St. Josephs group w/ Cathy montegue

let go of my pt. meekia!!!
Ok meekia, I guess we can share this patient.....

GRADES ARE POSTED FOR N6. THEY ARE NOT ON DOCUSHARE YET, BUT FINAL GRADE IS POSTED ON INDIVIDUAL ACADEMIC HISTORY SECTION IF YOU GO TO ONLINE REGISTRATION.

Preceptor Choices with T. Azevedo

Ashlie Guthrie asked me to post this, Mrs. Azevedo e-mailed her this information:

About a month ago a notice was sent via the school email telling the students coming into N9/N10 that I'd meet with them on Friday, Dec. 21 from 0900- 1200...I think in L118. Don't bring children...you'll be there the whole time waiting to sign-up according to whatever number you draw for sign-up turns. If you know of others who have not seen this email, please share this with them. Thanks. TAz

N10

Has there been any news about N10? Do we have a list of clinical sites available or any info about the drawing?

switch scheduales

I have nursing 8 during the second half of next semester. I really need and despreately need to take it duirng first half. If anyone please, please want to switch with me please give me a call at (916) 968-2815 or email me at emilyange1@yahoo.com. Thanks!!

NEW NURSING GEAR

Hey all...Danielle wanted to get some new nursing gear and i found a few things (sorry that it took so long Danielle, this last month has been crazy...lol). Anywayz, i found a website that will let us create our own gear. They have everything from clothing to pens, paper, bumperstickers, stuffed animals. We can put our design on just about anything and it is a very easy process. It would be great if some people could play around on it and come up with some ideas and pass them on. I also found a few websites with pre-made nursing stuff. These websites have some really cute things. I will post links to all of these websites. Please take a look, play with some ideas and pass them along so we can get some new stuff.

The best website i found for creating our own products: customink.com

Best site for pre-made products:http://www.cafepress.com/buy/nursing%20student/-/cfpt2_/cfpt_/source_searchBox/copt_

some shirts:http://www.zazzle.com/ineffective_coping_r_t_nursing_school_stress_shirt-235512385803736436
http://www.zazzle.com/top_10_reasons_to_go_to_nursing_school_shirt-235601780715968395
http://www.zazzle.com/nursing_school_graduate_shirt-235590713557124171
http://www.cafepress.com/buy/nursing+student/-/pv_design_details/pg_2/id_16313459/opt_/fpt_/c_666/

a few more products:http://shop.advanceweb.com/category.aspx?NC=-1%2f22%2f0%2f1&N=Student+Nursing&CC=&FS=60&CS=1

Thanks,

Michelle Mckee

Christmas In Afghanistan!

I know everyone is busy with school and time and money is limited, but my brother is spending christmas in Afganistan and we are sending his unit christmas care packages (just like we did last year) and if anyone is able to help donate anything will help from candy, food, and music, etc. please email me if you are able to help with whatever jessr16@aol.com
Thanks
Jessica Reyes

TWAS THE NIGHT BEFORE CHRISTMAS,

HE LIVED ALL ALONE,

IN A ONE BEDROOM HOUSE MADE OF

PLASTER AND STONE.

I HAD COME DOWN THE CHIMNEY

WITH PRESENTS TO GIVE,

AND TO SEE JUST WHO

IN THIS HOME DID LIVE.

I LOOKED ALL ABOUT,

A STRANGE SIGHT I DID SEE,

NO TINSEL, NO PRESENTS,

NOT EVEN A TREE.

NO STOCKING BY MANTLE,

JUST BOOTS FILLED WITH SAND,

ON THE WALL HUNG PICTURES

OF FAR DISTANT LANDS.

WITH MEDALS AND BADGES,

AWARDS OF ALL KINDS,

A SOBER THOUGHT

CAME THROUGH MY MIND.

FOR THIS HOUSE WAS DIFFERENT,

IT WAS DARK AND DREARY,

I FOUND THE HOME OF A SOLDIER,

ONCE I COULD SEE CLEARLY.

THE SOLDIER LAY SLEEPING,

SILENT, ALONE,

CURLED UP ON THE FLOOR

IN THIS ONE BEDROOM HOME.

THE FACE WAS SO GENTLE,

THE ROOM IN SUCH DISORDER,

NOT HOW I PICTURED

A UNITED STATES SOLDIER.

WAS THIS THE HERO

OF WHOM I'D JUST READ?

CURLED UP ON A PONCHO,

THE FLOOR FOR A BED?

I REALIZED THE FAMILIES

THAT I SAW THIS NIGHT,

OWED THEIR LIVES TO THESE SOLDIERS

WHO WERE WILLING TO FIGHT.

SOON ROUND THE WORLD,

THE CHILDREN WOULD PLAY,

AND GROWNUPS WOULD CELEBRATE

A BRIGHT CHRISTMAS DAY.

THEY ALL ENJOYED FREEDOM

EACH MONTH OF THE YEAR,

BECAUSE OF THE SOLDIERS,

LIKE THE ONE LYING HERE.

I COULDN'T HELP WONDER

HOW MANY LAY ALONE,

ON A COLD CHRISTMAS EVE

IN A LAND FAR FROM HOME.

THE VERY THOUGHT

BROUGHT A TEAR TO MY EYE,

I DROPPED TO MY KNEES

AND STARTED TO CRY.

THE SOLDIER AWAKENED

AND I HEARD A ROUGH VOICE,

"SANTA DON'T CRY,

THIS LIFE IS MY CHOICE;

I FIGHT FOR FREEDOM,

I DON'T ASK FOR MORE,

MY LIFE IS MY GOD,

MY COUNTRY, MY CORPS."

THE SOLDIER ROLLED OVER

AND DRIFTED TO SLEEP,

I COULDN'T CONTROL IT,

I CONTINUED TO WEEP.

I KEPT WATCH FOR HOURS,

SO SILENT AND STILL

AND WE BOTH SHIVERED

FROM THE COLD NIGHT'S CHILL.

I DIDN'T WANT TO LEAVE

ON THAT COLD, DARK, NIGHT,

THIS GUARDIAN OF HONOR

SO WILLING TO FIGHT.

