An Unforgettable Experience

Humans and the world are linked by different series of characteristics that make them so similar. For one they are both living organisms that contribute to the world we live in. Our similarities is what makes us one world. At Santa Rosa, I couldn’t stop looking around I was so curious to learn about everything. Everything looked so unperfected yet so perfect. I was constantly taking mental pictures of everything I saw not only the big picture but the small details that made everything look the way it does. As I was looking around the island and now visualizing it in my head, I can see so many human characteristics within nature. While I think of the people around me, I see a world of nature. It’s funny how I did not think of how humans and nature could be the same but now that I’m thinking of it we are so similar. Nature like humans have an attitude. I see the attitude in nature by there weather or by the way nature naturally sets a vibe to the area. I view Santa Rosa Island like a stubborn yet free living person. I thought of stubborn because while I was there for three days throughout the days at least once it had to be windy. From what I hear it’s always windy and blows of geologists’ hats off there head like if it were a way of nature portraying it’s stubborn personality. I know people who have these characteristics and as soon as I saw the prompt and it asked how humans and nature relate I right away thought of the first characteristics I saw from the island and what was living on it. I came up with an attitude by the weather but also by everything I saw around me. Also by the way the island had created everything from the cricked unperfected trees and the perfect view of the ocean. This reminds me of how people always tend to think everything about themselves is perfect yet it’s not the island proved it by having perfect characteristics like the view from the mountain to the ocean and also the not so pretty things like the uneven bushes or tree’s. Since everyone who worked on the island kept repeating it was a young place it made sense especially because of what I saw the Island do the trees and the ocean move freely with so much life inside of them like a young child would. overall Santa Rosa Island gave me peace, seeing the ocean rock back and forth like a little kid playing on a wooden horse. the trees with no particular shape reminded me of how kids don’t know about imperfections. These characteristics are important because just like kids make adults happy and many times change them. The island makes people happy whether its being secluded and having time to themselves or simply the desire to be in touch with nature. It changes many people’s way of thinking as well as living, I know I personally like many other surf students Santa Rosa island changed me .

Family on T.V.

Are families on television changing the way not just girls but everyone reliving their lives today? I say yes. With all the reality shows that arena T.V. there isn way that people don’t day dream about getting on T.V. some how. I think people are flocking to Alaska to try out real survival and people who are not prepared going on survival shows. Reading the chapter from Sternheimer she lists a lot of shows that affect how people think about their own life and I immediately thought of 7th Heaven. This show was about a pastor and his family and the struggles they face. The father was a very influential man in the show who was a respected powerful man. In the real world the actor Stephen Collins was molesting children for years and was finally caught a few years ago. Television personalities and characters are influential people and people in the world look up to them and that is why it is so important to watch positive television. I brought up 7th heaven because even if you think you know some one by watching them on T.V. you are very wrong even with the reality shows that are supposed to be unscripted are not real people. What do you think everybody?

Santa Rosa Part 1

Well hello again, it’s been awhile since the last post and since my last post I have spent my weekend at Channel Island, specificity the Santa Rosa Island. This post is one of three post about my weekend at the Santa Rosa Island and I hope you enjoy not only the writing and the pictures I post as well. The island is exactly what I Imagine a paradise would look like but it does look a slightly run down. It obvious that the island is feeling the effects of the drought. The island as apposed the pictures I’ve seen online is much more brown and dry instead of lush and green. Honestly though it didn’t look that bad when I got off the boat. The pier looked refurbished and as if it were maintained very nicely except for the bird poop but as I went up the hill things begin to dry up. The grass even the trees are drying up but it’s not completely desolated there was still life on this island besides human. There is also a very beatify sense of  peace on this island, maybe it’s the lack of Wi-Fi or the fumes everyone is giving off since there is no showering on the Island but the island does slightly exists in its own universe since it’s so separate from the mainland. The main guy here, Cause broke the news about the showers…it’s on next time I see him. But it’s cool I ended up washing in the ocean without soap or shampoo but then finished up in the bathroom sink, washing the essentials(you know what I mean). I really do like the island though the place does need some extreme love and it’s starting to get it. Some if the island deep in the mountain where they had us hiking was very lush and had very few signs besides the trail of human interference. The mountains we walked through were very steep as well, I’m not very sure how I got up the hills and believe it or not heading down was an even greater challenge because of the fear of falling to my death. Plus all the walking with Breana and Linzie had better have canceled out my Freshman 15 lol. While out here I’m hoping to not only earn a lot about the island and what they do here to help but also what I can do to also contribute to the island or at east what I can do to not damage it anymore that it have already been done to the island. I hope to also learn how in the field research is conducted and how I could go about doing it on the Santa Rosa Island or anywhere else.15 - 2CAM00133

