Thursday, December 21, 2006

Congratulations to everyone! I am looking forward to watching all of you graduate. It is a pleasure working with all of you and getting to know you. May you all have a wonderful year and enjoy your time off. Happy Holidays!

Fern

Tuesday, December 19, 2006

The Grades Are Posted!!!

N5 Grades Are Up!!!!


Merry Christmas Everyone!!!!!!!!!!!!!!!!!!!!!

Monday, December 18, 2006

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

N5 2nd rotation

Congratulations on completing our first year of nursing school! Happy holidays!

Carols for the not so mentally healthy

stolen from Futurenurses2007

.......which applies to most nursing students! This made me laugh......hope it will you too ;)

Schizophrenia --- Do You Hear What I Hear?
Multiple Personality Disorder --- We Three Queens Disoriented Are
Dementia --- I Think I'll be Home for Christmas
Narcissistic --- Hark the Herald Angles Sing About Me
Manic --- Deck the Halls and Walls and House and Lawn and Streets and Stores and Office and Town and Cars and Busses and Trucks and trees and Fire Hydrants and......
Paranoid --- Santa Claus is Coming to Get me
Borderline Personality Disorder --- Thoughts of Roasting on an Open Fire
Personality Disorder --- You Better Watch Out, I'm Gonna Cry, I'm Gonna Pout, Maybe I'll tell You Why
Obsessive Compulsive Disorder ---Jingle Bells, Jingle Bells, Jingle Bells, Jingle Bells, Jingle Bells, Jingle Bells, Jingle Bells, Jingle Bells, Jingle Bells, Jingle Bells, Jingle Bells, Jingle Bells, Jingle Bells, Jingle Bells, Jingle Bells, Jingle Bells, Jingle Bells


posted by Robyn at 5:46 PM | 0 comments"

Saturday, December 16, 2006

Help

Did anyone find in the book the answer to question 21 on visualization and the grieving process? I am having a hard time with that one.

Thursday, December 14, 2006

Final exam study guide

Thanks to previous N5ers for this !

Sunday, December 10, 2006

Test 3 grades

Hi everyone,

Mrs. Ippolito has posted the last test grades. She did her item analysis and we got points. Also the powerpoint for tommorow is on docushare for those of you who are interested.

Teresa S

Tuesday, December 05, 2006

Bonnie

Hi everyone, if you have called or emailed Bonnie please do not think that she is just ignoring you. She has developed a bad inflammation of both her eyes and can’t see at all. She was seen in ER today instead of doing clinical. (A clinical experience of the bad kind.) She is on bed rest till the end of the week and WILL NOT be available by phone or email. If you need help with something, or have a question call me at (916) 600-7074 or email me at shadowphoenix56@sbcglobal.net. I will do my best to help you out. I do need to hear from Christine Moles!! Please be sensitive to Bonnie’s needs and not bother her at this time! Thank you.
My friends. Hello everyone, and happy holidays. I would like to extend this very special invitation to you. You have a chance to help a very sick child, feel warm, and fuzzy all over. At the end of this invitation you will find a link to Project Linus. Project Linus has "blanketeers" who provide home-made blankies to some very deserving children. I am sure that most of you who recieve this email would say that you can not sew, but I am sure that you might know someone who is a great master of sewing, quilting, or crocheting. I invite you to collaborate with those talented friends, perhaps you could buy the materials and they could make the blanket and the two of you can donate this special gift together? The boys of our great troop, Boy Scout Troop 16 invite you to help them make their goals come to life. As it is the goal of our troop to send 50 blankets to Project Linus by the end of January. Please, email me with your commitment that you will be making a blanket for one of these very special children. Thank you in advance for your generosity and support of the boy's and most of all the Project Linus...you will be an honored, "blanketeer". As always, wishing you wellness Christine Moles and boysAny questions? Please call me at 209-547-0460 my email is rnstudychris@aol.com

Monday, December 04, 2006

Final Study Guide

Hey Everybody,

Mrs. Ippilito put the study guide for our final test and todays power point presentation on docushare if you are interested.

Sunday, December 03, 2006

I have a question!!!

Does anyone know what they changed our login too on the ATI. Ive tried EVERYTHING and it wont work. I was able to get in a few weeks ago and I know they were going to change them.


Thank for the study guide Austin and Jennifer!!

Friday, December 01, 2006

test5 study guide n4

SJDC Fall 2006Nursing 4 Study Guide Topics for Musculoskeletal

SystemChapter 60
1. Effects of aging on the MS system
2. Serologic and radiologic studies of the MS

Chapter 61
1. Assessment findings and interventions for acute soft tissue injury
2. Stages of fracture healing
3. Nursing care of a patient in skin and skeletal traction, and a patient in a cast
4. Types of fracture reduction and nursing care
5. Postoperative care of the patient with hip replacement
6. Complications of fractures
7. Postoperative care of the patient with an amputation

Chapter 62
1. Pathophysiology, clinical manifestations and nursing care of the patient with osteomyelitis
2. Nursing care of the patient after spinal surgery
3. Clinical manifestations of osteoporosis

Chapter 63
1. Pathophysiology, clinical manifestations, collaborative care of the patient with osteoarthritis
2. Pathophysiology, clinical manifestations, collaborative care of the patient with rheumatoid arthritis
3. Pathophysiology, clinical manifestations, collaborative care of the patient with gout
4. Pathophysiology, clinical manifestations, collaborative care of the patient with SLE
5. Pathophysiology of the patient with systemic sclerosis and the CREST syndrome




TEST QUESTIONS ARE NOT LIMITED TO THESE AREAS. THE STUDENT IS STILL RESPONSIBLE FOR CONTENT ON THE SCHEDULED READING ASSIGNMENTS.

Thursday, November 30, 2006

Open Letter from Fern Sison

Hey everyone, I'm reposting this open letter from Fern Sison which was inadvertently posted to the June '07 Blog for everyone to read. I've included my thoughts in the first comment of this re-post.
danO

Repost from: Futurenurses2007: Tuesday, November 28, 2006


Test Questions

There is a rumor out there that I am copying test bank questions and handing them out to students. To be more specific a student wrote that I took test bank questions for the Endocrine test and gave them to students. I'd like to set the records straight. I go over different types of questions so that students can learn the concepts and how to answer and read questions. I have many test banks available to me. If you look on this blog for N4 subjects you will find all of those questions with the same concepts that I went over during study groups. I have NEVER COPIED TEST bank questions and handed them to students and I do not give special priviledges to any rotation.

I have always made myself available to any student that asks for my help. There are no special advantages given to any specific rotations. I go over questions to teach concepts and subjects that students may need to study about and I give page numbers for subjects (so the student can read the subject matter) that could help students but I do not give test bank questions to any students. There are more subject test questions on this blog than I even have. Ms. Romena gets her test questions from many different sources and she even writes her own. Some may even come out of NCLEX study books with practice questions. If a student passes, it is because they studied and deserve to pass. And for the student spreading the rumor, the grades didn't get any higher on this test than any other test!

If anyone needs help my office is L214 and my office number is 954-5492.
Anyone who studies hard and goes over the subject matter or even studies the questions on this blog listed under N4 subjects could benefit and pass their classes.

Sincerely,

Fernisa Sison
Nursing Instructor"

Wednesday, November 29, 2006

N5 study guide 3

Thank you Jennifer for posting the 3rd study guide from the previous class. If anyone is interested I went through and added a couple of details that I thought was missing, and included a couple of more tables that seemed of some benefit.

N5 Study Guide Exam 3

The study guide is on docushare now. Thanks to previous N5ers for this:

New directions for Family ties and Recovery House

Exit Matthews Rd. from I-5
Go West on Matthews Rd. approx 1/2 mile
Turn right on Delivery Rd.
Go approx 1/2 block
RH will be on the right
Further down Family Ties will be on the left.

***Do NOT park at 500 W. Hospital Rd. (the main building) or you will be walking quite a long distance!

Monday, November 27, 2006

Chemical Dependency Directions

Here are some directions for anyone who needs them.
They both start from Delta. If anyone gets directions for the other places, you can post those too. I didn't get a chance to. Also, there is a FT in Stockton but the adress the teacher showed us in clinical was for French Camp. So you if you're using the French Camp directions you might want to make sure that's the facility she wants us to go to.

FAMILY TIES:
1.Head south on Pacific Ave toward W March Ln - go 0.3 mi
2.Turn right onto W March Ln - go 1.8 mi
3.Turn left onto the ramp to merge onto I-5 S - go 8.2 mi
4.Take the Mathews Rd exit 467B - go 0.2 mi
5.Turn right onto W Mathews Rd - go 243 ft
6.Turn right onto S Manthey Rd - go 0.3 mi
7.Turn left onto W County Hospital Rd - go 0.1 mi
8.Continue on W Hospital Rd - go 30 ft
9.Arrive at 500 W Hospital Rd
French Camp, CA 95231


KAISER (KCD)
1.Head south on Pacific Ave toward W March Ln - go 0.3 mi
2.Turn left onto W March Ln - go 1.5 mi
3.Turn left onto West Ln - go 1.2 mi
4.Turn left onto Tommydon St - go 0.1 mi
5.Arrive at 1305 Tommydon St
Stockton, CA 95210

Hope this helps...
-Lindsay

Saturday, November 25, 2006

n4 study guide

Study topics for exam 4 - Immunology Fall 2006

Chapter 13
1. Explain the inheritance patterns
2. Types of Immunity
3. Differentiate between cell-mediated immunity from humoral immunity.
4. Effects of aging on the immune system
5. Explain and differentiate between the different types of hypersensitivity reactions. Give examples of conditions under each type.
6. Explain the assessment, diagnosis and collaborative care of allergic disorders.
7. List and explain the cardinal principles in the therapeutic management of anaphylaxis.
8. List and describe the different mediators of the allergic response.
9. Briefly explain autoimmunity and the different treatment method
10. Differentiate primary from secondary immunodeficiency disorders, graft-versus- host disease.
11. Briefly explain immunosuppressive therapy.
12. Know WBC values.

