Vital Signs September Issue - School of Nursing - SDSU
Vital Signs September Issue - School of Nursing - SDSU
Vital Signs September Issue - School of Nursing - SDSU
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WELCOME BACK!<br />
Dear <strong>Nursing</strong> Students,<br />
AUGUST 2009<br />
Welcome to Academic Year 2009-2010! If you are new to the <strong>School</strong> <strong>of</strong> <strong>Nursing</strong><br />
then I extend a special welcome to you. I hope all <strong>of</strong> you had a productive but restful<br />
summer and took some time to have some fun. Many <strong>of</strong> you took nursing classes<br />
and the <strong>School</strong> <strong>of</strong> <strong>Nursing</strong> was a busy place this summer.<br />
The busy atmosphere was accentuated by the visit <strong>of</strong> twelve Swiss nursing stu-<br />
Dr. Catherine Todero<br />
dents and two Swiss faculty. Our Swiss visitors engaged in a mixture <strong>of</strong> academics<br />
and tourist activities. They seemed to particularly enjoy their Community Health clinical experiences, the OB<br />
simulations and their visit to the Imperial Valley campus where the temperatures were around 108-110 degrees.<br />
I want to personally thank the <strong>SDSU</strong> students who served as ambassadors for the Swiss and made sure<br />
that the beach, shopping, Balboa Park, Old Town, the Padres, bowling and picnics were also on their agendas.<br />
The Swiss students loved <strong>SDSU</strong> and many talked <strong>of</strong> returning to attend for Graduate <strong>School</strong>. Next year<br />
we will have an opportunity to send twelve <strong>SDSU</strong> <strong>Nursing</strong> students and two faculty members to Switzerland.<br />
The Swiss government is underwriting part <strong>of</strong> the expense so out-<strong>of</strong>-pocket costs for students who are interested<br />
should be VERY reasonable. The details (dates, activities) are not solidified yet. Be on the look out for<br />
more details and the chance to apply for this amazing opportunity.<br />
You have no doubt heard about the budget crisis in the state. The rise in fees for students is a direct result<br />
<strong>of</strong> the problems. There has been a concerted effort to protect and increase the financial aid available for students<br />
so that truly needy students are not forced to withdraw. Please note that nursing scholarship announcements<br />
are also routinely posted to our web page and be sure to apply by the deadlines. For academic<br />
year 2009-2010 and perhaps beyond, we will be reducing the numbers <strong>of</strong> students we admit to the program at<br />
the undergraduate level. For Fall 2009 we have admitted 72; down from our previous average numbers <strong>of</strong><br />
around 110. This dramatic reduction is due to the decrease in state support.<br />
continued on page 7<br />
Hello, I am Rashida Mentrie-Maurer, your California <strong>Nursing</strong><br />
Students’ Association <strong>SDSU</strong> chapter President for this school<br />
year. Welcome to all <strong>of</strong> our new students and welcome back to<br />
all continuing students. This year is going to be so exciting!<br />
Dr. Todero is now a board member <strong>of</strong> the CA Board <strong>of</strong> Registered<br />
<strong>Nursing</strong>, we have a new Board <strong>of</strong> Directors for the <strong>SDSU</strong><br />
chapter <strong>of</strong> CNSA, and new opportunities for personal and pr<strong>of</strong>essional<br />
growth on the horizon. I would like to invite all <strong>of</strong> you<br />
to attend our next meeting and join CNSA.<br />
continued on page 7<br />
CNSA Board <strong>of</strong> Directors<br />
2009-2010
PAGE 2<br />
Have Have Have a a Stellar Stellar Clinical Clinical Experience<br />
Experience<br />
1) Take initiative<br />
If you want to get more out <strong>of</strong> your clinical experience, chuck fear and turn it into respect. Once<br />
your perspective switches, you are able to go with an eager inquisitiveness. Don’t try to blend into the<br />
wall and claim you didn’t know what to do or how to do it or where to put it. Introduce yourself and<br />
ask questions.<br />
2) Be accountable<br />
You know what you’re supposed to do…so do it. Actively seek situations to enhance your education.<br />
The RNs were once students, so they know that you should tend to hygiene, urinals, I &O, beds,<br />
dirty linen, vital signs, turn patients, walk patients, feed patients, assist with bedpans, blood sugars,<br />
medications, verify medication effectiveness, talk with patients, direct hospital guests and so on. How<br />
is it that so <strong>of</strong>ten the nursing students end up standing around?<br />
3) Communicate<br />
Introduce yourself. Find out who the RN is that is responsible for the patient. The RN takes full responsibility<br />
for all that happens with the patients, not the LVN, nor the Patient Care Tech, nor the Certified<br />
<strong>Nursing</strong> Assistant, nor anyone. In school you learn what is normal and abnormal, and you know<br />
that if something is abnormal then you have to tell the RN as soon as possible. Inform the RN within<br />
five minutes. Don’t forget.<br />
4) Be realistic<br />
“I didn’t take the vital signs because they were sleeping.” If the vital signs aren’t taken, the show<br />
cannot go on. Patients are at the hospital receiving medical services for a serious medical condition<br />
which was warranted life threatening enough to be hospitalized, and you have tons <strong>of</strong> work to do in a<br />
short period <strong>of</strong> time to ensure timely and safe treatment to all. This is not easy. Are you going to put<br />
everything on hold and go room to room to room trying to catch the patients when it’s convenient for<br />
them? You are the one in charge.<br />
RNs are there to save lives. RNs have the medical and technical aspect; however, RNs care for the<br />
whole patient. The patient is hospitalized for close monitoring and because they are sick enough to the<br />
point where they cannot take care <strong>of</strong> themselves, or they wouldn’t be there.
