Articulate Word Output Web viewBeyond Use Date eLearning Module Designed By: Venice McDougle. 1....

Beyond Use Date eLearning Module Designed By: Venice

McDougle

1. Welcome

1.1 Welcome Slide

Notes:

The overall goal of this module is to increase the awareness and develop an educational tool for the nursing professionals in support of the Joint Commission requirements for Beyond-Use-Date (BUD) labeling of patients medication. The module intention is to increase learners understanding of the correct process and best practices of assessing and with a goal of eliminating errors while promoting patient safety in the timely delivery of patient care.

1.2 What is BUD

Notes:

The goal of this BUD module is to increase the awareness of nursing professional

learners with the knowledge needed to accurately and correctly date, initiate and time

after which administration of a sterile medication has been given to the patients. The

module will also give the learner a structure for effective communication and

demonstrate teamwork with a two nurse check to identify a patient is the fundamental

first step to providing the accurate health care service.

1.3 Course Overview

Notes:

To receive the credit, you are REQUIRED to log in to this computer using your username and password. To complete this module, You must complete the following quiz with a score of 80% or above. You will have the opportunity to review the module and retake the quiz twice to achieve a passing score.

This course contains audio and video. Please adjust the volume of your headset or speakers.

The module will take 10-15 minutes to complete The module will bookmark where the learners left off.

Tab-1 (Slide Layer)

Tab-2 (Slide Layer)

Tab-3 (Slide Layer)

Tab-4 (Slide Layer)

1.4 Course Navigations

Notes:

Computer Issues (Slide Layer)

Navigating the course (Slide Layer)

Resources (Slide Layer)

1.5 Introduction

Notes:

Patient Safety (Slide Layer)

1.6 Learning Objectives

Notes:

Objectives (Slide Layer)

1.7 Prior Knowledge Quiz

Question 1 (Slide Layer)

FEEDBACK Correct Question 1 (Slide Layer)

Question 2 (Slide Layer)

Question 2 Correct FEEDBACK (Slide Layer)

FEEDBACK Incorrect Question 1 (Slide Layer)

Question 2 InCorrect FEEDBACK - Copy (Slide Layer)

1.8 Definition

Notes:

1.9 Examples of Sterlie

Notes:

Untitled Layer 1 (Slide Layer)

1.10 BUD

Notes:

Untitled Layer 1 (Slide Layer)

1.11 summary

Notes:

Untitled Layer 1 (Slide Layer)

2. When

2.1 When slide 1

Notes:

2.2 When slide 2

Notes:

Untitled Layer 1 (Slide Layer)

2.3 When slide 3

Untitled Layer 1 (Slide Layer)

2.4 When slide 4

Untitled Layer 1 (Slide Layer)

2.5 When slide 5

Untitled Layer 1 (Slide Layer)

3. How

3.1 How slide 1

3.2 BUD Process

3.3 BUD Process

Notes:

Untitled Layer 1 (Slide Layer)

3.4 How clocks

Untitled Layer 1 (Slide Layer)

4. What

4.1 What slide 1

4.2 What slide 1

Notes:

5. Post test

5.1 Post Test Instructions

5.2 Ronnie Nelson, RN begins preparing a medication IV bag in a patient

care area on

May 5, 2016, at 1400. Ronnie finishes preparing the sterile medication at

1410, applies a BUD label, proceeds immediately to patient’s bedside and

starts the 2-hour administration. Why did this sterile medication require a

BUD label?

(Multiple Choice, 10 points, 1 attempt permitted)

Correct Choice

Was the medication prepared outside the pharmacy’s clean room?

X The medication took longer than one hour to prepare and initiate administration?

Is the medication not completely and immediately administered?

The medications administration was delayed?

The initiation of the medication administration was delegated to someone other

than the person who prepared it?

Feedback when correct:

That's right! A medication that’s administered by someone other than the person who prepared

it DOES require a BUD label, but the initiation of this medications administration was not

delegated. The questions don't indicate whether another healthcare professional will oversee

the remainder of the administration, but another answer option is more accurate.

Feedback when incorrect:

You did not select the correct response. A medication that’s administered by someone other

than the person who prepared it DOES require a BUD label, but the initiation of this medications

administration was not delegated. The questions don't indicate whether another healthcare

professional will oversee the remainder of the administration, but another answer option is

more accurate.

