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08 Fall
Vital Signs Issue No. 2| Fall 2014
2
“The world is a book and those who do not travel only
read one page” - St. Augustine
Fusce mollis tempus felis.
-‐ aliquam.
Save the Date Thursday, Nov 13 7:30am – 10:30am
Thursday, Nov 13 7:00pm – 9:00pm
Tuesday, Nov 25 9:00pm – 6:00pm
Saturday, Nov 29 Begins at 9AM
Wednesday, Dec 5 7:00pm – 10:00pm
Wednesday, Dec 3 6:00pm – 7:00pm
Finals De-stress Movie Night Ster l ing Alvarado
Last CNSA Meeting of the Semester AH-2108
Ronald McDonald House Christmas Decorating
UCSD Volunteer Partnership: Charger’s Blood Drive
Where Will Nursing Take You? S c r i p p s C o t t a g e
Breakthrough to Nursing: Presentation Poin t Loma High S choo l
Hello Everyone,
We have made it through the middle of the fall semester, and I hope it finds you all in good health! As most of us know, students who have entered SDSU after 2010 and are studying under the College of Health and Human Services have an international requirement to fulfill, that is why this issue of the Vital Signs Newsletter is traveling themed. Inside this issue are brilliant stories your fellow nursing students have chosen to share with you about their adventures abroad fulfilling their international requirement and how wonderful and eye opening it is to travel abroad. There are many ways for you to fulfill this requirement and this issue covers a few of the options available to you. I hope this inspires you explore your options abroad! The world awaits you!
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Unintentional Pediatric Exposure to MARIJUANA
Written by Genesis Reyes Co-Legislative director
Studies have been conducted to compare the number of marijuana exposures before and after the decriminalization of medicinal marijuana. In 2012, Amendment 64 was passed in Colorado legalizing and regulating recreational marijuana sales to adults over the age of twenty-one. It is anticipated that this measure will further increase the availability of marijuana products throughout the state and further increase the risk of and number of unintentional ingestions of marijuana by children. Twenty-three of fifty US states have legalized the medical use of marijuana and as more states have approved marijuana not only for medical but also recreational use, it is anticipated that the number of pediatric marijuana exposures has increased. The American Academy of Pediatrics’ (AAP) statement on the issue of recreational and medical marijuana legalization based on their technical report (AAP, 2004b) explains,
“Any change in the legal status of marijuana, even if limited to adults, could affect the prevalence of use among adolescents.” It is possible for children to present with hallucinations, illusions, respiratory depression, or sedation when in an emergency situation due to marijuana ingestion. These symptoms exhibited by the child drive nursing priorities and interventions in the hospital setting. Thus, it is important for nurses to be aware of the consequences of pediatric marijuana exposure and be informed on the effects of legalizing marijuana for recreational and medical use in their state of licensure.
Data from SAMHSA.gov, National Survey on Drug Use and Health
Past Month Usage of Mari juana- National v. Colorado
LEGISLATION
Kaboom-magazine.com
! Medical marijuana was decriminalized in Colorado in November 2000 with the passing of Amendment 20, which included a CDPHE (Colorado Department of Public Health and Environment) restriction allowing only 5 patients per a single caregiver.
! In 2007, the five-patient-to-one-caregiver rule was overturned.
! The Colorado Board of Health tried to reinstate the rule in 2009, but failed.
!
Vital Signs Issue No. 2| Fall 2014
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!
Fever (38.6)
Headache
Diarrhea
Vomiting
Stomach pain
Muscle pain
Unexplained bleeding or bruising
Statistics per World Health Organization
✓All persons entering the patient room should wear at lea st…
Gloves Gow n ( fluid resistant or impermeable) Eye pro tection (goggles or face shield) Facemas k
✓Limit the use of needles and sharps
✓Phlebotomy, procedures, and laboratory testing should be limited to the minimum necessary for essential diagnostic evaluation and medical care.
