The HACU National Internship Program (HNIP) is seeking applicants for the summer and fall 2015 internship sessions. HNIP provides students the opportunity to receive valuable work experience through paid internships with federal agencies and private corporations nationwide.
The final deadline for students to apply for the summer internship is February 27,2015 and for the fall session is June 12, 2015.
For more information visit www.hacu.net/hnip
CSU TRUSTEES’ AWARD FOR OUTSTANDING ACHIEVEMENT
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The CSU Trustees’ Award for Outstanding Achievement Scholarship is available for the 2015-2016 academic year. Students who have overcome adversity, demonstrated financial need, and have attributes of merit, including significant personal achievements, superior academic performance, and exemplary community service are eligible for this award.
The CSU Trustees Award will be available for STEM (Science, Technology, Engineering and Math) students, an Information Technology student, engineers, a veteran, a student who gives the most to his/her home, university, or global community, students studying the humanities, and students studying to become teachers.
Scholarships will be awarded in the amount of $6,000 for the 2015-2016 academic year.
Applicant must:
Demonstrate superior academic performance with a minimum cumulative GPA of 3.0 on a 4.0 scale and be in good academic standing.
Demonstrate financial need as determined by the campus Financial Aid and Scholarships office.
Be currently enrolled as a full-time equivalent undergrad or graduate student in any major field at a CSU campus and remain a CSU full-time equivalent student during the upcoming academic year.
Application Deadline: Friday, April 3, 2015
Interdisciplinarity is achieved in the IRLC by ensuring that we include students from a variety of disciplines. Strong grounding in a student’s discipline is important. Discussion across disciplines promotes curiosity, inquiry, understanding, and creativity. Meet another surfer:
The risk of spreading disease through the proliferation of pathogens is a real concern in the hospital setting. The current narrative in infection control focuses in hand washing as a primary and first line of defense in preventing the transmission and spread of pathogens. But should health personnel focus only on hand washing as a tool to combat the spread of pathogens? In the ICU ventilators are common. While these devices are crucial in sustaining life, they are also possible sources of life threatening diseases. An interesting study by researchers in Taiwan suggest that frequently disinfecting the surfaces of ventilators with 75% alcohol could significantly reduce the spread of pathogens.
As nurses, we are acutely aware of the possibility of our patients contracting bloodstream infections and ventilator associated pneumonia. Microorganism such as E-coli, C-diff, and Stpahylococcus aureus grow and proliferate on environment surfaces. In the study the authors assessed the effectiveness of using 75% alcohol and found out that this particular solution is quite effective in combating the offending microorganism. However, the study also postulated that without proper hand hygiene the effectiveness of the disinfectant was compromised. One suggestion that the authors made was to use sterile gauze to wipe 75% alcohol on ventilator surfaces.
Reference:
http://web.a.ebscohost.com.summit.csuci.edu:2048/ehost/pdfviewer/pdfviewer?sid=cbe5062b-d583-423c-bcaf-747e1afdd9ab%40sessionmgr4001&vid=0&hid=4101
Summary: Prolonged sedation and paralytic therapy has negative effects on patients. One of the negative effects is delirium which is associated with hallucinations and nightmares. This delirium leads to devastating and long lasting effects on cognitive function. Several studies have identified positive effects by attempting wean patients off of stronger medications to milder ones that provide the same benefit and getting them ambulating earlier even if its a few steps.Pros for changing sedation methods: Reduce delirium, reduces depression, reduces anxiety, and reduces muscle wasting. Cons: Risk of self injury by pulling out ET tube, tracheotomy tube, and/or, IV lines.
Agree Or Disagree? : I agree with this article. Especially, after watching the video of the patient in the ICU’s personal account of his ordeal. I am sure in his case this wasn’t an option since his case was so severe. I feel the positive effects out weigh the possible negative outcomes.
The article I had was titled, “Informed Patient: Changing the Sedation Status Quo in the ICU,” by Laura Landro. The article talks about changing the treatment methods in the ICU to improve patient outcomes. The new approach includes waking patients from sedation to assess pain and getting them to breathe on their own as soon as possible. This gives the patient a break from being in delirium for too long which can cause effects on cognitive function. Also, by lowering exposure to potent sedative medications and shortening the duration of delirium in the ICU, this can prevent some part of brain injury. Lastly, getting patients up and moving even when on ventilator can prevent muscle weakness.
I agree with these new methods because I feel that this will shorten the length of time in the ICU and ultimately get the patient to a healthier state sooner, and that is always our goal.
The next steps are to gel the senior nurses to adapt to these new methods as the article states that they are having trouble with this. To help with this new graduate nurses are being trained with this new method in the ICU.
– Brittany Sandoval
According to the American Psychiatric Association’s (APA) Diagnostic and Statistical Manual of Mental Disorders (DSM)-IV delirium is defined as “a disturbance of consciousness and cognition that develops over a short period of time (hours to days) and fluctuates over time.” Delirium is an all too common problem in the ICU and according to Girard, Pandharpande, & Ely (2008), “Delirium occur[s] in up to 80% of the sickest intensive care unit (ICU) populations.” Patients in the ICU share some common risk factors for developing ICU Delirium which, according to Girard, Pandharpande, & Ely (2008), include “exposure to sedative and analgesic medications.” To help reduce the risk of a patient developing delirium, factors such as sedatives and analgesia can be closely monitored and titrated. Girard, Pandharpande, & Ely (2008), also suggest “that all ICU patients be monitored using a validated delirium assessment instrumentmay be modified to reduce risk.” It is important to decrease the risk and the occurance of delirium in ICU patients because “delirium is now recognized to be a significant contributor to morbidity and mortality in the ICU…Patients with delirium have longer hospital stays and lower 6-month survival than do patients without delirium, and preliminary research suggests that delirium may be associated with cognitive impairment that persists months to years after after discharge” (Girard, Pandharpande, & Ely, 2008). As nurses we should be aware of the signs and symptoms of ICU delirium and attempt to implement assessment tools to monitor for this complication.