THEN THE SOLDIER ROLLED OVER,

WITH A VOICE SOFT AND PURE,

WHISPERED, "CARRY ON SANTA,

IT'S CHRISTMAS DAY, ALL IS SECURE."

ONE LOOK AT MY WATCH,

AND I KNEW HE WAS RIGHT.

"MERRY CHRISTMAS MY FRIEND,

AND TO ALL A GOOD NIGHT

question about next semester

I am wondering if anyone who has signed up to take nursing 8 first half next semester is willing to switch with me. i am signed up for nursing 8 second half at County and would be willing to go anywhere for nursing 8 first half. if you are willing to switch with me it would be greatly appreciated. my email address is nellyzbabygurrl@yahoo.com, or you can respond back on here or call me if you have my number.

Thanks,

Michelle Mckee

Disaster Drill Pictures

http://s222.photobucket.com/albums/dd260/secasias/

Here's a link to the pics I took today.

!! Disaster Drill- Important Info from Robert !!

Here is the list of people and the locations that you have been assigned to. The * next to your name means that you need to contact Robert ASAP as you have been assigned and there is a lunch waiting with your name on it-literally!

Also, you will not be allowed to participate without a picture ID so bring your student ID with you.

Pass the word!!



ROBERT YATER [ryater802@students.deltacollege.edu]



Dameron
Aimee Myhra
Amie Edwards *
Kristine Brown *
Lori Skevington
Marilou Almadrigo
Navneet Athwal
Sharon Jones
ALLA OLESHKO
Austin Peterson

Kaiser Modesto
Jennifer Pinheiro *
Mathew Valerio
Rita Ribiero
Tonya Robinson *

Kaiser Manteca
Ena Schultz
K. Danielle Mathias-Lamb *
Katy Cowden
Maria Montes
Raulyne Ken Fack

Kaiser Stockton
Adriana Montellano *
Kimberly Tecson
Sarah Meerdink *
Shanna Thornton
Stacy Cook *
Theresa Furlong
Blessie Gee

Lodi Memorial
Barbara Jennifer Lewis
Danielle Barrios
Gemekia Molina
Kay Galvan
Nicole Porter
Rachael Ramsey
Rupert Lao
Kimberly Thurman
Cira Arteaga

San Joaquin General Hospital
Aatiqa Pirbhai
Annastasia Butman
Brenn Briones
Jessica Kelling *
Marilyn Moral
Michelle Berlin
Sabrina Rodrigues
Sergey Navrotskiy
Shareen Kumar

Tracy Family Practice
Carey Holm
Crista Ames
Eugene Eastman *
John Bigol
Katie Vasconez *

St Joseph’s
Ashlie Guthrie
Barbara Kelling
Cheri Tassano
Kristen Gromm
Maureen Dunn
Rosa Reyes
Rowena Zabala
Rufina McCarty
Sheryll Candelario
Susan Gradin
Harrison Cole

Woodbridge
Jaquelyne Orr *
Jenifer Williams
Krystal Champion
Randy Kuwamoto
Steven Castelanelli

Doctors Medical Center Manteca
Darlene Machado
Deborah Acevedo *
NilanJana Chakrabarty
Rita Robins *
Sarah King *
Jyoti Battar *

FYI - Body Worlds 2 Exhibit in San Jose

http://www.thetech.org/bodyworld/

OverviewGunther von Hagens' BODY WORLDS exhibitions are the original, precedent-setting public anatomical exhibitions of real human bodies, by physician, anatomist, and inventor of Plastination, Dr. Gunther von Hagens.
BODY WORLDS features more than 200 authentic human specimens preserved through Plastination, including whole bodies, individual organs, and transparent body slices. The exhibit offers visitors an in-depth view of the intricately designed human body, comparative anatomy showing wellness and disease, and the mysterious world of the brain.
Throughout our lives, from birth to adolescence and adulthood to old age, the brain chisels, refines, learns, reinvents, matures, and transforms itself. BODY WORLDS 2 & The Three Pound Gem includes a special debut feature on the brain inspired by the latest findings in neuroscience on brain development and function, brain disease and disorders, and brain performance and improvement.
BODY WORLDS is aligned with The Tech's mission to "inspire the innovator in everyone", and complements and builds on permanent Galleries and exhibits in the museum focused on medical technologies, biotech, genetics and the human body. When you come to see the limited-engagement BODY WORLDS exhibition, be sure to leave some time to enjoy the hands-on experiences in The Tech related to life sciences.
Learn about the Life Tech Gallery and other exhibits The Tech that complement BODY WORLDS, or plan your trip to the Hackworth IMAX Dome Theater to see The Human Body, Wired to Win, or any one of our other great IMAX movies.

Yearbook Update

I had a meeting with the woman that is to create our yearbook. Her name is Mara Firestone and she works out of her home in Galt. Mara has been a consultant for Creative Memories for many, many many, years.

At this point we are looking at a 20 page year book for 40.00. It will have a hardcover and the pages will be full of beautiful colors. Her books are high quality! If we order more than 40 books we can get 3 pages more for free and she also said if we order more than 60 books she will give us more pages for free. So if we sell more than 40 books we will get 23 pages for 40.00 (plus tax). Her fee is included in the $40. I also want to have 1/4page slots in the book, which would cost 15 dollars and 1/8 page slots which would cost $10 dollars; where familes can write what I would call a "Love Line" and that would be something like "I Love You Binky". Or "I Can't Wait to Spend Your Nursing Money"! Whatever they want to say and it can be as long as they want (Just as long as it fits in 1/4 or 1/8 of a page). Tenatively, there will be 28 love line availabilities (first come first serve). Orders for Love Lines can begin being placed Dec 17th - Apr 1st. Forms for Love Line ads will be available Nov 12th, so that you may have them for the holidays and families can fill them out. Please Note: Money has to accompany Love Line Form

The DEADLINE will be April 1st for yearbook purchases. Please don't try to pay me yet. I am just informing you on my plans. I will notify you when I have an example of the yearbook theme pages and love line forms and the proper set-up to collect your money. After taxes it will probably be 45dollars or so.

