Michelle spotted a pretty major error in my neonate quiz. Question 1 asks for the expected cord blood glucose level at term. The answer listed is 15 mg/dL and should read "15 mg/dL below the blood glucose level of the mother."

While we're at it, question 20-something with a photo of a baby with an arched back should also have the answer option "kernicterus" which I somehow erased. Kernicterus in the intended Dx.

-Andrea

I posted a neonate quiz with info from ppt, the chris cooper slides, some articles, and book readings. A bunch of it is from the previous Quiz IIIa which I added to and then decided to split. I will add to the maternity section and post another quiz tomorrow-ish.
Also, Jolene's slides regarding breastfeeding jaundice conflict with the book's definition. I e-mailed her and she e-mailed back a response indicative of disrupted sleep patterns. If anyone else talks to her about this discrepancy, please post what you learn.
Thanks!
-Andrea

short quiz

I posted a short little quiz on the slides Jolene sent out. Please, anyone, send out whatever study material you have!!

Michelle

Check out this site on FHM. It gives quizzes and videos of strips. http://utilis.net/fhm/2459.htm

Potluck and Dance Party

Error in cariopulmonary quiz

Michelle caught an error in the cardiopulmonary quiz. None of the answers are correct. On the powerpoint 5cc/kg/hr it is in reference to the amount of surfactant produced. Sorry about that!

#21What does 5cc/kg/hr mean?

1. If a fetus weighs 3kg, 15 mL of blood are passing a given point every hour

2. The partial pressure of fetal respirations could theoretically move 5 cc H2O against a kg of pressure in one hour

3. It is in reference to the fetus’s diaphragmatic muscle tone

4. If a fetus weighs 3 kg, her vascular system can hold 15 cc of blood.

nclex questions

I uploaded two scans from my nclex study guide to give ideas for how to write nclex style questions for our nutrition groups. Just trying to avoid studying for our tests this week at this point.
--Heather

Bike Commuter Contest

Hey folks, let's get a crew together to form a team for the bike commuter contest. Here is the website http://thurstonbcc.blogspot.com/ and we'll try to bring in some forms for those who are interested. We've gotta figure out a good group name before we sign up, so we can count as a team.

Yay bikes, and spring!

Michelle

Welcome back folks!

I hope everyone had a great break, and at least got some rest in. It was good to see all your faces this morning as we start out spring quarter. I think we are going to have a lot of fun in OB + Peds!

I just got some of the initial syllibi/powerpoints up at the google groups site.

See you tomorrow!

Michelle

Emma and Amber's Unit 5 objectives

Thanks to Emma and Amber for completing and posting the unit 5 objectives on the Google site! You girls are rock stars!!

Michelle

How Your Gums Affect Your Heart

I thought this article was interesting and applicable to us in terms of teaching and assessments.

The article:
http://www.parade.com/health/2010/03/14-how-your-gums-affect-your-heart.html

Two quotes from article:
"The more severe the gum disease, the thicker and harder the walls of the arteries. This is true even for young, healthy adults with no other symptoms of heart problems. Narrowing of the arteries (or atherosclerosis) is a key component of heart disease."

"scientists are finding more and more links between oral health and conditions such as diabetes, kidney disease, preterm labor, osteoporosis, Alzheimer’s disease, and even certain types of cancer."

Simulation tips

I did simulation and found it extremely confusing so I wanted to share things with you all so that it goes smoother for you.

You'll get a yellow pt history page. Maybe it's an ER report? And then the white doctors orders sheet. You'll get report from the previous nurses (but if you're first?). Bring a pen and a blank nursing chart, like we do in the hospital, to record the report and data you receive. That would help a lot.

Vitals are all on the tv monitor...continuous. So don't forget to address those.

You will also likely have an additional skill from lab that you shoudl perform. Organize with your partner who will do what, but don't forget the pt's most pressing needs.

Likely you'll piggyback one IV of the two meds given.

I uploaded my cheat sheet to the google site. It's just my copies of the meds and potassium info. You are able to bring that sheet to the room with you apparently.

Jolene gave us 5 things to learn to find quickly in our IV book, on any med:
1. What the med is used for
2. Appropriate dosage
3. Time to give it over. Excuse the english there. Under "intermittent IV" it'll say 45 minutes or 1 hour. And you need to adjust your speed mL/hr so that the dose is completely given in that time. You piggyback is likely a 100mL bag.
4. Is it supposed to be given concurrent or piggyback? Most, if not all are piggyback unless orders direct you others.
5. Is it compatible with the IV fluid? Look in the back to find a chart to check compatibility with the 2 IV fluids mentioned to us. Or it's also within the text.

You may want to add things to your cheat sheet to cover this.

