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Peter,

 

You have opened yet another can of worms! Yes the notation is again not SI.

 

Here’s another: see the bit at the bottom of the feedback. This is from question 11 in maths e.g.

 

http://www.mathcentre.ac.uk:8081/mathseg/

 

Under Calculations for health professionals\Formulae … there are others here too.

 

I think the only safe thing to do is to stay healthy!

 

Best wishes,

Martin

 

Calculations for health professionals\Formulae

Top of Form


What is the concentration in mg/millilitre (or mg/mL) of a 7% sodium bicarbonate solution?

Concentration = mg/mL

Input your answer in rounded to the nearest whole number if need be.


 

Bottom of Form

~~~~~~Your result~~~~~~

d) Your answer 2, was wrong. It should have been 70

Look at your solution carefully to see where you have gone wrong.


Firstly note that a w/v percentage means the number of grams in 100mL of solution.

So 7 means there is 7 g in 100 mL

i.e. 7000 mg in 100 mL

i.e. 70 mg in 1 mL.

Note that this sort of a percentage (w/v) follows the above commonly-accepted (but very bad!) convention. In fact it is not a proper percentage at all since it is the ratio of two different things, namely mass and volume. A proper percentage would involve the ratio of two masses or two volumes and would remain the same whether one measured both masses in g or kg etc or both volumes in mL or L etc.

 

 

From: P.L. Mitchell [mailto:[log in to unmask]]
Sent: 14 December 2018 13:44
To: Martin Greenhow
Cc: [log in to unmask]
Subject: Re: On-line Numeracy initial assessment?

 

Dear all,

 

I have come across this point before, I think when discussing statistics with my wife who is a doctor.  I THINK that she routinely writes mg and mcg but could be wrong, perhaps she does write them out in full.  (Just as well, her handwriting is not always very clear . . . )

 

Here is a related topic.  Do your students ever have to tackle compound units written in index notation, e.g. milligrams per litre as mg L-1 (can't do the superscript) instead of mg/L?  I have found that some biologists really struggle with this.  Not such a problem with two quantities but when more than two ambiguity can creep in: mg/L/s, for example, is offensive to purist physicists and mathematicians, and I can see that here index notation does help with clarity.  Also easier if doing dimensional analysis which as a biologist I have found surprisingly useful on occasion.

 

Peter.

 

 

On Thu, 13 Dec 2018 at 13:16, Martin Greenhow <[log in to unmask]> wrote:

Jim,

 

Nice to hear from you. Yes it’s probably more nuanced than I said: certainly body weights in kg would be normal and I have used this in my questions (but have added one where a patient quotes weight in stones and lbs so this needs a conversion to kg).

 

However, I was told (in no uncertain terms!) when writing my questions some time ago that milli and micro should not be abbreviated in the usual SI way.

 

If you do find out, please let the sigma community know. In the meantime, I’d err on the side of caution and state both in full.

 

Apparently this issue gets even more crucial for mental health drugs which can be very powerful even in very small quantities (so I didn’t do any of those questions).

 

Best wishes,

Martin

 

From: Jim Tabor [mailto:[log in to unmask]]
Sent: 13 December 2018 12:48
To: Martin Greenhow; [log in to unmask]
Subject: RE: On-line Numeracy initial assessment?

 

Martin,

 

The nurses we see DO use abbreviations. On worksheets I see amounts in kg (usually for litres of water) g, mg and mcg for micro-grammes. I understand why mg should never be used in nursing since it is too easily confused with mg (especially with my handwriting) and in any case a font foul up could push it back to mg. I would have thought that, at a glance, mg and mcg would register as different – maybe as much as milligram and microgram. Is there a reference/directive in the NHS to never abbreviate milligram and microgram? Perhaps I should discuss with our nursing staff.

 

Thanks,

 

Jim.

 

Dr J H Tabor, Co-Director of sigma,

Frederick Lanchester Library,

Coventry University, Coventry, CV1 5FB.

Tel 02477 657595

 

From: The sigma network for cross-university mathematics and statistics support <[log in to unmask]> On Behalf Of Martin Greenhow
Sent: 13 December 2018 11:59
To: [log in to unmask]
Subject: Re: On-line Numeracy initial assessment?

 

Dear All,

 

Just a word of warning about writing questions for nurses and using random parameters … make sure you don’t kill anyone! When I was writing my nursing questions in maths e.g. I worked closely with a SL in nursing to make sure the clinical practice was correct. Mostly the questions are about proportionality, so easy to code with randoms, but you have to make sure that the drug dosages are realistic and also know things like “children don’t get that drug” and “syringe drivers only come in 15 or 20 drops per minute, not 17” … so I had to take out a lot of possible randomisation.

 

Feedback is another issue: how far do you go in explaining things? Nurses tend to use God-given formulae and just substitute the numbers in … could be a reason why mistakes happen. So my feedback explained why the calculation works the way it does instead. Others may have different views on this.

 

Don’t use abbreviations for micro and milli ever … nurses are not allowed to do so but have to write it out in full.

 

Whey I said “make sure you don’t kill anyone!” above, I wasn’t joking either … 25% of medical litigation cases involve calculation errors and patients do die. So if you are due a hospital visit, take your calculator along too!

 

Best wishes,

Martin

 

From: The sigma network for cross-university mathematics and statistics support [mailto:[log in to unmask]] On Behalf Of Lois Rollings
Sent: 12 December 2018 11:21
To: [log in to unmask]
Subject: Re: On-line Numeracy initial assessment?

 

Hi Mohamed,

 

I’m assuming you probably wouldn’t want questions specific to drug calculations for your initial assessment.

 

I have used Numbas and would recommend it for your purpose. Writing the kind of questions you are likely to need should not be difficult – and you can randomise the numbers in the questions so that the student will see slightly different questions each time. You can also add feedback for each question – where you can put links, for instance to Mathcentre leaflets or web pages.

 

As an example, the QTS-Written Questions Quiz on this page was written using Numbas. https://unihub.mdx.ac.uk/study/writing-numeracy/online-resources/maths-stats-and-numeracy/education-students

 

Best wishes

 

Lois

From: The sigma network for cross-university mathematics and statistics support <[log in to unmask]> On Behalf Of Mehbali, Mohamed
Sent: 12 December 2018 10:17
To: [log in to unmask]
Subject: On-line Numeracy initial assessment?

 

Dear All

 

We are, at LSBU, in the middle of preparing the documentation for Gateway 1 of the new Nursing Midwifery Council approval processes.

 

We are no longer testing numeracy and literacy skills as part of the recruitment process. However, the NMC requires us to do some sort of feedback to students about their numeracy skills.

 

Do you know any online numeracy quiz software that could provide helpful feedback to students about their numeracy level? Or any on-line Numeracy level 2 initial assessment?

 

Students would need individual feedback. Any suggestions you can give would be gratefully received.

 

Preferably any on-line application, which does not need us to provide applicants/offer holders with usernames and passwords.

 

Best wishes

 

 

Mohamed Mehbali    SFHEA, PGCE, MSc (Res), BSc (Hons)

Learning Development Advisor - Mathematics

Skills for Learning | Centre for Research Informed Teaching

London South Bank University | 103 Borough Road, London, SE1 0AA

t: +44 (0)20 7815 6411 | e: [log in to unmask]

 

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