Student Nurse Laura

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

Archive for December, 2010

ACLS

Posted by Laura on December 30, 2010

Yea! Another Certification!

Advanced Cardiovascular Life Support

I took the ACLS class at Life Support Associates in Acton, CA and and passed my test! The CD comes with a good pre-test you are required to take, but I also liked the ACLS-Algorithms.com site.

The algorithms are a great way to help understand the priorities and what works with each condition.

follow to AHA

A couple days of self-study, two days of classes and examination and I now have a card – but am I really capable of the skills this card says I am? No, not really, but I’ll know the processes and can be an effective team member.

I was listening to a song on my way to the examination, “Leave no stone unturned, leave your fears behind”.

I think this goes well with the nursing program!

The music bar links to a cycle of their songs

lyrics

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Please excuse my mess as I play with the format : )

Posted by Laura on December 24, 2010

Posted in Day-to-Day | 2 Comments »

RN, LVN or UAP – What can you do in CA?

Posted by Laura on December 23, 2010

I spent the day looking at the BRN web site for CA focusing on our Nurse Practice Act and what can be delegated to LVNs or UAPs.

There is no easy official list to go by located there, though I did get a reply back from Miyo Minato. Read the rest of this entry »

Posted in Concepts, Day-to-Day | Comments Off on RN, LVN or UAP – What can you do in CA?

My bookmarks for 4th

Posted by Laura on December 22, 2010

Lecture bookmarks I’ll be adding to them as the semester comes closer

Posted in NS 240 - Professional IV, NS 241 - Med/Surg II, Semester IV | Comments Off on My bookmarks for 4th

What a little food will do

Posted by Laura on December 21, 2010

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Intersession

Posted by Laura on December 19, 2010

Another Semester has finished and I am on to my final semester

4th Semester

Through the 3rd semester, I didn’t seem to put as much into my posts on concepts. The 3rd semester being broken into Psych and Peds was different. I did get my PALS, which I feel we should know – just to be on the Ped’s floor.

Now that intersession is here, I will have my ACLS; applied to RN-BSN programs; Precept in PCU at AVH; and have study-ed up on different subject matters for 4th.

One of the things I’ll post on during intersession will be a daily (I will try), NCLEX testing. I am using my iTouch NCLEX review app from ATI. It randomly provides 30 questions. Today – my start, gave me 63%. (not passing!) Hopefully by the end of intersession I will get at least a 70%. I saw this on another site and thought it was pretty interesting. Many of the questions I’m answering will be over material I haven’t seen yet. I’ll use the first post (Sticky) to have a chart of my scores.

I will also post about Precepting.

If you have any Precepting experiences you would like to share – Comment here.

We all learn from others experiences – just leave out any identifying  personal attributes to patients. It should be about your learning experience – not on your patient.

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Listing of Nursing Diagnosis

Posted by Laura on December 17, 2010

You can find the Nursing Diagnosis listed under the Resource Tab. There is a word.doc 4 pages, and a set of 8×5 cards.

Posted in Resources | Comments Off on Listing of Nursing Diagnosis

NSNA’s 59th Annual Convention

Posted by Laura on December 13, 2010

NSNA’s 59th Annual Convention

April 6-10, 2011
Salt Palace Convention Center
Salt Lake City , UT

Visit Salt Lake City, UT! 

Salt Palace Convention Center

Keynote Speaker: Patrick Hickey, PhD, RN, CNOR

Endnote Speaker: Rumay Alexander, EdD, RN

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Just a few more images

Posted by Laura on December 13, 2010

These images are of the setup of the Luncheon of the Fall 2010 graduating RN program and of their Pinning Ceremony. Our class, SNAC Spring 2011, helped with set-up, take-down and some fundraising sales. Many of these  images were to give us an idea of what to expect in our ceremony come Spring 2011!

This slideshow requires JavaScript.

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Palmdale Regional Medical Center

Posted by Laura on December 13, 2010

This is a picture from our school’s tour of the new hospital in Palmdale.

Front row, left to right: Stirlie Cox, Victoria Beatty, Casey Scudmore, Dean Cowell, Professor Marianne Stewart, Maggie Coro, and Denise Walker on the right end.

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Clinical Group Picture

Posted by Laura on December 12, 2010

Pediatrics has come and gone. The whole 3rd semester is past. We are now ‘officially’ the 4th semester group!!

Our clinical group of 10 was lead by Pediatric Nurse, Cindy Bullard at Antelope Valley Hospital, Lancaster, CA.

Names right to left: Laura, Vicki, Cindy, Lisa, Brandi, Marcelo, Kendra, Darleen, Angelica, Jennifer, Kristina.

