county

anyone from county for the first half of the semester know what is going on for the first day of clinicals? Do we just go at 630 to the hospital or what?!....Sounds like dameron has been contacted about next semester anyone else....or am i just freakin' out!!!
Happy New Year everyone... just think this time next year .... we will be almost done!!!!

HAPPY NEW YEARS EVE!!

I hope everyone had a great year and are looking forward too 2007!! see u in a couple weeks:)

Cowboy Advice for the New Year

I'm headed out to the country for a few days. I'll be off-line w/ no phone until Jan. 2nd weather allowing. Have a marvelous and safe New Years folks!!



Your fences need to be horse-high, pig-tight and bull-strong.

Keep skunks and bankers and lawyers at a distance.

Life is simpler when you plow around the stump.

A bumble bee is considerably faster than a John Deere tractor.

Words that soak into your ears are whispered...not yelled.

Meanness don't jes' happen overnight.

Forgive your enemies. It messes up their heads.

Do not corner something that you know is meaner than you.

It don't take a very big person to carry a grudge.

You cannot unsay a cruel word.

Every path has a few puddles.

When you wallow with pigs, expect to get dirty.

The best sermons are lived, not preached.

Most of the stuff people worry about ain't never gonna happen anyway.

Don't judge folks by their relatives.

Remember that silence is sometimes the best answer.

Live a good, honorable life. Then when you get older and think back,
you'll enjoy it a second time.

Don't interfere with somethin' that ain't botherin' you none.

Timing has a lot to do with the outcome of a rain dance.

If you find yourself in a hole, the first thing to do is stop diggin'.

Sometimes you get, and sometimes you get got.

The biggest troublemaker you'll probably ever have to deal with, watches you from the mirror every mornin'.

Always drink upstream from the herd.

Good judgment comes from experience, and a lotta that comes from bad judgment.

Lettin' the cat outta the bag is a whole lot easier than puttin' it back in.

If you get to thinkin' you're a person of some influence, try orderin' somebody
else's dog around.

Live simply. Love generously. Care deeply. Speak kindly.

The Tea?

I am sure you both are getting bombarded with "The Tea" stuff. I just have TWO questions? Do you have people assigned to particular tasks, and also if I am assigned to a particular task can you tell me what task I am assigned to? Thank you and I hope you had a beautiful Christmas!

The End of 1st Semester

Must Haves, For "The 4Hour Final"

My Study Group, They Keep Me Focused!

YEAH, We Got To Celebrate, 1st Semester is OVER!!!

Looks Like, Someone Was Playing Hide The Noodle!?!

The Dynamic Duo, Yes They Are Virgin Drinks :)

St. Joe's Partaking In A Little Celebration!

Again, Virgin Drinks :)

Nursing Tea

The Tea is on January 8th from 9-11am. Set up starts at 7am.
Everyone comming to help out must be in scrubs with lab coat and patch.
I am currently out of town till January 2nd, so the best way to contact me is via the blog and i will respond to comments, or my cell at 209-401-1887.
Thank you
Barbara

Last Call for Photos

I am completing the slide presentation in the next 2 days so, if you have photos you want included, please send them now. Hehe, we have some good ones!

Reading Assignments for Nursing 4???

I know its still 2 weeks aways but I want to get a head start on the reading. Does anyone know which systems we are reviewing first? If so could I please have that info. Thanks!!

Barbara and Denise - tea talk

Hey gals,

What's up with the tea? Do you need help for decorating, setting up, serving? What's the scoop?


Everyone else - Who's planning on coming?

Dameron Clinical folk

Maria Junez with Dameron HR just phoned to let me know that HR does not have a list of the students expected for the upcoming clinical rotation. Mary Neville has been notified and we are requested to check back with the front desk (not with Maria) after January 2nd.

So, you may go ahead with the required med check items at Occupational Health, but wait until after January 2nd, then phone (209) 242-7073, identify yourself as a SJDC nursing-student and ask if they are ready for you to come take a photo. Maria Junez does not need to be on site or notified for you to do this. They just have to have a list of names from the Nursing Office of students that will be in the clinical group.

Test bank link

Test Bank

Happy Holidays from my family to yours!!!!

Merry Christmas everyone!!!!!
Have a good one and enjoy this holiday break.
See you guys next semester.

Just wanted to say that I feel so greatful to be a part of this group!!! Everyone has been so nice and helpful...I am sure that lifelong friendships are being formed...

SJDC ADN Class of 2008

More Pictures of LMH Christmas party
SJDC ADN Class of 2008

Scores and Total % are up for Pharm

Check Richard's Docushare for more info

LMH X-mas Party Pix...

Me and Cindy

Kat and Nicole

Lindsey and her boyfriend

Cindy and her husband

I'm gonna miss you guys,...Good Luck next semester!!!