With With Five Five Simple Simple Simple Things Things To To Remember:<br />
Remember:<br />
Some are more able than others, yet no matter where you are, there are the core nursing skills — beds,<br />
toileting, hygiene, feeding, vitals signs, physical activity, medications and so forth. Always be on the<br />
lookout for signs <strong>of</strong> life-threatening changes in all patients while working about the area.<br />
Try where you can to accommodate and provide choices. We are taught that in nursing school, but<br />
you’ll have to devise other ways <strong>of</strong> accommodating which do not delay your obligation <strong>of</strong> quality and safe<br />
medical services.<br />
5) Ignore Nurse Ratched<br />
Understand that, for better or worse, not all RNs that you interact with are equipped to work with students.<br />
Don’t have unrealistic expectations. It’s not personal and they are not a bad person or bad nurse.<br />
Some nurses love teaching but aren’t good teachers. Some nurses hate teaching but are forced into the role<br />
once their facility decides to take students. Some RNs love it and are good at it. Everyone is different.<br />
RNs have a lot <strong>of</strong> responsibility and are extremely busy. The student has a lot <strong>of</strong> questions that have to<br />
be answered carefully while not breaking the RN’s concentration or speed; multitasking at its finest. I<br />
know the students think, “But I’m helping the RN.” Students more <strong>of</strong>ten than not do slow the RN. Sometimes,<br />
in order to fulfill their obligation to the patients, to themselves and to the employer, teaching may<br />
get bumped. By doing everything that you can to help, you, the RN, the patient, the medical organization,<br />
your school and everyone comes out better <strong>of</strong>f.<br />
When you do run into the infamous Nurse Ratched so aptly attacking her young – ignore them! You<br />
go about your wonderful business and do not let them get to you. You hold your chin up and be the best<br />
nurse that you are. Be the role model <strong>of</strong> pr<strong>of</strong>essional behavior. You too will likely be working with students<br />
one day. It’s the timeless age-old saying, “Everything which goes around comes around.” That<br />
Nurse Ratched will fade into disappearance eventually; no longer will Nurse Ratched be tolerated. Who<br />
knows why they’re that way? It’s not up to us to solve. Everyone is responsible for themselves and working<br />
hard to create a pleasant environment, which all nurses, patients, hospital staff and visitors benefit<br />
from. You are the change that you seek.<br />
RNs are happy to see students for a variety <strong>of</strong> reasons. Here’s a misperception which people like to<br />
joke about: The RN is not trying to maliciously dump grunt work onto the poor, helpless, innocent, slave<br />
student. Snap out <strong>of</strong> it! A vast majority <strong>of</strong> students come to clinical having zero hands-on patient care or<br />
having been in a medical environment in their entire lives. The environment is foreign. This is why the<br />
simplest <strong>of</strong> activities can be the gems <strong>of</strong> your experience, whether you realize it now or years later in retrospect.<br />
Just being there is key. You are absorbing every detail, both<br />
consciously and subconsciously.<br />
RNs are happy to see the students, because we are all so painfully<br />
aware <strong>of</strong> the nursing shortage and are thrilled to see you, because it is<br />
reassurance that the pipeline isn’t empty. There are willing, able people<br />
to come work alongside us. Everyone is lifted up.<br />
Take initiative, be positive, be accountable, communicate, seek learning<br />
opportunities, overcome fears, feel respect, prove that you care<br />
and stay realistic and empathetic. You will soon be an RN!<br />
By By By Nicole Nicole R. R. Marcy, Marcy, Marcy, BPH, BPH, BSN, BSN, BSN, RN<br />
RN<br />
SDSD SDSD Alumni<br />
Alumni<br />
ANA ANA Board Board <strong>of</strong> <strong>of</strong> <strong>of</strong> Directors<br />
Directors<br />
MURDER<br />
SIGNS AND SYMPTOMS OF<br />
INCREASED SERUM K<br />
M-Muscle weakness<br />
U-Urine, oliguria, anuria<br />
R-Respiratory distress<br />
D-Decreased cardiac contractility<br />
E-ECG changes<br />
R-Reflexes, hyperflexia, or areflexia(flaccid)<br />
Normal Serum Potassium level is<br />
3.5-5.0 mEq/L<br />
Zerwekh et al.(2006). Mosby’s Fluids & Electrolytes<br />
Memory Note Cards, 31.<br />
PAGE 3
PAGE 4<br />
SWITZERLAND<br />
SWITZERLAND<br />
In this picture are all the Swiss exchange students including Zoe before<br />
going into Petco Park for a Padres game.<br />
Would you like to take a trip to Europe next summer?<br />
We have the opportunity to study nursing abroad for<br />
summer 2010. <strong>SDSU</strong> SON opened its doors to a new<br />
nursing exchange program with a few universities in<br />
the western region <strong>of</strong> Switzerland.<br />
What does this mean to us as nursing students? This<br />
new exchange program will make it possible for us, as<br />
nurses, to discover new possibilities within the nursing<br />