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Images of AVC CNSA graduates Fall 2010

Posted by Laura on December 11, 2010

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Names of individuals in images: Instructor Bonnie Curry, RN, MSN; Laura Barron, Co-President AVC CNSA, Courtney Glantz, Co-President AVC CNSA; Graduates of Fall 2010 AVC ADN program: Maria Fatima P. Bustos, Samantha Chavez, Evelyn Delgado, Rocio Diaz, Michele Forness, Kristie Hier, Brandi Hill, Nicole Hollinger, Michelle Kemp, Laura Maluccio, Jackie Merino, Karin Meyers, Hope Ryan, Jade West

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AVC CNSA Recognition

Posted by Laura on December 11, 2010

AVC CNSA

recognized the following individuals at their Luncheon yesterday with Certificates of Membership and a NSNA Graduation Cord:

Maria Fatima P. Bustos

Samantha Chavez

Evelyn Delgado

Rocio Diaz

Michele Forness

Kristie Hier

Brandi Hill

Nicole Hollinger

Michelle Kemp

Laura Maluccio

Jackie Merino

Karin Meyers

Karla Parada

Hope Ryan

Jade West

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What’s your sign?

Posted by Laura on December 5, 2010

(http://nursingcrib.com/nursing-notes-reviewer/maternal-child-health/hydrocephalus/)

When looking up Macewn’s sign, I found all these sign definitions at http://medical-dictionary.thefreedictionary.com/Macewen%27s+sign

Abadie’s sign insensibility of the Achilles tendon to pressure in tabes dorsalis.
Babinski sign 

1. loss or lessening of the triceps surae reflex in organic sciatica.
2. see under reflex.
3. in organic hemiplegia, failure of the platysma muscle to contract on the affected side in opening the mouth, whistling, etc.
4. in organic hemiplegia, flexion of the thigh and lifting of the heel from the ground when the patient tries to sit up from a supine position with arms crossed upon chest.
5. in organic paralysis, when the affected forearm is placed in supination, it turns over to pronation.
Beevor’s sign 

1. in functional paralysis, inability to inhibit the antagonistic muscles.
2. in paralysis of the lower abdominal muscles due to a spinal cord lesion in the region of the lower thoracic vertebrae, there is upward excursion of the umbilicus on attempting to lift the head.
Bergman’s sign in urologic radiography, (a) the ureter is dilated immediately below a neoplasm, rather than collapsed as below an obstructing stone, and (b) the ureteral catheter tends to coil in this dilated portion of the ureter.
Biernacki’s sign analgesia of the ulnar nerve in general paresis and tabes dorsalis.
Blumberg’s sign pain on abrupt release of steady pressure (rebound tenderness) over the site of a suspected abdominal lesion, indicative of peritonitis.
Branham’s sign bradycardia produced by digital closure of an artery proximal to an arteriovenous fistula.
Braxton Hicks’ sign see under contraction.
Broadbent’s sign retraction on the left side of the back, near the eleventh and twelfth ribs, related to pericardial adhesion.
Brudzinski sign 

1. in meningitis, flexion of the neck usually causes flexion of the hip and knee.
2. in meningitis, on passive flexion of one lower limb, the contralateral limb shows a similar movement.
Chaddock’s sign see under reflex.
Chadwick sign a dark blue to purplish-red congested appearance of the vaginal mucosa, an indication of pregnancy.
Chvostek sign , Chvostek-Weiss sign spasm of the facial muscles elicited by tapping the facial nerve in the region of the parotid gland; seen in tetany.
Cullen sign bluish discoloration around the umbilicus sometimes associated with intraperitoneal hemorrhage, especially after rupture of the uterine tube in ectopic pregnancy; similar discoloration occurs in acute hemorrhagic pancreatitis.
Dalrymple sign abnormal wideness of the palpebral opening in Graves’ disease.
Delbet’s sign in aneurysm of a limb’s main artery, if nutrition of the part distal to the aneurysm is maintained despite absence of the pulse, collateral circulation is sufficient.
de Musset’s sign Musset’s s.
Ewart’s sign bronchial breathing and dullness on percussion at the lower angle of the left scapula in pericardial effusion.
fabere sign see Patrick’s test.
Friedreich’s sign diastolic collapse of the cervical veins due to adhesion of the pericardium.
Goodell’s sign softening of the cervix; a sign of pregnancy.
Gorlin’s sign the ability to touch the tip of the nose with the tongue, often a sign of Ehlers-Danlos syndrome.
Graefe’s sign tardy or jerky downward movement of the upper eyelids when the gaze is directed downward; noted in thyrotoxicosis.
halo sign a halo effect produced in the radiograph of the fetal head between the subcutaneous fat and the cranium; said to be indicative of intrauterine death of the fetus.
harlequin sign reddening of the lower half of the laterally recumbent body and blanching of the upper half, due to temporary vasomotor disturbance in newborn infants.
Hegar’s sign softening of the lower uterine segment; indicative of pregnancy.
Hoffmann’s sign 

