Holy moly found on other blog
INDIANAPOLIS (AP) -- Lena Nelson had looked forward to buying dolls and other presents for her first granddaughter, who was born prematurely last week. Instead, she was planning Monday for the girl's funeral.D'myia Sabrina Nelson and another premature baby girl, Emmery Miller, died Saturday after they received an adult dose of a blood thinner at Methodist Hospital.Four other babies also were affected. Three were in stable condition Monday at Methodist, while the fourth was in critical condition at Riley Hospital for Children.Hospital officials said that the overdoses were the result of human and procedural error and that their hearts go out to the families, but Nelson said that doesn't ease her pain."They couldn't give me enough apologies for what they have done," Nelson said. "They just took her away. It's like murder. She was just taken away from us."Heparin, which is often used in premature children to prevent blood clots that could clog intravenous drug tubes, arrives at the hospital in premeasured vials. The vials are placed in a computerized drug cabinet by pharmacy technicians.When nurses need to administer the drug, they retrieve it from a specific drawer, which then locks again.Sam Odle, chief executive of Methodist and Indiana University Hospitals, said a pharmacy technician with more than 25 years' experience accidentally took the wrong dosage from inventory and stocked it in the drug cabinet in the Newborn Intensive Care Unit. Nurses, who are accustomed to only one dosage of heparin being available, then administered the wrong dose.The adult and infant doses have similar packaging, officials have said.Odle said Monday that the three hospitals that make up Clarian Health Partners -- Methodist, Riley and Indiana University -- would no longer keep certain doses of heparin in inventory. All newborn and pediatric critical care units will require a minimum of two nurses to validate any dose of heparin. And nursing units will receive an alert when a change in packaging or dose is entered in the drug cabinet.In addition, all employees will be required to sign a document about the importance of correct drug administration by Sept. 23.Odle stressed that the hospital is "among our nation's safest" and said Methodist would learn from the mistake.The deaths came just days before the state was to approve a rule that would require hospitals to report errors.

did she post the grades yet!!???

anyone heard about our grades!!!
whats going on ... i cant take it anymore!!!LOL

A Card For Mr. Sevilla, Re: Loss of His Grandma!

I am Gonig To Bring A Condolence Card, For Mr. Sevilla and His Family. We can all sign it on Thursday!

May The Lord Give Him and His Family
The Strength They Need In This Time Of Grief.

no pharm on oct. 2nd

to all you pharm students this is from Mr. Sevilla... just in case!!

Hello Everyone,As you know, my grandmother was very ill last Monday. She actually passed away 1 hour after I dismissed the class. Since the funeral is on Monday, October 2nd, there will be no class. I will post the items we spoke of (Calculation Exam, Table, and Lecture Outline) by next Tuesday.Please don't worry about getting all of the material for the course, I already have some creative solutions in mind to catch up. Thank all of you for your understanding during this time. Richard

med info

In case anyone doesn't know if you go under Fern Sisons docushare it has documents of her notes for Medication and Pharm..its really helpful:)

I JUST WANTED TO SAY...YAY FOR US WE MADE IT THROUGH TODAY!

Question of the week 09.25.06

A nurse is to collect a sputum specimen for acid-fast bacillus (AFB) from a client. Which action should the nurse take first?

1. Ask client to cough sputum into container
2. Have the client take several deep breaths
3. Provide a appropriate specimen container
4. Assist with oral hygiene

Good Luck Ladies and Gentlemen!

Tomorrow is our test and we have all hung in there, to this point! I beleive in us all and for what it us worth, I am so proud of us. I will see you all tomorrow, some will be more nervous than others. In that, remember the more nervous you are, the "Cloudier" your thoughts get. Get some rest, eat breakfast, and wear bright colors ( not too bright to were I can't see anything but your loud outfit). Adios Amigos!!!

Iron Deficiency Anemia

There is a good explanation of Iron Deficiency Anemia, with interventions for and complications on Mrs. Sison's docushare page. Hope it helps.....

Clear, concise info

from our own Caralee Bromme's docushare site. I could kick myself for not finding this sooner!