pr<strong>of</strong>ession, to learn how other countries handle<br />
and deal with similar healthcare issues, to broaden our<br />
cultural awareness, and to seek new and exciting experiences.<br />
In July I had the pleasure to meet and mingle with<br />
twelve friendly Swiss nursing students throughout<br />
their one-month stay while they studied here. Several<br />
nursing students and myself planned and chaperoned<br />
many fun activities around San Diego, which included<br />
taking them to a Padres game, Sea World, Balboa<br />
Park, La Jolla- whale watching, kayaking, and Pacific<br />
Beach, to name a few. It was a privilege to make new<br />
friends; they were all open to discussing anything<br />
from their personal lives to nursing life and so willing<br />
to exchange their cultural views and ideas.<br />
I discovered and got to hear firsthand from the<br />
Swiss nursing students about some <strong>of</strong> the issues<br />
concerning their healthcare system and ours. As one<br />
<strong>of</strong> the Swiss nursing students, Laura Nydegger, stated,<br />
“Nurses are more well-respected and recognized here<br />
in the U.S. compared to nurses in Switzerland.”<br />
Another Swiss nursing student made the point<br />
that although every Swiss citizen has medical insurance,<br />
the disparity is that the population <strong>of</strong><br />
Switzerland is comprised <strong>of</strong> only 8 million people,<br />
whereas Los Angeles alone has 10 million<br />
people, which provides one key explanation as to<br />
why Switzerland and other similar countries do<br />
not face the same healthcare problems we do. Additionally,<br />
the Swiss students reiterated the point<br />
that a lot <strong>of</strong> Americans don’t abide by healthy<br />
food portions or engage in regular exercise as<br />
much as the Swiss do, which speaks for the obesity<br />
epidemic that we see here in the U.S.<br />
They were a lively and fun group; I hope each one<br />
<strong>of</strong> you think about the opportunity <strong>of</strong> going to<br />
Switzerland next year to study nursing abroad.<br />
Our time spent together was wonderful in addition<br />
to being very enlightening about Swiss nursing;<br />
they taught us a couple <strong>of</strong> Swiss games and<br />
best <strong>of</strong> all was how one should greet a friend.<br />
Kiss cheek to cheek three times. Let’s greet and<br />
unite together as nurses. I wish you an exciting,<br />
fulfilling trip to Switzerland. Watch for more<br />
information about<br />
how to apply for the<br />
Swiss exchange opportunity<br />
on the<br />
SON website.<br />
By Zoe Armas<br />
3rd semester
By Sarah Duchoud<br />
Swiss Student<br />
EXCHANGE<br />
EXCHANGE<br />
The Source and HECVS,<br />
two schools <strong>of</strong> nursing<br />
Swiss students charging the beach getting ready to learn how to hang ten<br />
care in Switzerland, provided<br />
the opportunity for<br />
students to go to California for a month. The summer university took place at the San Diego State University.<br />
Having been able to take part in this trip, I learned about health care in the United States. During this<br />
month <strong>of</strong> study my colleagues and I had the opportunity to visit a shelter for battered women. We<br />
learned about the education given regarding pregnancy, labor and delivery.<br />
We were able to look at care plans written by students and saw how they handled different illnesses.<br />
The Veterans Administration hospital showed us an aspect <strong>of</strong> the United States that we as Swiss knew<br />
little about. Switzerland has not participated in as many battles and wars as the United States has, so we<br />
were not aware <strong>of</strong> the consequences and after effects left on<br />
those soldiers who were involved.<br />
One lesson <strong>of</strong> our nursing education taught us how the multitude<br />
and affordability <strong>of</strong> fast food and unhealthy menus<br />
has taken a toll on the health <strong>of</strong> the American population.<br />
This was evidenced by the film Super Size Me.<br />
A big difference in our schools is that our mannequins are<br />
not state <strong>of</strong> the art. They are not able to simulate breathing<br />
nor giving birth. At the <strong>SDSU</strong> simulation lab we were able<br />
to participate in a delivery and observe the nursing responsibilities.<br />
continued on page 12<br />
PAGE 5
PAGE 6<br />
SCHOOL CHOOL OF NURSING URSING DIRECTOR<br />
IRECTOR NAMED AMED TO STATE TATE<br />
NURSING URSING BOARD OARD<br />
Dr. Catherine Todero (center) is sworn in by Gov. Schwarzenegger.<br />
Courtesy: Los Angeles Times<br />
Catherine Todero, Ph.D., director <strong>of</strong> San Diego<br />
State University’s <strong>School</strong> <strong>of</strong> <strong>Nursing</strong>, is one <strong>of</strong> six<br />
new members named to the California Board <strong>of</strong><br />
Registered <strong>Nursing</strong>. Todero was sworn in by Governor<br />
Arnold Schwarzenegger on Wednesday, July<br />
15.<br />
“Dr. Todero is an excellent nurse educator whose<br />
decades <strong>of</strong> knowledge and expertise will no doubt<br />