1. increased mechanical irritability of the sensory nerves in tetany; the ulnar nerve is usually tested.
2. a sudden nipping of the nail of the index, middle, or ring finger produces flexion of the terminal phalanx of the thumb and of the second and third phalanges of some other finger.
Homans’ sign discomfort behind the knee on forced dorsiflexion of the foot, due to thrombosis in the calf veins.
Hoover’s sign 

1. in the normal state or in true paralysis, when the supine patient presses the leg against the surface on which he is lying, the other leg will lift.
2. movement of the costal margins toward the midline in inhalation, bilaterally in pulmonary emphysema and unilaterally in conditions causing flattening of the diaphragm.
Joffroy’s sign in Graves’ disease, absence of forehead wrinkling when the gaze is suddenly directed upward.
Kernig’s sign in meningitis, inability to completely extend the leg when sitting or lying with the thigh flexed upon the abdomen; when in dorsal decubitus position, the leg can be easily and completely extended.
Klippel-Weil sign in pyramidal tract disease, flexion and adduction of the thumb when the flexed fingers are quickly extended by the examiner.
Lasègue’s sign in sciatica, flexion of the hip is painful when the knee is extended, but painless when the knee is flexed.
Léri’s sign absence of normal flexion of the elbow on passive flexion of the hand at the wrist of the affected side in hemiplegia.
Lhermitte’s sign electric-like shocks spreading down the body on flexing the head forward; seen mainly in multiple sclerosis but also in compression and other cervical cord disorders.
Macewen’s sign a more than normal resonant note on percussion of the skull behind the junction of the frontal, temporal, and parietal bones in internal hydrocephalus and cerebral abscess.
McMurray sign occurrence of a cartilage click on manipulation of the knee; indicative of meniscal injury.
Möbius’ sign in Graves’ disease, inability to keep the eyes converged due to insufficiency of the internal rectus muscles.
Musset’s sign rhythmical jerking of the head in aortic aneurysm and aortic insufficiency.
Nikolsky’s sign in pemphigus vulgaris and some other bullous diseases, the outer epidermis separates easily from the basal layer on exertion of firm sliding manual pressure.
Oliver sign tracheal tugging; see tugging.
Oppenheim sign see under reflex.
Queckenstedt’s sign when the veins in the neck are compressed on one or both sides in healthy persons, there is a rapid rise in the pressure of the cerebrospinal fluid, which then returns quickly to normal when compression ceases. In obstruction of the vertebral canal, the pressure of the cerebrospinal fluid is little or not at all affected.
Romberg’s sign swaying of the body or falling when the eyes are closed while standing with the feet close together; observed in tabes dorsalis.
Rossolimo’s sign see under reflex.
setting-sun sign downward deviation of the eyes so that each iris appears to “set” beneath the lower lid, with white sclera exposed between it and the upper lid; indicative of increased intracranial pressure or irritation of the brain stem.
Stellwag’s sign infrequent or incomplete blinking, a sign of Graves’ disease.
string of beads sign a series of rounded shapes resembling a string of beads on a radiograph of the small intestine, indicating bubbles of trapped gas within the fluid of an obstructed and distended bowel.
Tinel’s sign a tingling sensation in the distal end of a limb when percussion is made over the site of a divided nerve. It indicates a partial lesion or the beginning regeneration of the nerve.
Trousseau’s sign tache cérébrale.
vital signs the pulse, respiration, and temperature.

Posted in NS 231 - Peds, Semester III | Comments Off on What’s your sign?

Visual Impairment Questions

Posted by Laura on December 5, 2010

Print and fold paper for simple flash card questions

Visual Impairment Questions

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Hearing Impairment Question #3

Posted by Laura on December 5, 2010

(move cursor over image for answer)

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Hearing Impairment Question #2

Posted by Laura on December 5, 2010

(move cursor over image for answer)

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Hearing Impairment Question #1

Posted by Laura on December 5, 2010

(move cursor over image for answer)

 

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Opisthotonos

Posted by Laura on December 4, 2010

(Jonas: Mosby’s Dictionary of Complementary and Alternative Medicine. (c) 2005, Elsevier. http://medical-dictionary.thefreedictionary.com/localized+tetanus)

“Opisthotonos is a condition in which the body is held in an abnormal posture. It usually involves rigidity and severe arching of the back, with the head thrown backward. If a person with opisthotonos lays on his or her back, only the back of the head and the heels would touch the supporting surface.”

http://www.nlm.nih.gov/medlineplus/ency/article/003195.htm

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Coronary Sinus

Posted by Laura on December 3, 2010

Posted in NS 231 - Peds, Semester III | Comments Off on Coronary Sinus