&

MERRY CHRISTMAS!!!

2nd Semester

1st Semester Nursing Students, Not Us!
Second Semester YYYAAAHHHHOOOOOOOOO!

SJDC ADN Class of 2008

SJDC ADN Class of 2008 Grades are up

Take A Deep Breath!

We have fought long and hard to get to this point. For what is is worth, I am so proud of us all! This test is just an obstacle, we have studied for this test and we know the material, so "Don't freak out"! Take a deep breath, skip it if you have to. DON'T get frustrated, it will cloud your thoughts. Lastly, ladies and gentlemen it has been a pleasure to cross this bridge with you. Good luck tomorrow and may you, and your thoughts be blessed.

SJDC ADN Class of 2008

SJDC ADN Class of 2008You need to bring your text, syllabus, notes, lab book, and drug book.I will send emails to each clinical group via the campus email system, since you need the syllabus to do the evaluation of the class/skills lab/clincal also.Take care,Shelba Durston

This was Mrs. Durtson's response to the question on notes, this am.

Items allowed for Final

I was informed that these are the only things we are allowed to bring with us to the final:
Text book
Lab book
Drug book
PDA
Syllabus


No note books or anything else allowed :( Just passing along the info.

Thank You

I want to say thanks for the thoughts, well wishes and prayers. Other than using occasional eye drops and needing to get my contact lens and glasses prescriptions changed the first of January, I am back in the seeing world and am very grateful for it.

Lessons learned
Nursing school can make you blind
Studying is overrated
Friends are priceless
My husband Dave is a darned good nurse

more study resources

the main page: http://www.studystack.com/category-22

all cardio: http://www.studystack.com/menu-55428

http://www.studystack.com/menu-25757

http://www.studystack.com/menu-29698

http://www.studystack.com/menu-30671

there is more cardio and all other topics on our final...it's a good way to quiz yourself, and the info is presented in a few different ways so you kind find what works for you

Some cardio tutorials

All gleaned from this huge list:
http://www.medtrng.net/tutorials_and_simulators_part_1.htm


Some that I am using for review:
http://www.skillstat.com/ECG_Sim_demo.html

http://www.randylarson.com/acls/start.html

http://www.phschool.com/science/biology_place/biocoach/cardio1/anatomy.html

http://msjensen.education.umn.edu/webanatomy/cardiovascular/cvs_heart_conduction_1.htm

I may or may not have time to go through the list more thoroughly, if a few folk want to take a page and go through it for helpful sites, that would be great.

Does anyone want to switch Nursing 4 from county

I am looking for anyone who would like to switch from San Joaquin to St. Joes
for Nursing 4. If you are interested email me at jenn@telnetcom.us or call me
at 369-5683.
Thanks
Jenn

Does anyone want to switch N4 clinical?

Hi.
I know someone who regestered for N4 (the second half of the semester) at St. Joseph's
(in the morning one w/ Hawkins), and she wants to change her clinical schedule because of her
personal situation.
If anyone from Lodi (w/Melissa Black) or St. Joe (night class w/Dail) wants to swith the clinical,
let me know~.


-Bo

The mayonnaise jar and 2 cups of coffee

When things in your lives seem almost too much to handle, when 24 hours in a day are not enough, remember the mayonnaise jar and the 2 cups of coffee. A professor stood before his philosophy class and had some items in front of him. When the class began, he wordlessly picked up a very large and empty mayonnaise jar and proceeded to fill it with golf balls. He then asked the students if the jar was full. They agreed that it was. The professor then picked up a box of pebbles and poured them into the jar. He shook the jar lightly. The pebbles rolled into the open areas between the golf balls. He then asked the students again if the jar was full. They agreed it was. The professor next picked up a box of sand and poured it into the jar. Of course, the sand filled up everything else. He asked once more if the jar was full. The students responded with an unanimous "yes." The professor then produced two cups of coffee from under the table and poured the entire contents into the jar effectively filling the empty space between the sand. The students laughed. "Now," said the professor as the laughter subsided, "I want you to recognize that this jar represents your life. The golf balls are the important things--your family, your children, your health, your friends and your favorite passions--and if everything else was lost and only they remained, your life would still be full. The pebbles are the other things that matter like your job, your house and your car. The sand is everything else--the small stuff. "If you put the sand into the jar first," he continued, "there is no room for the pebbles or the golf balls. The same goes for life. If you spend all your time and energy on the small stuff you will never have room for the things that are important to you. "Pay attention to the things that are critical to your happiness. Play with your children. Take time to get medical checkups. Take your spouse out to dinner. Play another 18. There will always be time to clean the house and fix the disposal. Take care of the golf balls first--the things that really matter. Set your priorities. The rest is just sand." One of the students raised her hand and inquired what the coffee represented. The professor smiled. "I'm glad you asked. It just goes to show you that no matter how full your life may seem, there's always room for a couple of cups of coffee with a friend." Please share this with someone you care about. I JUST DID . :-)

GREAT INFO........