Chapter 14
1. Explain the pathophysiology of HIV/AIDS
2. Explain the clinical manifestations and complications of HIV/AIDS.
3. Explain the diagnostic studies, criteria and collaborative care for patients with AIDS.
4. Explain the different opportunistic diseases associated with AIDS and their clinical manifestations.
5. Explain the indications for the initiation of antiretroviral therapy in the chronically HIV-infected patient.
6. Explain the different drug categories of antiretroviral agents used in HIV infection.

Pages 747- 751.

Wednesday, November 22, 2006

giving thanks

Happy Thanksgiving everyone!!!

Be thankful this semester is almost over!!! ;)

Tuesday, November 21, 2006

Liana.............................

call me 209 9436738 or 209 4033241 (tomorrow after 12 and anytime after that)

Thursday, November 16, 2006

Study Guide 2 part 2

Here is the second half of the second study guide. As usually, if you find anything additional that you think should be added, please share it with the rest of your classmates.

Austin

Study Guide 2

Here is the first 10 questions completely answered, the other half will be provided in the next few hours. Good luck.

Thursday, November 09, 2006

n5 grade from first 9 wks

hey, has anyones official grade posted online yet?

Monday, November 06, 2006

Open, Closed, Random type families

http://www.nais.org/publications/ismagazinearticle.cfm?Itemnumber=148198&sn.ItemNumber=145956

"Closed" families have a tight boundary around them that separates them from the outside world. You don't just drop in on a closed family. These families exercise power in a top-down way, with the father customarily the "boss." They value preparation, unity, sincerity, and clarity. Open families, by contrast, have a less formidable barrier around them and tend to value tolerance, authenticity, latitude, and responsiveness. Random families are dramatically different from closed and open families. Their use of time and space are likely to be dispersed, irregular, and fluctuating. They value ambiguity and whimsicality; above all, they want to protect the originality and creativity of their children

Sunday, November 05, 2006

Exam Grades for N4

Does anyone know if our grades that our clinical instructor had given us was our final grade or has she not included our extra credit? thanks....

Friday, November 03, 2006

N4 Study Groups

This was posted on our blog
Congratulations to everyone who made it through N4 and for those who are now starting N4. If anyone needs a study group, please e-mail me at fsison@deltacollege.edu. Otherwise I will not schedule study groups until after November 14th when my EKG course ends....unless you want to meet on Thursdays.

I would love to meet with students and help in anyway I can. If you have trouble with your Care Studies and/or just want someone to review them before you turn them in, please feel free to drop by my office (L214) on Mondays, Tuesdays, or Thursdays and I will be happy to read then and critique them.

Good luck everyone!

Fernisa Sison
L214
954-5492 office

Thursday, November 02, 2006



Great Job. That was alot of work you went through and it is VERY thorough. Only one thing for me to add and I think it goes without saying. If a pt refuses meds, which is their right unless the court states otherwise, you must document and notify MD.

N4 study guides

Hi every one, I would really appreciate copies of the study guides for N4, if you can help me please send them to me at shadowphoenix56@sbcglobal.net. Thanks, Debbie (tutor)

Wednesday, November 01, 2006

N5, the completed study guide

Please feel free to add what I might have missed.

Thursday, October 26, 2006

N4 study guide

Here are the pages to the study guide for nursing 4. If someone has something different please post it. Good luck everyone!

Chapter 57: #1. pgs. 1555-1557, #2. p. 1563, #3. p. 1569-1570, #4. 1575-1576

Chapter 58: #1. p. 1585,#2. forgot page but in same vacinity, #3. p. 1587, #4. pg. 1590,#5. pg.1592 and 1598

Chapter 54: forgot page but around 1469,#2. pg. 1468,#3. pg. 1469-the table, #4. p. 1476, #5. pg. 1474, #6. pg. 1484, #7. pg. 1489

Chapter 55: #1. pg. 1500-1501, #2. p. 1515-1516,#3. p. 1517, #4. p.1518-1519

Chapter 56: #1. p. 1527, #2. p. 1530, #3. 1532, #4. p. 1533, #5. p.1540

N4 Graduates

For those of you who just passed N4, congratulations!!!!!!!
Would you please post here any tips and advice to pass on to future N4 students of M. Romena's class.
I have heard that reading the text book, text study guide, chapter tests and possibly some of Lippincot's Q and As were helpful. Is there anything else that you used that helped?
We tutors need to know how to help the next classes.

Tuesday, October 24, 2006

N4 lab values

you will need to know lab values for N4. Here is a website that not only gives the values but explains what it means when it is high and when it is low. Great Website!! use it wisely.

">www.dalesplace.net/lab_values.php

Mark your Calendars


It's a Celebration in honor of ... completion of the second semester of the ADN Program!
Come and celebrate with us! The Nursing Department invites you to attend a celebration of your accomplishment in completing the second semester of the ADN Program
Date: Monday, December 4, 2006 Time: 12:00 - NOON Location:
Upper Danner Hall
Please R.S.V.P. to Julie Lang if you are able to attend by November 27, 2006. Phone: 954-5447 email: jlang@deltacollege.edu

Monday, October 23, 2006

SJDC ADN Class of 2007

Anyone interested in buying N5 books? I have 3 books: Foundations of Psychiatric Mental Health, Psychotropic Drugs, and Nursing Diagnoses in Psychiatric Nursing. You can contact me at 408-515-6628
Thanks

Sunday, October 22, 2006

SJMC - 1st Rotation



1st Rotation - St. Joe's

Courtesy of Elizabeth G.

Saturday, October 21, 2006

N5 Books

Hey, I'm looking to sell my N5 books if anyone was interested I have 4 books: Foundations of Psychiatric Mental Health, Psychotropic Drugs, Nursing Diagnoses in Psychiatric Nursing and the DSM-IV-TR. I bought all but the Nursing Diagnoses book new. I was looking to sell them all for around $120, or I could sell them individually if anyone was interested.
Annastasia

Friday, October 20, 2006

Check you're Delta email ! N4 grades are posted !

N4 Grades are posted !!!

Psalm 31: 23-24
23 Love the LORD, all his saints! The LORD preserves the faithful, but the proud he pays back in full.
24 Be strong and take heart, all you who hope in the LORD.

http://www.ibs.org/niv/passagesearch.php?passage_request=Psalm%2031&niv=yes

Wednesday, October 18, 2006

Check your student email!!

Hey Everyone...

If you are going to N5, check your student email. Mrs. Ippolito sent out an email with our first assignment on it. Good luck on the N4 final.

Monday, October 16, 2006

N4 Last exam

I am not sure if any of you stayed after class but Romena gave out some tips for the final test. See the comment section for elaboration.

Sunday, October 15, 2006

N5 a last minute study guide

helpful study guide but its long.

Saturday, October 14, 2006

Need Supplemental Help?

Hey y'all. I have just struck paydirt with interactive learning links for tutorials, quizzes, charts, graphs, slide shows, animations, simulations and anything else you can think of to help your individual learning style. This is a great find for visual and kinisthetic learners.
This link will take you to a medical site that has 9 pages of links. Each page has around 100 links. Check it out and share anything that you find helpful with the rest of us.

Medical Learning Links

The Student Nurse's Prayer

Dear Lord: I know we go through this every day but please give me the knowledge
as to why I actually wanted to go to nursing school.
Lord, give me the strength to make it through
those boring three hour lectures without falling asleep.
Lord, please give me the patience to make it through twelve hour clinicals
with instructors that can't just give you the right answer
and on the same note, give the nurses the ability to remember
what it was like to be a student and give us just a little more respect.
Lord, give me the endurance to read all the assigned readings
and be able to remember it when I am taking a test with four right answers.
Lord, give my family and friends the ability to realize
I really am on the edge of insanity.
Finally, Lord, give me the vision to see that one day I will be a real nurse
and I will never have to wear this ugly uniform again.

by Meredith Joyner
Inspirational Page

Thursday, October 12, 2006

GU Study Guide

Hey everyone..Romena sent out a study guide for the GU system to your student email. I have posted it under comments...enjoy and happy studying!

Wednesday, October 11, 2006

N4 Study Group

I wanted to let N4 people know that I have reserved Locke 230 and 14 laptop computers with the Phys Whiz programs (including the practice tests) for 1230pm Thursday after the Career Faire. Feel free to swing by and join in!

N5 books

Anyone looking to sell their N5 books? Im looking to buy!!!
~Jodie~
327-1702

Monday, October 09, 2006

Just a Bunch of Nut Heads










Good Luck with Finals Everyone!

Sunday, October 08, 2006

and yet another...

FORT WORTH, Texas (AP) -- A former nurse was sentenced Thursday to life in prison on charges she killed 10 hospital patients with drug injections because she found them too demanding.
Vickie Dawn Jackson, 40, pleaded no contest on Wednesday and was sentenced after prosecutors presented their evidence to a judge.
Investigators believe Jackson injected the patients through their intravenous lines with a drug normally used to temporarily stop breathing when doctors insert a breathing tube.
FBI agent David Burns testified that the patients had been hospitalized for minor ailments -- including a foot sore, diarrhea or dementia -- and were about to be released.
"In general, they were the kind of patients who needed more care," Burns said at the sentencing. "I think that's probably why. They're verbose. They want this. They're thirsty. It seemed to make her angry."
Authorities became suspicious after nearly two dozen deaths were reported at Nocona General Hospital in late 2000 and early 2001, a stretch of time when the hospital should have seen only five to 10 deaths.
Authorities discovered at least 20 vials of the drug were missing. And officers searching garbage at Jackson's home found a syringe that contained traces of it, Burns said.
Jackson's attorney, Bruce Martin, said Jackson maintained her innocence and pleaded no contest to avoid a trial so her daughter would not be called to testify.
In a statement issued through her attorney, Jackson said she was "sympathetic to the families of the deceased" and "acutely aware that closure for them is necessary, if, indeed, closure can ever come for them."
Prosecutors did not seek the death penalty, meaning Jackson would have been sentenced to life in prison if convicted by a jury.
The case was moved from Nocona, 90 miles northwest of Dallas, to this West Texas town because of publicity surrounding the deaths.

health fair???

hey, someone was telling me we're missing a day of clinicals to help out at a health fair. i checked my campus email and didn't see anything about it, and don't recall romena ever mentioning it in class. can anyone tell me what's up?

