Final Blog!

It’s hard to believe that in just a few days, we will officially have our BSN degrees! It’s always a happy moment when you finish a semester and realize that you are that much closer to finishing nursing school. Officially completing nursing school this semester, is a mix of emotions as we are closing the book on this chapter in our lives and starting a whole new one. This is our last semester of nursing and after 3 long years of hard work and dedication, it is hard to believe that it is coming to an end. We have all worked so hard to get where we are and now, all of our hard work is paying off. We will soon be working as nurses and beginning our careers as BSN’s.

This critical care course has truly transformed and prepared me for the real world. Before this class, in previous classes, we focused on specific aspects of the nursing profession and worked to perfect it. We have had classes dedicated to fundamentals, pharmacology, medical-surgical nursing, pediatric nursing, mother baby nursing, psychiatric nurse, and the list goes on. Each course has provided invaluable learning opportunities. It is this critical care course that has allowed me to put all of the pieces together and incorporate each aspect into my nursing practice. Rather than focusing on individual aspects of nursing care, I can see patients and their situations in a holistic way. I can effectively incorporate the nursing process into my nursing practice to competently provide the best care possible to my patients. More specifically, this course has provided us the opportunity to care for the sickest people in the hospital. This gave us the opportunity to fine tune our assessment skills and properly prioritize our care to promote well-being and prevent complications thereby improving patient overall outcomes. I have learned so much in this course and throughout nursing school. I am looking forward to beginning my career as a nurse and utilizing my knowledge and skills to improve the lives of patients.

End of the Road

Image Retrieved from:https://www.flickr.com/photos/96614226@N00/447710918

I can still remember the first day of nursing school, thinking what a long journey laid ahead of me, three years of endless emotions and experiences. Now I am in my last week and it is unbelievable. The sensation seems unreal, time passed in the blink of an eye and just like that nursing school is over. It is an exciting feeling, yet overwhelming.  It is also unbelievable to think we will be transitioning from student nurse to a “real” nurse once we pass the NCLEX. We have learned many skills and it is time to put them to use.

I really enjoyed NRS 420 because it reviewed the majority of med surg content, it was concise and short. The book was very helpful and it had all the “need to know” information, which was pretty much the whole book :). Clinicals helped tie the material together and overall it was a great semester. An ending with a new beginning.

Wind Speed Frequency at Final Sites

Here are graphs for sites 3 and 4 that display the wind speed frequency of every 1 m/s inteval.

Wind Speed Frequency for Site 3
Wind Speed Frequency for Site 4

Site 3 often displays wind speeds between 3 and 6 m/s. This would be suitable for a wind turbine as most have a start up speed of 3 m/s.

Site 4 often displays wind speeds between 3 and 8 m/s. This would again be suitable for a wind turbine.

There is an even frequency of wind speeds under 3 m/s and both locations. This means the likelyhood of a wind turbine cutting out is even between the two locations, even though site 4 has a higher average wind speed.

Construction in Progress

We will soon be migrating our AARR blog to this permanent home.  For now, please see our existing site:

 

https://csuciaarr.wordpress.com

Day 6 – ICU

BP: 40/20
HR: 20
Temp: 102.2
O2: 50%

WBC: 19.0
Bands: 16%
HgB: 13
HCT: 42%
PLT: 350
Glucose: 230 mg/dL
BUN: 22 mg/dL
Cr: 2.4 mg/dL

pH: 7.15
PaCO2: 88 mmHg
PaO2: 20 mmHg
HCO3: 23 mEq/L

Tracheostomy placed
Code called
A/C ventilator setting
RR: 12
Peep: 5
VTE: 500
I/E: 1:2
FiO2: 1.0

Day 5- ICU

BP: 88/44
HR: 102
Temp: 103
O2: 90%

WBC: 18.0
Bands: 16%
HgB: 13
HCT: 42%
PLT: 350
Glucose: 230 mg/dL
BUN: 24 mg/dL
Cr: 2.3 mg/dL

pH: 7.24
PaCO2: 68 mmHg
PaO2: 44 mmHg
HCO3: 20 mEq/L

ET tube 22cm at the lip
A/C ventilator setting
RR: 10
Peep: 5
VTE: 500
I/E: 1:2
FiO2: 1.0

Day 3 – ICU

BP: 92/78
HR: 98
Temp: 102
O2: 87%

WBC: 19.0
Bands: 14%
HgB: 13
HCT: 42%
PLT: 350
Glucose: 230 mg/dL
BUN: 22 mg/dL
Cr: 2.4 mg/dL

pH: 7.32
PaCO2: 66 mmHg
PaO2: 47 mmHg
HCO3: 23 mEq/L

ET tube 22cm at the lip
A/C ventilator setting
RR: 12
Peep: 5
VTE: 500
I/E: 1:2
FiO2: 1.0

Ejection Fraction: 25%
Left & Right Sided Heart Failure

Day 1 – E.R.