Will update you when I have more info

Graduation Pictures

I have contacted several photography companies regarding our Graduation pictures. So far it looks like we will be going with a company called Blue Rascals Photography. They were referred by our co-student, Cindy Tinney. The photographs will be taken the day of graduation, during rehearsal time (when we have on our graduation uniform). The photos will be taken indoors with a back drop. You may also take a group photo indoors or outside (your choice). Packages are being created, a variety of packages will be available. I will have more information in about a week and a half. Please let me know if you have any questions, please remember this is my first time doing this so please be patient and vocal with me. I do take any comments welcoming. The website to the company is www.bluerascals.com, turn up your volume and enjoy.

Also, in regards to our yearbook I am also working on that too. I will be going through a company to create our yearbook, you know me though I will be extensively involved in the "Yearbook Process" . As of now, it looks like the yearbooks will be mailed to your house after graduation or you may pick them up at the school, (due to the date of graduation pictures) we HAVE to be in our graduation whites and its a hassle to dress up and get pretty, schedule to take pictures of all 50 million of us will we continue to school. More yearbook info to come!

Mrs. Antaran, We Will Miss You

I'm Clear

Your Clear

We're All Clear

We Celebrated in Style!

I Had So Much Fun!

I Had So Much Fun!

I Had So Much Fun!

Look At Our Men

We Love Them!

YES! More Mock Code Pictures

It's ME!!! Hello

All Smiles Today!

Crystal Hates Early Mornings.

I Love My Friends

You Go Girl! Look Cute while intubating.

Mock Code Day

Yes We Are HAPPY, HAPPY HAPPY!

HI Ladies!

Cassie Wants To Be Intubated

Good Job Ladies!

I Love This Picture!

St Joseph's N7 {LAST DAY}

Look At That Crazy Girl and Her Crazy Tongue!

Awe How Cute!

Adios N7!

The Get Fresh CRew!

Who Looks The Craziest?

Oh Look another Question!

N7 Julie Kay's SJGH Clinical Group

Picture time!!!

Ok so here are some pictures from our crazy clinical group....enjoy!!!

Our clinical group at BJ's


Susan and Shawna


Fantastic Four!!


Fabulous Five


Silly six (and yes they were all on top of me...)


Would you like some Pizooki (sorry not quite sure how to spell it)

Nursing 7 pictures St. Joseph's AM

Mrs. Peterson's St Joes AM Clinical group
The first half.....
and the second half @BJ's (sorry nicole:( )
wake up jennifer clinicals are over! (I'm not excited)
The Gang and Mrs. Antran (Post-test)

We have questions. Do you have answers????

Hey....N6 Guys

Our grades are posted on Docushare under Mrs. Flanders' folder. :)

MRSA article

Staph Fatalities May Exceed AIDS Deaths
By LINDSEY TANNER, AP Medical Writer
Tuesday, October 16, 2007

More than 90,000 Americans get potentially deadly infections each year from a drug-resistant staph "superbug," the government reported Tuesday in its first overall estimate of invasive disease caused by the germ.
Deaths tied to these infections may exceed those caused by AIDS, said one public health expert commenting on the new study. The report shows just how far one form of the staph germ has spread beyond its traditional hospital setting.
The overall incidence rate was about 32 invasive infections per 100,000 people. That's an "astounding" figure, said an editorial in Wednesday's Journal of the American Medical Association, which published the study.
Most drug-resistant staph cases are mild skin infections. But this study focused on invasive infections — those that enter the bloodstream or destroy flesh and can turn deadly.
Researchers found that only about one-quarter involved hospitalized patients. However, more than half were in the health care system — people who had recently had surgery or were on kidney dialysis, for example. Open wounds and exposure to medical equipment are major ways the bug spreads.
In recent years, the resistant germ has become more common in hospitals and it has been spreading through prisons, gyms and locker rooms, and in poor urban neighborhoods.
The new study offers the broadest look yet at the pervasiveness of the most severe infections caused by the bug, called methicillin-resistant Staphylococcus aureus, or MRSA. These bacteria can be carried by healthy people, living on their skin or in their noses.
An invasive form of the disease is being blamed for the death Monday of a 17-year-old Virginia high school senior. Doctors said the germ had spread to his kidneys, liver, lungs and muscles around his heart.
The researchers' estimates are extrapolated from 2005 surveillance data from nine mostly urban regions considered representative of the country. There were 5,287 invasive infections reported that year in people living in those regions, which would translate to an estimated 94,360 cases nationally, the researchers said.
Most cases were life-threatening bloodstream infections. However, about 10 percent involved so-called flesh-eating disease, according to the study led by researchers at the federal Centers for Disease Control and Prevention.
There were 988 reported deaths among infected people in the study, for a rate of 6.3 per 100,000. That would translate to 18,650 deaths annually, although the researchers don't know if MRSA was the cause in all cases.
If these deaths all were related to staph infections, the total would exceed other better-known causes of death including AIDS — which killed an estimated 17,011 Americans in 2005 — said Dr. Elizabeth Bancroft of the Los Angeles County Health Department, the editorial author.
The results underscore the need for better prevention measures. That includes curbing the overuse of antibiotics and improving hand-washing and other hygiene procedures among hospital workers, said the CDC's Dr. Scott Fridkin, a study co-author.
Some hospitals have drastically cut infections by first isolating new patients until they are screened for MRSA.
The bacteria don't respond to penicillin-related antibiotics once commonly used to treat them, partly because of overuse. They can be treated with other drugs but health officials worry that their overuse could cause the germ to become resistant to those, too.
A survey earlier this year suggested that MRSA infections, including noninvasive mild forms, affect 46 out of every 1,000 U.S. hospital and nursing home patients — or as many as 5 percent. These patients are vulnerable because of open wounds and invasive medical equipment that can help the germ spread.
Dr. Buddy Creech, an infectious disease specialist at Vanderbilt University, said the JAMA study emphasizes the broad scope of the drug-resistant staph "epidemic," and highlights the need for a vaccine, which he called "the holy grail of staphylococcal research."
The regions studied were: the Atlanta metropolitan area; Baltimore, Connecticut; Davidson County, Tenn.; the Denver metropolitan area; Monroe County, NY; the Portland, Ore. metropolitan area; Ramsey County, Minn.; and the San Francisco metropolitan area.