Her slides reflect the organized nursing process way of thinking that should make studying so much easier for me.

Caralee Bromme's slides/study guides for electrolyte, ABG and acid base balance

Thanks Daneille!!!

I just wanted to say "Thank You" Danielle! You have been so great at keeping our Blog informative and entertaining. I really appreciate all that you have done!

More Videos

Hi all,
In reviewing for the upcoming exam I was looking at the disc that came with the Fundamentals book and along with the NCLEX review questions, there are some animated videos of the procedures we have been working on lately that I think may be helpful. It helps visualize what is going on in the inside of the patient. There is an NG Tube insertion, Administering an Enema, Catheterization, and others.....

N1 Message from Fernisa

Nursing 1 Review Shima 402

Hi everyone! A test review for Nursing 1 will be done tomorrow at 2:30PM in Shima 402. I really believe this review will help everyone so please come. It will be given by me (Fernisa Sison) and Caralee Bromme.

Thanks,

Fernisa

This was posted on the 4th sem. blog

ABG's - hope this helps

doc 1


doc 2

N3 Exam 1 scores posted

link to document

Tracy Study Group hours

Okay folk, for those wanting to join the Tracy Study Group, here are available hours.

Tue/Wed may not begin until mid-October based on what you folks want to do.

Monday 11-1 (PHARM?)
Tue 1-3
Wed 1-3
Thur none
Fri 10-2 or 4-6
Sat as needed 10-2
Sun as needed 10-2

Please let me know which time/dates you are interested in and if we should make Monday a Pharm (N3) study day.

kdaniellem@yahoo.com

testing strategies

I FOUND THIS ON ANOTHER BLOG AND THOUGHT THAT IT MIGHT BE HELPFUL FOR OUR UPCOMING TEST.

Test Strategies

1.If the question asks what you should do in a situation, use the nursing process to determine which step in the process would be next.
2.If the question asks what the client needs, use Maslow's hierarchy to determine which need to address first.
3.If the question indicates that the client doesn't have an urgent physiologic need, focus on his safety.
4.If the question involves communicating with a patient, use the principles of therapeutic communication.
Source: Nursing Student Success Made Incredibly Easy!, Lippincott Williams & Wilkins, 2005.

Virtual Cooperation

I commend your class on the best class participation to date on sharing your thoughts and virtually studying together.

All Questions have been "touched"

I did combine some duplicates, so look for and add additional info in the "comments".

I have pulled together another compilation, but will wait until tomorrow evening to send it out to contributors so we can include some addt'l comments.

It is a very large document at this time, I'll see if I can't edit it down a bit.

If you contributed and you do not have a public email on the blog, you will need to email me a request to receive it. I will reply to the email address you send me.

goshblogit@gmail.com

Congrats to all.... this was a BIG JOB and you all stepped up and knocked it out!

# 45

Discuss nursing care of the client who has a colostomy
- empty ostomy frequently to keep free of odors.
-keep stoma site clean and dry. for ileostomies, special care must be taken to prevent skin breakdown.
-apply a barrier such as karaya gum over skin around the stoma to prevent contact with any excretions.
-assess the pouch for correct fit if there is any skin irritation or leakage around the stoma.
-measure clients intake and output while hospitalized.
-disposable appliances can be kept on for up to seven days. they must be changed when they begin to leak.
-if feces leak onto the peristomal skin, the appliance should be removed and good asking care given to the peristomal area before applying a new appliance
-if irritation persists at the stoma or on the surrounding skin, the appliance should be replaced every 24-48 hrs. good skin care and any prescribed treatments are priorities until the irritation subsides.
-control odors because odor control is essential to clients self-esteem.
-teach clients to include dark green vegetables in the diet ( chlorophyll helps deordorize feces) . Bismuth subgallates also help lessen fecal odor. A deodorizer can be placed in the pouck and some appliances have a charcoal filter disk.
-teach self-care dietary considerations. initallly clients should avoid high fiber foods and gas producing foods
-teach client to avoid heavy lifting and contact sports.
-address self-esteem and sexuality issues.
-instruct client to avoid laxatives and enemas because they may cause severe fluid and electrolyte imbalances.