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This is a letter from an Iwate Prefectural University faculty member who visited WSU College of Nursing with students in their nursing program. The Iwate students went to class alongside fellow BSN students, participated in simulations, and experienced a College of Nursing in the US.  One of their goals is to build a strong simulation program, so it was critical for their students and faculty to meet  our practice and simulation lab leadership and experience a busy simulation lab.

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Thank you very much for giving us chance to learn about simulation, taking care of us and sending important items which help our program to develop indeed.

IMG_4312I have attached couple of photos.    The student who is standing on your right and wearing brown jacket is Misato.  Another student is Chiori.  When I told them that I was going to see you, they eagerly wanted to meet you to ask some questions and express gratitude more than me!  We were so lucky to catch you at that time!  It is a kind of challenge to knock on a door for them.

Just two years have passed since the last big earthquake.  The wound is healing slowly but even now many people are not still healed, including them.  We have to teach nursing students about caring for their emotions too.  In this tour, they seemed to enjoy visiting various places, meeting many people, joining some classes and experience simulation classes and talking with WSU students etc…  I think IPU students are encouraged to study hard and become a nurse.  You brought  out their eagerness to learn more.  I was also inspired !!! I really appreciate your kindness.
Please say thank you to your faculty for me.
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Pearls of Wisdom: Advice for New BSN students

BSN students at WSUThese are written by current BSN students for the new incoming students. Good luck, J1s!!

One way to survive in this class is to enjoy what you are doing.

Please be active, talking with residents at the nursing home and a well-elder, practicing your skills on them and thinking “why.” Why is this resident taking this medicine, why does this resident have this symptom etc? You get to teach them and you will learn something from them too. They are great teachers.

Please focus on what you need to do in EACH week. Try not to think about how many packets you need to be done at the end of this semester etc. Just do whatever you plan to do or as many things as you can.

And, please remember why you are doing these. You are not simply here to struggle to pass classes, but you are here to be a nurse. (In the first semester, I struggled a lot and forgot why I was here….)

Time will fly. At the end of semester, you will be surprised by many things and skills you learn in this class.

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Skills are very important this semester, however, the most important thing you will learn this semester is therapeutic communication. This is the foundation of all nursing practice.

Don’t be afraid to touch your client; a reassuring rub on the back, an affectionate pat on the shoulder, a compassionate hand to hold. You’ll be surprised how therapeutic touch is.

Work as a team with your clinical group. Everybody has something to contribute. Where you are weak a classmate will be strong, teamwork builds competency and strength. Don’t try to outshine each other. It won’t work.

Don’t be afraid to ask for help or admit you have made a mistake.

Appreciate your CNA’s and acknowledge how hard they work. They are an essential part of nursing, without them your job would be a lot harder. Appreciation fosters a good work relationship.

Utilize the staff. They are full of knowledge. Ask questions. Most of the staff love teaching students.

Relax, this semester will be a lot of work, however, it also will be very rewarding and you will live through it. Have fun and smile a lot.

Be a professional. Don’t get sucked into office politics. When staff members or fellow students are acting in an unprofessional manner. Choose not to participate. Walk away.

Be a patient advocate, first and foremost. It is your most important priority.

Know your skills. Study your packets. Practice your assessment skills.

Listen to your patients. You are now a nurse. They will tell you everything including detailed descriptions of their bowel movements to their most intimate, private thoughts. Don’t act shocked or surprised and you will obtain their ultimate trust, which is very important in collecting information that can be implemented into the holistic treatment of your patient.

Don’t overwhelm yourself with everything you have to do. Break it down. Tackle it one step at a time. You will get it all done.

Find out where everything is the first day. It saves a lot of time.

Take care of yourself, eat well, and get enough sleep and exercise. This will be the most difficult semester you will face and at the end of it, you will feel that you are well on your way to being a “real nurse”. Good luck!!

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If there is one thing that I have realized over this past semester it’s that nothing is as difficult or as impossible as it may seem at first. People will tell you how little sleep they got or how amazingly difficult certain classes are but in reality, you just have to take things one week at a time and you will be fine. I promise you from the bottom of my heart that all of that hard work you put into school will pay off that first time you are able to implement what you have learned to help a real person. As a nurse, you will be there when somebody is born or dies. Something that you say during a “teachable moment” will help change destructive behaviors or encourage a family going through a difficult time. And when you share someone’s joy, grief, fear, hope, or sadness in the way you will as a nurse, you will be forever changed. You will be an intimate witness to the entire range of human emotions and in the process will develop tremendous empathy which will influence everything you do in life. You have picked a truly incredible profession.

