Dear Sir/Madam:
We, a group of 4th year nursing students of GSDMSFI is presently conducting a study entitled “FACTORS AFFECTING THE NLE PERFORMANCES OF THE NURSING GRADUATES OF GENERAL SANTOS DOCTOR’S MEDICAL SCHOOL FOUNDATION INC.,”
In line with this, we humbly ask your permission to participate for this study. Data gathered will be considered confidential and will be respected.
Your cooperation and support will be deeply appreciated
Tuesday, August 24, 2010
NCLEX-RN Information: CHOOSING THE RIGHT STATE
Most of the people I met and honestly I also had my share of this "phase" which is having a problem of determining which state to apply to. But this is one of the most crucial part in terms of moving forward to your NCLEX-RN application process.IELTS: Tips and Information
BRITISH COUNCIL
IELTS Administrator
10/F Taipan Place
Emerald Avenue
Ortigas Centre, Pasig City 1605
Tel: 632 9141011-14
Fax: 632 9141020
Email: ielts@britishcouncil.org.ph
Web: http://www.britishcouncil.org.ph
IDP AUSTRALIA
ELTS Administrator
2nd Floor Pioneer House Makati
108 Paseo de Roxas, Legaspi Village
Makati City, Metro Manila 1229(located accross Starbucks in the Old Greenbelt)
Tel: 632 816 0755
Fax: 632 815 9875
Office Hours: 9:30am to 4pm (Monday to Friday)
Saturdays: Half Day
Email: info@manila.idp.com
Test Fee: Php 8640.00M
More information with regards to IDP Australia
When you try to give them a call do not expect to be able to talk to an operator. All you can get is automated informations but most of the questions you have in mind would be found in one of the prompted message.
IDP Australia only accepts cash and manager's check as payments. If you are to make a manager's check please make it payable to IDP EDUCATION AUSTRALIA. Please be reminded to check their site or give them a call since prices may change without any prior notice.
It would also save you a lot of time if you download the application form from the website and accomplish it before proceeding to their office for submission.
Please bring additional pictures just in case though in your application you would already be submitting 2 passport size pictures.
DO NOT forget to bring your valid ID usually people bring their passport or their PRC License.
Upon submission and paying please wait for a few days to a week to receive a letter coming from them regarding the details of your exam such as the venue, time, date and even the location map of your exam venue.
Usually 2 weeks before the test date that you wish to schedule is sufficient to be rostered for that exam. This would still depend on the number of examinees applying for a certain date.
On the day of the exam, one thing that you should never forget is your IDENTIFICATION CARD you used when applying since this would be the only one that would be accepted as your reference and entry for the exam. Try not to bring many valuables on the day of the exam since all of your things would be deposited in one area without any numbers so anything can happen but so far no incidents but just for your own safety. Only cellphones are the ones wherein they give numbers when deposited but as for bags they just place it in one area.
California Board of Nursing Application Tips
HOW TO OBTAIN THE APPLICATION FORM
First get a copy of the California Board of Registered Nursing Application Form. You will need ADOBE READER to view the file. The file is around 27 pages long including explanations and the actual forms needed.
APPLICATION FOR LICENSURE BY EXAMINATION
This is one of the first forms that you will need to accomplish basically it includes your personal information. Fill in the necessary information and here are some tips and frequently asked questions I encountered when filling up this form.
ADDRESS: If you have a relative or family member residing abroad whom you can trust and at the same time ask for little favors then if possible try using a US Address they say that it makes communication faster between you and the Board of Nursing just in case they need something from you. Also it is obvious that mailing time would be faster since letters are only transmitted to the same country as compared to having it mailed in another country. I also say ask for little favors because technically speaking when you mail your forms it would have to come from that US address too so what will happen is that if you are here in the Philippines you will mail the personal forms to your relatives address and they will be the one to mail it to the Board of Registered Nursing... sounds complicated but I hope you get what I mean. If you do not know anyone abroad then just use your address here in the Philippines.