✓All needles and sharps should be handled with extreme car e and disposed in puncture-proof, sealed containers.!
“Ebola, previously known as Ebola hemorrhagic fever, is a rare and
deadly disease caused by infection with one of the Ebola virus strains.”
http://www.cdc.gov/vhf/ebola/about.html
http://www.cdc.gov/vhf/ebola/hcp/clinician-information-us-healthcare-settings.html
http://www.nytimes.com/2014/10/15/world/africa/ebola-epidemic-who-west-africa.html?hp&action=click&pgtype=Homepage&version=HpSum&module=first-column-region®ion=top-news&WT.nav=top-news&_r=0!
What is Ebola?
You can only get Ebola from…
Touching the blood or body fluids of a person who is sick with or has died from Ebola.
Touching contaminated objects, like needles.
Touching infected animals, their blood or other body fluids, or their meat.
How is Ebo la tra ns mitted?
What a re the signs and symp to ms?
Ref er ences
Three most af fected countries in West Africa are Guinea, Liberia, and
Sierra Leone.
50% Mor ta lity ra te
Current ly , 1 ,00 0 new ca ses per week
10 ,0 00 new cases per week by December
Nursing Implica tions
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!
!
California Nursing Student’s Association, Global Initiative’s 1st Annual
WHERE WILL NURSING TAKE YOU
THURSDAY, NOVEMBER 13, 2014 SCRIPPS COTTAGE, SAN DIEGO STATE UNIVERSITY
RSVP for your dinner on: http://wherewillnursingtakeyou.eventbrite.com
“ B E I N G O P E N T O U N E X P E C T E D T U R N S I N T H E R O A D I S A N I M P O R T A N T P A R T O F S U C C E S S ”
Come and learn about the various avenues you can take in the
healthcare/nursing profession! Free community Event, dinner will be
provided with RSVP. The speakers will be: American Red Cross
Nurse, Retired NAVY Nurse/Clinical Nurse Specialist, US Air Force
Nurse, former travel nurses, and Global Health Professor
Vital Signs Issue No. 2| Fall 2014
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The Travel Nurse Experience
Author: Kyle Little Interviewee: Jack Beaudoin, FNP.
Missionary work is an essential part of the American healthcare system: consider, for instance, leprosy and polio—both epidemics that plagued our nation for some time, which we now consider almost obsolete. Foundations across America take a proactive stand against these, and many other diseases, by fighting them around the world to make them obsolete everywhere—not just at home.
Jack Beaudoin, a family nurse practitioner local to Chicago, has been going on mission trips to South and Central America, as well as Africa, for the past 12 years. He has provided care to individuals in Uganda, Colombia, Costa Rica, Peru, Bolivia, and Guatemala on multiple occasions. While Jack considered all of these trips to be eye-opening experiences, he mentioned that the extensive need of medical assistance in Africa and the mountains of Guatemala were the most disconcerting.
There is no hospital in Sumpango, Guatemala, despite the nation’s centralized healthcare system; and since Sumpango is a mountainous region, it takes hours to get to an area with a hospital. This condition is not unique to Guatemala; most of these countries have a government dictated central healthcare system, which can be interpreted as both a positive and a negative.
During our interview, Jack told me a story about a patient he encountered on his mission to Uganda. The patient was a 9-month-old child who had perinatally acquired HIV, as well as malaria. The child presented with a respiratory rate of 100 breaths per minute, and was “extremely tachycardic—on the verge of respiratory arrest.” In order for this child to get the care he needed, he was strapped onto the
back of a motorcycle, and driven 2 hours to the nearest hospital. Upon arrival, the child was rejected access to any form of healthcare because his mother was unable to afford the fees (an equivalent of 13 US dollars). He died soon after.
This demoralizing case study truly personifies the differences between American healthcare and others around the world, even in industrialized countries. We are graced with the right to treatment, meaning we can’t be refused; meanwhile, countries such as Uganda are refusing to treat patients who are unable to pay.