serve the state <strong>of</strong> California well,” said Marilyn<br />
Newh<strong>of</strong>f, dean <strong>of</strong> <strong>SDSU</strong>’s College <strong>of</strong> Health and<br />
Human Services.<br />
The Top Ten Ways To Survive the First<br />
Semester <strong>of</strong> <strong>Nursing</strong> <strong>School</strong><br />
10) Eat healthy<br />
9) Sleep when you can<br />
8) Form study groups<br />
early on<br />
7) Practice skills <strong>of</strong>ten<br />
6) Drink c<strong>of</strong>fee<br />
5) Ask for help if you<br />
need it<br />
4) Talk to people who<br />
have already survived<br />
first semester<br />
3) Study<br />
2) Make time for exercise!<br />
1) Do NOT give up!<br />
By Sheridan Gnile<br />
“It is with a great sense <strong>of</strong> pride that we have someone<br />
<strong>of</strong> her caliber leading our <strong>School</strong> <strong>of</strong> <strong>Nursing</strong>.”<br />
New Responsibilities<br />
Todero will serve a four-year term as the education<br />
representative on the board <strong>of</strong> seven, which meets<br />
several times a year in Sacramento.<br />
Good for San Diego<br />
“It is a great personal honor to be selected for the<br />
board, but it is also a very good thing for San<br />
Diego,” said Todero, also a registered nurse.<br />
“It is important to have our region represented at<br />
the state level because some <strong>of</strong> the issues we deal<br />
with here in San Diego might be slightly different<br />
than those in northern California.”<br />
About the California Board <strong>of</strong> Registered <strong>Nursing</strong><br />
The California Board <strong>of</strong> Registered <strong>Nursing</strong> is a<br />
state governmental agency established by law to<br />
protect the public by regulating the practice <strong>of</strong> registered<br />
nurses. The board is responsible for implementation<br />
and enforcement <strong>of</strong> the <strong>Nursing</strong> Practice<br />
Act: the laws related to nursing education, licensure,<br />
practice, and discipline. San Diego State University’s<br />
<strong>School</strong> <strong>of</strong> <strong>Nursing</strong> programs for licensure<br />
are approved by the California Board <strong>of</strong> Registered<br />
<strong>Nursing</strong>.<br />
By Gina Jacobs<br />
AMERICA MERICA MERICA MERICA HAS HAS HAS HAS<br />
IN IN IN NURSES URSES URSES<br />
CONFIDENCE<br />
CONFIDENCE<br />
CONFIDENCE<br />
CONFIDENCE IN<br />
PRINCETON<br />
RINCETON<br />
RINCETON --NURSES URSES URSES URSES<br />
RECEIVE RECEIVE RECEIVE RECEIVE TOP TOP TOP TOP PUBLIC PUBLIC PUBLIC PUBLIC<br />
ACCOLADES ACCOLADES<br />
ACCOLADES<br />
ACCOLADES IN IN IN IN GALLOP ALLOP'S ALLOP ALLOP<br />
ANNUAL ANNUAL ANNUAL ANNUAL HONESTY ONESTY ONESTY ONESTY AND AND AND AND<br />
ETHICS THICS THICS THICS OF OF OF OF PROFESSIONS<br />
PROFESSIONS<br />
PROFESSIONS<br />
PROFESSIONS<br />
SURVEY SURVEY SURVEY ASED ASED ASED ON ON ON ON TEN TEN TEN TEN<br />
NOVEMBER<br />
OVEMBER OVEMBER<br />
OVEMBER 2008 USA/<br />
TODAY ODAY ODAY ODAY GALLOP ALLOP ALLOP ALLOP POLL POLL POLL POLL RATING RATING RATING RATING<br />
THE THE THE THE HONESTY HONESTY<br />
HONESTY<br />
HONESTY AND AND AND AND ETHICS ETHICS ETHICS ETHICS OF OF OF OF<br />
DIFFERENT DIFFERENT<br />
DIFFERENT PROFESSIONS<br />
PROFESSIONS<br />
PROFESSIONS<br />
NURSES NURSES NURSES NURSES EARNED EARNED EARNED EARNED THE THE THE THE TOP TOP TOP TOP<br />
RANKING RANKING<br />
RANKING<br />
RANKING FOR FOR FOR FOR THE THE THE THE SEVENTH<br />
SEVENTH<br />
SEVENTH<br />
SEVENTH<br />
YEAR YEAR YEAR YEAR IN IN IN IN A ROW ROW ROW<br />
-WWW WWW.GALLOP<br />
WWW WWW GALLOP.COM<br />
GALLOP GALLOP COM COM COM<br />
21 21 21<br />
RINCETON,NJ<br />
,NJ-- ,NJ ,NJ--<br />
--<br />
SURVEY. . . . BASED<br />
2008 2008 2008 USA/ USA/ USA/<br />
URSES.<br />
21 DIFFERENT PROFESSIONS,<br />
ROW.<br />
, , ,
Dr. Todero’s Welcome Letter<br />
continued<br />
The faculty and staff <strong>of</strong> the campus and the<br />
<strong>School</strong> <strong>of</strong> <strong>Nursing</strong> have not escaped the effects <strong>of</strong><br />
this downturn in the economy. We will be observing<br />
furlough days, typically two per month,<br />
throughout the academic year. Some <strong>of</strong> them are<br />
mandatory dates. This means that the entire campus<br />
will be shut down. There may be dates when<br />
even though the campus is open, the <strong>School</strong> <strong>of</strong><br />
<strong>Nursing</strong> is closed. You will need to monitor the<br />
webpage for announcements <strong>of</strong> closures. Faculty<br />
will also inform you <strong>of</strong> the dates when your classes<br />
or clinicals are affected. Rest assured that we will<br />
try to mitigate the impact <strong>of</strong> the furloughs on your<br />
learning opportunities, even while honoring the<br />
constraints we are under. Hopefully these challenging<br />
times will bring out the best in all <strong>of</strong> us<br />
and we will embrace new and innovative ways <strong>of</strong><br />
doing things to continue to achieve our traditionally<br />
great outcomes.<br />