Congratulations on beginning your career!

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Thank you to the College of Nursing! An Update from BSN ’12 Adam Scribner

Adam-Scribner

I am am so happy to tell you that I took my NCLEX on December 27th and have been informed that I PASSED!! Every single NCLEX question I answered evoked a memory from nursing school and clinicals. I could hear Naomi yelling “VOIMEL!,” I could hear Dr. Emerson pronouncing, “acetylsalicylic acid,” and I remembered Dr. Van Son’s key points about caring for the geriatric population. I recalled pediatric respiratory info and caring for a patient with a spica cast from Sue and Jennifer, and tons of pharmaceutical and pathological info came flooding back thanks to those amazing (see also: long/thorough) prep sheets I made for Lee Anne’s clinicals. (Wow, there were a TON of pharmaceutical questions!) There were lots of OB questions, and somehow I must have remembered the fundamentals through Cecile’s rapid-fire lectures, peppered with outbursts of names of varous reproductive organs. I recalled acronyms that I barely remembered for unit exams. I remembered specific case studies and lab values and so much more than I thought I’d NEVER retain. I am rambling, so I guess I should get to the point and say, “Thank you,” to all of you at WSU College of Nursing!

I am so very grateful for all of the guidance, support, wisdom, and care each of you offered to me throughout my nursing school career. I have had the most incredible mentors in my clinical rotations. It was always an incredible feeling to have just the right amount of support when I needed it, and the extra push, ever-closer to autonomy, even when I wasn’t always confident that I was ready. In addition to clinicals, I must acknowledge the amazing experiences I had in lecture. There were so many hilarious nursing anecdotes, heart-breaking real life stories, case studies and real-world applications, hands-on activities, and group experiences, all of which contributed to the foundation of knowledge that makes me feel just about ready to call myself a nurse. Last, there were my agency mentors, such as Christina, who gave me the freedom to explore my skills and practice new and creative interventions.

Last, I want to point out that although you, my mentors and instructors, had such a huge amount of wisdom and knowledge to share, the main thing I will ALWAYS keep with me is the human element. I have had college courses in the past in which the instructor was incredibly knowledgeable, kind, etc., but the College of Nursing staff and faculty are unique and truly amazing. I have been blessed to be a part of your family for a couple of years, and I need to tell you how important those interactions with staff and faculty which come between classes and outside of lectures. From the random pat on the back from Sue Perkins, the helpful bits of career advice from Kristen and Debbie and Tina, to elevator talks about pets or hobbies, a few extra Kleenexes from Cecile, and all of those simple acknowledgements of me as a person and not just a student. All of you reinforced everything that it truly means to be a nurse. Thanks so much to all of you, and I will definitely miss my time at WSU College of Nursing. And now, off to polish up my resume!

With grateful sincerity,

Adam Scribner, BSN ’12 (soon-to-be-RN)

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Nursing in Africa Part 4

More from Beth Sheeran, BSN ’12, about her three months volunteering as a nurse in Africa.

October 9, 2012

Just for Laughs and Something from Nothing

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This last weekend, I spent time with a Pastor Benedict, his wife Becky and family in a small village. Benedict is both a pastor and elementary school teacher.  With the small income he had from teaching at one school, he started another elementary school. His family supports numerous orphans in their education and as a father of four has taken custody of some of the orphans in the community. This Friday, the same day I arrived at his house, one of the women in the congregation had been chased away from her home due to being sick with HIV. Both the woman and her 4 children had nowhere to stay. Pastor Benedict arranged for them to sleep in the school he supervises.  In the end I decided to intervene and pay to rent a house for the woman and her kids for four months.  I was amazed to find that renting a house costs about 5 dollars PER MONTH. I couldn’t get my favorite cup of coffee at Starbucks for that amount (Venti Caramel Machiatto- in case you are wondering or want to treat me some day).  Pastor Benedict’s story is one that truly illustrates how much God can use the least of us and create something of value from nothing. I was reminded of this as his wife showed me how the family sits down to create beads from scraps of paper which can be turned in to necklaces and bracelets, which in turn are sold to support orphans, teachers, and widows in the community. This last week has been one of ideas and excitement for all of us. Alice (who is director of the clinic I am working at) is eager to investigate the possibility of starting a new clinic in Maasai territory.  As we discussed different options and possibilities it became clear that the Maasai clinic could possibly be self sustainable and bring income to the women in the community through finding a market for some of the traditional Maasai crafts or even building a creamery to make use of the abundant milk produced in the community. The Maasai are known for their amazing beadwork. Because the women are generally uneducated and unemployed, they spend much of their spare time beading intricate designs which I believe could be sold in many places.