Hi All,
Just wanted to let every one know that there is some great information posted by Bonnie and other students from 4th semster in the 4th semester blog under may 2005 that all has to do with our N2 final and some great study info. and study guide questions as well. I have also posted some practice questions from the test bank and other info. I felt was useful everything below is copied from 4th semester blog when they were in N2.


Have Fun!!

Heart and Med Qs
Tachyarrhythmias and pacemakers
Chest Pain
Right Side or Left Side HF quiz
Quick HTN quiz
Heart Center Online Quizes
Cardiovascular Test
Mixed Qs for N2 Final
Practice mixed Qs
The Silent Killer
HTN's Grip

Misc. Study Comments from Final's Eve

Preload increases in left side CHF,
After load also increases because renin release and vasoconstriction (kidneys don’t care about the heart) result is a decrease in contractility.
No hair eventually on legs with CHF - perfusion problem - 02, no hair
Bronchodilation is not a mechanism of action, whereas activation of the beta 2 receptors which cause bronchdilation is.
Erythrocyte sedimentation rate (ESR) is ordered. An elevation will indicate something is going on, like an infection.

Study and Memory Aids

Angina: Pain pattern
Exertion = Pain;
Rest + Nitro = Relief
Angina Precipitating Factors - 3 E's
Eating
Emotion
Exertion (Exercise)
Unstable Angina
Occurs at rest

Myocardial Infarction: "INTENSE PAIN"
I schemia
N ecrotic cardiac tissue
T ightness in chest
E xtended duration
N ausea
S evere pain
E CG changes

P revent Valsalva manuever
A nxiety
I ntense
N ot relieved by rest

Heart Failure: "OVERLOAD"
O rthopnea
V entricular failure
E nlarged heart
R eported weight gain
L ungs congested
O utput decreased
A pprehension
D ependent edema

Pulmonary Edema: "FOWLERS"
F ailure- left ventricular
O rthopnea
W heezing
L ung congestion
E mergency
R estless
S kin- cyanotic

Diets- (Low) (High)

Angina Pectoris
L- Calories
L- Cholesterol
L- Fat
L- Gas-forming foods

Heart Failure
L- Sodium
Small frequent feedings

Pulmonary Edema
L- Sodium
L- Fluids

Hypotension Vs Hypertension
Causes
Hypotension Hypertension
Angina Esential hypertension
MI Anemias
Pericarditis Arteriosclerosis
valve defects Polycythemia
Heart Failure
Assessment
Behavior
Anxiety Nervous
Apprehension Irritable
Dec mentality Memory
Confusion Depression
Confusion
Neurologic
No diff Dec. vib sensation
reflex change
Babinski reflex
coordination change
Head and Neck
Distend neck veins Bruits over carotid
Worried expression Distend neck veins

Hypertension Study Aids
Assessment of hypertension: ELEVATEDED

E- xertional SOB
L- ack of activity
E- arly morning headache
V- ascular changes
A- nxiety increased
T- ired
E- pitaxis
D- iastolic pressure elevated

Complications: 4 Cs

CHF
CVA
CAD
CRF

DIET (LOW)(HIGH)
L-Na
L-Calories
L-Chloresterol
NO Caffeine

Arteriosclerosis
H- Vitamins B & C
L- Fat

Aneurisms
L-Cholesterol
L-Caloric Intake

Heart Meds
Chrono(time)tropic effect - change in the heart rate - change refractory length
Dromo(running)tropic effect - change in the electrical conduction speed across the myocardium
Ino(fiber)tropic - change in the strength or contractility of the heart - cardiac glycosides - Frank-Starling law -
Digoxin - Heart beat harder, slower
tropic - to influence
Sodium channel blockers - Quinidine - stabilize dysrhythmias by slowing spread of impulse conduction across the myocardium
Watch GI upset, digoxin, ekg
Potassium channel blockers - Amiodarone - stabilize dysrhythmias by prolonging duration the action potential and extending the refractory period
Watch blurred vision, light sensitivity, lung probs, GI upset, rash, digoxin, ekg
Calcium channel blockers - Verapamil are similar to beta blockers. Reduced automaticity in the SA node, slowed impulse conduction through AV node and prolonged refractory period
Watch bradycardia, digoxin, hypotension, headaches, constipation
Beta-adrenergic blockers - 'lols -propranolol - stabilize dysrhythmias by slowing heart rate and decreasing conduction velocity through AV node.
Watch hypotension, bradycardia - take pulse, dim. sex and impotence
Digoxin, (Adenosine, Ibutilide - rapid short term) are used for specific dysrhythmias, but do not act by blocking channels
Watch potassium, visual halos, GI upset, ekg
ACE inhibs - 'prils - ousts sodium and water which reduces afterload and preload by lowering blood volume and peripheral resistance
Watch cough, potassium, taste, hypotension
Diuretics - 'ides and spironolactone - reduce blood volume, edema, congestion - lowers blood pressure and workload
Watch electrolytes, hypotension, dehydrationPlease add missing info, I did this real fast to start off.