Good luck in your studies this year. I wish you<br />
much academic success. Show your leadership<br />
skills by being an involved and active member <strong>of</strong><br />
CNSA. This is your school and you should take<br />
pride in it and the achievements <strong>of</strong> those nursing<br />
alumni who have gone before you.<br />
Sincerely,<br />
Dr. Todero<br />
"Don't "Don't wish wish it it it was was easier; easier;<br />
easier;<br />
wish wish you you were were better. better. Don't<br />
Don't<br />
wish wish for for less less problems;<br />
problems;<br />
wish wish wish for for more more skills. skills. Don't<br />
Don't<br />
wish wish for for less less challenges;<br />
challenges;<br />
wish wish for for more more wisdom." wisdom." wisdom." -<br />
Rashida’s Welcome letter<br />
continued<br />
The opportunities to experience nursing in a<br />
pr<strong>of</strong>essional organization will give you a leg<br />
up in your career and provide you with contacts<br />
that may assist you throughout your<br />
time as a nurse. The members <strong>of</strong> CNSA reach<br />
out to the community by teaching students<br />
in local schools about nursing, fundraising<br />
for good causes such as the AIDS Walk and<br />
taking part in legislation at the State and National<br />
levels. We would love your support<br />
and input in these areas and more. If you are<br />
interesting in volunteering or just want more<br />
information about the CNSA please visit our<br />
website www.cnsa.org, or email me at<br />
rashment@gmail.com. I am looking forward<br />
to getting to know all <strong>of</strong> you as the year progresses.<br />
Good luck!<br />
Rashida Mentrie-Maurer<br />
CNSA President<br />
PAGE 7
PAGE 8<br />
IMAGE OF NURSING<br />
At the Council <strong>of</strong> Chapter Representatives<br />
Meeting June 20th 2009 hosted by Samuel Merritt<br />
University, Trina Jayne’s Ad Hoc Chair spoke about<br />
the importance <strong>of</strong> upholding a positive image in nursing.<br />
The idea is that no matter what you are doing<br />
you always present yourself and the nursing pr<strong>of</strong>ession<br />
in a positive light. This includes following the<br />
dress code, using pr<strong>of</strong>essional language, maintaining<br />
appropriate self-conduct and having an overall pr<strong>of</strong>essional<br />
appearance. As nursing students, it all starts at<br />
<strong>SDSU</strong>. If you establish a good nursing image for yourself<br />
it will carry on throughout the rest <strong>of</strong> your career.<br />
Also, when you<br />
present yourself with a<br />
positive image, it will<br />
no doubt rub <strong>of</strong>f on<br />
your fellow students<br />
and peers. The responsibility<br />
does not<br />
fall only on us as students;<br />
when doing<br />
simple tasks like emailing<br />
with pr<strong>of</strong>essors,<br />
make sure to<br />
maintain pr<strong>of</strong>essional<br />
MAKE MAKE YOUR YOUR OWN OWN ASSESMENT<br />
ASSESMENT<br />
conduct and appropriate language, because it all makes a difference.<br />
If we cannot maintain a positive image <strong>of</strong> nursing<br />
with our fellow nursing students and our teachers, then how<br />
do we expect the public to do so as well? At the meeting we<br />
watched a film about this issue titled “Image <strong>of</strong> <strong>Nursing</strong>: I’m<br />
Just a Nurse.” It was interesting to hear some <strong>of</strong> the responses<br />
from the public when asked what nurses do. Some<br />
people said nurses are “the ones who bring the food” or<br />
“doctor’s aides” or even “the helpers around the hospital.”<br />
The public has accepted stereotypes <strong>of</strong> nurses and it is our<br />
responsibility to do everything we can to promote our pr<strong>of</strong>ession<br />
in a positive manner and not just accept the stereotypes.<br />
Nurses are highly educated<br />
and qualified and we must<br />
promote that image. No matter<br />
what we are doing we must<br />
take our job seriously so that<br />
others do as well. We are not<br />
just nurses, we are nurses.<br />
Kimberly Vaughan<br />
Co-BTN Director<br />
Pr<strong>of</strong>essor Julie Jurf and her Spring ‘09<br />
class looking sharp<br />
Due to budget constraints, none <strong>of</strong> us were able to select our clinical pr<strong>of</strong>essors this semester.<br />
How many <strong>of</strong> you are nervous due to the reviews <strong>of</strong> your soon-to-be instructor on such sites as Rate-<br />
MyPr<strong>of</strong>essor.com, Whototake.com, or Reviewum.com? From personal experience, I have found that<br />
some <strong>of</strong> the most harshly rated pr<strong>of</strong>essors can turn out to be the best you have ever had. It is easy to<br />
vent and write negative comments anonymously. These views might hold clout if we were also able to<br />
know the student’s effort during the course. Ultimately learning is the student’s responsibility and you<br />
are in control. You will only get out <strong>of</strong> clinical what you put in. Our school is rated among the best in<br />
the country, and our instructors are a major reason for that. Yes, your<br />