Social Security Number: Most of us do not have this not unless you can legally work in the US so in most cases you just leave it blank.
Place your 2x2 picture on the second page beside the date on the lower part of the page using tape NOT glue.
The rest of the application are pretty much slef explanatory so this form has 2 pages. There is a part about an INTERIM PERMIT which basically says that they give you like a temporary permit to work while while waiting for the exam results which is valid for 6 months or until your results have been released. Personally, I did not avail of it since I won't be able to use it since I do not have papers to work in the US and most often than not they prioritize US nursing graduates for positions in hospitals. So I would rather keep the $35.
REQUEST FOR TRANSCRIPT
One of the forms for the California BON is the forms to be given to your school registrar and then they would be the one to submit it thru mail to the California BON. As for my tip just try to clarify everything with your school registrar so that less errors would be made in terms of processing.
BREAKDOWN OF EDUCATIONAL PROGRAM FOR INTERNATIONAL NURSING PROGRAMS and NURSING PROGRAM VERIFICATION
Just fill out the parts where it asks you to fill which is basically the personal information and the rest will be filled out by your nursing program. Usually they mail it together with your TOR which was filled by the school registrar.
LETTER OF EXPLANATION or COPY OF LOCAL LICENSE
If you do not have your local license yet just email them your board certification that you passed which you can request in PRC once you know you passed the exam. And well if you have your license already then just scan it and print it and attach it together with the other documents you will submit.
FINGERPRINT CARD
You would have to request for this separately you can request by going to this link:
So to summarize everything here are the forms that you will mail to the California BON: Fingerprint Request. Read thru the instuctions there and wait for it to arrive in your mail. Then you can accomplish the fingerprint in the NBI in Carriedo. I am not sure if it can be done in other NBI branches.
Once accomplished, mail it together with your other forms and DO NOT BEND the fingerprint card so if you can place it in a hard envelope the better. What I did was I improvised an envelope using a folder. They just need one copy but just in case the print is rejected provide them another copy so you would not have to mail it separately when they ask for another one.
Here are the things that YOU will mail to California BON:
Application for Licensure by Examination (2)
Letter of Explanation/ Copy of PRC License
Request for Disabilities Form (if applicable)
Fingerprint Card (2)
Things that the SCHOOL will mail to Cali BON:
Request for Transcript form + TOR and RLE Records
Breakdown of Educational Program for International Nursing Programs Form
Nursing Program Verification Form
As much as i am giving here tips and guidelines please refer and read the instructions that comes with the forms. There might have been changes in terms of fees and other instructions so it is important to refer to them still.
The processing of my application took about 2 months but then they requested for subject description so it took me another month to accomplish that. But I think the subject description is a case to case basis.
Last tip, oif you are to use Fed Ex or Special Couriers in mailing remember that they will not accept PO Box address that comes with the form so you can use this address instead:
Board of Registered Nursing
1625 North Market Blvd,
Suite N217 Sacramento, CA 95834-1924
Mastering ANTIEMETICS : A story towards mastery
This story will let you master all anti emetic drugs that are usually prescribed to the patients with nausea and vomiting.
I created this story because of frustration on how to retain those anti-emetics that are very very frequently asked in the local board exams and in NCLEX / CG Books. Also take note that TAGAMET and PEPCID are antacids used for heartburn that are also used to prevent nausea and vomiting. MAALOX has many many uses, but it is mainly an Antacid. The rest, are intended for nausea and vomiting. I did not include BENADRYL because it has variety of purpose, one is to prevent nausea, vomiting and dizziness specially for patients with Endolymphatic Hydrops [ Menieres Disease ]
Si Marinol At Penny
Inap na Inap [INAPRINE] na si marinol [MARINOL] sa kakaantay sa kanyang maal [MAALOX] na si penny. [PHENERGAN]
Dumating na si penny, [PHENERGAN] na Tagamet-ro [TAGAMET] manila pa.
Zofra ka na! [ZOFRAN] Sabay Compaz [COMPAZINE] ng kamay si marinol [MARINOL] para manampal.