Excellent article re: Nurse shortage and wages

link to article

Thank You Ladies!!!

Thank you,
Michelle, Cindy and Krystal!!!

You ladies helped me so much, I really appreciate your IV knowledge. Michelle I owe you big! I don't even have enough words to express my thanks, my thanks to you and your hands. You are an excellent mentor.

Cindy and Krystal, thank you! Your new clinical groups are lucky to get you two. Cindy you are my first IV stick and I'll never forget you! Krystal, you talked me through like butter.

More IV Pix,.....LMH Group :)

Good Job Barb!!!

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Thanks Michelle!!! :) Good Job Nurse Nickey!!

Good Job Jenn!!! I would have been so nervous!!

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
My first IV, ...what a bloody mess!!

Lodi Memorial Patient Teaching (Cont.)

The Famous Teaching of Lindsey

Every Woman

Should Know How to Perform a Proper Breast Exam!

Jenn teaching Lindsey

Kat

Cindy teaching Kat (outside of picture)

Jenny teaching Pam

Pam Teaching Jenny

Crissy Teaching Lindsey

Krystal teaching Lindsey

Kat teaching Cindy

Barb Teaching Jenn

Lodi Memorial Patient Teaching Day

Nicole Porter II

A.K.A Nurse Nickey

Mary Lou and (some of) The Lodi Gang

Jenny and Pam!

Look At The Love, We Are All Sisters Now!

I love you Guys

Nurses Top List of Most Honest and Ethical Professions

Someone seeking a job that commands high respect need look no further than nursing. For the eighth consecutive year, nurses top Gallup's annual list of occupations rated for their honesty and ethical standards, earning high marks from more than four in five Americans. A combined 84% of Americans describe nurses' ethics as "very high" or "high." ...

http://www.galluppoll.com/content/?ci=25888&eref=aol

New post from R Sevilla

grades and calcs info for final

link to docushare post

Grades R Up!

Grades are posted for exam 4! Good Luck!!!

LMH...Random Pix, from Pt Teaching day

HOW CAN WE STAY UP ?

I know you guys already know all this... but i still think it's nice to share this info
so that EVERY ONE OF US WILL PASS N2 =)

-----------------------------------------------------------

Midnight Snacks for the Insomniac
Posted by S. Brent Ridge, M.D.
on Thu, Dec 07, 2006, 9:12 am PST
Post a Comment
Do you have so much to do during the day you literally forget to eat - but then find yourself making up for it before bedtime? If so, the types of foods you choose could make a big difference in the quality of your sleep.
First, let's look at the foods that are most likely to keep you tossing and turning.
Caffeine. Now, you don't need a doctor to tell you that caffeine will keep you awake, but it can lurk in unexpected places. Chocolate not only contains caffeine but also alkaloids which have a stimulating effect.
Alcohol helps many of us feel calm and relaxed - especially that half glass of wine after a long, hard day. While this may help you fall asleep initially, it greatly diminishes the quality of sleep by disturbing neurotransmitter production, including serotonin. Alcohol is also a diuretic and may keep you running to the bathroom all night.
Fatty foods take longer to work their way through your system, and the process of digestion can keep you awake. Fatty foods can also exacerbate heartburn.
Spicy foods make heartburn worse as well.
Artificial sweeteners like aspartame contain phenylalanine and aspartic acid, both of which are excitatory.
So what can you raid the refrigerator for to limit the sheep count? It has a lot to do with serotonin.
Milk (warm or not) contains tryptophan, a precursor to serotonin. It's tryptophan in turkey that makes us so sleepy after that Thanksgiving dinner. Cheese, chicken, soy, yogurt, nuts and seeds also have tryptophan. Eat these (and all foods) at least 45 minutes prior to your planned bedtime.
Complex carbohydrates like beans, nuts, seeds, sweet potatoes, apples, pears, and berries can also help increase serotonin levels. Watch out for simple carbs like rice, pasta, and white bread. The impact these have on blood sugar can disturb the sleep cycle.
Vitamins B6 and B12 are necessary for your body to generate serotonin. B6 can be found in turkey, chicken, spinach, whole grains and seafood and B12 in animal-derived products like eggs and dairy foods.
Magnesium-rich foods like leafy green vegetables, whole grains, and almonds can also facilitate sleep.

IV Day DHM