N4 grades are up. check your academic history at the SJDC website. Congrats to all!

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!!!!

More of luncheon.

Would everyone that has pictures of our class email them to me @ Robbygirl1@mac.com. I think it would be fun to have a disk of pictures...and of course I will make copies for anyone who would like them!

What a nice luncheon! HALF-WAY THERE! WAHOO!

St. Joseph's PM shift!!
Congrats guys...we made it through!!

-Lisa

A couple more pictures

Very sad to see Mrs. Prieto retire!!! She was a super clinical instructor. I know the staff at SJGH will really miss her. Enjoy the pictures :)

Hello everybodyyyyyyy!!! For those of you going into N7 at St Joes...I have some things for you all! I work in SICU at St Joes and I put together some packets of daily documentation, lab results and the glucose "Portland Protocol". The latter, is difficult to get used to at first, the titration of insulin drips can seem complicated, but this protocol has worked very well for the ICU patients and once you get used to it...you will do really great with it. I have a Potassium supplement, and other familiar documents as well. I dont mind meeting with you guys to give you this paperwork and I could go over daily charting with you too...of course I am not an expert, so......DONT BLAME ME!! LOL...I would just like to offer my assistance with the paperwork and the charting to you guys..if you are interested, send me an email and we can meet up before school starts k? Take care..congrats everyone on a job well done this semester! We will all be "together again" on Friday!! :)

To all students...Today I was assigned to go to Family Ties recovery program, and although I learned alot, it was not a pleasant experience. This program is used to teach mothers and mothers to be, how to care for their children and live a functioning life style without drug or alcohol abuse. I learned that as of July 1st, the funding that supports this program will be cut thanks to our elected officials.
If you could help out in any way with donations, the facility will take anything. They are most needy of new born and infant clothing and supplies, although they could use anything such as adult clothing, childrens clothing, car seats, cribs, house hold items, kitchen utencils, and even baby formula.
After July 1st, it will cost the clients $85/day to belong to the program. For most of the clients that is near impossible since many are homeless and do not have jobs.
Please do what you can to help...any donation makes a difference!!!

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

Hello again...hmmm guess who? :) I am posting something to share with you guys...you deserve to know that this very special recognition was recieved by me, but dedicated to all of us :) Below is a copy of my speech, I wanted to share with you all....
I would like to first thank the Academic Senate for the opportunity to receive this award today. Thank you to Shelba Durston who nominated me for this award. Thank you to the wonderful FCHS staff and my nursing instructors who have inspired my creativity, and have allowed me to express my thoughts into writing. Thank you to my husband, my son, my daughter and my sister, without you all, I am but a blank page.
I called the Academic Senate office last week, and was informed that I could speak today, here I find myself, for once searching for words to replace the thoughts within my head. In regards to my writing, I will share with you something one of my fellow classmates said to me the other day, William says to me, “ I admire it that you write so well, I wish that I could say it the way you do. Then write it, and get the emotions out of people that you do.” To this, I will respond by sharing with you all that the greatest compliment received as a writer, is when someone reads your writings, then shares with you their appreciation for saying exactly how they were feeling, but couldn’t find the words. I have been blessed with the talent to express how we all feel not just as nursing students, but as humans. The many trials and jubilations, sadness, joys, fears, happiness, hopelessness, heartaches and hope that accompany life, join me as well as I care for my family, friends and my patients. All of these things have been an amazing experiences thus far, and I look forward to the future allotting me more stories to share with everyone. It is with great honor I accept the lessons that my patients have taught me, in turn it is with honor that I accept recognition on behalf of them, and my fellow students…for it is their voices, I am but an interpreter for us all.
In closing I would like to share with you a quote, one that expresses the hope that I have for each of you, Ralph Waldo Emerson…"Do not go where the path may lead,
go instead where there is no path and leave a trail."
Thank you.

Summer is vast approaching..how incredible time is flying!! Before we know it, it will be....you got it... graduation day!!!! So keep an eye out in Sept/October of this year...we are putting together a "graduation committee"...we are in charge of our own graduation day guys...lets make it one to remember...many ideas are already on the table. I am very excited to tell you all that...the Atherton WILL be available..thank goodness! Thank you to Mary Neville...I threw a tissy fit when they said we couldnt use it, because of construction the month of our graduation :), so I am happy, and am sure you are all as well.

So...enjoy summer, come to Great America..there are still tickets available if you wanna come! Keep your eyes peeled for the grad planning team within the next 5-6 months!!!!