Correct (Slide Layer)

Incorrect (Slide Layer)

5.3 Nursing Professionals

(Multiple Choice, 10 points, 1 attempt permitted)

Correct Choice

28 days

14 days

X 1 hour

No BUD is needed

Feedback when correct:

That's right! Reviewing the concept: Any sterile medication that is not completely and

immediately administered by the person who prepared it must be labeled with a BUD: initiation

of administration must occur within 1 hour of the time preparation began (in this case, spiking

the bag).

Feedback when incorrect:

You did not select the correct response. Reviewing the concept: Any sterile medication that is

not completely and immediately administered by the person who prepared it must be labeled

with a BUD: initiation of administration must occur within 1 hour of the time preparation began

(in this case, spiking the bag).

Correct (Slide Layer)

Incorrect (Slide Layer)

5.4 Beyond-use date vs. expiration date

Match the definition with the correct term.

(Matching Drop-down, 10 points, 1 attempt permitted)

Correct Choice

Date and time is determined by the drug Expiration date

manufacturers based on when the product is

safe to use and will work as intended.

Date and time is determined by a healthcare

professionals based on time of preparation,

chemical stability and sterility limits.

Beyond-use date

Feedback when correct:

That's right! You selected the correct response. Refer to INSTITUTIONAL POLICY # CLN0438 for

definition.

Feedback when incorrect:

You did not select the correct response. Refer to INSTITUTIONAL POLICY # CLN0438 for

definition.

Correct (Slide Layer)

Incorrect (Slide Layer)

5.5 June 2

(Multiple Choice, 10 points, 1 attempt permitted)

Correct Choice

Call the pharmacy to verify the BUD on the label?

X Administer the medication until 2230 and call the pharmacy to ask for the

remaining volume to be re-compounded?

Request the pharmacy re-label and re-distribute?

Start the 3-hour administration

Feedback when correct:

That's right! Reviewing the concept” The BUD indicates the time by which administration must

begin. Compare the BUD to the current time given in the question.

Feedback when incorrect:

You did not select the correct response. Reviewing the concept” The BUD indicates the time by

which administration must begin. Compare the BUD to the current time given in the question.

Correct (Slide Layer)

Incorrect (Slide Layer)

5.6 A BUD is calculated from the time preparation begins.

(True/False, 10 points, 1 attempt permitted)

Correct Choice

X True

False

Feedback when correct:

That's right! You selected the correct response.

Feedback when incorrect:

You did not select the correct response.

Notes:

BUD is calculated

Correct (Slide Layer)

Incorrect (Slide Layer)

Review (Slide Layer)

5.7 1 Liter bag

(Multiple Choice, 10 points, 1 attempt permitted)

Correct Choice

05/20/2016 at 16:15 hours

05/21/2016 at 16:00 hours

05/22/2016 at 16:00 hours

X None of the above

Feedback when correct:

That's right! Reviewing the concept: Spiking a bag of IV fluid is a low level of manipulation, so

administration may continue up to 96 hours after it was initiated. This coordinates with the

timeline for replacing IV tubing.

Feedback when incorrect:

You did not select the correct response. Reviewing the concept: Spiking a bag of IV fluid is a low

level of manipulation, so administration may continue up to 96 hours after it was initiated. This

coordinates with the timeline for replacing IV tubing.

Correct (Slide Layer)

Incorrect (Slide Layer)

5.8 At 0700, Nurse Kim notices that an IV antibiotic is infusing. She sees

that it is an hour past the BUD time (0600) as indicated on the label. It is

acceptable to allow the medication to continue infusing past its BUD.

(True/False, 10 points, 1 attempt permitted)

Correct Choice

X True

False

Feedback when correct:

That's right! You selected the correct response. Refer to INSTITUTIONAL POLICY # CLN0438

Feedback when incorrect:

You did not select the correct response. Refer to INSTITUTIONAL POLICY # CLN0438

Notes:

Correct (Slide Layer)

Incorrect (Slide Layer)

5.9 A nurse prepares an Ativan IV push medication and immediately

administers the entire medication.