BP: 100/58
HR: 120
O2: 78%
Temp: 102.4
Resp: 9

WBC: 18.0

Bands: 14%
HgB: 14
HCT: 50%
PLT: 350
Glucose: 250 mg/dL
BUN: 20 mg/dL
Cr: 2.4 mg/dL

pH: 7.30
PaCO2: 68 mmHg
PaO2: 45 mmHg
HCO3: 26 mEq/L

Sputum and blood sample positive with S. pneumoniae

“Goodbye,” “No, it’s see you all later”

As I begin to write my last blog, thousands of emotions and feelings are rushing through my head such as excitement, sadness, happiness, nerves etc. As I look back on my three years I cannot believe the relationships I have established not only with my fellow classmates and soon to be colleagues, but also the professors who have influenced me to be the best nurse I can be. We have come extremely far these past three years and I am ecstatic to see where each and every one of us will go and how we will each blossom in our careers.

In regards to critical care, at the beginning of the semester I was extremely excited about it because I thought I could see myself working in an ICU, however as it is ending I now have realized that I really don’t want anything to do with the ICU haha. I think this feeling ultimately comes from inexperience because I think I would enjoy it more if I had a more stable foundation in nursing. Experience comes with time…. One thing that I really enjoyed during this semester was the ER. If I could be an ER nurse right out of school, I would take it and run. The teamwork aspect of the ER is what I think draws me to it the most and of course the fast pace and the ability to see a variety of different patients from babies to elderly. When I was working in the ER, I didn’t want to leave clinical. I love being able to utilize all my skills in the ER with the support of the other nurses and doctors. Overall I loved the ER and hope that one day I can have the opportunity to work there.

As of now I will be interviewing for a labor and delivery position at UCLA Santa Monica Hospital actually this Wednesday (maternal and child health is also one of my passions) and we will see what happens there. I am nervous, but deep in my heart I know there is a plan and if it does not work out then I know it wasn’t meant to be. I can’t wait to hear all of the stories that my classmates will share about their first day on the floor… it is exciting and I know deep down that everyone of you is a nurse I would want caring for one of my family members and with that cheers to the class of 2015, WE FREAKING DID IT!!!!!

 

XOXO Stephanie

scrubsmag.com

CI Students to Present at SAGE Student Research Conference

Camarillo, Calif., May 1, 2015—CSU Channel Islands (CI) undergraduates have been hard at work researching everything from cancer to mercury levels in fish to internet addiction.

On Saturday, May 9, the collaborative work of 30 faculty-student teams will be on display at the Sixth Annual Student Research Conference from 9 to 11:30 a.m. at the John Spoor Broome Library on the CI campus.

Nearly half of all graduating seniors take part in some form of research or creative activity. Among the projects at the conference are the results of an elaborate screening of more than 100 potential anti-cancer agents conducted by a team of four undergraduate and three graduate Biology students.

The screening isolated six chemicals that show promise in inhibiting and slowing the invasive properties of several women’s cancers including breast, ovarian, uterine and cervical cancer.

“We will show data as to how some of them impact invasive cancers,” said the group’s faculty advisor, CI Associate Professor of Biology Nitika Parmar, Ph.D. “If they drastically reduce growth and invasiveness of the cancer cells, it’s a potential lead.”

Sage Research ConferenceOne member of the team is Stephanie Soriano, 22, who developed a passion for biotechnology when she joined a group of CI students on an international trip to India led by Parmar in January of 2014.

Soriano was in her last semester at CI, set to graduate with a degree in psychology, but the trip to India changed her life. When she came home, she decided to take on a double major in psychology and biology, which delayed her graduation until spring 2016.

“I always had a passion for science, but it was the practicality of the problems the research institutions in India were addressing that intrigued me,” Soriano said. “Just looking through a microscope and seeing thousands of particles that can’t be seen with the naked eye is spectacular.”

Parmar was impressed with Soriano’s courage and determination to go for a second degree when she was so close to graduating.

“People don’t do that,” Parmar said. “She could have gotten her degree in psychology and moved on. She was very confident about what motivated her.”

Just as passionate about her field of study is chemistry major Amber Kramer, who is analyzing mercury levels in seafood with her equally enthusiastic project partner, Corie Hill.

Kramer and Hill knew mercury levels in the atmosphere and water were rising because of coal-burning emissions, but they wanted to see how much of the mercury was winding up in local seafood from Ventura Harbor to Long Beach Harbor.

The duo is in the process of comparing current mercury levels with records from 30 and 40 years ago, but they have already come across intriguing findings.

“The shrimp and salmon we consume in the U.S. is often farmed,” Kramer said. “The farming industry has cut the mercury levels drastically, because mercury accumulates over time. When they are farmed, they grow the fish so fast, the mercury doesn’t have time to accumulate.”

Kramer is one of CI’s many non-traditional students. She attended community college, took 10 years off, then returned to get her degree in chemistry. After graduation in two weeks, she will pursue her Ph.D. in chemistry at the University of Oregon.

The team’s faculty advisor, Professor of Chemistry Simone Aloisio, Ph.D., says Kramer is exemplary in her work ethic.

“Usually when non-traditional students come back to school, they’re more determined. They hit the books and put in the work necessary to get a degree,” Aloisio said.

Each CI department can award two students program honors. Kramer is one of those students. She will graduate May 16 with program honors in chemistry.

The SAGE Student Research Conference is sponsored by SAGE Publications and CI’s Division of Academic Affairs.

Other research areas at the conference include: the effects of the Springs Fire on plants; electronic cigarettes and smoking cessation; internet addiction risk profiles; the link between ozone levels and Camarillo weather and the impact of storytelling on students’ ability to learn math.

To register to attend the event, click on http://go.csuci.edu/src.

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