Julie Gornto....and others...here is the website for the summer work exp information. We do not have to re do the orientation, but all paperwork has to be turned in by June 9th. SJDC Internship/Work Experience Home Page

Tim, hey there...how many tickets did you want again? just leave the check with Julie ok? we are gonna have alot of fun!! ;)

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!!!!

HI All!!!

Just wanted to share a funny with you. Have a great Easter/Spring Break!

Question for y'all...

I am looking to get a drug book, I have Davis Drug Guide for my PDA, but I want a book I can actually hold and turn the pages.

Which drug guide do you use? Do you like it? Why or why not.

Thanks!
-Lisa

Hey group!
Here's our pic...Finally =]

Enjoy.

Central Valley Kaiser Hiring events (FINALLY!!!!)

I am so sorry this took so long but I just got the info from her. Pass it on as you see fit.


Central Valley Hiring Event Alert: Anyone interested in joining Kaiser Permanente is encouraged to attend the following dates and times.
~Imaging, Behavioral/Mental Health, Lab, Nursing, Rehab Professionals, Respiratory
All job opportunities with Kaiser Permanente can be viewed on line at www.kp.org/jobs
April 18th, 2006 (8am to 5pm) -Stockton Medical Center
April 21st, 2006 -Manteca Medical Center (8am to 5pm)
April 26th - Modesto (Vintage Gardens/8am to 5pm)

N5 Students,
Does clinical start the week we return from Spring break...that is the week of the 17th?

If you are reading this and you have access to post on 3rd or 4th semester blog, please post the Kaiser info on their blog, please. Thanks.

N5 Students- If any of you would like to borrow or purchase my book you can reach me at rdeyoung585@students.deltacollege.edu

Today I became an ICU Nurse

Today I became an ICU Nurse

Hey guys! I had a job interview yesterday for the ICU at Lodi Memorial. I was officially hired as a student nurse in that department and have been assigned a preceptor who will be training me throughout the rest of the program and beyond. I am in!

Today I did my first ICU 12 hour shift and it was great! I will be going back tomorrow.

Hello there everybody! Saturday, May 27th is the Great America day. They have given us a special price of $23.00 per ticket. I am working with them right now on having a picnic lunch done. I need some input from some of you though...if we were to eat by ourselves, we would be spending alot anyways..they have lunches that range from 9.99 a piece and include all day ice cream and beverages...which sounded more economical to me. They have bigger packages that have bbq'd chicken etc...I will have a vote go out to you all two mondays from now. There will be a voting paper that will have two of the many options, you will pick one and I will collect the votes one week later....the highest amount of votes will decide which lunch option to chose from. The Monday following a flyer will be given to each of you with the price of ticket plus food option and you will tell me how many tickets you want and return the flyer to me, with your money. I hope you all will try to come, I know we will have a fun day!!!! See you all on Monday, the third with your voting options!!! :)

Mike,

Can you send me an invite to first semester blog? I wanted to give them some info. Thanks!!!

Cher
ckjt95@msn.com

FYI....
I have a close friend that is head of HR for Kaiser Permanente. They are having a job fair because they are expanding and need clinical Rn positions filled as well as externs. I will post the info if you are interested.

Cher

Reminder:

SNA meeting

March 27th @1300 Locke 313.

Now accepting nominations for officers.

Does anyone want to sell their med/surg book or have an extra one? If so...here is the email of one student in first semester needing one.... aatiqa@gmail.com Also...anyone in N4 that wants to share their book with current n5 students? If so, please let Mrs. Ippolito know or bring to class on Monday...THANKS!!!!!

Let us look forward to some fun guys....I have arranged special ticket prices for us to all go to Great America for the day, the weekend after we finish up our rotations. I will have a sign up sheet going around in a few weeks so you can tell me how many tickets you want....Let us celebrate all this hard work with all the food we shouldnt eat, and all the rides that make us puke! :) So....save the date and remember we are one semester closer to graduation day!!!!!!!

Here are the Case Studies for the Respiratory System. They are not a requirement but will help you study. Please bring them to the study session on March 28th in L118.

Lewis, et al: Medical-Surgical Nursing: Assessment and Management of Clinical Problems, 6th Edition

Chapter 26: NURSING MANAGEMENT: Upper Respiratory Problems

Cancer of the Larynx

Patient Profile
Mr. Carlson, a 60-year-old white man, was admitted for evaluation of mild pain on swallowing and a persistent sore throat over the past year.