Tuesday, October 03, 2006

N4 students.....Please email any suggestions regarding our curriculum/ideas for changes ie; wish we had more patho before n4 etc....to my private email at rnstudychris@aol.com I am going to be representing all of our voices at the curriculum meeting next week...please help me speak for all of us. Thanks!!! And happy nursing...we are almost done with this rotation!! YAY!!!!!!!!! :)

Friday, September 29, 2006

Neruological System

For those of you who don't check your student email often Romena sent a study guide for the next test. Check comments for the study guide

Happy Studying!

Thursday, September 28, 2006

An Army of One

Or so they say....I was approached by an Army Recruiter yesterday. I told him I would post this to the blog so here it is. They accept people older people too into the reserves. If you have any interest in this call him:
Staff sergeant Daryl V. Morris
(707) 429-0652/0648
Cell: (707) 816-7585
Web site: goarmy.com
1(800)USA-ARMY

Tuesday, September 26, 2006

Please comment

Does anyone know how many days of clinical we can miss? Or maybe how many hours we can miss in a semester? Please let me know.

Thanks,
Lindsay

Monday, September 25, 2006

SJDC ADN Class of 2007

SJDC ADN Class of 2007N5- mental health study guide: pls. comment on " delirium tremens" pertaining to ETOH??

ABG's

ABG's

Folks we need to know these!

N5 study guide posting

Thank you for posting all the questions for the study guide this will benifit everyone. Double thumbs up for RENA!! You really posted more than your share. Guys we really need to get into the habit of this because further down the line it gets harder. The more help we get from each other the better we are 40 heads are better than 1 and your grade will show. Thanks again for everyone that helped in getting this posted. Only one more left to go and them the work really begins with N4. RIGHT ON!!!

Monday, September 18, 2006

Holy Crap!

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.

Take a Break ;)

Some humor especially for those in N5!!

ATI

does anyone know when the ATI is going to be for N5

Wednesday, September 13, 2006

study guide for N5

I was just wondering if anyone could help with question #8 and 11. I am not too sure if what I have is right. I would like to compare answers with someone.

Tuesday, September 05, 2006

N4 Study Guide for the Respiratory System

Here is the study guide Ms. Romena handed out last minute. Some people got a copy to give to their clinical groups but I know most won't get it until next week so here it is. Please pass it on to all.

costovertebral angle - General Practice Notebook

costovertebral angle - General Practice Notebook: "costovertebral angle

The costovertebral angle is the recess made between the 12th thoracic vertebra and the T12 vertebra at the posteroinferior margin of the thoracic cage on each side."

pix here: http://medinfo.ufl.edu/year1/bcs96/slides/abdomen/abd29.html

Definition of fremitus - Merriam-Webster Online Dictionary

Definition of fremitus - Merriam-Webster Online Dictionary: "fremitus
One entry found for fremitus.
Main Entry: frem·i·tus
Pronunciation: 'fre-m&-t&s
Function: noun
Etymology: New Latin, from Latin, murmur, from fremere to murmur; akin to Old English bremman to roar
: a sensation felt by a hand placed on a part of the body (as the chest) that vibrates during speech"

Friday, September 01, 2006

Thursday, August 31, 2006

Bogger Meeting

Would Tues the 5th at 1115ish be good for you Dan, Jennifer and anyone else interested in preserving the blogs for the future nursing semesters?

Sunday, August 27, 2006

Blogger Meeting Needed!

Calling all Blog administrators and active bloggers!
We need to get together face to face and have a pow wow over lunch or something. We need to talk about how to keep the blogs active and going after we leave Delta. We need to have cross administrative priviledges to help each other out with tech support, mentoring, CD example helps and continuing invitations to the proper blog as new students slide sideways into our classes (out of sync). We need to get helpful links and email addresses onto a master sheet to handoff to the new semesters so that the helpful sites dont get lost in older blogs.
In other words, we need to talk about our mission, vision and goals!
Dan Oden (2nd sem) has suggested Friday Sept 2nd or the following Tues.
I (4th sem) am doing a 12 on Friday but am available Mon, Wed, Thurs of this week and Tues, Wed and Fri of next week.
Please post here with your availability so that we can all come together at a mutually agreed upon time.
My (c) # is 329-1369
bboss947@sbcglobal.net

Saturday, August 26, 2006

SNA Meeting

Just a reminder!
SNA meeting August 28th @ 1:00
Location LOCKE 313
Please join us
WE WLL BE HAVING A PDA PARTY AT THE SAME TIME. PLEASE BRING YOURS FOR INFO SWAPPING!

Friday, August 25, 2006

N5 test on Monday

SJDC ADN Class of 2007 Our first test is creaping up on us. I noticed that only one of you responded to the study answers. We really have to work together from the start to insure that we all can get good grades. Please feel free to share any answers that you may feel that give a better choice to what I just posted. HAPPY STUDYING!!

LMH N4 Clinical Group

Hey y'all, It was really cool seeing you in LMH today. If you need any insider info on how to make things run smoother, let me know.
Bonnie

Wednesday, August 23, 2006

n5 study guide?

I got the email from Mrs. Ippolitto and clicked on the link, but I cant open to see the study guide. can someone post the questions on here, i saw that liana posted the answers but i was just wondering if someone can post the questions....thanks.

hey all you helpful people....

it's nice to be helpful and post all the helpful study questions here, but it takes up a LOT of vertical space. might i suggest posting a title with a description, and then putting the body of information (ie:study questions) as the first comment within the post? that way the post is only a few lines long, instead of 20" of monitor scrolling, and if you're not in, say N5, you can skip by it and see what everyone else has to say. :)
hope everyone's off to a good start!

Tuesday, August 22, 2006

N5 quiz 1 study questions

There were some that I did not get. So feel free to add to what I already have along with sharing what I dont have.

PDA Party!

The first PDA Party will be included in the in the first SNA meeting on Monday, August 28th at 1300.
Everyone please come and bring your PDA to share info and navigation tips with new and fellow users. We need to help each other!
Location TBA.

SNA Meeting

Please join us for our first SNA meeting of the semester
Monday August 28th @ 1:00 location TBA

I NEED YOUR HELP PLEASE!

We need to have a PDA Party ASAP for the 1st Semester Nursing students. It looks as if a Monday 1300 or 1400ish might be the best time for all semesters. (It would be nice if maybe the SNA could take this up as an ongoing project every semester). I cannot do this alone. This involves a lot of sharing and instruction 1 on 1. I need anyone with any kind of PDA to share what you have learned so far in your PDA usage. We are all still learning and can swap programs, helps and ideas with each other.

We need the PDA information sheet that was provided by the 2nd semester at the welcome tea. Can someone please send me a copy?
We also need to consolidate all past posted PDA info and any other info that we have access to.

This is an important project that will benefit all students and Nursing faculty alike. Please help and post replies here or email them to me.

bboss947@sbcglobal.net
I thank everyone in advance for your help.

This is the semester that you are mentoring in. Please extend to them the help that you received when you first started.

Saturday, August 19, 2006

N5 Karen Ippolito's Test Taking Helps

This was posted for the Spring 2005 class, and so could be subject to change. It should give us some idea of what to expect.

SJDeltaRNstudents12/06: N5 psych drug quiz

SJDeltaRNstudents12/06: N5 psych drug quiz

Tuesday, August 15, 2006

Alta Bates Summit Medical Center
Nursing and Allied Health Career Event:


Join us for our Nursing and Allied Health Career Event at the Summit Campus —
and find out how to make your nursing or allied health career shine with the
best.

Summit Campus – Samuel Merritt College
Health Education Center
1st Floor – Bechtel Room
400 Hawthorne Avenue
Oakland, CA 94609

Tuesday, August 22, 2006
9 a.m. – 5 p.m.

Register today!
For complete details and to register for our Nursing and Allied Health Career
Event, please visit:
http://www.aftercollege.com/ads/bannertrack.asp?id=460

Monday, August 14, 2006

NURS 04 schedule for this Thursday....

Hey everyone, just confirmed with Julie in the Nursing Dept.,
Nursing 4 students should meet this Thursday morning at 06:30 in Locke 229. See you there!

Sunday, August 13, 2006

BIG BIG OOPS !!!!!!!!!

I have been working on giving our test bank a face lift for the past few weeks. I have fixed all of the links, made titles for easy test link ID, rearranged the order and colors, etc.
but then...........
I got so excited and relieved to be finally finished that I accidentally hit the wrong key and deleted the whole bank out the Blog's existence.
Fortunatly, I have been keeping an updated copy on a word doc just in case (I know myself too well), but I do not know how to get it back to that exact moment in time to have all links to the bank still work. So I have reposted it in our January 2005 archives.
NEW TEST BANK
I have attempted to fix all of the recent links to the bank that I can find or have access to, but I can't fix all the links or the bookmarks that some of you may have made. Please let me know if you find any bad links.
I'm Sorry!
Have a nice day.
Bonnie

Friday, August 11, 2006

Face lift for the test bank

The Test Bank is currently under construction to clean up the appearance and to organize it better. You are still able to use it. Keep watching for changes and please bear with me. Thanks!

Attention to all blog administrators, please do not change the posting dates of any tests or quizes. If they are moved to another date or location the link in the Bank will no longer be valid.
I am checking all of the links right now and making the Links easier to read. This is my pre-school goal.

Wednesday, August 09, 2006

Community Service Opportunity!