SNA General Membership Meeting Oct 15th - Locke 314 - 1pm

SNA General Membership Meeting Oct 15th - Locke 314 - 1pm


Kim Thompson from the Nursing Student Success Program will share information regarding the benefits of the program and the many ways they may help you complete the ADN program and successfully pass NCLEX the first time.
We lost our Treasurer to the rigors of N7 so that means we have a vacancy that YOU may fill. Please review the description of duties below and if you can commit to a few extra hours here and there for SNA officer activities then feel free to contact me @ goshblogit@gmail.com or come to the meeting and raise your hand.
Treasurer: Keeps financial records, makes deposits and payment requests for club events, manages inventory and ordering.
We will also have an ICC update and vote on support of a member going to the 3 day CSNA conference in San Jose.
SNA gear will be raffled along with a fleece jacket to celebrate the change in weather!

N7 Critical Care Tutorials

Don't forget about this helpful site. It is a quick study and very helpful for comprehension.
http://www.ccmtutorials.com/

STAGES OF SHOCK

Here is a visually helpful website for stages of shock, have fun
www.stagesofshock.com/index.html

Funny for the day

A nursing assistant, floor nurse, and charge nurse from a small nursing home were taking a lunch break in the break room. In walks a lady dressed in silk scarves and wearing large polished stoned jewelry."I am 'Gina the Great'," stated the lady. "I am so pleased with the way you have taken care of my aunt that I will now grant the next three wishes!" With a wave of her hand and a puff of smoke, the room was filled with flowers, fruit and bottles of drink, proving that she did have the power to grant wishes before any of the nurses could think otherwise.The nurses quickly argued among themselves as to which one would ask for the first wish. Speaking up, the nursing assistant wished first."I wish I were on a tropical island beach, with single, well-built men feeding me fruit and tending to my every need." With a puff of smoke, the nursing assistant was gone.The floor nurse went next. "I wish I were rich and retired and spending my days in my own warm cabin at a ski resort with well groomed men feeding me cocoa and doughnuts." With a puff of smoke, she too was gone."Now, what is the last wish?" asked the lady.The charge nurse said," I want those two back on the floor at the end of the lunch break." from:http://www.angelfire.com/wa/nursejokes/page3.html

My Plans at This Point!

I will soon be making attempts to contact photography agencies, in regards to "GRADUATION PHOTOS"! I was thinking it would be great if a comp. could come and take our photos in our graduation uniform, the day of graduation. Because we are supposed to be in the auditorium for practice and last minute things. If anyone has any suggestions, comments or phone numbers of photography companies, let me know!!!

Love YA!!!

Historic Trauma Cases

ADVANCE for Nurses:
Andrew Jackson
Dale Earnhardt
Gen. George Smith Patton, Jr.
George Washington
Natalie Wood
Princesses Grace & Diana
The Red Baron
Ben Hogan
James Dean
King, Malcolm X, Drew
Lincoln, Wilkes Booth, Jackson
Presidents Garfield and McKinley
The Kennedy Brothers
Theodore Roosevelt

Lesley's Clinical Group

Last Day of Clinical!

Lesley's Clinical Group at Premi Party

Are they really cleaning up!!

Funny, but so true

So as I was surfing some of the other blogs, I came across this. I though it was hilarious, so I decided to post it on here. Enjoy....

BTW we only have two more weeks of n7.....;)

*You know you're a nurse (or soon to be one) if...You would like to meet the inventor of the call light some night in a darkalley.
*Your sense of humor gets more warped each year. Almost everything can seem humorous...eventually.
*You know the smell of different diarrhea to identify it.
*You wash your hands BEFORE you use the bathroom.
*Discussing bodily fluids over a gourmet meal seems perfectly normal to you.
*You think that caffeine should be available in IV form.
*You get an almost irresistible urge to stand and wolf your food even in the nicest restaurants.
*You believe that unspeakable evils will befall you if you say,"It'sunusually quiet around here today"
*You have ever had a patient look you straight in the eye and say "I have no idea how that got stuck in there".
*You notice that you are using more 4 letter words than you even knew before you started nursing.
*Every time someone asks you for a pen you can find at least 4 of them onyou .
*You live by the motto "to be right is only half the battle, to convince the doctor is more difficult."
*You've told a confused patient that your name was that of your coworker and to holler if they need help.
*Your bladder can expand to the size of a winnebago's water tank.
*You find yourself checking out other customer's veins in grocery waitinglines.
*You avoid unhealthy looking shoppers in the mall for fear that they will drop near you and you'll have to do CPR on your day off.
*Your finger has gone places you never thought possible.
*You have seen more penises than any prostitute.

If you are not a nurse and have been sent this by a friend who is, it's just to help you understand our mind set and questionable mental status/sanity. Most of the time we function in spite of this sick sense ofhumor, fairly normally and very responsibly.
Scary, huh??????

How Does A Yearbook Sound?

I think I want to create a Year Book for our graduating class of 08. Let me know your input on it!

As Always, Much Thanks !!!

Pictures, Thank you!

I know everyone has been SUPER STRESSED lately, but I do want to remind you, we do need pictures at our graduation. So in between your 40 page care plan and your 90 minute presentaion, oh let's not forget your 200 questions test you need to study for. In between all of that, does anyone mind snappin a couple pictures in clinical every now and then, so we can have some for graduation ;)

Mucho Thank you!
(ok my spanish sucks)

Latest, Greatest NCLEX review update......

GREAT NEWS......... the nursing success grant will be paying $100 of your registration fee for the NCLEX review session of your choice!! This is only if you are eligible for their services and enrolled with them. If you are a student that receives a refund for the ATI testing or that does not have to pay for ATI then chances are you are eligible. This is a one time offer for either 3 or 4th semester only, you cannot do it each semester. This works great for those of us wanting to attend the review at SFSU because we can go in January for $200 and automatically attend again in June for a refresher right before our NCLEX for only $75. Remember, the grant will be paying $100 of your $200 fee, or $100 of the NCLEX review of your choice. You will not need to be reimbursed this $100 it goes directly to Review for Nurses in San Francisco or to review of your choice, but must be sent directly to organization not to ADN student.

What you need to do:

Get me your registration forms ASAP so I can get the list to the grant office and your registration information to Review for Nurses. Then I will need a check, money order, or credit card payment in the amount of $100 by Oct. 20th. Again, I need your completed registration forms ASAP, via email, in person, or into the envelope left in the nursing office with the name Kelly Widger, Nursing Review on it. This envelope in on Judy’s desk in the corner.