Subjective Data
· States that his symptoms worsened in the last 2 months
· Has used various cold remedies to relieve symptoms without relief
· Has lost weight because of decrease in appetite and difficulty swallowing
· Has smoked 3 packs of cigarettes a day for 40 years
· Consumes 6 cans of beer a day

Objective Data
Laryngoscopy
· Subglottic mass

Physical Examination
· Enlarged cervical nodes

Computed Tomography Scan
· Subglottic lesion with lymph node involvement

Collaborative Care
· Total laryngectomy with tracheostomy with inflated cuff
· Nasogastric tube

Critical Thinking Questions
1. What information in the assessment suggests that Mr. Carlson might be at risk for cancer of the larynx?
2. What diagnostic tests are typically performed to evaluate the extent of this problem?
3. What teaching should the nurse plan for Mr. Carlson before and after laryngectomy?
4. Discuss methods used to restore speech after laryngectomy.
5. What teaching is required to assist this patient to assume self-care after his surgery? What precautions should the patient take because of his stoma?
6. Based on the assessment data presented, write one or more nursing diagnoses. Are there any collaborative problems?

Lewis, et al: Medical-Surgical Nursing: Assessment and Management of Clinical Problems, 6th Edition
Chapter 27: NURSING MANAGEMENT: Lower Respiratory Problems

Aspiration Pneumonia

Patient Profile
Sam, a 27‑year‑old African-American male, was admitted to the hospital because of an uncontrollable fever. He was transferred from a long-term care facility. He has a history of a gunshot wound to his left chest. Following a cardiac arrest after the accident he developed hypoxic encephalopathy. He has a tracheostomy and gastrostomy tube. He has a history of methicillin-resistant Staphylococcus aureus (MRSA) in his sputum.

Subjective Data
· Family says that they visit him regularly and are very devoted to him.

Objective Data
Physical Examination
· Thin, cachectic African American man in moderate respiratory distress
· Unresponsive to voice, touch, or painful stimuli
· Vital signs: temperature 104° F (40° C), heart rate 120, respiratory rate 30, O2 saturation 90%
· Chest auscultation revealed crackles and scattered rhonchi in the left upper lobe

Diagnostic Studies
· Serum albumin 2.8 g/dl (28 g/L)
· White blood cell (WBC) count 18,000/ml (18 x 109/L)
· Sputum specimen: thick, green colored, foul smelling; cultures pending
· Arterial blood gases: pH 7.29, PaO2 80 mm Hg, PaCO2 40 mm Hg, bicarbonate 16 mEq/L
· Stool culture positive for Clostridium difficile
· Chest x‑ray: infiltrate in left upper lobe; no pleural effusions noted

Critical Thinking Questions
1. What types of infectious disease precautions should be taken related to Sam’s hospitalization?
2. What clinical manifestations of aspiration pneumonia did Sam exhibit? Explain their pathophysiologic bases.
3. What antibiotic medication is likely to be prescribed?
4. What is his oxygenation status and metabolic state?
5. What other clinical issues need to be addressed in his plan of care?
6. What family interventions would you initiate?
7. Based on the assessment data presented, write one or more appropriate nursing diagnoses. Are there any collaborative problems?

Lewis, et al: Medical-Surgical Nursing: Assessment and Management of Clinical Problems, 6th Edition
Chapter 28: NURSING MANAGEMENT: Obstructive Pulmonary Diseases

Asthma

Patient Profile
Mrs. S., a 30-year-old African American mother of two preschoolers, comes to the emergency department (ED) with severe wheezing, dyspnea, and anxiety. She was in the ED only 6 hours ago with an acute asthma attack.

Subjective Data
· Treated in the ED previously with nebulized albuterol and responded quickly
· Can speak only one- to three-word sentences
· Is allergic to cigarette smoke
· Began to experience increased shortness of breath and tightness in her chest when she returned home
· Used albuterol MDI (without a spacer) repeatedly at home with no relief

Objective Data
Physical Examination
· Uses accessory muscles to breathe
· Has audible wheezing
· Respiratory rate 34/min
· Auscultation reveals no air movement in lower lobes
· Heart rate 126 beats/min

Diagnostic Studies
· ABGs: PaO2 80 mm Hg, Paco2 35 mm Hg, pH 7.46
· PEFR: 150 L/min (personal best: 400 L/min)

Critical Thinking Questions
1. Why did Mrs. S. return to the ED? Explain the pathophysiology of this exacerbation of asthma.
2. What are the nursing care priorities for Mrs. S.?
3. What are the complications the nurse must be ready for based on her assessment of Mrs. S.?
4. What should be included in her discharge plan of care?
5. Based on the assessment data presented, write one or more nursing diagnoses. Are there any collaborative problems?