From the desk of Mary Neville:
Kaiser is having a health fair on Sunday, August 20 from
8:00am to
3:00pm, at three Kaiser clinic locations. Please be aware when you are considering volunteering that, if there is not a Delta Nursing instructor at a site, the students will not be allowed to perform any regular nursing skills, just assist with other tasks as needed (i.e.: chaperone for paps, etc.). The fair is much like Su Salud and may evolve to replace Su Salud in the future.
This is a very late notice from Mary Neville, but it will look great on your resume and offers another community learning experience.
The upside, we will get to practice our skills, have fun and get a free T-Shirt.
The down side, if no instructors show up, we will only be able to be helpers of the non invasive sort. (but we will still have fun)
If you are interested, I have volunteer forms for Manteca, Modesto and Stockton that you can download and fill out to send to Kaiser ahead of time. You can also call or email the nursing office.

Mary Neville needs volunteers!

We are having the campus wide Welcome Day for new students on
Tuesday, August 15 from 10 am to
2pm. If you have an hour or two or
four and can help, we will have a table in Danner for the Health Science
programs. I also may need some help from
8am to around 9 or 9:30 am for
balloon blowing up activities. If you can help, send me an email or
give me a call.

mneville@deltacollege.edu

Call the nursing office @ (209)954-5454 for more info

The new semester's nursing blog has been created!

Do you know what this means? This will be the first time in the history of Delta's nursing history (that I know of anyway) that all 4 nursing semesters will be connected together in virtual cooperation and study!
This means that you are now virtual Parentbloggers!
Go check them out and watch as their blog develops.

Your semester is the closest mentor group to the newbies. Help them out with lots of study tips and shortcuts that you have learned. You know how they feel cuz you just, Been there, Done that! Mentors needed!
Share with them your stories of what you have seen and experienced so far and how you learned to put it all together!

1st Semester

THANK YOU

I want to thank everyone once again for helping with the tea, it was a great success. This event would not have turned out so well without the help that everyone put in it. I am sorry if I sounded like a nag in the beginning but I knew that as a class we were capable of putting together a tea that will be remembered for times to come and that is just what we accomplished. Team work is what it took and in the end that is what we did and I cant say how proud I am that we came together as a class and showed the new incoming students a grand welcome into their new semester. I will say it a thousand times, THANK YOU FOR ALL YOUR HELP!!!!

Monday, August 07, 2006

SNA Meeting

DO THE “NON-TANGIBLES”
MATTER TO YOU?

• Satisfaction
• Service Opportunities
• Personal/Professional
development
• Networking possibilities
• Friendships

Get Involved and
Reap the Benefits!


To love what you do and feel that it matters
-how could anything be more fun?
- Katharine Graham

SNA’s Next Meeting:
August 28th @1pm

Watch your student email
for location to be announced.

Wednesday, August 02, 2006

SJDC ADN Class of 2007

Hope everyone had a fun time off from school and enjoying the heat. Just like most of you, I haven't had time to catch up on studying, but looking forward to seeing you all in class and hope to make new friends. Let's all stick together and help one another!!! Thanks to all who made last semester enjoyable! Suzanne

Thursday, July 27, 2006

tea meeting almost here

just wanted to drop in and remind everyone that the welcoming tea meeting is scheduled for Friday at 5:30 ish if you can make it that would be great. We have alot to cover and this will be the final meeting before the tea. As always if you have any questions please call me or leave a message at 925-382-4713 cell or 925-706-9565 home thanks again for everyones help.

Liana

Thursday, July 20, 2006

CPR Certifications!!!

Hey, for those of you that were previously certified long before entering the ADN program, make sure that it doesn't expire during our course...Bad things can happen if it does...

I hope everyones summer has been relaxing, my face hasen't left a book yet. Oh well, later.

Harrison

3rd Hepatitis B Shot

Hello Everyone! Just a reminder. Don't forget to get your 3rd shot of Hepatitis B!

Blessie

Monday, July 03, 2006

update on tea

ok here is an update in the tea which is on Aug 7th at 12:00 (just in case you might have forgotten). I am going to CANCEL the meeting on thursday it seems as if most of you cannot make it so I am going to reschedule it for FRIDAY JULY 28 AT 6:00. We will meet at Barnes n Nobles across the street from the college. This gives everyone plenty of notice so I hope that everyone take a note of this and tries to attend the meeting. I will most definately need all donations at that time b/c it only gives me a week to put it all together and buy what last minute things that we need. I have been trying to get a hold of a few people so I might need some of your help in doing this.

LILLIA JACKSON - in regards to the bookmarks that they were going to make we need to make sure that those are in order and if she needs anything to finish them.

RACHELLE- Hey there I need to make sure that you guys are still performing and about how long is your performance going to be. ( I cant wait for this) If you are still going to get the flowers for the center pieces we have about eleven tables just let me know.

DARLENE- She already has the gift bags almost done and she is set on the cake. YOU GO GIRL!!

KARINA- her dad is going to give us a break on the meat and cheese platters. I am just waiting to hear back from her on a price. PLEASE get back to me on this. I am waiting for a price before I order decorations to make sure we have enough money set aside. The decorations take 2-3 weeks for delivery and I leave next week so I want to try and to have them bought before then.

TERESA or ROY- have you picked up any name tags yet for the tea if not just let me know

JAMIKA- I need to make sure that someone has kept in contact with Dameron and has picked up their goodies for the raffle. I cannot seem to get a hold of her so if anyone is around that area or works at that hospital can you please check on that and get back to me as soon as you can.


I have a big container for ice water but I still am in need for punch bowls so if anyone has one at home that we can borrow let me know. We will need about 2 but I would like to get 3 if possible.

I am going to make a pasta salad b/c it is cheap and easy and is something that you can make the night before. I am still up in the air on the coffee situation so I was thinking if people brought their coffee makers from home we could do it that way. I have the coffee all we would need would be two regular and one decaf and just keep it going any other ideas just let me know.

For the name tags I figured that we could color cordinate them eg: Dameron gets red around their name tags ect.. and this will match the red tag around their clinical instructor as well. I figured that this would be easy just get seven or eight different colors and to write each name in a clinical group color and we could label each table with a color.

If anyone has anthing else to add to this just email me and let me know. I am not sure if I had forgoten anything.

Thanks

Liana

Tuesday, June 27, 2006

Welcoming tea meeting

There will be a meeting in reagards to the welcoming tea on Thursday July 06 at 5:30. Someone had mentioned meeting at downtown stockton so we will find a place to meet there. Please bring with you all of the donations that you have collected and any ideas that you may want to share. This will be our last meeting before the actual tea so I hope that everyone can attend. Thanks again

Wednesday, June 14, 2006

Nursing t-shirts


I found some nurse t-shirts you all might enjoy:)
http://www.cafepress.com/buy/rn

Wednesday, June 07, 2006

Sunday, June 04, 2006

FOR SALE

Scrubs For Sale. cheap!
LIFE Brand. All pieces are Ceil Blue (for clinical). Brand New or worn only once.
4 items:
One-Pocket Top size medium.
Six-Pocket Cargo pants size small.
Two-Pocket Cargo pants size extra small.
Drawstring pants with one back pocket size small.

call Miranda 209-476-8271 or 707-246-8420

Friday, June 02, 2006

Five Doctors Duck Hunting

Five doctors went duck hunting one day. Included in the group were a general practice (GP) physcian, a pediatrician, a psychiatrist, a surgeon and a pathologist.

After a time, a bird came winging overhead. The first to react was the GP who raised his shotgun, but then hesitated. 'I'm not quite sure it's a duck,' he said, 'I think that I will have to get a second opinion.' And of course by that time, the bird was long gone.
Another bird appeared in the sky thereafter. This time, the pediatrician drew a bead on it. He too, however, was unsure if it was really a duck in his sights and besides, it might have babies. 'I'll have to do some more investigations,' he muttered, as the creature made good its escape.

Next to spy a bird flying was the sharp-eyed psychiatrist. Shotgun shouldered, he was more certain of his intended prey's identity. 'Now, I know it's a duck, but does it know it's a duck?' The fortunate bird disappeared while the fellow wrestled with this dilemma.

Finally, a fourth fowl sped past and this time the surgeon's weapon pointed skywards. BOOM!!
The surgeon lowered his smoking gun and turned nonchalantly to the pathologist beside him and said "Do me a favor and go see if that was a duck."

Monday, May 29, 2006

Have a Great Summer !!!


Enjoy the summer break !!!

See ya'll next semester !!!

Sunday, May 28, 2006

N3 Grades

Hey Nursing 3 grades are up on Docushare. http://docushare.deltacollege.edu/dsweb/View/Collection-5817
Have a good summer everyone!

Saturday, May 27, 2006

??

Where o' where can our Nursing 3 grades be?

Friday, May 26, 2006

Grades are posted

Hey everyone,

The grades are posted in the online classes section and under academic history. See you in the fall

Thursday, May 25, 2006

ROOMS FOR RENT

Brand new house with 4 Rooms and 2.5 baths located in Stockton about 5 mins away from Delta college. It's located in a very clean and quiet neighborhood. With full kitchen privileges, all appliances are brand new. Washer and Dryer are in the house. Rent is $450-$500 depending on the room. No pets!If interested, please contact Vicky Nieva @ (925)240-8941 or email her mnienva20@yahoo.com

Wednesday, May 24, 2006

Congrats on Advancing to the 2nd Semester!!!!!!!

WOO HOOOOOOOOO!!!!!!!!
Doesn't it feel good?
Great Job. If you want to get recharged and see that light at the end of the tunnel, come to the graduation pinning ceremony This Thurs, at 7pm In the Atherton Theater in the Locke Bldg.

PICTURES

I am still looking for pictures of you guys in skills or in the hospital so I can make a slide show to show at the tea. If anyone has some funny shots it would be much appreciated. You can email them to me at lianasmail@yahoo.com or if you can bring them to the nursing office by Tuesday. Thanks

3rd Sem. Link

http://deltarnstudents.blogspot.com/2005_05_01_deltarnstudents_archive.html

Link for the 3rd Semester Study guide that Blessie mentioned ! Again scrolled down the page !