The first day started off extremely awesome but as the day went on the things were a lot more boring and uneventful. Sorry but it’s kind of true we started off with a car ride up to a small seed facility where we were able to help with the seeds. My group started off by packing in dirt into small pods and then once we had shifted through the dirt and packed it away we were able to plant purple grass. Which were these little hair like strands with purple bulls at the end. While we were there we also separated out acorns from a bucket of water to help tell which ones were to be kept and which acorns would be trashed.  Both process were very peaceful and felt as if I was able to give back to the Island since we were contributing to the process of replanting new grass as well as acorns and it was especially fun since after I played in dirt I was able to dip my hands in cold water.

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After we finished replanting we were then driven back on the ATVs (bumpy ride) to the main encampment. We then moved on to work with a different guide named Matt. We were able to see the island through a different set of eyes. Matt the artistic guide was able to show us the beauty of the island. We took a tour of the island but unlike the other ones we were able to see past dead grass as well as see much more than just the beach. We were able to see crazy things like a long row of trees that were put in to help block the wind but just ended up a bending to one side from the strong winds that had the island have to deal with. Also were able to see some very beautiful natural occurrences and on the beach. The wall backing the beach (separating the mainland from the beach) has a unique horizontal design of different 2 inch levels poking out towards you when facing them.

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The final activity we experienced that day was the bird watching and sight-seeing through binoculars with Dr. Alison Alvarado. I was a major fan of this one but that was probably because I don’t have a love for birds and it was the end of the day lol. Well I did have learned a lot about birds and species on the island as a whole, for instance the species on the island are all derivatives of the mainland. And these species have gone through differ mutations to adapt to the island. Also learned about the Theory of Island Geography which is the number of species is based on the distance of the island to the mainland and the size of the islands.

Interconnected Through the Looking Glass

Confinement collapsed the moment I stepped on Santa Rosa Island. Ironically, I no longer felt like I was drowning. Being on the island helped me breathe again in the comfort of the vast knowledge presented in front of me. Matt Fermanski, Alison Alvarado, Cause Hanna, and Jennifer Perry all brought something different to the table that eluded me into discovering more about the island as well as myself.

We all know the term biology to be defined as the study of life. In essence, we are just a small part of this lifetime, yet our presence is so huge and sometimes overwhelming due to our egos. There is an eternal growth to this chapter in which I have witnessed throughout this lifetime. That same growth is embedded within all forms of life and most prominent on Santa Rosa Island. Each faculty member who spoke, gave a whole new outlook on their experiences with the island through their own looking glass. At first, I was taken off guard by how skewed I had assumed their looking glasses to be due to their roles in society in being professors, biologists, and sculptors. Now I can see clearly that each of their experiences with this island are embedded within their research.

I was immediately intrigued by what came to be said by artist Matt Fermanski that the, “Landscape communicates with us by telling us their past through the window between a couple of different worlds”. Interestingly enough, I felt a connection with the two worlds that Matt was describing, which inspired me to question how the environment surrounding me has changed my ethical beliefs and moral decisions. This sparked a possible research topic that intrigued me into further studying how the geological scope of time has overall affected our moral instincts and personal growth.

Following this concept, the basis of Alison Alvarado’s discussion was bio diversity in terms of evolution. She talked about how, “evolution is the change of organisms over time” and how that brings us a sense of unity, isolation, and place. To be more specific, Alvarado studied the species of birds in their habitat and how their, ”form and function in the biotic environment generates a certain form that has a certain function”.