N4's
There is a shortage of N5 textbooks at the bookstore. Is there anyone thats willing to sell their N5 textbook or loan their book please let me know.
Thanks

Mosby's Box o'cards

I heard there is a new edition out...Anyone have the new ones yet?
Someone mentioned they'd be at the Barnes and Noble across from school. Anyone know?

Thanks!!
-Lisa

I found these links to be helpful for N5:

For Chemical Dependence (when you make your "drug chart")
www.streetdrugs.org
Street Terms: Drugs and the Drug Trade

I found these sites to be interesting concerning the use of antipsychotic drugs and patient's rights:
http://www.mindfreedom.org/
PSYCHRIGHTS

Also, I just wanted to share this poem with all you guys...

To Be a Mental Patient by Rae Unzicker (1948-2001)

To be a mental patient is to be stigmatized, ostracized, socialized, patronized, psychiatrized.
To be a mental patient is to have everyone controlling your life but you. You're watched by your shrink, your social worker, your friends, your family. And then you're diagnosed as paranoid.
To be a mental patient is to live with the constant threat and possibility of being locked up at any time, for almost any reason.
To be a mental patient is to live on $82 a month in food stamps, which won't let you buy Kleenex to dry your tears. And to watch your shrink come back to his office from lunch, driving a Mercedes Benz.
To be a mental patient is to take drugs that dull your mind, deaden your senses, make you jitter and drool and then you take more drugs to lessen the "side effects."
To be a mental patient is to apply for jobs and lie about the last few months or years, because you've been in the hospital, and then you don't get the job anyway because you're a mental patient. To be a mental patient is not to matter.
To be a mental patient is never to be taken seriously.
To be a mental patient is to be a resident of a ghetto, surrounded by other mental patients who are as scared and hungry and bored and broke as you are.
To be a mental patient is to watch TV and see how violent and dangerous and dumb and incompetent and crazy you are.
To be a mental patient is to be a statistic.
To be a mental patient is to wear a label, and that label never goes away, a label that says little about what you are and even less about who you are.
To be a mental patient is to never to say what you mean, but to sound like you mean what you say.
To be a mental patient is to tell your psychiatrist he's helping you, even if he is not.
To be a mental patient is to act glad when you're sad and calm when you're mad, and to always be "appropriate."
To be a mental patient is to participate in stupid groups that call themselves therapy. Music isn't music, its therapy; volleyball isn't sport, it's therapy; sewing is therapy; washing dishes is therapy. Even the air you breathe is therapy and that's called "the milieu."
To be a mental patient is not to die, even if you want to -- and not cry, and not hurt, and not be scared, and not be angry, and not be vulnerable, and not to laugh too loud -- because, if you do, you only prove that you are a mental patient even if you are not.
And so you become a no-thing, in a no-world, and you are not.

Rae Unzicker © 1984

Dear N5,
As part of the Chemical Dependence module you'll need to attend a 12-step meeting. Here's a Meeting Locator from Narcotics Anonymous so you can find a meeting where/when it's convenient for you.

Congratulations to everyone for passing n4/n5. To those that did not make it through to the end, remember that we will always be here to help you...if you decide to take n4 again, we will be available to you as resources and stand by you 150%. You will have the knowledge to be ahead of the game next time around, and you will get through it. Never more did I realize how much of a benefit we can be to each other than this semester, we have to all work together and supporting eachother. Confucius says, "Our greatest glory is not in never falling, but in rising every time we fall. "

Woo Hoo!!!!

N4 is over and we made it through. Aren't you proud of yourselves??? I know I am. I just wanted to say congrats. That was a challenge was it not?

To any N5'ers: Which books did you actually use for the class. I don't want to buy any books that I don't really need and that will just get added to "the pile". I would appreciate any input!!! Thanks and Good Luck in N4!

Hi! This is Anton and I'd like to know if there is any of you who would like to exchange clinical sched with me for Nursing 4. I am supposed to have it at the county hospital with Prieto on a Thurs. & Wed. from 6:30 am -4:00 pm. I would like to swap hopefully with someone who is taking it at St. Joe evening clinical. I know it's kinda late for me to realize I'm not a morning person but just in case let me know through my email bmena1023@yahoo.com. Thanks

EKG Class Grades

EKG Class Grades

The grades for the EKG class have been posted.

Today I Held A Beating Heart !!!!!!

Today I Held A Beating Heart !!!!!!