teacher may not be perfect, but chances are good that your patients won’t<br />
be either. Each experience with a new pr<strong>of</strong>essor broadens your capacity<br />
for understanding, communicating, and cooperating with people <strong>of</strong> varying<br />
personality traits, thereby enabling you to grow and become a stronger<br />
nurse, delivering quality patient care. It would serve you well to dismiss<br />
whatever negative comments you may have read and go into this semester<br />
with a fresh, positive attitude.<br />
Kelly Bowker<br />
<strong>Vital</strong> <strong>Signs</strong> Editor
Medication Error<br />
I am tired. It is my third, twelve-hour shift<br />
in a row and I am feeling the ache in my feet, my<br />
back, my eyes and my soul. It is Father’s Day. I<br />
attempt to call my dad; no answer, so I send my<br />
brother a text message to pass on my well-wishes.<br />
My preceptor has left me to my own devices<br />
and has not moved from his chair. The patient load<br />
is light, but the odd timing <strong>of</strong> their cumulative medications<br />
is throwing <strong>of</strong>f my time management; not<br />
just 9, 1, and 5, but 11, 11:30, 12, and PRN pain<br />
management. The cumulative medication administration<br />
timing is keeping me from reading their<br />
charts, looking at the big picture.<br />
A 0900 medication is missing; the inhaler is<br />
not in the Omnicell (medication pyxis), not in the<br />
refrigerator, not in the lock-box in the room. I enter a missing med. When it becomes due again at 1700, I<br />
am exhausted, dragging, and feeling the weight <strong>of</strong> being a student and a full-time employee simultaneously.<br />
The medication is available in the Omnicell. A single, lonely inhaler in a cell by itself, I take it<br />
out and add it to the pile.<br />
Entering the patient room, I marvel at his ability to maintain sleep. The six tablets <strong>of</strong> methadone<br />
have finally worked; his bed is at a 45° angle due to his breathing problems (pneumonia and COPD), he<br />
is slumped to one side, drooling, twitching occasionally, the pain <strong>of</strong> his skin cancer temporarily forgotten.<br />
I check his respirations; they are slow and even and within normal limits at fourteen. I scan his<br />
wristband into the Bar Code Medication Administration Program (BCMA), thankful that I did not wake<br />
him. I scan his IVPB and prepare it for infusion; I scan his oral meds and check that I have enough applesauce<br />
to administer them with his difficulty swallowing.<br />
The inhaler will not scan. The cursed missing med, finally available, will not scan. I walk over to<br />
the satellite pharmacist to explain the problem. She comes back to the patient room to attempt troubleshooting.<br />
My ever-absent preceptor comes over and also attempts to troubleshoot. Nothing works.<br />
The pharmacist goes back to her <strong>of</strong>fice and prints a<br />
new barcode. Finally, the medication is scanned in. I wake<br />
my patient and start his IVPB, I give him his oral meds, I<br />
hand him his inhaler to use. He recognizes it as a new<br />
medication and asks me what it is – I tell him the generic<br />
name I see on the screen and the hard-copy due list. He<br />
looks skeptical and asks what he is allergic to… I check his<br />
allergies, and the brand name <strong>of</strong> this medication is listed<br />
among them.<br />
continued on page10<br />
PAGE 9
PAGE 10<br />
New Sweatshirt<br />
Design!<br />
Colors: Black, Red,<br />
& Navy Blue<br />
Cost: $65.00<br />
Contact:<br />
Michelle at<br />
babst@rohan.sdsu.edu<br />
or<br />
Jellica at<br />
jellaquino@gmail.com<br />
Medication Error Story continued<br />
I very nearly administered a medication listed under the patient’s allergies. The doctor prescribed<br />
it, the pharmacist filled it; in all the fuss to scan the blasted item into BCMA, the RN, satellite pharmacist,<br />
and the student nurse all failed to notice that it was also listed, plain as day, under the patient’s allergies<br />
on BCMA.<br />
I take back the inhaler and tell the patient how glad I am that he asks questions about his medications<br />
(what my preceptor for today calls a “troublemaker”). I mark the med “refused,” flag the MD’s order<br />
for the medication, and text-page the MD.<br />
I am quietly flustered. I am concerned. I marvel at what almost occurred. I ask the patient what<br />
his reaction to the medication is and am slightly relieved to hear a litany <strong>of</strong> GI symptoms and no evidence<br />
<strong>of</strong> anaphylaxis.<br />
As I leave his room, the patient thanks me for taking such good care <strong>of</strong> him. I am not consoled. I<br />
am a fraud and not worthy <strong>of</strong> such praise. I made a medication error; it was the patient who caught it in<br />
time.<br />
The editor's note: Author has given permission for publication and requested identity to be kept confidential.<br />
Lesson: Lesson: Constant Constant Constant reminder reminder to to check,<br />
check,<br />
check, check, check, check, check, check, before before giving giving medication!<br />
medication!<br />
medication!
