Student Nurse Laura

Orem – "creative effort of one human being to help another human being."

Archive for April, 2010

Week 4 Reading

Posted by Laura on April 28, 2010

  Week 4 Reading

Posted in Day-to-Day, NS 122 - Med/Surg, Reading Schedule, Semester II | 2 Comments »

AVC CNSA

Posted by Laura on April 28, 2010

 

 

 

AVC CNSA

Presents Yesenia Cote, RN

Speaking on Professional Nursing in Antelope Valley

 

11:10 in Room 114 APL Building

This Friday, April 30th

 

All nursing student and faculty are invited to attend!

 

Please Join Us 

to hear from an AVC graduate!

Posted in Day-to-Day | 1 Comment »

In The News

Posted by Laura on April 27, 2010

Module 5 – Chronic Respiratory Illness

Fun finding current research/news on the drugs we need to know for our modules. This link was found through NANDA-I on formoterol and salmetrol – corticosteroids for chronic asthma. Published by the Cochrane Library you can read on it at:

http://www.cochranejournalclub.com/formoterol-vs-salmetrol-adverse-events-clinical/

The plain language quoted:

 “Previous reviews have found a small increase in serious adverse events with both regular formoterol and regular salmeterol in comparison to placebo treatment. This review sought information from trials that compared the two treatments head-to-head, when an inhaled corticosteroid was also given together with the formoterol and salmeterol. Eight trials on 6,163 adults and adolescents were found, but no trials on children. There was no significant difference between the treatments, but serious adverse events were too rare to be confident that the risks are the same for both treatments. Comparative safety studies in children are lacking.”

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Student Nurse Flo

Posted by Laura on April 25, 2010

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2013 Tournament of Roses/Rose Parade

Posted by Laura on April 23, 2010

 

 

Donate to Nurses Float: A small group of nurses are seeking donations to have a float in honor of all nurses in the 2013 Rose Parade. The impetus for this is a nurse, Sally Bixby, who will be president of the Tournament of Roses/Rose Parade that year. This is a unique and historic opportunity to put the profession of nursing on an international center stage. Your financial donations would be appreciate. To learn more visit www.flowers4theflowers.org

They need 15,000 volunteer nurses/student nurses to help put the float together – all those roses!

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Some Study Notes for Exam I

Posted by Laura on April 23, 2010

Some things from our Nutrition Book

Some Brunner notes ABGs Mod 2Notes from Brunner

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Bill Updates

Posted by Laura on April 23, 2010

AB 1111 Regulatory boards –

  • Apr. 19 Set, first hearing. Testimony taken. Further hearing to be set.    
  • Apr. 22 Set for hearing April  22.  (Vote only)

AB 1802 Pupil health: diabetes: insulin injections – Failed Passage in Committee

AB 1051 Emergency Medical Assistance: Diastat – Failed Passage in Committee

AB 2454  Public Health – Passed as amended and re-referred to the Committee
on Appropriations.

SB 1200 Health Care Coverage: School-based health care – Passed, re-refer to the Committee on Appropriations.

If you are watching a bill and want to know its status, use the site below to access your bill by number or by Author. If you go by Author, then you can know exactly which bills your Assemblyman or Senate is lobbying.

http://info.sen.ca.gov/cgi-bin/pagequery?type=sen_bilinfo&site=sen&title=Bill+Information

PS – if you don’t understand why the ANA is in opposition of the insulin and diastat bills,please read the letter by the BRN Attorney Don Chang here: DiastatApril2010

(The way I see it, if this bill passes it will allow unlicensed personnel to administer these medications, and it will change our Nurse Practice Act. We need to protect our Nurse Practice Act.)

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Dr. Louise Timmer

Posted by Laura on April 21, 2010

This is the very delightful, intelligent lady who sponsored me as a Nursing Student in Sacramento Internship (NSSI) by the Association of California Nurse Leaders (ANCNL). Dr Louise Timmer. The office of the ANA/C  is located in the Senate Building right across from the Capitol. Next year you will have the opportunity to win this internship. Check the CNSA website in for more information www.cnsa.org. You need to be a member of the NSNA – our AVC CNSA group. You can join at www.nsna.org

Here is her bio:

DR. LOUISE TIMMER

CCNE (Commission on Collegiate Nursing Education) ACCREDITATION

Louise Timmer has over 30 years of experience as a registered nurse and nursing educator. From 2004 through 2009 Dr. Timmer served as President of the American Nurses Association of California and she currently holds faculty positions at California State University Sacramento, Samuel Merritt University, and the University of Phoenix. After completing her BA in Sociology/Social Work at the University of Minnesota in Minneapolis, Dr. Timmer joined the Peace Corps as a Public Health Coordinator in Panama.  Dr. Timmer went on to earn a Master of Science degree with a major in Maternal Child Nursing from the Catholic University of America, and a Doctorate of Education from the University of San Francisco. In addition to her comprehensive experience in the nursing and education fields, Dr. Timmer has been a speaker at numerous conferences, published articles in a wide variety of journals, and received awards from the American Nurses Association/California.  She is a member of the American Nurses Association, ADCIS (Association for the Development of Computer-based Instructional Systems), and NEA (National Education Association).

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3rd Day

Posted by Laura on April 21, 2010

Today was spent at the ANA/C Office, then back over to the Capitol building to sit in on the committee hearings of 3 different bills.

SB 1051 on Emergency Medical Assistance: Diastat. This was similar to the one on Insulin being given by a school worker instead of a nurse. Taught and delegated by a nurse. As we know, a nurse can’t delegate giving insulin. It is against our NPA. This allows sub-standard health care affecting the safety of the child. What they need is to get school nurses in the school. Again I joined in the “me-toos” in opposition and watched the voting. There wasn’t enough votes to be passed, but will go up tomorrow (the last day), for a vote, but it doesn’t look like they will have enough votes to go through and we will watch for it then.

One of the other items that the ANA was there for was SB  1200 Health Care Coverage: School-Based Health Care. Again I saw the Intern Executive Director from the BRN. She was there watching all the votes on bills that affect the rights and laws governing nurses. Even passing Assemblyman Knight today outside the capitol on the street pulled a hello to the “future nurse” as he recognized me.  (I’m beginning to feel like I’m living in a small town.)

– And our last bill was a good one. It was assembly Bill 2454. This bill is to add school nurses to schools (taking care of all the above bills). This bill proposes to put school nurses into schools by 2020 at a ratio of 1:750. This bill was placed on call.

Tomorrow we will see where everything ended up, and attend the Senate and Assembly Hearing Committees again.

There is one more bill that is a “spot bill” or one that describes only the intent of a bill that will be submitted at a later date. This current bill will be submitted on May 4th to the committee to be heard and voted upon. This bill my fellow classmates will like. Bill AB 2400 will authorize community colleges to establish and participate in  a baccalaureate degree pilot program (with full budge). It is my understanding from the “spot” writer of this bill, that it will allow a student from a community college with this program to complete their ADN there, and then 20 credits more,  receive their BSN! All at the community college at community college prices! This could be signed by the governor this fall if it gets passed!

The baccalaureate degree pilot program will start off in schools currently decided upon. the closest one to Antelope Valley would probably be College of the Canyons, though the schools haven’t been decided upon yet. Feedback from the Deans of  ADN programs in CA who want to participate is still be reviewed. I don’t know if Antelope Valley College is interested in this program or not.

For support to this bill, the ANA is looking for Nursing Students to send a letter or email (email counts!) to the right assemblymen and senate members. When I have all the contact info tomorrow, I will post it and you can send an email or copy a letter I will post to send.  The bill authors, who are Senators and Assemblymen actually keep tract and bring these letters to the hearings. Your voice does count – as it did the other day with the “insulin” bill. People were still talking about it in the halls of the capitol today.

Assemblymen who were in favor of the bills I “me too’ed”, smiled at me during the hearing and said thank you.

So that is what I learned today. Even in the Capitol of this grand state of California, it is still a small town atmosphere, and each person’s voice – no matter how small, counts.

Well that and a complete review again of the Nurse Practice Act!

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2nd day at Capitol

Posted by Laura on April 20, 2010

Today was a big day. We followed a bill that was considered the “Insulin Bill”. AB 1802 introduced by Assembly Member Hall, was in committee today, and voted upon. I had the opportunity to stand before the committee, stated my name and place, (SN- such heavy importance right? 🙂  ) and testified in opposition of this bill. I want you to know I was one behind a verrrry long line of people (nurses, unclassified department of education workers who didn’t want to be responsible for giving children insulin to name just a few) who overwhelmed the committee reviewing this bill. This bill was stopped. I later found out the “rumored” reason it fell flat was due to the Nurses opposing this bill and the presence they made at the hearing today according to our Assemblyman Steve Knight ,who I had the pleasure of meeting today in his office. Check out the images below of my day.

this dog is for Diabetics!