Goodluck with the Finals !!!

how to get those funny characters...

you probably already know or have access to the standard ascii codes for special characters... but if you want to speed up your typed notes with arrows and things, like these: ↑ ↓ ▼ ♂ ♀ →, etc... i've posted a list of simple ascii codes in the comments.
good luck on the final everyone!
danO

Tuesday, May 23, 2006

hospital contacts

I know that everyone is busy studying for the final but I just wanted to know if all the people that were supposed to contact their hosp. reps had a chance to do so. This is very important and needs to be done by friday. All that you have to really do is just to give them the paper that I handed out to each one of you. If by some chance you are having a hard time with this please contact me ASAP. 925-382-4713

thanks
Liana

Final Exam Study Guide

Hi, Everyone! The 3rd semester/May 2005 has "study tips" for N2. I was extremely excited when I saw it!!!!! Please check it out. This will help you a great deal. THANKS 3rd Semester!

Blessie

Who got Skillz

The skills lab points are finally posted in e-tudes for those that are interested, oh by the way dan I am finally showing my "mug" =)

N4 Update !!!

Why dont we all past our names by the clinical group were in...that way we know who is in our groups....?!?!

34020 T 8am-10:30am 5.5 LOCK 313 Romena, I 0
M 8am-10:30am LOCK 313 Dennison, M
WTh 6:30am-4:15pm SJMC TBA Neville, M
W 6:30am-12:30pm LOCK 229 Neville, M
Section 34020 will be held at ST JOSEPHS MEDIC CTR.
Jodie
Austin
Rupert
Jill
Natalya
Stacie
Elizabeth G.

Lyudmila


49893 T 8am-10:30am 5.5 LOCK 313 Romena,
M 8am-10:30am LOCK 313 Dennison, M
WTh 6:30am-4:15pm DHP TBA Romena, I
W 6:30am-12:30pm LOCK 229 Romena, I
Section 49893 will be held at DAMERON HOSPITAL.




66013 T 8am-10:30am 5.5 LOCK 313 Romena, I 0
M 8am-10:30am LOCK 313 Dennison, M
WTh 6:30am-4:15pm SJGH TBA Wells, C
Th 6:30am-12:30pm LOCK 229 Wells, C
Section 66013 will be held at SAN JOAQUIN GENERAL.




61278 T 8am-10:30am 5.5 LOCK 313 Romena, I 0
M 8am-10:30am LOCK 313 Dennison, M
WTh 6:30am-4:15pm DHP TBA Romena, I
W 6:30am-12:30pm LOCK 229 Romena, I
Section 61278 will be held at DAMERON HOSPITAL.
Dan
Jaylyn


10318 T 8am-10:30am 5.5 LOCK 313 Romena, I 0
M 8am-10:30am LOCK 313 Dennison, M
Th 6:30am-12:30pm LOCK 229 Neville, M
WTh 6:30am-4:30pm LMH TBA Neville, M
Section 10318 will be held at LODI MEMORIAL HOSP.
Harrison
Jenifer W.

Ripan
Leslie


84049 T 8am-10:30am 5.5 LOCK 313 Romena, I 0
M 8am-10:30am LOCK 313 Dennison, M
WTh 6:30am-4:30pm SJGH TBA Dail, G
W 6:30am-12:30pm LOCK 229 Dail, G
Section 84049 will be held at SAN JOAQUIN GENERAL.



42840 T 8am-10:30am 5.5 LOCK 313 Romena, I 0
M 8am-10:30am LOCK 313 Dennison, M
ThF 6:30am-5:30pm LMH TBA Black, M
W 6:30am-12:30pm LOCK 229 Black, M
W 1pm-5pm TBA TBA Black, M
Section 42840 will be held at LODI MEMORIAL HOSP.
Rox


60536 T 8am-10:30am 5.5 LOCK 313 Romena, I 0
M 8am-10:30am LOCK 313 Dennison, M
WTh 2:30pm-10:45pm SJGH TBA Neville, M
W 6:30am-12:30pm LOCK 229 Neville, M
Section 60536 will be held at SAN JOAQUIN GENERAL.
Teresa S.
Adrienne
Kristine D.

43830 T 8am-10:30am 5.5 LOCK 313 Prieto, G 0
M 8am-10:30am LOCK 313 Dennison, M
WTh 6:30am-4:30pm SJMC TBA Neville, M
W 6:30am-12:30pm LOCK 229 Neville, M
Section 43830 will be held at ST JOSEPHS MEDIC CTR.
Nicole

Saturday, May 20, 2006

N4

who is in N4 the second half at Dameron with Romena?????

Friday, May 19, 2006

For those of you who will be joining us in Paramounts Great America....the tickets are here! I will have tickets with me, this Monday by the nursing office at 10 am. Please come and see me to pick up your envelope with your tickets..and some very important information, ie; directions etc. Bring some sunscreen, extra change of clothes for the kids, and patience ;)....We will all meet up at Great America.....please note there is a challenge on the table....DROP ZONE 12 O'clock...what? you aint no chicken r ya's? See you all on Monday!!!!

Wednesday, May 17, 2006

Some kind words from a special person, I thought I would share

How To Plant Your Garden

First, you Come to the garden alone,while the dew is still on the roses....

FOR THE GARDEN OF YOUR DAILY LIVING, PLANT THREE ROWS OF PEAS:

1. Peace of mind
2. Peace of heart
3. Peace of soul

PLANT FOUR ROWS OF SQUASH:

1. Squash gossip
2. Squash indifference
3. Squash grumbling
4. Squash selfishness

PLANT FOUR ROWS OF LETTUCE:

1. Lettuce be faithful
2. Lettuce be kind
3. Lettuce be patient
4. Lettuce really love one another

NO GARDEN IS WITHOUT TURNIPS:

1. Turnip for meetings
2. Turnip for service
3. Turnip to help one another

TO CONCLUDE OUR GARDEN WE MUST HAVE THYME:

1. Thyme for each other
2. Thyme for family
3. Thyme for friends

WATER FREELY WITH PATIENCE AND CULTIVATE WITH LOVE. THERE IS MUCH FRUIT IN YOUR GARDEN BECAUSE YOU REAP WHAT YOU SOW.

N4 - Who is in your group...

Why dont we all past our names by the clinical group were in...that way we know who is in our groups....?!?!

34020 T 8am-10:30am 5.5 LOCK 313 Romena, I 0
M 8am-10:30am LOCK 313 Dennison, M
WTh 6:30am-4:15pm SJMC TBA Neville, M
W 6:30am-12:30pm LOCK 229 Neville, M
Section 34020 will be held at ST JOSEPHS MEDIC CTR.
Jodie
Austin




49893 T 8am-10:30am 5.5 LOCK 313 Romena,
M 8am-10:30am LOCK 313 Dennison, M
WTh 6:30am-4:15pm DHP TBA Romena, I
W 6:30am-12:30pm LOCK 229 Romena, I
Section 49893 will be held at DAMERON HOSPITAL.




66013 T 8am-10:30am 5.5 LOCK 313 Romena, I 0
M 8am-10:30am LOCK 313 Dennison, M
WTh 6:30am-4:15pm SJGH TBA Wells, C
Th 6:30am-12:30pm LOCK 229 Wells, C
Section 66013 will be held at SAN JOAQUIN GENERAL.




61278 T 8am-10:30am 5.5 LOCK 313 Romena, I 0
M 8am-10:30am LOCK 313 Dennison, M
WTh 6:30am-4:15pm DHP TBA Romena, I
W 6:30am-12:30pm LOCK 229 Romena, I
Section 61278 will be held at DAMERON HOSPITAL.



10318 T 8am-10:30am 5.5 LOCK 313 Romena, I 0
M 8am-10:30am LOCK 313 Dennison, M
Th 6:30am-12:30pm LOCK 229 Neville, M
WTh 6:30am-4:30pm LMH TBA Neville, M
Section 10318 will be held at LODI MEMORIAL HOSP.



84049 T 8am-10:30am 5.5 LOCK 313 Romena, I 0
M 8am-10:30am LOCK 313 Dennison, M
WTh 6:30am-4:30pm SJGH TBA Dail, G
W 6:30am-12:30pm LOCK 229 Dail, G
Section 84049 will be held at SAN JOAQUIN GENERAL.



42840 T 8am-10:30am 5.5 LOCK 313 Romena, I 0
M 8am-10:30am LOCK 313 Dennison, M
ThF 6:30am-5:30pm LMH TBA Black, M
W 6:30am-12:30pm LOCK 229 Black, M
W 1pm-5pm TBA TBA Black, M
Section 42840 will be held at LODI MEMORIAL HOSP.



60536 T 8am-10:30am 5.5 LOCK 313 Romena, I 0
M 8am-10:30am LOCK 313 Dennison, M
WTh 2:30pm-10:45pm SJGH TBA Neville, M
W 6:30am-12:30pm LOCK 229 Neville, M
Section 60536 will be held at SAN JOAQUIN GENERAL.


43830 T 8am-10:30am 5.5 LOCK 313 Prieto, G 0
M 8am-10:30am LOCK 313 Dennison, M
WTh 6:30am-4:30pm SJMC TBA Neville, M
W 6:30am-12:30pm LOCK 229 Neville, M
Section 43830 will be held at ST JOSEPHS MEDIC CTR.

Tuesday, May 16, 2006

Last day of Clinical !!!



  1. Dameron Hospital Group # 1

Hey

The ATI scores are posted.

Isnt Mr. Sevilla fast... :)~

show us your mug!

hey there colleagues, i just went through everyone's profile on our blog, and only six, yes 6 people have bothered to post their pic so we can figure out who is who. on top of that, some are keeping their profiles off limits or using cryptic screenames like "." or "**"

sheesh people, cmon, this is supposed to be a virtual town square, make an effort and give people a chance to get to know you.

just my $.02.

danO

ps: if anyone needs help posting their pic, or needs some webspace to host the pic, just let me know. :)

test

test

ATI Test Scores

ATI test scores are available for viewing.

