Vital Signs Newsletter Fall 2014, Issue No. 2

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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: Chargers 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. !

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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 Gown ( 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&region=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 Students Association, Global Initiatives 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 polioboth 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 everywherenot 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 nations 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 tachycardicon 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 cant 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 churchas far as

    specific goals are concernedboth 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 Ugandas 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 Jackhim being the only nurse practitioner. There are many organizations such as churches and charity organizations that are embarking on missions regularlythis 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 nations 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 clich, 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.

    ! Dont drink the water (or eat the ice).!

    Dont 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 wont 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:(ylee@mail.sdsu.edu(

    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)(

  • Vital Signs Issue No. 2| Fall 2014

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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:(chhsintl@mail.sdsu.edu(

  • Vital Signs Issue No. 2| Fall 2014

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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 estimat...

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