Situations like these are what make missionary work so drastically important. Government funded healthcare may be difficult to acquire, but there are physicians and nurses traveling to foreign countries for the sole purpose of providing care to individuals who desperately need it.
Finding an organization to travel with is not a stretch. Mr. Beaudoin travels with Woodlands Church based out of Wisconsin, and
although his missionary work may differ from the church—as far as
specific goals are concerned—both groups go to provide some
sort of help. Jack stressed the importance of finding a good
team. “Being with a group of people you trust makes a difference.”
Jack and Jonathon (one of Uganda’s local doctors) at the start of the Nile River.
“Being with a group of people
you trust makes a difference.”
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Tips to the Traveler!Missionary groups tend to provide multiple resources (e.g. spiritual and medical support). The Woodlands Church group usually brings 3 to 4 physicians on their trips, as well as Jack—him being the only nurse practitioner. There are many organizations such as churches and charity organizations that are embarking on missions regularly—this is a great place to start searching for travel nursing opportunities.
Pediatric experience is hard to come by amidst missionary doctors/nurses. As Jack stated: “usually I am the only one on the trip with any pediatric experience.” (Something interesting to think about for any aspiring pediatric nurses.) There is clearly a need for medical aide worldwide, and our nation’s travel nurses are compassionate and selfless individuals who assess that need and choose to act on it. Providing care to those less fortunate is not a one-sided relationship in the eyes of our missionary healthcare workers.
According to Jack: “albeit cliché, no matter what you do on these missions, you go to help them, but they help you [appreciate what you have]. They are so appreciative of everything.”
Jack and some locals at a school in Uganda, after a friendly game of football.
! Don’t drink the water (or eat the ice).!
Don’t eat the fruit, either.
Read up on potential hazards.
!
Be sure to get any required vaccines & make sure your shots are up to
date.
(Keep yourself healthy, or you won’t be able to help anyone else!)!
Build rapport with your travel companions.
Trusting your team makes all the difference.
!
Bring along your own bottled water and
high-protein snacks such as power bars or
Bring bug spray (with AT LEAST 25% DEET)
*especially if you plan on traveling to Africa,
Malaria is no joke! !
“…you go to help them,
but they help you…”
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STUDYING)ABROAD)OPPORTUNITIES)HHS)350)SPRING/FALL)2015)
San)Jose,))Costa)Rica)Spring)2015)
Fridays(1*3:40(p.m.(9(day(field(experience((
(March(28*April(5,(2015)(Fall)2015)
Fridays,(time(TBD((10(days(in(August((Dates(TBD)(
Beijing,)China)Spring)2015)
Fridays(1*3:40(p.m.(9(day(field(experience(
(March(28*April(5,(2015)(
Seoul,)Korea)NURS)499)(Summer)2015)()
Dates(&(price(TBD(For(further(information,(contact(
Professor(Young*Shin(Lee(Email:([email protected](
La)Gloria/Tijuana,)Mexico)
)Spring)2015)Fridays(1*3:40(p.m.(9(day(field(experience(
(March(28*April(5,(2015)(
London,))England)
Spring)2015)Fridays(1*3:40(p.m.(9(day(field(experience((
(March(28*April(5,(2015)(Fall)2015)
Fridays,(time(TBD((10(days(in(August((Dates(TBD)(
(
Berlin,)Germany)Spring)2015)
Fridays(1*3:40(p.m.(9(day(field(experience(
(March(28*April(5,(2015)(
Lausanne,)Switzerland)Spring)2015)
Fridays(1*3:40(p.m.(9(day(field(experience(
(March(28*April(5,(2015)(
Rio)de)Janeiro,)Brazil)Spring)2015)
Fridays(1*3:40(p.m.(9(day(field(experience(
((March(28*April(5,(2015)((
Paris,)France)Spring)2015)
Fridays(1*3:40(p.m.(9(day(field(experience(
(March(28*April(5,(2015)(
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HHS350 is one of many options to fulfill international experience requirement. It is a 3-unit General Education course offered through the College of Health and Human Services that meets the SDSU Explorations B (Social and Behavioral Sciences) and the Cultural Diversity requirements. Each course will cover historical aspects of international health and human services, economic development and health and social science, nutrition in a developing country, and globalization, health, and HIV/AIDS.