What a way to spend the last day of N7 clinical,
Shoulder to shoulder between 2 doctors performing a triple bipass (CABG).
After the chest was opened and the pericardial sac opened, I was allowed to reach inside, sliding my hand between the pericardial sac and the pericardium, until I was underneath, and then I lifted this warm and heavy heart up from the cavity while it continued to beat, and I held it in my hand!!!!
WAY COOL!!
I am still in awe of the whole experience.
This is how Jane G. and I spent our last clinical day!
It took over an hour to get the patient prepped and the room ready. The doctors came in at 0800 and the heart was in my hand at 0845.
The surgery was completed at 1200.

Good Luck to all on your finals!!!!!!!!

the ekg summer class holds on wed/thurs from 9-11.

summer ekg class>>>>course code number 90838 from June5-22nd I will post meeting time when I get it.

oopsie daisy...LOCKE guys (Thanks Kris) also...what is the schedule in N5 guys? Do we get the first three weeks off of clinicals, so our clinical days are free then until we start yes? I am trying to plan work schedule..thanks so kindly...see you all soon;)

ATTENTION ATTENTION.....information n4/n5 swap aka the "Sharing circle" ;)...will be next Friday....The 17th (LUCKY DAY) we will be meeting at the circle pond outside at the end of the stairs of Shima ( by Java Jitters) at 12 pm....I will send Julie Kay an email and ask if we can go inside to the skills lab, if not...we will find somewhere to go. SEE YOU ALL THERE!!!!

N5ers...
I need some help.
The chemical dependency modules...are those turned in to our clinical instructor or Mrs. Ippolito?
Gracias!
-Lisa

Animation Activities guys this is a GOOD animation site..there are 2 renal animations with post tests...check it out if you are visual like me..this is awesome!

NurseWeek: Service with a Smile I just thought I would prove to all those doubting my dream of being a Disneyland nurse..the job does exist...work as an RN Monday through Friday in Disneyland and work one weekend a month as Cinderella in the parade, can it get any better than that? Just curious if anyone has any other interesting RN jobs that they have heard of??? Let's keep us all motivated with laughter!

National Kidney Foundation

N4
Those of you going to N5 with course code 63875, can one of you tell where our clinicals are???
When I looked it up, it says TBA.
Thanks

Attention all n5's and n4's (so I guess that would be all of us ;)....shall we plan an hour meeting to share hints and helps for the swapping of classes soon? I know we have lots of hints, tips, and THE note CD.....I am sure ya'll got some stuff for us too....when is a good time guys? The Friday after finals from 11-1? Let me know if you guys are interested, I will be there...hopefully you guys remember the pact we made in nursing one haha....see you all soon!!!

Wandering Post from Fazia
N4
Can someone tell me where to turn in the care plan. I know its shima but don't recall the room. So much for paying attention to details huh........
See you monday
Nine more days Yeah!!!!!!

Fazia, I have found and returned your post to its rightful home LOL. Good luck on your finals!!!!!!

Would anyone who's in N4 be willing to share the study guides for at least the first test - any others would be greatly appreciated?! (Or is there a place I can find it?)

THANKS!
-Lisa Stephenson

Care Plan Helps

Care Plan Helps

Here are some links that can help you with your Nursing Diagnoses and Care Plans.
RN Central
Care Plan Constructor

Critical Care Tutorials

Critical Care Tutorials

Hey all,
These tutorials really helped out in N7. Even though they say Critical Care, they still have the basics backed up with simple physiology and easy to understand concepts. It's a lot easier reading than our text books so check these out for N4 too. They get right to the point and will not take a ton of time to read.
Sorry this is so late for you just finishing N4 but I only just found this site. There are some good pictures and flow charts.

Critical Care Tutorials

I thought I would make everyone laugh today.... On the way to clinicals yesterday am at 515 in the morning, I am following one of those state vans, with all the advertisements on it about "adopt a highway" and "let's keep Californias highways clean" etc.... So..at the stop light I am sitting there behind this "CLEAN CALIFORNIA" billboard and out of the window of the passenger side of the truck flies a whole ashtray full of cigarettes and a cup!!!! Can you believe it?!! I thought it was hilarious, even though it was so WRONG...haha I thought you all would find that ironic too.....Hope everyone is doing good...by the way in about 6 months I would like to put together a graduation planning team...let me know if you are interested!!!

Carotid Endarterectomy

National Kidney Foundation: A to Z Health Guide Item

ATTENTION ALL N5 STUDENTS......

Hi guys..we miss you over here in 4..hope all is going well. I would like to tell you all about a video that is avail in the skills lab for the neuro assesment...it is an absolute PERFECT video to watch BEFORE you do your assesment...hint hint BEFORE you do it...watch it...some of us were unaware that it existed and watched it after the fact soooo....just passing along the info.

