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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

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