosage calculations Weight in addition to body surface area related dosage calculations Calculation of supply Calculation of cost Calculation of pump settings George McWhirter Calculations as long as Non-Medical Prescribing: The successful development of a flexible, low technology strategy as long as distance learning. George McWhirter Demonstration Calculations as long as Prescribers: Pump setting Example: A 50kg woman is to receive an infusion of Dopamine at a dose of 4 micrograms/kg/minute. An ampoule of Dopamine containing 200 mg/5ml was added to 500ml of Sodium Chloride 0.9%. At what rate (ml/hr) should the pump be set to give the correct dose Step 1: Calculate the hourly dosage the patient should receive in mg/hr Step 2: Use this answer as the “What we want” value in the as long as mula as long as basic dosage calculations to calculate the pump setting

Calculations as long as Prescribers: Pump setting Example: A 50kg woman is to receive an infusion of Dopamine at a dose of 4 micrograms/kg/minute. An ampoule of Dopamine containing 200mg/5ml was added to 500ml of Sodium Chloride 0.9%. At what rate (ml/hr) should the pump be set to give the correct dose Step 1: Calculate the hourly dosage the patient should receive in mg/hr Prescribed dosage rate = 4 mcg/kg/min = 4 x 50 mcg/min (= 200 mcg/min) = 4 x 50 (=200) x 60 (minutes in 1 hour) mcg/hour = 12000mcg/hour = 12 mg/hour Prescribed hourly dosage rate = prescribed dosage rate x weight x 60 Calculations as long as Prescribers: Pump setting Example: A 50kg woman is to receive an infusion of Dopamine at a dose of 4 micrograms/kg/minute. An ampoule of Dopamine containing 200mg/5ml was added to 500ml of Sodium Chloride 0.9%. At what rate (ml/hr) should the pump be set to give the correct dose (N.B Step 1 answer= 12 mg/hour) Step 2: Use the as long as mula as long as basic dosage calculations to calculate the pump setting what we want X what it’s in OR prescribed dose X quantity it’s what we’ve got dispensed dose contained in 12 mg/hr x 505 = 30.3 = 30 ml/hr 200 Answer: 30 ml/hr . Calculations as long as Prescribers: Pump setting Now test yourself by trying these questions. a) A 100kg man is to receive an infusion of drug X at a dose of 3 micrograms/kg/minute. An ampoule of drug X containing 100mg/5ml was added to 250ml of Sodium Chloride 0.9%. At what rate (ml/hr) should the pump be set to give the correct dose b) A 25kg child is to receive an infusion of drug Y at a dose of 4 micrograms/kg/minute. An ampoule of drug Y containing 100mg/5ml was added to 500ml of Sodium Chloride 0.9%. At what rate (ml/hr) should the pump be set to give the correct dose c) A 70kg woman is to receive an infusion of drug Z at a dose of 5 micrograms/kg/minute. An ampoule of drug Z containing 250mg/5ml was added to 500ml of Sodium Chloride 0.9%. At what rate (ml/hr) should the pump be set to give the correct dose Now click as long as the next slide to check your answers.

Calculations as long as Non-Medical Prescribing: The successful development of a flexible, low technology strategy as long as distance learning. Outcomes: Results Summary – Pharmacists George McWhirter Calculations as long as Non-Medical Prescribing: The successful development of a flexible, low technology strategy as long as distance learning. Outcomes: George McWhirter Results Summary – Nurses Calculations as long as Non-Medical Prescribing: The successful development of a flexible, low technology strategy as long as distance learning. George McWhirter Scattergram – Improvement in score v No. of tutorial visits

Calculations as long as Non-Medical Prescribing: The successful development of a flexible, low technology strategy as long as distance learning. George McWhirter Tutorial visits – spread over duration of course Calculations as long as Non-Medical Prescribing: The successful development of a flexible, low technology strategy as long as distance learning. George McWhirter Tutorial visits – No. of hits v Hour of day Calculations as long as Non-Medical Prescribing: The successful development of a flexible, low technology strategy as long as distance learning. George McWhirter Tutorial visits – No. of hits v Day of week

Calculations as long as Non-Medical Prescribing: The successful development of a flexible, low technology strategy as long as distance learning. References: Bruner J. S. (1975) Toward a Theory of Instruction. Cambridge. Belknap / Harvard. Collins A., Brown J. S. Newman S. (1989) Cognitive Apprenticeship: Teaching the Crafts of Reading, Writing in addition to Mathematics. In: Resnick L. (ed) Learning in addition to Instruction. Essays in honour of Robert Glaser. New Jersey: Lawrence Erlbaum Associates. Glaister K. (2007) The presence of mathematics in addition to computer anxiety in nursing students in addition to their effects on medication dosage calculations Nurse Education Today; 27: 341-347. Lerwill C.J. (1999) Ability in addition to attitudes to mathematics of post-registration health-care professionals. Nurse Education Today; 19: 319-322. Nursing in addition to Midwifery Council (2006) St in addition to ards of proficiency as long as nurse in addition to midwife prescribers (Online). Available at: http://www.nmc-uk.org/aFrameDisplay.aspxDocumentID=1645 (Accessed 16 January 2009). Piaget J (1970) The Science of Education in addition to the Psychology of the Child. New York: Orion Press. Royal College of Nursing (2008) Nurse Prescribing (Online). Available at : http://www.rcn.org.uk/aboutus/wales/from-the-directors-office/nurse-prescribing (Accessed: 16 January 2009). Warburton P. in addition to Kahn P. (2007) Improving the numeracy skills of nurse prescribers. Nursing St in addition to ard; 21: 28, 40-43. George McWhirter

Graves, Kenny Breakfast in Baldwin - WHEP-AM Host www.phwiki.com

Graves, Kenny Host

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