Girard, T., Pandharipande, P., Ely, E.W. (2008). Delirium in the intensive care unit. Critical Care 12(3).
The article I chose is called “Delirium assessment in intensive care units: practices and perceptions of Turkish nurses” by Aysel Özsaban PhD. The aim of the article was to identify current practices of intensive care nurses regarding the delirium assessment and to find factors that affect these perceptions. Being an ICU nurse is a very important job, it is different from any floor in the hospital. The patients are more critical and the nurse to patient ratio is more intimate. It is very important for a nurse to know how to do an appropriate delirium assessment. Data were collected from five Turkish public hospitals using a structured survey questionnaire. The study sample comprised 301 nurses who agreed to participate. Data were analysed using descriptive statistics. Results showed more than half of the nurses performed delirium assessments. However, the proportion of nurses who use delirium assessment tools was quite low. Almost all of the nurses perceived delirium as a problem and serious problem for ICU patients. The patient group least monitored for delirium was that of unconscious patients. While most nurses know the importance of doing a delirium assessment and understand this is a serious problem, the proportion of those who perform routine delirium assessments was less. It was found that delirium assessment practices of nurses were affected from their perceptions of delirium and the implementation of patient-centred care delivery.
I would say that I agree with this article because in nursing school we are taught that doing a good assessment could make a difference in the care that we provide for a patient. Just because most of the patients we do a delirium assessment on are sedated, does not mean we have to skip important steps. Steps needed to reduce this problem is to teach nurses the correct way to do this assessment and the importance of it. There should be classes that help nurses understand and comprehend what exactly they are assessing for.
Thank You, Ashleigh
http://onlinelibrary.wiley.com.summit.csuci.edu:2048/doi/10.1111/nicc.12127/full
Group number 3: Jennifer Haldeman, Arely Rosales, Eugenie Fasulo
Group name: Sugaah Overload!
Member strengths, limitations and values:
Roles and Accountability: We are not going to have a leader. We will share all roles equally.
Communication Style: We are utilizing google docs and we will be meeting before class.
Leadership Style: We will be utilizing a democratic leadership style with an emphasis on teamwork and collaboration
Strategies: Utilize good communication and if we are having problems brainstorm with the others.
Group #7
• Group Name: Fluid Resuscitators
• Group Members: Maria Magaña, Robert (Bobby) Martinez, Emily Sentianin
• Why group name was chosen: We chose to study sepsis for our group project and fluid resuscitation is a very important concept in sepsis management.
• Meeting times and locations for duration of semester: Meeting times 1100 on Wednesdays in the Student Union as needed.
• Role of each group member: Bobby-Researcher, Emily-Editor, Maria- Making presentations, everyone: Voice Thread Contributors. The duties will be shared but the ultimate responsibility will be the assigned person for each task.
• Who will lead each meeting? We will rotate leaders each week so that everyone has a chance to run a meeting.
• Who will take minutes and record action items? Maria
• What will the process be for dealing with group members who miss meetings or who are late? How will you address first time offense and repeat offenses? Will the discussion happen one on one or as a group? If the reason for missing meetings or tardiness is valid, then it will be excused. First time offense, if reasonable, will be given a warning. If repeat offenses occur and assigned workload is not completed, then this will be reflected in the final project grade. The discussion will happen as a group because it affects the entire group.
• What will your process be for dealing with distractions during your meeting? How will you address first time offense and repeat offenses? Will the discussion happen one on one or as a group? Meeting times need to be productive so will be no cell phone use rule during meetings unless expecting an important call/message. First time offense will be and repeat offenses will result in dismissal from the meeting. The discussion will happen as a group.
• What will your process be for decision making? If you decide on a consensus vote, what will be your process for making a decision if consensus cannot be reached? The decision making will consist of discussing options and ideas from all members and coming to a consensus. If consensus cannot be reached, further options will be explored and final decisions will be decided by a 2/3 majority vote.
• What will your process be for dealing with a team member who does not fulfill team assigments? How will you address first time offense and repeat offenses? Will the discussion happen one on one or as a group? Perform a verbal root cause analysis of failure to complete duties to ensure that assignment was fully understood. If deadlines are not met then, the first time offense will have an extension of 1 day, additional failures to meet deadlines will be reflected in the final grade. This discussion will happen as a group.
• What will your process be for resolving conflict within the group? Will the discussion happen one on one or as a group? The conflict will attempt to be resolved within the group by a roundtable discussion of issues; if the issue cannot be resolved then it will be taken up with the course instructor. This discussion will occur one on one if only involving two people but will occur as a group if the conflict is amongst the entire group.
• List any other applicable group norms:
o If you can’t make it to a meeting, let the group members know in advance as soon as possible, preferably the day before.
o Respect other group members.
o Collaboration and teamwork will be utilized.
o Do not be afraid to verbalize disagreement.
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