A connection was made, “in looking through the window between two worlds” that caught my eye and put everything into proper focus. An adjustment period has to be stated between these two worlds that are in this case the environment and human kind. This being that Matt Fermanski and Alison Alvarado would be a magnificent dynamic duo if I were given the privilege to work with them on this research topic. Alison Alvarado would give the analysis of the evolution of human kind, while Matt Fermanski would give the perspective of the geological environment. I would bring the two together using my knowledge of psychology within human behavior and communications to reach a consensus of our research.

Ultimately, both Matt Fermanski and Alison Alvarado would be well balanced together when it comes to their perceptions of life. Matt studies the geological scope of time and Alison studies the evolution of different species. Matt Fermanski had expressed that, “Landscape, objects, and air, communicate constantly with each other to give us insight about ourselves and what is going on around us”. Connecting the two worlds presented, would prove the theory that we are all one in the same, growing and transforming in the same frequency with the world around us.

Home

We are all a part of this world, nonetheless our presence isn’t the essence of the universe. Over the course of three days spent on Santa Rosa Island, I have seen the world go round. I’ve felt it move in waves. The experience woke me up. I could finally see the presence existing inside me being reflected all around me. It was magnificent. Everything seemed to come together in a sense of “unity, isolation, and place”, as Cause had clearly emphasized.

Belittlement is hard to overcome. Trust me when I say it’s not easy to stay calm when the waves start to sway harder, faster, and stronger than I could even imagine. But even though I struggled to get out of my little self and into the grand adventure that this island had presented in front of me, I realized I couldn’t do it alone. I couldn’t get out of that dark place that consumed me without letting go. Santa Rosa Island, with the help of the people who traveled with me had brought me clarity. One of these people being a very intriguing art sculptor and geology minor named Matt Furmanski. He taught me two things that I will always keep close to home. One being when Matt expressed that “Influences in our lives help establish the way we are”. Instantly I took that in spiritually, humanistically, and environmentally. He talked about the way trees grow, and how they’re influenced by the wind and the position of the sun. I could see clearly how my family is the wind and God is the sun to me. The realization in this has ultimately shaped me into the person I am today. Without these two reinforcements I couldn’t get through any of life’s challenges. For I know that I am not alone in this world and those connections are a part of me.

Acceptance has eluded me to humility in whatever experience I may face. For this is in relevance towards my own perception of Matt Fermanski’s quote of the “Geological scope of time”. He expressed how the birth of planets and the formation of mountains, ranges, and oceans are all connected within this principle. In that instance I was drawn to the environment around me, in knowing that just like me, it will constantly change on the outside. But my connection to the world around me, as well as the people is what stays the same regardless of what happens. Ideally, I’d like to believe that the environment will one day be balanced in that same connection with Universe but like most things in life, only time will tell.

Here we are, always close, never far from home. Through this experience and many others, I have come to see that home is living inside of me. Forever present, yet seemingly distant at times. I can’t imagine who I would be, let alone how I could be present in this moment without the comfort of home. Support is key to feeling any kind of joy. That same joy is what drives me to be me and move forth with gratitude each and everyday. Without the support I’ve been given from my friends, family, and professors, I wouldn’t be able to move forward without a shadow of doubt in my mind. 

Family and media

The short video provided by the New York Times asked an interesting question at the beginning of the video. It targeted “older people” and asked “when was the last time you listened carefully to some of the words Rock singers sing?” With that, it explains how rock music has always been controversial, and in the 1980’s, Tipper Gore and Susan Baker had enough and fought against what rock bands were displaying through their lyrics. In addition, they stated that the lyrics were bad, and encouraged unlawful behavior, which initiated a campaigned to put a parental advisory warning labels on albums.Moreover, politicians in the 1950’s accused comic books for displaying negative images which encouraged delinquency among young individuals.

In regards to the Report of the APA Task Force on the Sexualization of Girls, there was a section of the article that i made a connection with the video from the New York Times. There was a parent where she mentioned her seven year old daughter, and stated that her daughter had asked her what a virgin was. In addition, the APA report has a section where it stated that every media form studied provides various examples and evidence of the sexualization of women, including television, music videos, music lyrics, movies, and more. But in this case, it was Madonna’s music video the young lady watched in which the lyrics subliminally caught her attention, which provoked the question of “what’s a virgin?”