There were also other medications not listed that were appropriate for the pt to receive. Grab the med book and look them up quickly. Unlike the hospital there isn't a standing order for medication the pt is likely to need.

Use the phone to call the Doctor, to call the lab, to call the pharmacy for meds you need that aren't readily available, to call IV therapy if your IV isn't working. I even called supply to ask for something I couldn't find in the room and she explained where to look for it.

I hope this helps your simulation to go well!

Video

I posted my notes for the Sepsis video for Nurs 144. I also hope to post our GU presentation handout and med chart from our presentation.

Arthritis

Emma filled in the Arthritis page e-mailed by Jan and it's posted at the google groups. Thanks Emma!!

Diagram for Evidence for Supplements

My brother shared this with me. I thought it was real interesting.

http://i.imgur.com/sqXrz.png

Unit 4 study guide

...is up at the google site!

Andrea and Michelle

Two uploads

Hey all,

I uploaded a revamped Diagnostic test form. I put up and down arrrows in each section so you can just circle if it's high or low. I'm sure you all figured this out long ago, but it took me a while to realize I only need to record abnormal labs! Oh, and be sure to verify the ranges when you look at your lab tests. They can vary.

Also, I uploaded notes from the video for the musculoskeletal packet (sent a few days ago).

Hope it's useful for someone.
--Heather

Unit III quiz

I uploaded a little quiz for Unit III.

Try to enjoy the beautiful weather amidst the study frenzy!

Michelle

I posted feedback from a meeting 2/18 regarding the High Risk Student policy and ATI testing policy. Please look it over and either post feedback on this blog, the google groups, or send it to me directly at spokewrench@gmail.com.

At the meeting, we also discussed ideas for improving lab given the new format. Students expressed concern at how little time we get to practice skills with instructor feedback. We assumed that we cannot simply add more lab time. One idea was to ask Jolene and Sherry to train a student liaison for each skill who persons a skill station during our "play" time in lab and is able to supervise student practice of that skill before the student completes the instructor demonstration. I will ask Jolene and Sherry today if they wants ideas given directly to them, or if SFA is the preferred venue. My hope is to keep hashing this idea out in order to present something either to J&S in a couple weeks, or to SFA's March meeting.

Some students have also expressed a desire to have more clinical days. Before we get too deep into discussing this topic, I want to check-in with the SFA to see if discussing additional time is within the realm of the changeable. If it would be logistically/fiscally impossible, I don't want us to waste time hashing out our opinions.


Thank you!
-Andrea

SFA--please give feedback. Thanks!!

Hello lovely classmates,

I posted Marilyn's latest drafts of the High Risk Student Policy which outlines faculty intervention for students at risk of failing any class, and the new ATI testing policy which would require students to pay for various ATI assessment tests that will be taken throughout the two-year program. Helpful feedback includes everything from editing to clarifying questions to statement of agreement/disagreement. Please include reasons for any opinions. The goal is to have clear and fair policy that a new student could understand simply by reading the policy (imagine that!).

Also, my roll is to take your ideas/feedback/concerns to the faculty. I would love ideas about how to best accomplish this goal and will appreciate ongoing feedback so that we, as a class, can best take advantage of student representation.

Thank you!
Andrea

New and improved study guide

Oops! The study guide I uploaded was not complete- please check out the actual study guide that has way more info. I took down the old one and put up the complete one. My apologies!

Michelle

Unit III study guide

You are not going to believe this, but there is now a 27 page study guide available at your fingertips on the Google docs page. We spent A LOT of time on this one folks, so please, use it!!

There are some empty and highlighted spaces that we didn't get to, and all of the objective F is empty. Good luck!

Michelle + Andrea

Posted Hepatitis comparison sheet from group in class. Please add to/subtract from it and re-post.

Article

Hey folks, Heather wanted to pass on this interesting article about an acetaminephen reaction.

http://today.msnbc.msn.com/id/34952768/ns/today-today_health/?ns=today-today_health?GT1=43001

Unit II Objectives

Michelle and I just posted a collaborative Unit II Study Guide for objectives A-C. Objective D was to vague to tackle.

Hyperventilation

I just read an article about hyperventilation that I found helpful. Not much new information, but a more connected and reader-friendly version than the text.

http://www.answers.com/topic/hyperventilation

Lab packets posted

Hi Class,
I just posted some packets from lab class. Some of them didn't post right, so I tried changing the file type and reposting. Anything with a (2) or (3) after it would not open correctly. Let me know if you find any errors!

More notes

Hey folks,
Rachel and Holly have put up some great documents on 145 videos and height weight metrics on the Google groups page. I've also put up the (sloppy!) notes I took in class this morning in 144- the lecture on Unit III and the video. Plus I posted Jan's Unit III outline that she has up on eReserves.