Does the medication require a BUD label?

(Multiple Choice, 10 points, 1 attempt permitted)

Correct Choice

Yes

X No

Feedback when correct:

That's right! A BUD label is not required if the medication is completely and immediately

administered by the person who prepared it.

Feedback when incorrect:

You did not select the correct response. A BUD label is not required if the medication is

completely and immediately administered by the person who prepared it.

Notes:

Correct (Slide Layer)

Incorrect (Slide Layer)

5.10 The standardized BUD label should be utilized to document:

Select all that applies.

(Multiple Response, 10 points, 1 attempt permitted)

Correct Choice

X initials of the person who prepared the medication

X beyond use date

X beyond use time

name of the person who will administer the medication

Feedback when correct:

That's right! The standardized beyond-use date (BUD) label should be utilized to document who

prepared the medication (initials) and the beyond-use date and time.

Feedback when incorrect:

You did not select the correct response. The standardized beyond-use date (BUD) label should

be utilized to document who prepared the medication (initials) and the beyond-use date and

time.

Correct (Slide Layer)

Incorrect (Slide Layer)

5.11 A BUD label is required for sterile medications prepared or

manipulated outside the pharmacy.

Examples of these include:

Select all that applies.

(Multiple Response, 10 points, 1 attempt permitted)

Correct Choice

X Syringe withdrawn from vial administered within 60 minutes

X Activated Ready-to-mix product

X Spiked bag of IV fluid

X Vial of insulin (multi-dose use)

Single-dose vial administered immediately

Feedback when correct:

That's right! All medications listed should be selected except single-use vials that are

administered immediately.

Feedback when incorrect:

You did not select the correct response. All medications listed should be selected except single-

use vials that are administered immediately.

Correct (Slide Layer)

Incorrect (Slide Layer)

5.12 Results Slide

(Results Slide, 0 points, 1 attempt permitted)

Results for

5.2 Ronnie Nelson, RN begins preparing a medication IV bag in a patient care area on

May 5, 2016, at 1400. Ronnie finishes preparing the sterile medication at 1410, applies a BUD

label, proceeds immediately to patient’s bedside and starts the 2-hour administration. Why did

this sterile medication require a BUD label?

5.3 Nursing Professionals

5.4 Beyond-use date vs. expiration date

Match the definition with the correct term.

5.5 June 2

5.6 A BUD is calculated from the time preparation begins.

5.7 1 Liter bag

5.8 At 0700, Nurse Kim notices that an IV antibiotic is infusing. She sees that it is an hour past

the BUD time (0600) as indicated on the label. It is acceptable to allow the medication to

continue infusing past its BUD.

5.9 A nurse prepares an Ativan IV push medication and immediately administers the entire

medication.

Does the medication require a BUD label?

5.10 The standardized BUD label should be utilized to document:

Select all that applies.

5.11 A BUD label is required for sterile medications prepared or manipulated outside the

pharmacy.

Examples of these include:

Select all that applies.

Result slide properties

Passing Score 80%

Success (Slide Layer)

Failure (Slide Layer)

5.13 Beyond Use Date eLearning Evaluation

(Likert Scale, 0 points, 1 attempt permitted)

Statement Strongly

Disagree

Disagree Neutral Agree Strongly

Agree

eLearning module expectation are clear?

Module objectives are stated

Module is consistent with the stated

objectives

Module layout is easy to use

Overall flow of the content is uninterrupted

Overall, the module is engaging

Pre-assessment is available to measure prior

knowledge

The assessment is easy to navigate

Assessment is appropriate for the module

content

The feedback is timely

5.14 Beyond Use Date eLearning Evaluation

(Likert Scale, 0 points, 1 attempt permitted)

Statement Strongly

Disagree

Disagree Neutral Agree Strongly

Agree

I learned something new from this course.

The website was easy to navigate through.

I will recommend this training to others.

The course was easy to navigate.

The course objectives were effectively

addressed by the content of the course.

The topics were well organized and easy to

understand.

The pace of the course (time for completion)

was appropriate for the topics covered.

The exercises helped me to learn the

concepts and apply my learning in the self

and final assessments.

The course concepts taught are useful and

applicable to my job.

5.15 Upon completion of the course