K byeeee

;) Christine

For those of you who did not get a study session on Neurology here are some key points that may help you study for the test.

I. There are two types of strokes or Cerebro Vascular Accident (CVA) pg. 1528 in Medical Surgical Nursing Book Table 56-2
1. Ischemic- more men than women-onset during or after sleep
2. Hemorrhagic-more women than men-onset during activity

The causes: Atherosclerosis (hardening of the arteries), atrial fibrillation, HTN, etc.
The main nursing diagnosis for a stroke: Ineffective tissue perfusion (cerebral) pg. 1537
Nursing assessment table 56-7 pg 1536

II. On page 1531 is a Fig. 56.6 which is manifestations of right-brain and left-brain stroke. Read this. Table 56.4 has the diagnostic studies for a stroke pg. 1532 & pg. 1533 has a table for Stroke care.

III. Make sure you read the tables in Chapter 56. If there is something you don't quite understand then read the subject matter.

IV. pg. 1550 Table 57-1 is on the different Types of headaches READ this as well as the Nursing assessment table on pg. 1553.

V. pg. 1556 Table 57-6 Classification of seizure disorders. Pg. 1558 management of tonic-clonic seizures.

VI. Know the difference between Multiple Sclerosis (MS) which is characterized by chronic inflmmation, demyelination, and gliosis (scarring) in the CNS, Parkinson's Disease which is a slowing down in the initiation and execution of movement (bradykinesia), increased muscle tone (rigidity), tremor at rest, and impaired postural reflexes, Myasthenia Gravis which is an autoimmune disease of the neuromuscular junction characterized by the fluctuating weakness of certain skeletal muscle groups. The primary weakness is seen in the face (eyes, eyelids, chewing, swallowing, speaking, and breathing) and chest. ALS, Huntington's disease

VII. pg. 1582 Table 58-2 has information on Delirium, dementia, and depression. Know the clinical manifestations of dementia which are on pg. 1585 Table 58-4.

There will also be a Neurologic Signs & Symptoms video available to anyone who wants to watch it in the office. If there was a subject that your instructor focused on during lecture, study it.

I hope this helps. Good luck everyone!

Fernisa Sison
Instructor

For all those N4 students who still want study sessions here is the rest of the dates and subjects to be covered:

Feb. 28, 2006 Locke 421 Genitourinary 11:30-12:30
March 7, 2006 Locke 421 Endocrine 11:30-12:30
March 14, 2006 locke 421 Musculoskeletal 11:30-12:30

I am available Mondays 8:00am - 10:00am & 1:00 - 3:00pm
Tuesdays 8:00am-11:00am & 12:45- 3:00pm
Thursdays 8:00am-11:00am

Also by appointment. Locke 421 has been secured for these dates and times.
Please feel free to call (209) 954-5492 Office Locke 214
Fernisa Sison

Hey there guys...does anyone like to write? I know you may love to write, but finding time is about...uh...not happening huh? If you are interested, check out the below attached from the editor in chief of MODRN nurse magazine....good luck! Email me if you need her web address :) Did you like the February issue with your That's Life; Cancer Unit experience? March has Why you wanted to be a nurse and the Ultrasound experience. and April will have another experience from you. But I need stories from other students or new nurses about why they became a nurse or first experiences. I hope you have some friends that can send me their stories, and I need one now. as I am working on the April and May issue. I really appreciate your sharing your thoughts and experiences with others. Thank You, Barbara Brown, Editor-in-Chief, MODRN Nurse

NEURO - CNS - PNS - HEAD INJURY AND SURGERY
Here are some neuro practice test links for you.
Stimulating Coma Test
Nervous System Assessment Test
Test-Brain Problems
CNS trouble Test
Neuro Test
PNS Test
Seizure Test
Alzheimers and Dementia Quiz
Chronic Neuro Problems Quiz
Stroke test
ICP Neuro quiz
Another Neuro test
ICP and Head Injuries test
ICP and Cerebral Bleeding test
Brain Attack test
Cranial Conundrum test

N4 Neuro study session on Feb 13 at 10:30 will be in L228. The quarters will be tight and if they need the room we will have to find another location. It is the best I could do. Caralee

Welcome back everyone! My office hours are :

Monday - 8:00am-10:00am
Tuesday - 8:00am-11:00am
Thursday - 8:00am-11:00am

If you need help with something come by my office in Locke 214 or call 954-5492
Every Tuesday (except February 14th) I am in Locke 421 from 11:30-12:30 for review/question answer/study sessions. Everyone is welcome.

If you are having a problem with Dimensional analysis give me a call and make an appointment with me. My door is always open to students.