Feel free to call me or email me if you have any questions k9nurse86@comcast.net
Cell # 482-1463

Kelly Widger

I have spoken with past ADN students that have attended both the Davis' review at SFSU as well as the Kaplan review that uses a room at Delta........The Davis' review has been the favorite as well as it has the higher NCLEX passing rate they are right arount 98% passage rate from last NCLEX takers.....Kaplan is question based, Davis is content, concept, & test taking skills based. Kaplan is local at Delta for $499..........Davis' @SFSU for $200.

Stressed??? This may help...: )

I thought this was cute and would help lower our anxiety from the cardio test we had today!

Diagnosis Wenckebach

I randomly ran across this video this afternoon and it made me laugh so I thought I would pass it on. Hope you enjoy and Happy Studying!!!

Shawna


http://www.youtube.com/watch?v=GVxJJ2DBPiQ

Kelly, It's Harrison from 4th Semester...I've got great news!!!

Kelly,

I spoke with Sally and it looks like we are able to combine our numbers together for our benefit! This will definately help you and I ensure that we get our minimum of ten people for the best pricing, and for those freebies after each ten new signups! That should relieve some stress! I barely got 15 of my classmates to go last June so this news should be encouraging! Please email me back at hcolern2b@gmail.com or call me on my cell 603-8662 so we can discuss this more!

Harrison

Good Site for EKG practice!!

Hi All,

I found this site while looking for some EKG help online...........see what you think, it even has practice quizzes that you get results from!

Happy Studying

http://www.12leadecg.com/arrhythmias/practice_strips.cfm

DAVIS' NCLEX SUCCESS REVIEW....

Third semester Nursing Students

NCLEX-RN Nursing Review w/Sally Lagerquist, R.N., M.S.
Author of Davis’ RN-NCLEX Success

http://nclex.reviewfornurses.com/NCLEX/NCLEX_Review_Packages/Live_NCLEX_

Four Day Seminar at San Francisco State University
January 8, 9, 10 & 11, 2008

Register as part of our 3rd semester group and go for $200. This will also enable you to return in early June for a refresher or the entire course for only $75 right before our own NCLEX-RN.
Group Registration Deadline is November 2, 2007 to go for $200, after this date it goes up by $25. All Registration closes on 12/3. Please Contact: Kelly Widger @ 482-1463 or k9nurse86@comcast.net to add your name to our growing list of attendees. I will be carrying registration forms with me on campus. Do Not mail into Nursing Review or you will not get the discounted group rate. Please return completed registration form and Money to Kelly Widger the sooner the better, I would like to have everything no later than Oct.26th. At least email me so I can put you on the attendee list. I am on campus every Tue/Wed and can make arrangements to meet to turn in paperwork. If you do not have the full $200 at the time of registration you can pay the $75 registration fee to save your spot and pay the balance by Nov.1

Forms of payment are Money Order, Checks, Visa or Mastercard all made payable to Nursing Review.

2 Hotels offering discounted rates are:

Days Inn 415-665-9000 (1.8 mi) 2600 Sloat Blvd. San Francisco, Ca. 94116 (Complimentary continental breakfast) 1 King non-smoking……$70/ngt. 2 Queen non-smoking…..$80/ngt.

They do have smoking rooms call for rates.They only have 33 rooms total so book early


Hampton Inn—Daly City 650-755-7500 (2.3 mi)2700 Junipero Serra Blvd.San Francisco, Ca. 94051(Complimentary hot breakfast or continental)2 Queens non-smoking…………..$139/ngt

BP and Cap Dynamics Questions

Factors that Affect Blood Pressure
1. What are the three main factors affecting peripheral resistance?2. What effect does vessel diameter have on peripheral resistance and blood pressure?3. What effect does sympathetic nerves have on the vessels smooth muscle layer?4. State three vasoconstrictors.5. How does viscosity affect the peripheral resistance?6. What effect does viscosity have on peripheral resistance and blood pressure?7. How does blood vessel length affect blood pressure?8. How does blood vessel elasticity affect blood pressure?9. How does blood volume affect blood pressure?10. State two behaviors that can affect blood pressure and explain how?11. Describe how changes in cardiac output affect blood pressure.12. What are the effects of autonomic stimulation on blood pressure?13. What affect does changes in stroke volume have upon blood pressure?
Blood Pressure Regulation
1. How is rising blood pressure detected by the body?2. Describe how the brain lowers blood pressure in response to signals that it is increasing?3. Describe the short term regulation of falling blood pressure.4. What are the effects of epinephrine and norepinephrine on the cardiovascular system?5. How do juxtaglomerular cells of the kidneys contribute to the long term regulation of blood pressure?6. Describe the steps of the renin-angiotensin mechanism.7. What is the secondary effect of angiotensin that causes it to raise the blood pressure?8. What is the effect of aldosterone on the kidneys?9. What is the long term effect of an increase in osmolarity?10. What is the effect of antidiuretic hormone?11. What is the short term effect of an increase in osmolarity?
Autoregulation and Capillary Dynamics
1. Explain how blood flow is controlled at the capillary bed.2. What is the effect of different concentrations of oxygen and carbon dioxide on the capillary bed?3. What is the effect of pH on the precapillary sphincters of the capillary bed?4. Name some other factors that influence blood flow through the capillary bed.5. State structural features of capillaries that aid in the transport of nutrients across the capillary wall.6. By what process does oxygen and carbon dioxide move across the capillary wall?7. What type of molecules are transported across the capillary wall by exocytosis?8. Explain why bulk fluid flows are important at capillary beds.9. What is hydrostatic pressure?10. What is the hydrostatic pressure in the capillaries?11. How does the hydrostatic pressure in the arteriole end of capillaries compare with that in the venule end.12. Why is the hydrostatic pressure in the fluid spaces normally low?13. What is the net hydrostatic pressure and how does it affect the net movement of fluid across the capillaries?14. What is osmotic pressure?15. Why does the capillary bed have a high osmotic pressure?16. Why is the osmotic pressure in the interstitial fluid low?17. Where does the fluid flow in a capillary bed because of the net osmotic pressure across the capillary walls?