As the new CNSA Healthcare Coordinator I<br />
plan to make it a priority for our class to become more<br />
involved with our community and its healthcare needs<br />
and activities. There are so many opportunities to get<br />
involved in our community and make a difference in<br />
other people’s lives. I have many ideas <strong>of</strong> ways we can<br />
be creative as a class and start our own events to meet<br />
our community’s needs. For example, I just recently<br />
volunteered at a St. Vincent’s soup kitchen in downtown<br />
San Diego. This experience opened my eyes to<br />
our community’s opportunity for growth in their<br />
knowledge <strong>of</strong> the importance and benefits <strong>of</strong> a healthy<br />
diet. As nursing students, we have the ability to educate<br />
and impact people with simple tips in eating and<br />
living a healthier, longer, and more prosperous life.<br />
Therefore, I envision CNSA coordinating with St. Vincent’s faculty and starting<br />
an awareness day/week where we would explain the importance and benefits <strong>of</strong><br />
eating more nutritiously and living healthier lifestyles.<br />
Also, we need to start brainstorming on ways we can help them do this on a<br />
low budget. It’s easy to say just buy fresh fruits and veggies, but organic labels<br />
are expensive and most <strong>of</strong> the time are harder and take longer to prepare. In addition,<br />
gym memberships are not cheap either! I think we all take the $17.00<br />
ARC membership for granted. I quickly learned when I moved away from State<br />
and cancelled my ARC membership that other gyms charge almost triple! So… What can we tell the people<br />
at the soup kitchen if healthy foods and gym memberships all cost a good amount <strong>of</strong> money, and<br />
money is something they don’t have? Well, I have started to think <strong>of</strong> various ways we can help bridge the<br />
gap between being healthy and spending a lot <strong>of</strong> money.<br />
We can try to raise money so the soup kitchen can <strong>of</strong>fer healthier foods. Also, who says you need a<br />
gym membership to work out? San Diego is filled with great hiking and beautiful bike trails. Not to mention,<br />
the beach is great for more than just laying out, it is a perfect place to get a great workout! If people<br />
were more aware <strong>of</strong> these options I’m sure they would be more eager to go on a hike, or take a great bike<br />
ride along the water. Most importantly, these workouts do not require any sort <strong>of</strong> gym membership!<br />
Also, when I was serving at St. Vincent’s I noticed the people simply refused the selections <strong>of</strong> fruits<br />
and vegetables that were <strong>of</strong>fered, but asked for second helpings on the fries and unhealthy foods, thereby<br />
illustrating that the most effective way for us to alter their habits <strong>of</strong> a poor diet is by education. If they understand<br />
the effects <strong>of</strong> a diet that lacks fruits and vegetables and is high in fat and carbohydrates they may<br />
be more eager to load up on foods other than French fries! We could make pamphlets for them to keep and<br />
make posters (or whatever we think up!!) to stress why they should eat better, balanced, and nutritious<br />
meals. We could explain simple concepts like the food pyramid, and teach them how to calculate how<br />
much fiber, protein, sugar, carbohydrates, calories, et cetera is normal for them to be consuming based on<br />
their age, gender, and height. This would be similar to the food journal exercises we did in<br />
<strong>Nursing</strong> 202 for our nutrition paper. I want to do this during the month <strong>of</strong> <strong>September</strong> and go<br />
from there, depending on the feedback we receive. I hope that during this upcoming semester<br />
we can truly make a difference and be a positive influence to the San Diego community.<br />
I can’t wait to see what we can accomplish together!<br />
Maci Gayaldo<br />
Community Health Project Coordinator<br />
SOUP KITCHEN<br />
Maci and friends dressed<br />
and ready to make a difference<br />
PAGE 11
PAGE 12<br />
SWISS WISS STUDENT TUDENT LETTER ETTER CONTINUED<br />
ONTINUED<br />
During our stay in Humboldt, California we took<br />
classes in health and nutrition. We became acquainted<br />
with the new food pyramid and spoke<br />
about the differences in our countries’ eating habits.<br />
We also touched on the subject <strong>of</strong> obesity,<br />
which affects a larger number <strong>of</strong> people in the<br />
United States than in Switzerland.<br />
We visited the Imperial Valley campus. In Calexico<br />
we visited two hospitals, one <strong>of</strong> which allowed<br />
us to observe their neonatal unit. The care<br />
which was lavished on the babies there seems to<br />
resemble what we are used to in Europe and in<br />
Switzerland. Besides these two hospitals, we visited the Family Treehouse, which allows parents to stay<br />
and play with their children during the day. We also noticed they use helicopters that are staffed with<br />
nurses and paramedics. In Switzerland we have almost the same system, but it is obligatory to have a doctor<br />
in the helicopter.<br />
In observation and conversation during the different visits <strong>of</strong> hospitals<br />
and other sites we discovered that the nurses had much more selfgovernment<br />
in the United States than in Switzerland. Their job is better<br />
known and more respected.<br />
During this stay I learned a lot about the health care system in the United<br />
States. Certain things seemed to be the same as in Switzerland, while others<br />
were very different. Two things, however, kept the attention <strong>of</strong> the<br />
group <strong>of</strong> students: hygiene and languages spoken by nurses. In Switzerland<br />
we are accustomed to speaking several languages, while in California,<br />
in spite <strong>of</strong> the proximity <strong>of</strong> Mexico, most nurses speak only English, while<br />
a good many patients only know Spanish.<br />
Finally, we very much enjoyed our stay. We acquired a lot <strong>of</strong> knowledge<br />
and discovered another way to live and to treat patients. I would like to<br />
thank all the people involved in making this such a splendid experience<br />
for all <strong>of</strong> us.