Applied International Health & Human Services
La Gloria/Tijuana, Mexico
$875 estimated fee + travel insurance, in addit ion to SDSU registration fee for 3 units
Excludes… • Domestic transportation to and from
San Ysidro border crossing • Personal expenses • Mandatory international health insurance
Includes… • Accommodation • Most meals • In-country transportation and activities
Beijing, China
$760 estimated fee + travel insurance + airfare + visa, in addit ion to SDSU registration fee for 3 units
Includes… • Accommodation • All meals • In-country transportation and activities
Excludes… • Airfare • Travel visa (approx. $150) • Personal expenses • Mandatory international insurance
(approx. $30)
For(further(information:(http://chhs.sdsu.edu/international/know/hhs350*facts/((Group(Advising(Sessions:(
• Wednesday,(11/19/14(1:00pm,(Love(Library(430(• Thursday,(12/04/14(5:00pm,(Love(Library(430(• Monday,(12/15/14(10:00am,(Love(Library(430(
(For(any(questions,(contact(the(CHHS(International(Coordinator(Roxanne)Riedel(email:([email protected](
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San Jose, Costa Rica
$1,295 estimated fee + travel insurance + airfare, in addit ion to SDSU registration fee for 3 units
Includes… • Accommodation in host families • Most meals (breakfasts and dinners) • In-country transportation and activities • Mandatory international health insurance
Excludes… • Airfare • Costa Rica airport departure tax
(approx. $26) • Personal expanses • Optional zip lining day tour ($90)
London, England
$1,735 estimated fee + travel insurance + airfare, in addit ion to SDSU registration fee for 3 units
Includes… • Accommodation • Most meals (breakfasts and 3 dinners) • In-country transportation and activities • Mandatory international health insurance
Excludes… • Airfare • Lunches and remaining dinners • Personal expanses
Lausanne, Switzerland $1,050 estimated fee + travel insurance + airfare + visa, in addit ion to SDSU registration fee for 3 units
Includes… • Accommodation • Most meals (breakfasts and most lunches) • In-country transportation and activities
Excludes… • Airfare • Dinners • Personal expenses • Mandatory international health insurance
Rio de Janeiro, Brazil $1,460 estimated fee + travel insurance + airfare + visa, in addit ion to SDSU registration fee for 3 units
Includes… • Accommodation • All breakfasts, 3-4 lunches, 3-4 dinners) • In-country transportation and activities
Excludes… • Airfare • Travel visa (approx. $200) • Personal expenses • Mandatory international health insurance
(approx. $30)
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(
Financial Aid
Berl in, Germany
$1,795 estimated fee + travel insurance + airfare, in addit ion to SDSU registration fee for 3 units
Includes… • Accommodation • Most meals (breakfasts, 2-3 lunches) • In-country transportation and activities • Mandatory international health insurance
Excludes… • Airfare • Arrival train transportation from Berlin • Additional meals • Personal expenses
Paris , France
$1,795 estimated fee + travel insurance + airfare, in addit ion to SDSU registration fee for 3 units
Includes… • Accommodation • Breakfast, 6 meals (lunches and dinners) • In-country transportation and activities • Mandatory international health insurance
Excludes… • Airfare • France airport ground transportation • 5-7 meals • Personal expanses
SDSU Scholarships • Associated Students Study Abroad Scholarship
Application period: Oct 13, 2014 to Feb 27, 2015 3 :00 PM Pa ci f ic Time. https://studentaffairs.sdsu.edu/faodad/webss$getScholarshipDetail?p_account_no=A21597&p_ss_year=2016&p_req_id=1
• Division of Undergraduate Studies http://dusstudyabroad.sdsu.edu/dus/dusstudyabroad/finances.aspx
• Scholars Without Boarders Scholarship http://swb.sdsu.edu/dus/swb/studyabroadscholarship.aspx
• The California State University’s International Programs http://csuip.calstate.edu/index.cfm?FuseAction=Abroad.ViewLink&Parent_ID=026D4580-5056-BA1F-72D9E53944AAE271&Link_ID=26C831AF-5056-BA1F-72CF81575C63D71B
• The International Student Center http://studentaffairs.sdsu.edu/ISC/content/Abroad/EAFuture/scholarship.html