Fernisa Sison
Instructor
(209) 954-5492
Locke 214

Hi future nurses...

The clinical companion to Lewis has come out with a PDA version. It has the quick access to over 200 commonly encountered medical- surgical disorders, treatments and procedures. It covers the patho, clinical manifestations, complications, diagnostic studies, collaborative care, Nursing management and goals, nursing diagnoses, interventions, and patient teaching. Lots of stuff for the price. A quick study for the fast pace of clinical.

The Mosby Elsevier ISBN is 032031994. It is only 39.95.

The book ISBN is 0323018963 and is 34.95

This is a great way to be ready for your instructors questions about your patients. Being prepared is the key. Remember they what to know what is your plan for your patients.

I hope all is going well. I miss you all. If any one needs assistance, the door is always open. My number is 954-5493 Locke 222. Drop by and chat.

Lots of luck Caralee

Anyone know how to get in contact with Mrs. Prieto?
Or Mrs. Aragon?

I need to get in contact with them ASAP.

Thanks! -Lisa

Check out the new FDA approved fast acting insulin, Exubera.
http://diabetes.about.com/od/insulinpills/a/Exubera.htm

Fat Wallet Syndrome

Fat Wallet Syndrome

Has anyone ever heard of this? This is what my husband was just Dx with, and no .......it does not mean he has a lot of money. He has been having pain and numbness in his left leg and has been getting phys, therapy for quite awhile. Well, they just figured out that his wallet is the culprit. He has been carrying it in his left back pocket his whole adult life. Years of sitting on a wallet and compressing his sciatic nerve, has caused him to have numbness and pain to the point of limping. This is a new one for me. Needless to say, he has changed pockets.

N4Students Please Tell me....

Which week did you start clinicals?
When do you preform the physical assessment that is graded?
And please tell me about the second week of N4 (last week).

Thanks thanks!!
-Lisa

Please come to the first ever nursing PDA party!
Wednesday, 1600 - 1700ish in Locke 314!
I know this is last minute, but please get the word out. If you have a PDA or are thinking of getting one, this is the meeting for you. PDAs are new to us all. These are the medical items of the future. Hospitals are being rewired to accomodate their use. Some of us have had a couple of semesters head start in learning some of the ropes. I am figuring out new stuff almost every day, so come on and share what you have learned with the rest of us. If you are wondering about which one to get or which programs to put into it, this is the meeting for you.
These are fantastic devices that will help keep you organized with your information at hand.
Bring your questions, your knowledge, your programs, your laptop or anything else that you can think of.
This will be an informal show and share session. Hopefully we will be able to have more of these in the future. Please give your input on how we can make these sessions better. Get the word out to your instructors. Many of them are starting to use handhelds too.
If there is a lot of interest, we will have more of these sessions.

PDA party!!!!!
Tomorrow locke 314 @4:30pm.
Bring your PDA and all your questions regarding your PDA.
One great way to get your questions answered.

Hey there y'all.....Feb 15th is family night for the first semester students. Please come to volunteer if you can at 6:30 p.m., Mary Neville needs students to help with cookies, the skills lab etc.

Come on guys...we are all tired BUT...... :)

Thanks!

Christine

Good Luck N4s on your first test!

I have been called in to work on Monday and so will not be able to make any of the study groups or SNA meeting that day. Sorry! If anyone wants to reschedule, for another time let me know.

Hey Christine, I am carrying around a new and improved CD for you. Compliments of Debbie. Remind me the next time that you see me. BTW I can meet you at school on Fri after my clinicals if 1500 or thereabouts isn't too late.
I would love to play with the IVs too! I have a thing for bubbles (air in the line).

Reminder:
The first SNA meeting
for the spring 2006
semester will be this Monday January 30th

@ 1300 in Locke 313.
Please join us to share ideas, free pizza and raffle prizes.

Lindsey,
Would you please bring a copy of your CD tomorrow
Thanks

Hey Lisa, How do you post your picture into your profile?

Study Group
I want to start a study group for N4. Meetings will be on tuesdays from 11:30am-12:30. Place is yet to be decided.
Let me know if you're interested
See you all monday

N5 Group!

I was just curious about the quizzes? How many questions and how long do you get to take 'em?

Thanks!
-Lisa

Getting Lectures from your PDA onto a CD
How do I keep my lectures to hear again? How do I get them safely off my PDA and onto my computer or a CD? If you have done this, please share your info on how you did it please.

Can someone tell me what the reading assignment is in the health assessment book(what pgs).

BOOKS FOR SALE CHEAP CHEAP!!!