 

 

 

SEPSIS PREVENTION-PREVENTION-PREVENTION !!!

I think the best way to address sepsis conditions is to PREVENT IT! We as healthcare providers take many precautions for our patients, but we can take it to another level with sepsis prevention protocols. Mortality is HIGH in sepsis conditions, from 30%-60%, so prevention is crucial and can save lives. In researching sepsis prevention, I found the following points and interventions:

  • Hand Hygiene and aseptic technique as per protocol
  • Avoid trauma to mucosal surfaces that can be colonized by bacteria
  • Use Prophylactic topicals and sprays to prevent nosocomial infections
  • Attention to DVT
  • Note: Protective environments for patients at risk have not been considered successful because most infections have endogenous origins.
  • Prevention of ventilator-associated pneumonia:
    • Use sedation vacations and bundle protocols:
      • Elevate HOB
      • Peptic ulcer prophylaxis
      • Preventing oral-tracheal contamination
      • Use of continuous-suctioning endotracheal tube
      • Perform oral care every 2 hours
    • Prevention of venous catheter-related bloodstream infections (Central Line Bundle):
      • Use maximum barrier insertion precautions and daily review of line necessity/removal
    • Surgical site care:
      • Pts with surgical site infections are 60% more likely to be in ICU, spend 7+ more days in hospital and 2x mortality rate; avoid shaving and give prophylactic antibiotics 1 hr prior to procedures. Maintain aseptic technique when changing dressings; pay close attention to normothermia and blood glucose control.
    • Prevent UTIs:
      • 25%-40% of UTis occur in pts with foley > 7 days;
      • Maintain aseptic technique, dependent drainage, minimize manipulation of drainage system.

It is interesting to note that there is contradicting information regarding patient isolation and if it is beneficial to patients, as most infections are considered to have endogenous origins.

I remember a senior last year whose project included tallying healthcare workers as they entered/existed a patient’s room to see if they performed proper hand hygiene. The fact that she observed any percentage of non-compliance shows that the simplest preventions can be overlooked. If a nurse cannot remember protocols, a flow-chart or check list should be followed. Additionally, printed “bundle” protocols can usually be found in every facility.

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Sepsis Protocol

optimzing-sepsis-management-15-728Sepsis is defined as a state of complete inflammation of the body found to be associated with a known or suspected infection.

 

Sepsis is a spectrum, the patients start with more mild symptoms and progress to more severe symptoms. At the severe end is septic shock. The first category is Systemic Inflammatory Response Syndrome or SIRS.

 

The patient must have 2 or more of the following symptoms to be considered septic:

 

They have a temperature above 100.5 degrees Fahrenheit or less than 96.8 degrees Fahrenheit, a heart reate above 90, a respiratory rate above 20 or PaC02 less than 32 (normally it’s 40), WBCs greater than 12,000 or less than 4,000 or greater than 10% band cells. If they do have two or more of these present or infection, then the protocol for sepsis is put into place and notify the physician, charge nurse, and have a secondary screening done.

 

Severe sepsis is sepsis plus some symptoms of end organ damage, lactic acid greater than 4, or systolic BP below 90.

 

Septic shock means that the healthcare team has done things to treat the hypotension like IV fluid boluses, steroids, evaluated lactic acid and the patient still has hypotension and needs pressors. This is when the patient has organ damage potential

 

At Cottage Hospital, the policy for sepsis has a well-known acronym called SLAY SEPSIS. The first word stands for Sepsis, Lactate/Labs, Activate the team/Antibiotics, Yell for fluids.

 

The second word stands for Straight to critical care, Early goal-directed treatment, Pressors, Scv02 Monitoring, Insulin, and Source Control/Steroids.

 

It is important to recognize sepsis early when it is reversible and before it advances to septic shock and irreversible failure of multiple organ systems. In fact, early recognition is soon to be a core measure.

 

 

Sepsis Questions and Answers”. cdc.gov. Centers for Disease Control and Prevention (CDC). May 22, 2014. Retrieved 27 October 2015

 

Cottage Health (n.d.). SLAY SEPSIS Resuscitation Protocol.