SNA PDA Party - Sept. 17th!!

Your Student Nursing Association will be presenting a PDA party Sept. 17th 1-3pm in Locke 314.

Bonnie Boss has agreed to come give her PDA presentation. We invite other SJDC students to be on hand to give a PDA "show and tell". Come make some suggestions for future meetings that will provide you with the info you really need to know!

All are welcome to attend, if you still have not registered for the SNA, we will be happy to register you at the door.

SNA items will be raffled and Snacks will be served!!

Your Fall 2007 SNA officers are:
Danielle Mathias-Lamb, President
Barbara Buonauro, V. President
Amanda Aguirre, Secretary
Aime Edwards, Treasurer
Mrs. Batson, SNA Faculty Advisor

Great resource........

Hi everyone,

I just wanted to let you all know that the website for evolve http://evolve.elsevier.com for our Thelans Critical Care Nursing Book is a GREAT resource!! There are video clips showing all kinds of physiology and it is just full of relevant info. for those of us in nursing 7.

Thanks Nurse Nicky and Kat!

Just wanted to say thanks for the question you ladies made! I am so glad to have you two in my class.....

Practice Unit I NS07

1.)Morphine is good for cardiac pts because...
a.) It makes them feel really good
b.) It increases GFR which increases urine production which helps avoid 3rd spacing, and augments gas exchange at the cellular level.
c.) It helps with pain.
d.) both b and c

2.) When involving capillary pressures, which statement is true?
a.) Both negative and positive pressure pull.
b.) Negative pressure pushes while positive pressure pulls.
c.) Positive pressure pushes while negative pressure pulls.

3.) When figuring out the calculations for IV meds, you would use.
a.) dry weight
b.) my weight and your weight.
c.) All weight including 3rd spacing volume.

4.) What 2 meds call for lab work of potassium before administration?
a.) vicodin and viagra
b.) lopressor and metformin
c.) lasix and digoxin

5.) What increases the force or tension of the heart?
a.) cardiac output
b.) volume
c.) heart rate.

6.) What is Epinephrine?
a.) 30% alpha vasoconstriction and 70% beta increase heart rate.
b.) 60% beta increase heart rate and 40% alpha vasoconstriction.
c.) Its all alpha vasoconstriction

7.) What are inotropic agents?
a.) influence the force of muscular contractility
b.) influenc heart rate
c.) both a and b

8.) How much oxygen does the brain utilize?
a.) 20%
b.) 50%
c.) 100%

9.) What are the 2 phases of cellular damage?
a.) Ischemia and hypovolemia
b.) decrease cell production and leakage
c.) Ischemia and Necrosis.

10.) In anaerobic metabolism, we don't produce c02 like we do in the kreb cycle, but we produce what?
a.) Chocolate
b.) lactic acid
c.) urea

11.) What are scrubbers, and what do they do?
a.) o2 radicals are scrubbers that scrub the membranes so thin they tear.
b.) students nurses that give bedbaths
c.) antioxidants that counteract the o2 radicals.

1.)d 2.)c 3.)a 4.)c 5.)c 6.)b 7.)a 8.)a 9.)c 10.)b 11.)a

Practice Test

I was going over my audio, text and notes from todays lecture and I put together a little test you can practice with. Please feel free to reference my answers to your own material and pose any questions. It would be cool if someone else can post another "Self Created" test with about 10 or 15 questions on different material. It would help us all!!! See ya, next week :)

Practice Test for N7
Unit #1

1. Nasal Cannula delivers what type of gas:
A. Moist gas
B. Warm gas
C. Dry gas

2. Pavoulon a Muscle Paralyzing Agent:
A. Decrease demand and Increase supply
B. Decrease demand and Decrease supply
C. Increase demand and Increase supply

3. TPN can infuse through a peripheral line: T or F
{If answer is false give reasoning to make answer true}
Peripheral line is too small to infuse TPN. TPN contains protein and fats that are to big to transfuse through peripheral line. Also TPN is an irritant to peripheral veins.

4. ART lines need to be counteracted with how much pressure:
A. 150 mmHg of counter pressure
B. 300mmHg of counter pressure
C. 425mmHg of counter pressure

5. Nitro is a potent coronary artery dilator and a vasodilator. What is the priotity after administraiotion of Nitro:
A. Monitor B/P for low blood pressure
B. Monitor every 15 minutes for pt’s report of headache
C. Monitoring pt’s appetite

6. What is a intervention for Nipride:
A. Observe pt for paralyses, due to Nipride high incidence of paralyzes 1 hour after administration of medication.
B. Store med in a plastic bag, due to photosensitivity
C. Never Administer with Dopamine

7. What is the first indicator a patient is suffering from hypoxia:
A. Patients’ respiratory rate increases
B. Patients’ has a change in LOC
C. A marked decrease in urine output

8. When patient is suffering a nitrogen imbalance:
A. Serum Albumin increases
B. Serum Albumin remains unchanged
C. Serum Albumin decreases

9. Dilantin must not be pushed greater than:
A. 25 mg/min
B. 40mg/min
C. 250mg/min

10. Your patient states “I have this ringing in my ear and it’s never happened to me before this morning after I took all of my morning meds”. From your knowledge of meds, you know that of the meds listed one cause a feeling of “ringing in the ear”:
A. Regular Insulin
B. Heparin
C. Lasix

11. You notice MD ordered a insulin drip containing Lantus, you:
A. Question the order, knowing that only Regular insulin is to be used as a IV drip
B. Give the med as ordered
C. Refuse to give the medication

12. Morphine Sulfate should never be pushed faster than:
A. 1.0 mg/min
B. 2.0 mg/min
C. 3.0 mg/min

13. Your preceptor states, “His central line has been in for two weeks and that’s good, we won’t have to worry about it, because central lines are good for a month”. You:
A. Agree, because central lines are intended to be in place for 30 days
B. Disagree, knowing that central lines are only good for 72 hours
C. Disagree, knowing that central lines are intended to be in place for 7-10 days

14. You Instructor gives you a verbal warning when she sees you:
A. Check the K+, of your patient prior to administering a loop diuretic
B. Push 25mg/min of Dilantin
C. Give pt a med via his central line without flushing line with heparin

15. Mrs. Antran knows you know your stuff when you:
A. Raise you hand to say, “K+ must be diluted in 100ml of NS for 20 meq or less
B. Digoxin is to be given 1.25 mg within one hour
C. Dilantin increases heart rate


Answers: 1c, 2a, 3F, 4b,5a, 6b, 7a,8c,9a,10c,11a,12b,13c,14c,15a

Helpful information for N 7

Hi All,
Here is some helpful information I found on the blog of our upper- classmen that helped them with Nursing 7.