<strong>SDSU</strong> SCHOOL OF NURSING WILL BE OBSERVING TWO FULL FURLOUGH DAYS PER<br />
MONTH THROUGHOUT THE 2009/2010 ACADEMIC SCHOOL YEAR. FOR THE<br />
MONTH OF AUGUST WE WILL BE CLOSED TWO FRIDAYS, AUGUST 7TH AND 14TH.<br />
BE SURE TO CHECK OUR WEBSITE OFTEN TO FIND OUT FUTURE FURLOUGH DATES.<br />
• August 26th—-New Student Orientation<br />
• August 27th—-New Student Success Day<br />
• August 28th—-New Student Technology Day<br />
• August 31st—- First day <strong>of</strong> classes<br />
• <strong>September</strong> 7th— Labor Day (campus closed)<br />
• <strong>September</strong> 15th —11:00-2:00 Benefits Wellness Fair at Montezuma Hall<br />
Contact Kurtis for more information at kurtislukina@gmail.com<br />
• October 7th— Committee meeting for Honors Convocation<br />
More information will be posted on web<br />
• October 11th—-White Coat Ceremony * Mandatory for first semester students*<br />
Volunteers needed from all semesters<br />
Contact Elena Jarin for more information @ 619-594-1021<br />
• November 11th— Veteran’s Day (campus closed)<br />
• November 26th & 27th— Thanksgiving Recess (campus closed)<br />
• December 17th— 2:00 Honors Convocation<br />
• Cookies & Conversation with Dr. Todero TBA throughout the semester<br />
Dates will be posted on school website<br />
*SCHOLARSHIPS*<br />
Schedule <strong>of</strong> Events<br />
The Health Pr<strong>of</strong>essions Education Foundation provides access to healthcare in underserved areas <strong>of</strong><br />
California by providing scholarships and loan repayments to health pr<strong>of</strong>essional students and<br />
graduates who are dedicated to providing direct patient care in those underserved areas. The<br />
Bachelor <strong>of</strong> Science Scholarship Program provides awards up to $13,000 and the Loan Repayment<br />
Program provides up to $19,000. In return for this financial support, award recipients agree to<br />
provide direct patient care in medically underserved areas (MUA) <strong>of</strong> California for a period <strong>of</strong> two<br />
to four years. Please visit our website at www.healthpr<strong>of</strong>essions.ca.gov for more information.<br />
PAGE 13
PAGE 14<br />
<strong>SDSU</strong> CNSA BOARD MEMBERS FALL 2009<br />
President<br />
Rashida Mentrie-Maurer rashment@gmail.com<br />
Vice President<br />
Kaley Ferreira kferreira414@gmail.com<br />
Secretary<br />
Brianne Goulart BGO2687@aol.com<br />
Treasurer<br />
Parisa Stoops parisa.stoops@gmail.com<br />
Community Health Director<br />
Maci Gayaldo mgayaldo@gmail.com<br />
Breakthrough-to-<strong>Nursing</strong><br />
Directors<br />
Kurtis Lukina kurtislukina@gmail.com<br />
Kimberly Vaughan KVaughan333@earthlink.net<br />
Fundraising Coordinators<br />
Michelle Babst babst@rohan.sdsu.edu<br />
Jellica Aquino jellaquino@gmail.com<br />
<strong>Vital</strong> <strong>Signs</strong> Editor<br />
Kelly Bowker bowker.kelly@gmail.com<br />
Undergraduate Programs Council<br />
Representative<br />
Molly Cocking tahoemullet@gmail.com<br />
Membership Coordinator<br />
Betty Chikwelu Dejavu2133@msn.com<br />
Legislative Director<br />
Sheridan Gnile sngnile@hotmail.com<br />
Faculty Advisor<br />
Pr<strong>of</strong>essor Joan Hall jhall2@mail.sdsu.edu<br />
You know you are a nurse when you compliment a complete stranger on his veins.<br />
<strong>SDSU</strong> <strong>SDSU</strong> <strong>School</strong> <strong>School</strong> <strong>of</strong> <strong>of</strong> <strong>Nursing</strong><br />
<strong>Nursing</strong><br />
phone: phone: (619) (619) 594 594-2540<br />
594 2540<br />
fax: fax: (619) (619) 594 594-2765<br />
594 2765<br />
nursing@mail.sdsu.edu<br />
nursing@mail.sdsu.edu<br />
nursing@mail.sdsu.edu<br />
Website: Website: nursing.sdsu.edu<br />
nursing.sdsu.edu<br />
Hardy Hardy Hardy Tower Tower Room Room Room 58<br />
58<br />
(downstairs)<br />
(downstairs)<br />
(downstairs)<br />
5500 5500 Campanile Campanile Drive, Drive, San<br />
San<br />
Diego, Diego, CA CA CA 92182 92182-4158<br />
92182 4158 4158