Monday, May 15, 2006

Thanks

I really wanted to thank everyone for coming to the meeting for the tea; we were able to get alot accomplished. I want to thank those of you that gave me your contributions it is greatly appreciated. We had some awsome ideas going around and lots of input so remember we have another meeting on thursday after lecture. Let's keep those ideas rolling I will have a tally of the total $$ contributions so far. I also would like to hear from the people that contacted their reps. at the hospitals to see how everything went. Thanks again EVERYONE, for giving me so much more support and help. I cant tell you how much I appreciate all of your input.

welcoming tea

I just wanted to remind everyone that we will be having a meeting today in room 230 or in the computer room in Locke. I just wanted to thank everyone for lending a helping hand and for contributing what they could. If anyone has any questions bring them with you to the meeting today or you can always contact me at lianasmail@yahoo.com or 925-382-4713. Thanks again and I hope to see you all there.

Sunday, May 14, 2006

Happy Mother's Day !

Happy Mother's Day to all !!!

Friday, May 12, 2006

can anyone else post?

i haven't been able to "blog this" (post new thread) to our blog for a few days; only reply to threads.
i'm only able to post using my admin access, but i'm still able to "blog this" to other blogs, no problem. :(

is anyone else able to post new threads?

i'm seeking tech support from blogspot, and will try to resolve this asap.
in the meantime, if anyone absolutely needs something posted, email it to: danoden@yahoo.com

only two weeks to go! remember to breathe!

danO
:)

Thursday, May 11, 2006

All Nursing Students

Let’s come together to celebrate the end of another semester
The SNA will be hosting a Root Beer Float social on May 15th 2006 @ 1:00 in the Locke Lounge.


There will also be a free raffle for prizes in addition to the S.F. trip raffle

Wednesday, May 10, 2006

Arent we all adults.

What is the problem?

What is all the commotion about the tea? As far as I know there has only been one meeting and it was a time when I wasnt even at the campus. Why dont we have a meeting directly after the Thursday lecture so that way we are all on the campus, thus making it easier to attend. I think its a little ridiculous the various blogs complaining about the lack of effort and that the previous semester students feel they need to give us talkings too. We are all adults, capable adults, with the ability of organizing a welcoming tea.

Liana, I havent talked to you one on one, but whats gone on, other than the lack of donation money and the episode with the box? Is it anything I, or my clinical group, can help with?

~Jodie~

Monday, May 08, 2006

welcoming tea???

I think that if you would mention more about the tea in class on thurs you will get more participation and more students to help out. I don't think that just putting it on the blog is going to cut it because I personally haven't checked the blog in a while, and as we all know the semester is winding down and everyone is stressed and busy, so maybe mention when the next meeting is going to be in class so everyone knows when it is in in additon to posting it on the blog.

welcoming tea meeting changed

I am going to change the meeting to 4:00 so this way it will give everyone a chance to attend the meeting. This will be an important meeting with alot of information. I will have a list of tasks that people can sign-up for to help. This will be going around at the meeting so be sure to come and sign-up for something. This time will also give people in pharm plenty of time for dinner and a study session before ATI at 7:30. hope to see you all there.

Sunday, May 07, 2006

Tony,I am so very proud of you for speaking up about the welcoming tea. I have advocated for those helping every time that I run into a first semester student...one person told me her excuse for not helping was that...."let the younger ones do it." Are you kidding me?! It is so very hard to do this job, and I know, because I did it for you all..this with school, work, children and life...so there should be no excuses.I agree as you say, for what reason do we become nurses...one of the most unselfish proffessions around, yet some sit on the sidelines watching your fellow classmates practically beg for help? Absolutely sad and so very uncalled for...you all need to play a part and help with the planning and putting on of your responsiblites..the welcoming tea, is ALL of your responsiblity...please remember how you all felt the day of the tea.Those of you not participating should be ashamed of yourself, your excuses will never get you anywhere in life, or your career in nursing...lesson number one..take responsibility, and as you will learn in nursing five...giving of one's self is one of the greatest things you can do for that patient, and you will soon find..that giving of self, is a gift that you are giving to you as well.

ROOM FOR RENT - GREAT DEAL!

14 minutes drive from Delta college. it's a brand new gorgeous home with
2 bedrooms for rent in a 4 bedroom Home. It's safe and quiet great for studying.
close to HWY 5 and Louise exit. Females only/Sorry No pets. Rent is $395/ month.
Please call 510-520-9626 for more info.

Saturday, May 06, 2006

Welcome Tea: A Different Perspective

How many of us have used each other as a support system and learning resource even when you did not know the other student personally?
How many times have you checked the blog for information?
Who knew what was needed for our PDA’s?
How many times have you sought out the guidance of an upper classman, tutor or instructor to help with studying and preparations for the test?
How did you know who and how your clinical instructor would be?
All of these were introduced at our Welcome Tea.
I know that for me, meeting the other students that would be in my clinical group and having a chance to chat and get to know them outside the classroom, was the high point. Some of us are confident walking into a team environment not knowing other members of the team but most of us, when given the opportunity, would prefer the introduction.
This Welcome Tea is not just a cheesy production or an opportunity to out-do other classes. It is an important opportunity to introduce new, first semester students to the resources and support system that was passed on to us; and that we have all used in one form or another.
Although Liana has accepted the responsibility to coordinate the Welcome Tea FOR US, we need to practice the art of giving of ourselves. We all know by this point that nurses get paid good money for a difficult job and a lot of responsibility. What makes it all worthwhile is knowing that we can make a difference and we have the opportunity to do that now.
Donations can be offered with money, time or even supportive interest – whatever works best for your stressed-out, demanding schedule; we’re all in the same boat!
Please come to the next Welcome Tea meeting on May 15th at 3pm after the SNA Rootbeer Float Social (or have someone represent for you) to see what the specific needs are and get signed up. Ideally we would have at least one person from each clinical group. The more people that sign up, the less responsibility we carry individually. If you can’t make it, please email your interest.
This is our chance to Pay It Forward!

Thursday, May 04, 2006

San Francisco Trip

Win a night in San Francisco at the 4 star Condo, Club Donatello
In the business district, one block from Union Square
On May 15th at the SNA meeting a raffle will be held for a nights stay
at this beautiful condo. Value of up to $250 night plus $30 for 24 hr.
valet parking. You can win this for just $5, and the proceeds will go
to the SNA. The winner must use the time during this summer break for
a well-deserved weekend. Club Donatello is booked up for every weekend
to August but I reserved two weekends in July and 1 weekend in June.
If the winner cannot use the dates reserved, arrangements can be made
for another date. The cable cars will take you to Fisherman’s Warf,
China town, and other attractions. Many attractions are within walking
distance, taxis are plentiful. World-class restaurants, theatre plays,
shopping, and clubs surround the area. Club Donatello, features a nice
exercise room, gorgeous marble Jacuzzi, steam room, fine dining,
clubroom on the top floor offers relaxation or watch the large TV. Sit
on the outdoor patio on the top floor with a view of the city. Many
weekends’ jazz and piano are played in the bar on the second floor.
The room is nice with small refrigerator, stereo, TV with cable,
couch, table and chair. Most rooms have these amenities but changes
from room to room. When you arrive you will be greeted by the valet
parking attendant and the bellman. Room service, maid service,
concierge service can assist with your needs.
The winner will be contacted with tips of making the most of the
weekend.
You can buy your ticket at the SNA, give the money to someone else to
purchase your ticket or contact Mikehayley@sbcglobal.net for ticket
info.
Good Luck

Sunday, April 30, 2006

Who went to the welcoming tea? You guys had, as I was told one of the best welcome tea's yet, and I challenge your class to top the one that we did for you. The welcome tea is a very special day, do you remember how you felt that day? I am encouraging each of you to donate $5.00 a piece to Liana, your chairperson. If 80 students donated this amount you would all have a total of close to $400.00. This money will be used to buy food, decorations, door prizes etc. Liana...please send around a donation envelope at your next class meeting, I am sure that your fellow students will support this difficult job of planning a reception for 80 students, faculty and hospital representatives. I hope that you will attend the brainstorm meeting as well this upcoming Monday...Liana is going to need help guys..you can not do this on your own. We were obligated to provide you with a special day, as well as pass this torch onto you...please participate and do your share of joining in to share in this responsibility. Thank you all...hope your classes are going well.-Christine Moles 2nd semester

Saturday, April 29, 2006

GET YOUR GREAT AMERICA TICKETS...STUDENT NURSE DAY 2006! $38.00 A PIECE. LEAVE CHECKS, MONEY ORDERS WITH YOUR NAMES ON THEM AT THE NURSING OFFICE..JULIE LANG HAS AN ENVELOPE THERE FOR YOU ALL. DEADLINE IS APPROACHING Y'ALL!!! BE THERE FOR THE FUN ON SAT JUNE 10TH!!!!! I have not heard from any of you folks in first semester...come on and have some fun guys! Bring your friends and famalies for this day of fun!!!

Friday, April 28, 2006

Welcoming Tea

Monday there will be a meeting for anyone who wishes to help with the Welcoming Tea. I am happy to announce that we have a date, so we need to start gathering ideas.

TIME: 3:00 WHEN: MON 5/1/2006

WHERE: ROOM 230 next door to the skills lab.

Wednesday, April 26, 2006

Sociology 1B

Has anyone taken Soc 1B here at Delta? Any recommendations for a good instructor? I've checked out Rate my professor.com already. Let me know what you know! THanks!

Harrison

Monday, April 24, 2006

page #'s for N3 Practice Questions

for anyone wishing to streamline their exam review activities...
1. p.574
2. p.576
13. p.578
14. p.580
21. p.597
22. p.597
23. p.597
31. p.607
32. p.608
37. p.614
47. p.751
48. p.752
55. p.758
56. p.762
57. p.763 *i had to use my Davis' Drug Guide for this one. Did anyone else find support for anything other than (c) Digoxin?
58. p.765

good luck everyone, i know i'll need it.
:)

Sunday, April 23, 2006

Practice Questions & Notes

Richard has practice questions and an outline on docushare for NSAIDS test.
Also I have notes for Gastrointestinal Disorders if anyone wants them. I already emailed them to those who asked last time...
Can you believe only 5 weeks to go?
Oh yeah, don't forget to practice the Pharm ATI; it's not that far off,
Jenifer

Monday, April 17, 2006

Oops I made a Mistake!!!