Sunday, August 20, 2006

Some Helps for N7 Ok you N7 SNs. I also recommend that you check out this site!Critical Care TutorialsThese tutorials are short and sweet and break all of the difficult concepts of N7 into easy to understand packets.I read the respiratory section the night before our test and scored really high. (hint, hint)Do yourself a favor and check it out!
Posted by Bonnie Boss


Here are the Shock Key Points from the Critical Care Tutorials

1. Blood Pressure is Cardiac Output multiplied by Peripheral Resistance.

2. Cardiac Output is Heart Rate times Stroke Volume.

3. Hypotension is caused by either inadequate Cardiac Output or inadequate Peripheral
Resistance

4. Heart Rate, Stroke Volume and Total Peripheral Resistance exist in dynamic equilibrium: these interactions maintain blood pressure. If one of the three becomes abnormal, the other two compensate. This represents the cardiovascular physiologic reserve.

5. Hypotension is an indication of 1) an abnormality of Heart Rate, Stroke Volume or Peripheral Resistance, & 2) failure of the others to compensate.

6. Shock is acute circulatory failure leading to inadequate tissue perfusion and end organ injury: it classified as being due to malfunction of 1) the Pump (cardiogenic), 2 ) the Tubing (distributive), or 3) the Fluid (hypovolemic).

7. The heart rate is a fundamental element of hypotension both in terms of cause (tachyarrhythmias / bradyarrhythmias) and compensation – hypotension should be accompanied by a tachycardia.

8. Low Stroke volume is caused by a problem with reception or a problem with ejection.

9. Problems with reception are: inadequate venous return or cardiac inflow obstruction.

10. Fluid loss is caused by either absolute hypovolemia (e.g. blood loss) or relative hypovolemia ("third spacing").

11. Cardiac inflow obstruction is caused by a pericardial (tamponade) or intrathoracic process (PEEP), or a lesion within the heart itself (mitral stenosis).

12. Problems with ejection include pump failure (ischemia, overload, contusion, inflammation) and outflow obstruction (embolism, aortic stenosis, aortic crossclamps).

13. Shock caused by low peripheral vascular resistance is caused by loss of tonic vasoconstriction (vasoplegia), due to sympathectomy, anaphylaxis or sepsis, leading to relative hypovolemia.

14. Vasodilation associated with septic shock occurs due to increased synthesis of nitric oxide, activation of ATP-sensitive potassium channels in vascular smooth muscle, and deficiency of vasopressin.

From Afghanistan...

As we start our final year....I wanted to share a story that was just emailed over from my best friend, whose sister is serving in the Airforce in Afghanistan as an ER Nurse. Wow, truly amazing. Good luck and happy studying to all in our final semesters!

From Afghanistan...

The last few days have been very exciting here. Not only b/c we are allgetting ready for the end of August, but our patient tempo has picked upalso.We've been busy since I have been here. I have touched a lot of lives, butI have to tell you about one story in particular that literally made my deployment worth it this week!!

Friday (17th) we were pretty busy in the ER. We had normal ER patients,but we also got a few traumas in. One patient we were waiting on was an American who was severely injured when a sniper hit him with a bullet. The story is this soldier was wearing all his protective equipment, but the sniper picked the one spot that wasn't covered by his kevlar vest. Thebullet pierced the R side of his chest and played pin ball with his insides until it exited out his back. We were expecting him for many hours. We had to extend our time b/c we were told that at the place he was at, he began to crash (b/c of internal bleeding) and they had to take him back into the OR to save him. We weren't even sure he was going to make it here alive.

A few hours later, we got the call that he was coming and he was extremely critical. He had already received 32 blood products down range, he had 4 chest tubes, already lost a kidney and he was bleeding from his liver.

As soon as the medevac landed, we rushed him into the trauma bay. The directions were, "get blood and get him to the OR!" I was working at thebedside and he looked awful. He was intubated, had blood all over him andhad so many tubes coming out of him. He was in and out of our department in 10 minutes and onto the OR. I held 15 bags of fluids/blood etc andraced to the OR with him and the OR staff. At the doors of the OR, the labtech came to me and said, "do you think he is going to need more blood?" Isaid "definately!" He told me that we only had 8 more units of O+ blood in the hospital and he would need to make a call for blood donors. I told himto start making the calls.

Once I got back to the ER, I looked down at my scrub top and I had some ofhis blood on it. I was praying he would make it through the surgery, but Iwas worried b/c he was pretty bad!

A few hours went by and I finished up my shift. Chris (that's his name)was still in the OR. I had already been called to donate blood, but I wasstill working so I told them I would be down once I got off shift. So, Igot off work, went over to the blood donation area expecting only a few folks to be there. There were at least 20 people in line to donate blood.My eyes began to swell with tears. I stood in line and started filling out my paperwork just as a soldier came in to the hospital. He said he was amedic and would like to help. The blood donation folks were overwhelmed with patients, so they had him take vital signs.

I waited for 2 hours until I could donate my blood. I was #125. Once Iwas finished donating, I checked on Chris. He was still in the OR andstill alive. I passed one of the OR nurses on the way out and asked how he was doing. She told me that he was still holding his own, but had more damage than what the surgeons expected. That one bullet did so muchdamage! i asked her how much blood product they had gone through and she told me they were up to 40+!

I left the hospital and as I was walking home, I heard over the "loud voice" 'all available blood donors to the hospital.' I wondered how many people would come. I found out the next day that there was a line out thehospital driveway and down to the street. The blood donation folkscollected over 60 units of whole blood! All for one soldier...amazing!