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NPA Advice

Posted by Laura on April 20, 2010

I wanted to share some NPA Advice from The Honorable Tricia R. Hunter during the annual conference of the RN Lobby Days

  • The Nursing Practice Act (NPA) which is the body of California law that mandates the Board of Registered Nurses to set out the scope of practice and responsibilities for RNs. The government is to protect the public. The federal government protects the nation, as the state protects the people –  this is reflected in our NPA.  Her advice? Know your NPA.
  • http://www.rn.ca.gov/regulations/bpc.shtml#2725
  • Each state is different. CA has around eight pages of defined responsibilities of registered nurses. There are other states that have a limited scope of what a nurse can do. California has one of the widest scopes compared. If you are thinking about moving to a new state, make sure you check out their nurse practice act. You may be surprised of what would be considered illegal.
  • Nurses are there 24 hrs a day for the patient in the Hospital. We are the advocate because we know the patient. We must collaborate with doctors on what is really going on with our patient. Remember the standard for doctor’s license is by passing the minimal level exam. Think in your mind each doctor’s order should be looked at, reviewed, and questioned in your mind if this is right for your patient. You are there 24hrs, they aren’t. They will expect you to keep them updated.
  • California doesn’t have “delegation” Laws.  Nurses can’t delegate licensed activities. Nurses can assign tasks of “unlicensed activities”. You need to know your team’s responsibility. A doctor can’t delegate to a RN what a RN can’t do, and a RN can’t tell a LVN to do something that isn’t in their practice act.
  • Read more on who Hon. Tricia R. Hunter is at http://www.anfonline.org/HomeCategory/AboutANF/BoardofTrustees/Hunter.aspx

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1st Day

Posted by Laura on April 19, 2010

After the RN Lobby Days first meeting and listening to the Honorable Tricia Hunter explain the process of lobbying with bills brought before the CA legislature was like being back in NS110, but with real life scenarios.

Even as we had our discussion on the process of bills being introduced; who can write a bill (the author); who can introduce a bill; and where they get their ideas, our session was interrupted by the presence of Senator Gloria Negrete McLeod.

Then, a couple hours later, Brian Stiger, Director, Department of Consumer Affairs on the SB 1111, came in to let us know issues brought forth by the American Nurses Association\California (ANA\C) were revised in the bill, with relief to the lobbying, but with some issues to be still worked on.

California Senate Bill 1111 http://info.sen.ca.gov/pub/09-10/bill/sen/sb_1101-1150/sb_1111_bill_20100412_amended_sen_v98.html

SB stands for Senate Bill, and the numbers are assigned each year – as the bill is handed over the desk. They say, due to the decrease in state budget, there are less bills being passed. The numbers normally at this time could be in the three thousands.

Later I went to the hearing for this bill. I actually sat next to and met, Louise Bailey, MEd, RN, Interim Executive Director for the California Board of Registered Nursing (CA BRN).

Good news! She said they actually take those from Antelope Valley!

 You know, for our license! 🙂

PS – it will now cost $150

More tomorrow!

Posted in Day-to-Day, NSNA - CNSA - ANA/C | Tagged: , , , , | 4 Comments »

Capitol Ground Images

Posted by Laura on April 18, 2010

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Posted by Laura on April 18, 2010

Made it!

Posted in Day-to-Day | 1 Comment »

merlin

Posted by Laura on April 18, 2010

just testing what I can do from my phone. 🙂

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test

Posted by Laura on April 18, 2010

Mobile blogging.

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RN Lobby Days

Posted by Laura on April 17, 2010

The ANA/California RN Lobby Days is where I will be going next week, as part of my Nursing Student in Sacramento Internship. Yea! Road Trip!

So, any of my blogging this week will reflect the happenings there, as well as the legislative practicum in the state capital. 

The ANA/C RN Lobby Days is an annual conference offering presentations and workshops on how the California legislative process works. The  first two days will be attended by RNs, nursing faculty and nursing students from California. The second two days, hosted by CNSA , Stephanie Hohmeister (nursing student from UC San Diego) and I will be attending Senate and Assembly Hearing Committees for bills for nursing practice, education and health care. 

Maybe I’ll meet the Governor!

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Pain Scale 4×6

Posted by Laura on April 16, 2010

pain scale E n S 4×6

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Braden Scale 4×6

Posted by Laura on April 16, 2010

Braden Scale 4×6

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Insulin

Posted by Laura on April 16, 2010

Insulin Chart 4×6 Click on Chart!

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