Hey Everyone...I put up a response to Jodie's blog about what to read for this weeks quiz. I was looking at the syllabus and for this weeks quiz is on Chapter 5 not Chapter 6. Chapter 6 is for the following lecture on community based and Home Care. Sorry everyone!

elizabeth

N3 theory scores

Nursing 3 Theory scores ... Sorry for posting it like this,the link doesn't work.

Student ID Exam1 Exam2 Exam3 Exam4

98-861-2908 50 45 46 48
98-521-5896 43 44 46 47
98-681-2481 46 35 46 45
98-821-3181 45 42 48 45
98-031-4830 35 40 43 44
98-981-4034 45 44 45 44
98-121-3863 42 41 45 43
98-141-3145 46 42 49 43
98-741-4520 47 43 47 43
98-551-3309 45 47 49 43
98-861-3901 47 41 47 43
98-471-2830 41 42 43 42
98-231-2476 40 35 47 42
98-861-4701 44 43 42 42
98-941-5577 49 46 48 42
98-991-4357 46 42 48 42
98-021-5858 39 38 47 41
98-241-3350 45 43 48 41
98-621-2696 48 47 39 41
98-571-3474 43 39 48 41
98-781-3230 46 43 43 41
98-701-3585 44 41 46 40
98-881-5697 48 46 46 40
98-671-3828 39 47 43 40
98-631-5956 43 44 48 40
98-621-5806 43 45 48 40
98-071-3559 49 41 37 39
98-871-5667 38 37 42 39
98-051-5844 42 42 45 39
98-851-2555 39 44 47 39
98-751-5623 43 45 45 39
98-931-5688 38 42 42 38
98-471-2440 47 43 47 38
98-541-5595 45 40 46 38
98-361-3206 45 43 48 37
98-641-5541 45 41 45 37
98-071-2493 44 38 44 37
98-261-5681 41 42 47 37
98-251-2932 43 39 49 37
98-531-2645 43 42 47 36
98-051-4006 39 39 40 36
98-091-5649 43 35 45 36
98-331-5622 44 30 34 36
98-071-4084 43 36 38 35
98-851-5983 50 41 47 35
98-111-5522 45 34 38 35
98-031-5808 38 38 36 35
98-661-2611 46 36 46 35
98-101-2893 41 38 46 34
98-701-3144 38 40 44 34
98-251-4676 37 32 50 33
98-851-3206 40 34 46 33
98-781-3756 40 38 50 32
98-821-5063 40 34 44 31
98-441-4669 39 37 45 31
98-341-4723 46 40 42 31
98-951-5759 38 40 41 30
98-911-4633 32 43 42 30
98-701-4810 42 33 43 25

Sunday, April 16, 2006

SNA meeting coming up!

San Joaquin Delta College Student Nurse’s Association
Announces the next meeting of the SNA on

APRIL 24TH AT 1 P.M.

ROOM 313

PIZZA WILL BE SERVED
PRIZES WILL BE AVAILABLE
ELECTIONS WILL BE HELD

COME HAVE FUN, MEET NEW PEOPLE AND COMPARE CLINICAL EXPERIANCES

THE SNA NEEDS YOU!!!!

SJDC ADN Class of 2007

"watch that video on www.learner.org." -- huh? what video are we supposed to watch?

Friday, April 14, 2006

Page Number

Hey All!!!

Does anyone know the specific page numbers for the book that will be on the next quiz? And if so, where was this info found??

Hope everyone is having a good Spring Break! Except for you Austin.

Rupert-I received an invitation from Dameron about the job fair/dinner thing. You should've got one too. Let me know if you need the info.

~Jodie~

Tuesday, April 11, 2006

Nursing 2, Exam 2

Hey guys, I was unable to view Shelba's study guide for exam 2. Can somebody post it for me? Thanks.

Monday, April 10, 2006

pharm

so would anyone happen to know when our pharm grades from the last test are going to be posted? i dont know if i missed when he said they should be posted, but i would think they should be there by now......if you know why or when they will be posted please let meknow...thanks!

Thursday, April 06, 2006

Power Point notes for Gerontology Lecture

I have saved the notes for the Gerontology lecture to a microsoft word document. I didn't post them on this blog because it is 6 pages long. Anyone that wants me to email them a copy, let me know jwilliams914@frontiernet.net

Wednesday, April 05, 2006

Spring break

YEAH! Spring Break. I hope everyone has a good easter. Get lots of sleep and have lots of fun.

Tuesday, April 04, 2006

Today I held a beating heart,too !

Today was a blessed day since I got to experience holding a beating heart in my hands too (Same Sx as Bonnie) ! An awesome experience in which I hope every single one of us can do in this journey. I was even telling my clinical instructor Mr. Meza that I might faint during the Sx; however, he told me to be positive and get the best experience I can get. I didn't know which Sx I will be going to but I got to go to an open heart surgery (CABG - Coronary Artery Bypass Graft). I held the beating heart gently for a few seconds and then the surgeon told me to feel the lung expanding. The Scrub RN let me felt the Aorta beating and everything was so amazing ! I'm still in cloud nine I guess with this wonderful experience !

Sunday, April 02, 2006

sample questions for Pharm

Pharm. sample questions have been posted.

Thursday, March 30, 2006

Study Guide - N2/Exam 1 - Part 2 by Frank

Study Guide - N2/Exam 1 - Part 2 from Frank
4. Be able to select the best responses to patient statements about their experiences and concerns about their cancer and related treatment.
- Best response to pt. statements about their experiences & concerns about their cancer & related treatment ( REQUIRES GROUP DISCUSSIONS)

5. Review information in your text about death and dying. Be able to identify responses to news of impending demise as they are described in the text and lecture material. ( Page 169 Table 10.7)
1. Withdrawal
- Pt. near death may seem to be withdrawn from the physical environment, maintaining the ability to hear while not able to respond.
- The RN should converse as if the pt. is alert, using a soft voice & gentle touch.

2. Unusual Communication :
- Pt. may become restless & agitated or perform repetitive tasks. Unusual communication may indicate that an unresolved issue is preventing the dying person from letting go.
- Encourage the family to tell the dying person, " It's okay to go. I will be fine"

3. Vision-like experience
- Pt. may talk to persons who are not there or see places & objects not visible. Vision-like experiences assist the dying person in coming to terms with meaning in life & transition from it.
- Affirm the dying person's experience as a part of transition from this life.

4. Saying Goodbyes
- It is important for the pt. & family members to acknowledge their sadness, mutually forgive one another, and say goodbye.
- Encourage the dying person & family members to verbalize their feelings of sadness, loss, forgiveness : To touch, hug or cry .
- Allow the pt. & family privacy to express their feelings & comfort one another.


6. Develop an awareness of the effects of end-stage illness on family members, significant others, and care givers. Recognize appropriate responses vs. those that are less than optimal.

1. Family members & significant others entail a holistic approach when planning for EOL (end of life) care. Education, counseling advocacy & support are priorities for pt. & family.
2. Caregivers need support systems to deal with the grief process of the pt. this will ease the physical & emotional stress for the RN.
3. Appropriate response of the RN/Caregiver is to listen to the pt. & family members, even in time of silence it is appropriate to listen to the sounds of silence with the pt., significant other and family members.

7. Review pain assessment, medication practices, and goals of pain treatments. Understand the World Health Organization's schematic for pain control. Understand combinations of medications and therapies than have a synergistic effect to relieve pain. (Page 140)

A. Pain assessment - pain is what pt. says it is, influenced by genetic, psychosocial & cultural factors.

B. 5 Dimensions of pain :
1. Physiologic : (Transmission of Nociceptive stimuli)
- Nociceptive pain originates when tissue is injured
2. Affective : (Emotions, Suffering) Anger, fear, Depression & Anxiety
3. Behavioral : (Behavioral responses) Observable
4. Cognitive : (Beliefs, Attitudes, Evaluations, Goals)
5. Sensory : (Pain perception) Pattern, Area, Intensity & Nature

C. Physiologic Dimension & Knowledge of neural Anatomy & Physiology : (4 steps) Page 133 Fig. 9.2 1. Transduction 2. Transmission 3. Perception 4. Modulation

D. Systems affected by pain (pg 132 Table 9.1) EndocrineMetabolic Cardiovascular Respiratory Genitourinary Gastrointestinal MusculoskeletalNeurologic Immunologic

E. Pain assessment goals : - Describe the pt. sensory, affective, behavioral, cognitive & sociocultural to implement pain management techniques & goals.
1. Sensory component (PAIN) includes :
a. Pattern b. Area c. Intensity d. Nature

Medication Practices (Drug therapy Pg. 136 Table 9.3)
In relation to interrupting the pain pathway :
1. Transduction : Use NSAID'S to block prostaglandin production. - local anesthetics, antiseizure agents (i.e. gabadentin [neurotin]) & corticosteriods - block the action potential initiation.
2. Transmission : Use opioids, blocks release of substance P
3. Perception : Use Opioids, NSAID'S, Adjuvants (i.e. antidepressants) to decrease conscious experience of pain.
4. Modulation : Tricyclic Antidepressants (i.e. Amitriptyline [Elavill]) to interfere with reuptake of serotonin & norepinephrine.

World Health Organization (Page 142 fig. 9.8)
Step I - Mild pain : use non-opioids ( i.e. Aspirin, Acetaminophen, NSAIDS)
Step II - Mild to Moderate pain : use opioids (i.e. Codiene, Oxycodone)
Step III - Moderate to Severe pain : use opioids (i.e. Morphine, Hydromorphone, Methadone)

8. Review the physiology of pain, as well as how complimentary and alternative therapies assist in relief of pain. Be able to select the best definition of pain. Study !

1. Pain is described as whatever the pt. experiencing the pain says it is, existing wherever the pt. says it does.
2. Physiology of pain (pg 133) neural mechanisms by which pain is perceived consists of
4 steps :
1. Transduction
2. Transmission
3. Perception
4. Modulation
Page 150 - Therapies for Pain Relief
!