Scholarship Essay Writing Tips http://go.sdsu.edu/student_affairs/financialaid/scholarshipessaytips.aspx
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On October 11, 2014, I had the honor of traveling to Ejido Matamoros, Mexico with a student organization at San Diego State called the Flying Samaritans. Ejido is located just 15 minutes south of the Otay International Border, but the people of this poverty stricken community have no access to quality health care. For the past 3 years, the “Flying Sams”, which is made up of compassionate SDSU student volunteers and volunteer providers (physicians, nurses, nurse practitioners, physician’s assistants, physical therapists, counselors, etc.), have organized a free monthly clinic to provide healthcare to this medically underserved community. I was excited to take part in what was essentially an international medical brigade that was only a few minutes south of San Diego, but I was not entirely sure what to expect. We followed a dirt road down to the Parroquia, arriving just as the sun lit up the early morning sky. Dressed in my blue Flying Sams scrubs and pink stethoscope hanging from my neck, I made my way through the gates of the Parroquia’s courtyard. Fold-up chairs were lined up in front of a small building that was tucked away near the back of the church. It occurred to me that this was the waiting room. As I walked into the building, which would serve as the site of the clinic, I could not help but compare it to the hospital environment I had grown accustomed to as a nursing student. Within this tiny, unairconditioned space, the Flying Sams had set up a triage area, a lab, a pharmacy, and exam rooms which were separated from the rest of the clinic by hanging curtains. It was small, but as patients trickled in, the place transformed before my eyes. All around me, I witnessed the genuine connections student volunteers had fostered with longtime patients as they greeted each other with excited hugs and big smiles. I shadowed physicians and physician’s assistants that did more than write prescriptions; they provided the compassionate and holistic patient care that we
are taught to practice in nursing school. One specific PA was at the bedside of a pediatric patient and refused to leave his side until his high fever subsided. The initially anxious little boy showed his appreciation when he hugged and kissed the PA goodbye upon his discharge from the clinic. I was lucky enough to take part in his care and his mother expressed her sincere thanks towards me. Suddenly, this small building did not feel very small at all. It became clear that the Flying Sams were making a huge impact on this community and that the people of Ejido were making a huge impact on the Flying Sams volunteers- including myself. Fourth semester Nursing Student, Jamille Cabacungan, serves on the Flying Samaritans board as one of the Pharmacy Coordinators. A veteran volunteer, Cabacungan recalls her favorite memory from clinic: “After taking an older patient’s blood pressure, I was able to practice a few words in Spanish with him. He was excited because he wanted to practice a few words of English with me! At that moment, I realized providing simple medical attention created a bridge to the human inside him – and that’s what I hope to accomplish with every patient in the future.” Cabacungan expressed that providing care in Mexico was not that different than providing care in the U.S. because “all patients are similar in that they’re hurt, they’re vulnerable, and just need some tender loving care. Flying Samaritans provides for a different demographic, but it shows the beauty of intercultural health care.” “Going to a different country, encountering a different culture, and yet making a difference in people’s health for the better is just amazing” said Cabacungan, and I could not agree more. Nursing school is tough, but it’s partaking in experiences like these that remind you why you chose to pursue this difficult, but incredibly rewarding path in the first place.
By Jessica Gomez, 3rd Semester
Flying Samaritans of SDSU Compassion Has No Borders
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