I woke up on Saturday praying that Chris had made it through surgery. Iwalked into the ICU for my shift and saw him in bed 1. Whew...I thought.Now, I just have to keep him alive until we can get him to Germany. Iasked if I could take him since I saw him in the ER. The charge nurse wasa bit leary b/c ...well, lets face it, I'm an ER nurse working in an ICU.BUT I told her that I could handle it, but would let someone know if Ineeded help. He was the most critical patient in the ICU.

As the day progressed, we did well together. I found out that the surgeons stopped all the internal bleeding after they found major damage. I gavehim 6 units of more blood product and found out that the OR ended up giving him 54 blood products during his surgery. that was in addition to the 32 he received down at the FOB (forward op base). As I was looking through his chart, I found multiple blood transfusion sheets and then I found blooddonor #125. I smiled b/c I realized that he had received my blood.

He went back into the OR that day to make sure that everything looked good and the bleeding was stopped. The good news was yes, everything looked fine...he was flight ready for Germany. the bad news was that the bullet demolished his T12-L1 spine...chances were slim that he would ever walkagain. Chris is 21 yo; he is married with a baby on the way.

As shitty as that is, at least he is alive; at least he will be able tohold his baby when he/she is born and at least he'll be home.

At change of shift, I reported off to the night nurse. Everyone commented how much better he looked. yes, he was still intubated and still had an open belly wound and chest tubes...but he made it...he was alive!! On my way home, I replayed the last 24 hours in my head. I reflected onthe blood he shed on my scrub top and the blood I shed to help save him. It was the most rewarding 24 hours I have ever experienced. I reallyhelped save a life!!

Until next time....

NCLEX REVIEW......follow up

Hi Everyone,

It is GREAT to see all of your interest in the NCLEX review session coming up in January!!
I just received the packet of materials we will need to get everyone signed up that is interested.
All registration paper work and fees will go through me, but will be payable to Davis' NCLEX review by check, money order or credit card. If you have N 7 first rotation then I am in your lecture class and will be making an announcement one morning in class. If you are N 6 first then I am going to email your instructor to see if I can get a quick minute to come by your lecture when it is okay with her for me to talk to all of you as well. This way everyone should know what is going on and we will all have the same opportunity to sign up at the discounted price. With the interest being shown so far, it looks like our price will be $200 per student. Davis' is putting together a hotel list for us of near by hotels offering us a student/corporate discounted rate. I will get all of this info. out as soon as I get it. Our deadline for group registration will be early November.

See You Next Week!!!

Welcome the incoming class

Hey folk,

I hope all had a wonderful summer and enjoyed the weddings, vacations, online classes and work experiences they were gifted with!

The incoming class Welcoming Tea will be held Monday 8/13 from 12 noon - 2 pm. If you have a moment, please pop over to their new blog site and welcome them. Just click on the 1st semester link and it will take you there.

I can't wait to see you all!

Hey! I AM HERE

I will check my e-mail for your number, it is 2038, and I am about to call you.

Desperately Seeking Nurse Nickey

Please contact me ASAP.... thank ya very much!

PS I emailed you my phone #.

Jessica's Wedding 7/21/07

She looked so beautiful!!!!!

Mistake on NCLEX website

Hi,
There is a mistake with the dates on the NCLEX review website previously posted. The corrected dates of the review are Tues thru Fri. Jan 8 - 11. Thank You Shawna !

Kelly

THINK NCLEX !!!!!!!

Hi All,

I hope you all are having a great summer and getting ready to hit the books again. (for those of us that are not already) It is not too early to be thinking about the NCLEX and a NCLEX review class. I am coordinating a group from our semester for the upcoming DAVIS' LIVE NCLEX REVIEW in January at San Francisco State the dates are Jan.8 thru Jan 11. Prices will vary from $200-$275 for all four days not including hotel accomodations, but discounted info. on accomodations I will post soon. I have had some really good feedback on this review session from other students and nurses that have taken it in the past. Please email me if you are interested so I know if I should continue with this or not.......If you attend in January, you can again attend in June for $75 a great refresher right before our NCLEX!! I have included the link below so you can check out some of the other benefits of attending this review.
Let me know what all of you are thinking about this.

Kelly

http://nclex.reviewfornurses.com/NCLEX/NCLEX_Review_Packages/Live_NCLEX_Review/

Trade In Your Scrubs!

FYI!

July 14 through the 22nd you can trade in any scrubs you
no longer use for a 20% discount off any reg. priced scrub top, jacket or pants
at Life Uniform in the Lincoln Center on Pacific Ave. Your used scrubs will go
to a local charity.

Hope everyone is having a great summer!
Mary-Jane

desperate!!

Hey everyone I hope everyone is enjoying their summer. Congrats to all of the newly-weds and those to be. Well Im posting this on behave of Adriana she has a bit of a dilemma, do to child care issues she would like to know if anyone is willing to trade N7 PM for the AM shift? She is taking it a St. Joe's. If anyone is interested please let her know by e-mail/blog :montys2047@sbcglobal.net

Thanks everyone

Ale

Welcoming tea date/time

Monday, August 13, 2007 at 12:00 noon - 2:00pm, upper danner hall.

Blog admins, please be on notice... your help may be needed and I will be out of town that week.

Stacy's Wedding

Sorry for posting these so late, but I just got the chance to upload them. I hope everyone's summer is awesome, I know I'm enjoying being a bum at home. BTW, does anyone know the reading for N7 yet???

Kat took my spot

Yay...Thanks for switching with me!!!

Updated links

I have updated the links on this blog to reflect overall changes in semesters. Once we have a new 1st semester blog up and running I'll add it as well.

I hope everyone is having a fantastic summer break!

St Joes' N5 Clinical (Sorry I'm Late)

Jessica is getting married!

Girls nigh out!!! Celebrating Jessica's last 'outtie' as an unmarried woman! Congrats!

p.s. Hope everyone is enjoying their Summer!

Does anyone want to take N7 first???

I'm taking N7 the first nine weeks at county and I was signed up for N6 for the second half at county, but was changed to Dameron. If anyone is taking N6 for the first half and wants to switch please let me know.
THANKS

Need a job?

Just wanted to inform you all that San Joaquin General Hospital just opened up the position for Student Nursing Assistant. If you're interested call 468-6000 for more info.

N4 Lodi Group