Study Guide - N2 Ex. 1/ Part 1 - from Frank !!!

Study Guide for N2, Exam 1 by Frank !
1. Review risk factors, screening procedures and warning signs of cancer.
A. Risk Factors : age, foods, genetics, radiation & exposure, weight & physical activity, tobacco use, environmental concerns, communicable viruses
B. Screening Procedures :
PSA Test Begin by knowing your lumps & if they change, rectal bleeding, vaginal bleeding, etc. Biopsy Blood test (CBS's)
C. Warning Signs : [ Caution ]
Change in bowel or bladder habits
A sore that does not heal
Unusual bleeding or discharge
Thickening or lump
Indigestion or difficulty swallowing
Obvious change in wart or mole
Nagging cough or hoarseness

2. Review treatment modalities for cancer, including Chemotherapy, Radiation, Biological Mediators, and Surgery. Be aware of the variety of goals for each modality.
1. Chemotherapy - Destroy malignant cells, Control tumor growth, works best on fast growing cells
2. Radiation - For cure, control or palliation
3. Biological Mediators - Bone marrow & Stem Cell Transplantation, Interferon therapy is the most common. 4. Surgery (Types) - Preventive, Diagnostic, Curative, Reconstructive, Palliative

3. Be able to identify appropriate Nursing diagnosis for patients experiencing cancer treatment. Using Nursing Diagnosis, be able to select the best interventions for a described circumstances experienced by a cancer patient.
A. For Surgery :
1. Anxiety R/T Diagnosis & Intervention (Anxiety is a biggie)
- S/N will educate Pt. on procedures to reduce anxiety
2. Knowledge deficit RE: Cancer
3. Altered Tissue perfusion
- S/N will assist Pt. with ambulation & ROM Exercises
4. Potential for infection due to deficiency in protective mechanisms.
-S/N will :
- monitor VS & Blood count (WBC's)
- will use septic techniques (hand washing)
- will maintain Pt. hydration
5. Potential for injury R/T decrease in platelets

B. For Chemotherapy :
1. Alteration in nutrition less than body requirements R/T Nausea/vomiting
- S/N will educate Pt. on eating smaller portion
- Pt. will eat plain foods
2. Fluid Volume Deficit R/T Diarrhea
- S/N will monitor Pt. daily weight
3. Electrolyte deficit R/T Diarrhea
- S/N will monitor Pt. I & O's
- S/N will monitor fluid & electrolyte imbalance
4. Alteration comfort R/T diarrhea
- S/N will monitor pt. comfort level
5. Altered bowel elimination R/T diarrhea
- S/N will record pt. BM
6. Alteration in comfort R/T chemotherapy
- S/N will monitor pt pain level ... etc... page 57

Study session for N2 test on Monday

There will be a study session for the N2 test on Monday April 3, 2006. It is already posted on docushare. The session will be at 5:00 pm in the North Forum. The questions will relate to cancer, end of life processes and pain related to cancer.

Be prepared to discuss what you what to talk about. Bring your questions.
Caralee

N2 notes for Pain Lec

SLIDE 28
Neurotransmitters inhibit or modulate transmission of pain along the descending pathways. These are produced in the neural synapses, which are located in the brain and along descending pathways.The neurotransmitters we are talking about are endogenous opiods.Endogenous opioids are the body’s own morphine. They increase when you have feeling of well-being, like when you are in love, receiving a massage, feeling no need to worry. Eating fruits and vegetables and exercising causes endorphin production and release by the intestines. Beta endorphin is the most morphine like substance, which is stored in the hypothalamus and the midbrain, and is released during acupressure and massage, and in stress states such as stress, fear, restraint, hypertension, or hypoglycemia. It is also well documented to be released during labor and delivery. It also accounts for person’s performing superhuman feats, such as the mom who lifts the car off her child. It is also referred to as STRESS ANALGESIA.The enkephalains are located primarily in the limbic system and hypothalamus. Many nerve endings secrete enkephalins, which block transmission via the A and C fibers through the presence of Serotonin, the most prominent enkephalin. Serotonin also inhibits norepinephrine, sympathetic repsonses, and inhibits nociception.The final substance is the dynorphins, found in minute quantities throughout the nervous system, but especially in grey matter and the spinal cord itself. They are 200 times as potent as Morphine sulfate.
SLIDE 29
Cutaneous considered superficial, begins with injury to skin, tissue trauma activates histamine, bradykinin, potassium, and hydrogen ion release from extracellular fluids.Cell wall injury causes the release of serotonin from platelets, prostaglandins, and substance P. This pain is often not discretely located—and leads to touch, pressure, and stretch of skin being interpreted as noxious stimuli.
SLIDE 30
Somatic pain originates in subcutaneous tissue, joints, tendons, muscles, and fascia. Associated with muscle ischemia and spasm. Bradykini and histamine release, and C fibers are responsible for transmission. May be difficult for patient to identify, and can be dull, aching, or diffuse. Deep somatic pain stimulates the autonomic nervous system and is associated with nausea, vomiting, and cold, clammy skin.
SLIDE 31
In general the viscera have only sensory receptors for pain. Localized stimulation of pain receptors in the viscera can cause minimal discomfort, but widespread stimulation can cause extreme pain. Visceral pain is the result of compression, distention, or stretching of the viscera in the thoracic or abdominal cavity. Myocardial ischemia or infarct pain is visceral. Visceral pain is generally described as pressure, deep, and squeezing, and may be referred pain. Visceral pain fibers travel to the spianl cord with the fibers of the sympathetic nervous system, which accounts for the association of sympathetic nervous system responses and cardiac problems.
SLIDE 32
Deafferentation pain is considered neuropathic pain rather than nociceptive pain. This is the severe pain associated with cancer.Pain is initiated when damage to the central or peripheral nervous system occurs from the progression of tissue damage associated with the invasion of tumors, thermal damage, or chemical injuries from radiation.Neuralgias and phantom pains are other types of deafferentation pains, as well as lesions from Cerebral spinal accidents.
SLIDE 33
0 is pain free, 10 is the worst you have ever experienced. This is generally effective for adult persons, regardless of language spoken.
SLIDE 35
Remember that lack of physiologic assessment of a response to pain does not mean the pain does not exist. Document exactly what the patient says.Types commonly include stabbing, burning, tingling, numbness, dull, constant vs. only when I laugh. Anything that increases or decreases the sensation.
SLIDE 43
Verbal abilities include the ability to speak the same language, and the inability to speak at all related to dysphasia or intubation.Persons experiencing delirium, dementia, or altered mentation related to psychoactive drugs present a barrier to pain assessment. Coma patients cause us to rely on physical symptomsPublic understanding of pain control interferes. Just say no to drugs, fear of addiction cause patients to attempt to tough it out, and families to argue about too much pain medication.Cultural values and beliefs influence response to pain, but each person is an individual and will respond to pain in their own way.Some cultures see pain as being associated with an imbalance of life, and they wish to manipulate the environment to alleviate the pain.Medical personel may believe an addicted person is just seeking medication. They may believe the person deserves to feel the pain.Health care personnel are concerned about respiratory depression, but this rarely occurs if the patient is complaining of pain. It is unrealistic to tell a person that they cannot have pain relief because of time frame, respiratory rates, and the like. Remember the BRN charge to alleviate pain before it becomes severe. It is your job to discuss pain relief with the physician when the client consistently requests medication before it is due.
SLIDE 47
Morphine provides analgesia, antianxiety, and opioid agonistHydropmorphone—opioid agonists. Shorter duration than morphineFentanyl—IV moderate dose analgesia, epidural provides anesthesia It is 80 times as effective as morphineMeperidine, opioid agonist. One seventh as strong as morphine, it was created to help avoid respiratory depression.
SLIDE 48
Talwin, mixed agonist-antagonist, blocks some and activates other receptorsStadol has agonist-antagonist responses
SLIDE 49
Reduce pain at the site by decreasing inflammation, the causes of pain. Toradol is an injectable NSAID. These work by preventing prostaglandin formation, thus preventing inflammation
SLIDE 50
Antidepressants block the reuptake of serotonin which reduces pain transmission.Anticonvulsants slow transmission of all responses throughout the nervous systemSedative Hypnotics potentiate the action of narcotics
SLIDE 51
Blocks both peripheral and central pathways. Currently, this is the most popular, most abused narcotic pain medication in the world. PO med, relatively inexpensive.
SLIDE 52
Oral—medication must resist stomach acids and be absorbed through the GI tract. Minimal time elapse is 20 minutesTopicals, such as capsaicin, prevent release and depletion of substance PIntramuscular are dependent on absorbtion, so the patient needs to be off the injection site.

HELP !!!

Hi ! Does anyone know Ms. Durston email or tel.number? so I can ask her to reset my quiz. I started taking the quiz at 1800 (3/29) and I was just barely 2 minutes with the questions ( I answered 2), I got kicked out somehow. I tried to log back on but it said I exceeded the maximum times I'm allowed to take the quiz. When I check my grade it states that I haven't submitted the quiz yet! I tried emailing her regarding the quiz but I'm not sure if I had the right one (sdurston@deltacollege.edu) because she hasn't responded as of 0610. Thanks !

Wednesday, March 29, 2006

I need some more input please....Sat June 10th is the Great America Day. Ticket prices are $38.00 a piece which include all day admission to Great America, admission to the water park area, lunch (of chicken sandwiches with hot dogs, beans, chips, all you can drink sodas and all you can eat ice cream favorites), and the picnic area for 4 hours. Who thinks they will go? I need to sell at least the deposit amount within the next 2 weeks to hold our spot and guarantee our picnic area. I will be outside of Java Jitters next Tuesday with reciept books to collect your checks/cash and once I turn in the deposit, I will recieve the tickets and pass them out to you all. I need to know if you guys are truly interested in going....we need at the least 75 people. Thanks..please just post a response with your comment. :) Christine

Grades

The grades for N3 are finally posted