Thanks to everyone who has contributed!

Can you believe its week 5?

Michelle

Look everyone! School can be fun!

Michelle just found a pretty major mistake in my Unit I study guide that anyone using the guide should be aware of:
Here's what's in the study guide.
Hemoglobin M: 4.5-5.3 million/mm3 F: 4.1-5.1 million/mm3

The concept mapping book, Berman and the lab results from St. Pete's refer to HBG in g/dL rather than million/mm3 (though RBC range looks like what you have). The normal range from Berman is M: 13.8-18 g/dL F: 12-16 g/dL

Thanks Michelle!!!

I just posted a list of meds mentioned in class on the google groups page. I attempted to organize based on pre-/intra-/postop, but would love some extra eyes to check it out and make suggestions. Thanks!

Study Guide

Hey folks,
The presentation powerpoints that Heathyr sent out are up at the google docs site too (I hope its not overkill).

I also uploaded a Unit One study guide for 144, which Andrea made up. It is awesome and thorough and I highly recommend it. Be sure to upload any study tools you have put together if you'd like to share.

Good luck studying this weekend! Remember to get rest, eat healthy food and take some time to relax, too!

Michelle

Abbreviations

Ruth kindly got together all of the abbreviations that Jan wanted us to know. Here they are:
H+H Hematocrit and Hemoglobin
OR Oper. Rm
PF partial fill
SC subcutaneous
SSS short surgery stay
DOS day of surg
CXR chest XR
NPO nothing by mouth
IVF intra venous fluid
RFA R forearm
IM intravenous
LOS length of stay
PB Piggyback
UA urine analysis
SL sublingual
TKO to keep open
PO per oral
ER emerg rm
CL central line
LFA L forearm
SQ subcutaneous
NS norm saline
RR recovery rm
CNS central nervous system
PACU post anesthesia care unit
LR lactated ringer
ED emerg deprtmt
R right
PAR= Post Anesthesia Recovery
EBL= Estimated Blood Loss
NCP = Nursing Care Plan
CVC= Central Venous Catheter
PICC= Peripherally Inserted Central Catheter

Quote of the Day

Thanks Coreen, for the laugh in class...

"So, the drug dealers, I mean not dealers, the drug companies..."

New packets

Packets that Jolene just sent are up at the Google site.

They include: Enemas, Enterostomal, NG tube, Specimen Collection and Patient lift.

Fun with packets!

Michelle

Physical Assessment Form

For those of you who are comfortable with computers, I uploaded a physical assessment form that makes it easier to fill in your information on the computer. The original form is a formatting nightmare, but this one lets you navigate through fields with the tab button, and doesn't mess up the format as you type in your info. One caveat: you need openoffice.org (a free program) to open it.

Let me know if you are interested but need some help getting open office to run on your computer. It's been a real timesaver for me, plus it makes the physical assessment form neat and easy.

Hope you are all enjoying the long weekend! See you Thursday or sooner.

Michelle

Surgical scrub

There are some good details about surgical scrub requirements here. Though it may be too much information! Also here is a link the the CDC about hand hygiene (including surgical scrub).

Also CINAHL , the CDC and JCAHO may all be helpful for us as we are sorting through and gathering information.

Also, I added Jan's UNIT I B+C powerpoint to the google groups page, accessible from the "Documents relevant to this quarter" link on the right side of the screen. Everyone (even if your not signed up with google groups) should be able to access this.

Have a great weekend!

Michelle

Playing videos on Macs

Hey folks, if you are a Mac user and you can't get Windows Media Videos (wmv) to play on your computer, try this free download. I know I sound like spam right now, but it makes the videos from the website Jolene sent us on IVs work. :)

Hope it helps,
Michelle

Reading checklist

I just uploaded a reading checklist for 144. :) If you look to the links at the right "Documents relevant to this quarter" you'll see it and all the other files Michelle has uploaded for us.

--Heather

IV calculations

Here are the math/ IV calculations websites that are in the IV packet that Jolene emailed to us. I've included them in the sidebar, too.

"Math Calculations: the below websites are for your review if you need additional help with IV math calculations.

http://www.accd.edu/sac/nursing/math/ivprob.html Review

http://caring4you.net/tests.html list of some good sites for studying of math, meds and NCLEX. Some sites no longer work.

http://www.alysion.org/dimensional/analysis.htm decent site –lots of information that includes math questions and detailed answers."

Google groups

I know some folks have already signed up, but for those of you who are interested and not signed up, there is a google group list serve available for us also. If you sign up, you can send an email to spsccnursing2011@googlegroups.com you will email the whole group. I also have all the documents available through the google groups page (one easy place.) You can go here for this- though, again, you may need to sign up first.

School begins in two days! I hope you've all had a great break- see you Monday!