Brand new Lewis Med/Surg still in wrapping, bookstore price 105.60 YOUR price.... 80.00

Brand new Lehne Pharm book still in wrapping price at bookstore 74.60YOUR price....50.00

Brand new Wilson health assessment book still in wrapper 79.90 at bookstore YOUR price....60.00

Please call if interested 209-547-0460

Thanks!!

Christine Moles

Hi Mike, I am trying to purchase the Constellation package for my PDA and I have a few questions. Will you please call me @ 327-1498.

Thank you,
Lindsay Rempfer

Anyone registered for 61013(nurs4), do we meet in locke 118 @8am tomorrow????
Let me know
Thanks

Attention N4 Nurses
I went to Borders and and asked them to stock more of the yellow box of Mosby study NCLEXRN cards. They said that they will and have put in an order for 15 boxes. In the meantime, I bought their only box. If anyone is interested in buying this box from me, let me know (it's is still in the wrapper). The total after tax is $32.35.

There is a 1st semester nursing student who has a room(s) or house (4 bd, 2.5 bath) for rent within 5 minutes of the school. If you are interested or know of anyone else who is looking to get closer to school, let them know.
Her name is
Vicky Nieva
C (925) 642-9740

OK, really fast.
Just a humorous view of the kind of work ethics that we do not want to exhibit as nurses.
http://john.jdowning.com/nmj.htm#diff
Look at the picture at the top of the page.

The new blog has landed.
http://www.sjdc07rns.blogspot.com/
Fazia, do you know how they are doing on their invites?

ATTENTION...ATTENTION

Friday the 13th of Jan (tomorrow) at 1030 am in the skills lab (tentatively) the semester ahead of us (our private mentors ;) will be there to give hints, tips and heads up for n4 and n5. See you there!!!!!

NEW KIDS
Does anyone know if the new semester nurses have started their blog yet?

Attention Section 84234 : Thurs./Fri. County Mental Health with Brummitt
I am interested in meeting people from my clinical group for study sessions..any out there?
Miranda

Textbooks for Sale!! CHEAP!
Available Now:
Medical-Surgical Nursing, 6th ed. Lewis
Pharmacology for Nursing Care, 5th ed. Lehne
Health Assessment for Nursing Practice, 3rd ed. Wilson
Fundamentals of Nursing Study Guide, 6th ed. Ochs

I will beat the Campus Bookstore "USED" prices!

I realize that most of us on the blog won't need these texts, but if you know any incoming students who may benefit, please pass the word on.

Contact: (707) 246-8420 Miranda

Wow!!! What an awesome job today everybody! Thank you so so much to all who contributed montetarily and those who were able to make it to the tea today!!

It was quite the success..the new students felt very warmly welcomed, and at the end seemed very excited to start the new chapter of their lives as student nurses!

Thank you to those of you who got donations for the raffle prizes as well!!

You are all incredible people, and as I mentioned at the tea...some of the best friends that anyone could ever ask for.

Wishing you all success as we move on down the road to nursing 4 and beyond!!!

Your friend,

Christine

Attention Bonnie and Debbie...

I am curious to know if you recommend buying all the books for N4 and N5 that are recommended? Did you use them? Where they helpful?

Also, I was curious if y'all had those study notes thingys you said you might get together. (I'll take all the help I can get!! Ü)

Thanks for all you two do!
-Lisa

Tanya Golden..hello there, I tried to call you back..I think we keep missing eachother..please come on Monday and help with the food, I would greatly appreciate :)

Dan...Hi there...hope you are well, got your message. Good luck on orientation and will see you soon..dont worry ;) and thanks for doing the invites

Anybody else have questions, please call me at home 209-547-0460..thanks all!

Hello everybody!!!!! Just a quick reminder...please come and join us at the welcoming tea this Monday (the 9th) from 10-12. Please join us in the morning as early as 9 to help set up and greet students. PLEASE PLEASE come in uniform (this is a request of our director). I need someone to please read the raffle numbers and hand out prizes..please if you are interested send me an email and I will put you down to do that. Thanks guys..oh PS we are going to have soup, salad, drinks and desert..nice huh? Thanks to you all for your donations, its going to good work! : ) see you all soon!!!

I'm back
I just got back tonight from So. Cal. I will be at school every day starting tomorrow if you need to reach me for anything.
Cell (209) 329-1369
bboss947@sbcglobal.net

Mike,
I need your help.......I got a new laptop and don't know how to transfer my nursing stuff from my old computer to my new computer. I misplaced your #, please call me @home 477-6250
Thanks
Fazia