An update on Triny
To update you on what is happening with Triny,  although we have not heard the final word from the board of trustees, Facing the World is proceeding to have meetings with the embassy in the UK for her visa and Pastor Bolahs is working to get her passport ready. Meanwhile, her health continues to deteriorate.
Just for laughs
It is expected when working cross culturally and across languages barriers that funny mistakes happen. This last week everybody has been chuckling about a mistake I made while ordering food. There is a particular veggie that I enjoy eating called skumaweeke. The name has not been easy for me to master. One day I was asked what I want to eat
for supper and I replied kumaweeke (leaving out the s). As it turns out leaving out the ‘s’ REALLY changed the meaning of what I ordered.
I asked for a weak virgin.

 

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Nursing in Africa Part 3

More from Beth Sheeran, BSN ’12, about her three months volunteering as a nurse in Africa.

September 16, 2012

Triny and Sunday: a brief report

I was able to visit Sunday and Brian one last time before I left for Kampala and the visit confirmed one of my fears. I believe Sunday’s illness is a result of full-blown AIDS.  Despite the antibiotic treatment, hospitalization and support that I was able to provide for her. Her health has yet again begun to deteriorate and she is showing new signs of sepsis (meaning that the infection is raging throughout her body). Her family is taking really good care of her and monitoring her health closely.  I had hoped that the treatment would have stabilized her but there comes a point with AIDS that the body is unable to fight infections and antibiotics treatment can’t clear the infection.

I heard from Facing the World yesterday. They are excited about taking Triny to the UK for treatment but have stated that realistically we are looking at 2013 and they can’t say how long the fundraising will take to be able to perform the surgeries needed. I am planning on speaking to the mother about what can be done in the meantime to preserve function and life so that Triny has more time. There is a possibility that the size can be reduced through surgery but the result would be temporary. I am considering assisting Facing the World in fundraising for Triny on my return to the US. I feel the need is urgent and want to do whatever I can to help.

September 23, 2012

Arrival in Kopanga

I have arrived safely in Kenya and started work in the clinic here.  From the bits of Kenya that I have seen so far, I believe that Uganda has lost about 50-70 years of progress due to the subsequent 23 year long war. The poverty level, lack of education and poor economic status of the country really is shocking in comparison to Kenya. I have to apologize about not including photos but the Internet connectivity is very slow here and has prohibited me from sending pictures.

Facing the World is interested in raising funds to bring Triny to the UK (YAY).  The most immediate need is reductive surgery while she waits to go to the UK to make sure her airway stays open while she waits for surgery. I am trying to raise the money as a team effort with her home church.  We have estimated the cost to be around $2,000 dollars including post-op medication and care.

September 30, 2012

An invitation from Maasai

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“Will you please come to my village, we are very far from a medical center and would like us to teach us how to stay healthy.” This was the plea of the Massai man who visited my house this week.

The Maasai people are world renown for their vibrant culture, dance, and ability to raise cattle in a semi-desert environment. One of the tribes lives on the boarder of Tanzania and Kenya. I went yesterday to visit the community. The women were very impressed with my beadwork and want to teach me more. The village is located in a quiet and serene environment. While I was there I met a pastor who has a vision for his community. I am planning on returning to the village to conduct some first aid and health maintenance training.

I am working to connect the Maasai pastor with some of the church pastors here in Kopanga who have been able to motivate the community to build a school, orphanage, well, and clinic. The great thing is that all of these were built by the community for the community rather than relying on outside donors. I am hoping that these pastors can be an encouragement and connection to bring development to the Maasai community.  The community faces many disadvantages due to its location including lacking a secondary school. The Massai are only educated through 7th grade and there is no high school for them to attend therefore the cycle of poverty continues. Part3-2

The invitation from the Massai to teach basic health principles gave me the idea of developing a small program and also teaching in the churches here. The idea is still in the development stage, but I am trying to formulate a plan.

 

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Nursing in Africa Part 2: Beth Sheeran’s Experience

More from Beth Sheeran, BSN ’12, about her three months volunteering as a nurse in Africa.

August 26, 2012

Life in the resettlement camp

This past week has been full of new adventures for me.  I have been working in a clinic in the resettlement camp performing tasks such as wound care, HIV and Malaria screenings, giving injections, prescribing medications, performing minor procedures, suturing wounds, and assisting to deliver babies by the light of a kerosene lamp.  One of the births was very difficult and the baby was born with the cord wrapped around his neck.  I am praising God that we were able to revive him and both the mother and baby are doing well.  After one of the births, the baby was named after me. I have been very impressed by the nurses here. They have few tools to work with but they are innovative and efficient with everything that they do.  Beth-baby

We have sent the results of the CT scan of the girl with the facial tumor to the UK and are waiting to hear back from the agency.  There is a possibility that the tumor is caused by Burkett¹s Lymphoma in which case the prognosis is poor. We are hopeful that this is not the case and will continue to advocate on her behalf.  Sonya’s mother has stated that the tumor grows daily which is disconcerting to me as time may be very short to intervene.

I am continually asking myself what small steps can be made to better life here and the one simple thing that anybody can do is sponsor a child through school or college.  An education is possibly the best way to break the cycle of poverty here in the camp.  If anyone would be interested in sponsoring a child or young adult here, please visit ECM’s website.

September 4, 2012

Of Joy..and Leprosy

This week has been one of rejoicing in many ways. We found out that the young girl with the tumor has does not have any signs of cancer or lymphoma- which means that if the organization in the UK consents to take her for surgery and treatment her life may be saved. The tumor is still growing at a very fast pace and is starting to affect her other eye and the doctors here in Uganda have refused to operate on her to reduce the size of the tumor to preserve functioning of the face.  All we can do is wait and pray that Facing the World decides to take her case.  They have stated that they will hold a meeting as early as next week.  Sunday and Brian are both gaining strength, although they are both still fragile.  I went to see them both a few days ago and found Sunday sitting up and smiling (something I had not seen before).  Brian has gained weight and is no longer dehydrated.  At 3 1Ž2 pounds he is still extremely underweight for being one month old.

samuelSaturday, I was invited to hike deep into the bush to visit a man named Samuel who has been affected by leprosy. This year he has lost several toes to the disease. Formerly, the government had supplied him with antibiotics that kept the disease at bay, but for the last 8 years the supply has run dry allowing the disease to progress to the point where the use of his hands and feet is compromised (no small thing for someone who relies on farming to sustain himself).  He asked me to see if I could find a way to provide him with a pair of sandals that would protect his feet.  Leprosy causes both loss of sensation and movement. Without sensation, there is no pain when an injury or infection occurs which leads to loss and disfigurement.  Knowing the importance of protecting his feet, I promised I would do everything in my power to find some suitable shoes.  I was greatly impressed with Samuel¹s attitude towards his disease and his courage despite the odds facing both him and his family. Samual-feet

With one week left in Uganda, I feel encouraged in the many small things I have been able to do to help people here.  I wanted to send a special thank you to individuals who provided me with a small mercy fund which has enabled me to intervene medically with Brian, Sunday, Samuel and also with Triny (the young girl with the facial tumor, apologies for the name change but some things get lost in translation).

Next week, I will spend the last few days I have in Tegot.  From there I have much travel planned including spending two days traveling out to refugee camps.  I pray that next week I will be able to report that Triny will be flown to the UK to receive life saving surgery, that the story of Sunday and Brian will have a very happy ending, and that Samuel will have a brand new pair of shoes. I will continue to update you as things progress.

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What it means to be a Cougar ROTC nurse

Note: In Nov. 2012, WSU College of Nursing and the Army ROTC came together to sign a Memorandum of Understanding which will ensure space for five ROTC nursing cadets in our BSN program annually. Here is the speech given by BSN ’12 LT Adam Busby.

IMG_1001The history of nursing is colored crimson with the blood of dead soldiers and hard-fought battles. From Florence Nightingale, pushing for “everyday sanitary knowledge” to Jane Delano understanding the need for emergency preparedness; nursing pioneers influence all aspects of life. One thing that remains constant is that when the drums of war beat and soldiers must brave the field of combat, nurses will be there to shoulder the weight of broken bones and broken spirits.

The WSU College of Nursing understands that medicine is a battleground, no matter where a nurse is working. Be it pushing for evidence practice in a small community clinic, to pushing Propofol in a military hospital in Balad. This knowledge of what is expected of its nurses is why they continue to teach standards far above what is required.

As an Army Nurse, just finished with college, I feel confident that my training in both ROTC and the WSU College of Nursing prepared me for the challenges I will face in my career. I am grateful that I had the opportunity to receive the education I did and it will not be taken for granted. I knew upon graduating that I would receive a degree, but I did not expect to receive an overwhelming sense of pride. Not pride in myself, or my own accomplishments, but pride in my schools and my profession.

I would like to thank the WSU College of Nursing for its continued support of soldiers and providing an education beyond expectation. For by shaping the Army Nurses of tomorrow, WSU College of Nursing has the ability to shape the Army.

2LT Adam Busby

WSU College of Nursing Graduate 2012

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