Naubos ko na ang pepsi [PEPCID] dito sa tindahan, Ni regla [REGLAN] na ako kaantay bakit ngayon ka lang?
Honey, and drama drama [DRAMAMINE] mo naman.
Communicable Disease Nursing Study Bullets
Communicable Disease Nursing
DRUG OF CHOICE
Tetanus: PEN G Na; DIAZEPAM (Valium)
Meningitis: MANNITOL (osmotic diuretic); DEXAMETHASONE (anti-inflammatory); DILANTIN/PHENYTOIN (anti-convulsive); PYRETINOL/ENCEPHABO L (CNS stimulant)
Rabies Vaccines: LYSSAVAC, VERORAB
Immunoglobulins: ERIG or HRIg
DIAGNOSTIC TESTS
Tetanus: WOUND CULTUREMeningitis: LUMBAR PUNCTUREEncephalitis: EEGPolio: EMG; Muscle testing
Rabies: Brain biopsy (Negri bodies) Fluorescent rabies antibody test
Dengue: TOURNIQUET test (Rumpel lead)
Malaria: Malarial smear; QBC (Quantitative Buffy Coat)
Scarlet: DICK'S TEST; SCHULTZ-CHARLTON TESTDiphtheria: SCHICK'S TEST; Moloney's TestPertussis: Nasal swab; agar plateTuberculosis: MANTOUX testLeprosy: SLIT SKIN SMEAR
Pinworm: SCOTCH TAPE SWAB
Typhoid: WIDAL'S test
HIV/AIDS: ELISA; WESTERN BLOT; PCT: Polymerase Chain Reaction Test
CAUSATIVE AGENTS
Tetanus: CLOSTRIDIUM TETANIMeningococcemia: NEISSERIA MENINGITIDIS
Rabies: RHABDOVIRUS
Poliomyelitis: LEGIO DEBILITANS (Type I Brunhilde); (Type II Lansing); (Type III Leon)
Dengue Fever: ARBOVIRUSES (Chikunggunya); (Onyong-nyong); (West Nile); (Flaviviruses) (Common in the Phil.)Malaria: PLASMODIUM (protozoa) P. Falciparum (most fatal); P. Vivax P. Malariae; P. OvaleFilariasis: WUCHERERIA BANCROFTI; BRUGIA MALAYI
Leprosy: MYCOBACTERIUM LEPRAE
Measles: PARAMYXO VIRUSGerman measles: TOGA VIRUS
Chicken pox: VARICELLA ZOSTER VIRUSHerpes zoster: HERPES ZOSTER VIRUS
Scarlet fever: Group A HEMOLYTIC STREPTOCOCCUS
Scabies: SARCOPTES SCABIEI (itch mite)Bubonic plague: YERSINIA PESTIS
Diphtheria: KLEBS LOEFFLERPertussis: BORDETELLA PERTUSSIS
Tuberculosis: MYCOBACTERIUM TUBERCULOSISTyphoid: SALMONELLA TYPHICholera: VIBRIO CHOLERA
Amoebiasis: ENTAMOEBA HYSTOLITICA
Leptospirosis: LEPTOSPIRA Spirochete
Schistosomiasis: Schistosoma japonicum
Gonorrhea: N. GONORRHEAESyphilis: TREPONEMA PALLIDUMChlamydia: C. trachomatis, T. vaginalisGenital herpes: HERPES SIMPLEX 2
CD PHARMACOLOGY
Malaria: CHLOROQUINE
Schistosomiasis: PRAZIQUANTEL
Scabies: EURAX/ CROTAMITON
Chicken pox: ACYCLOVIR/ZOVIRAX
Tuberculosis: R.I.P.E.S.
Pneumonia: COTRIMOXAZOLE; Procaine PenicillinHelminths: MEBENDAZOLE; PYRANTEL PAMOATE
Anti Depressants : A Story Towards Mastery
It is really hard to memorize these all. Remember the story of Marinol and Penny? How about Tranxene? This is our third story and hopefully, I can come out with the fourth one. I dont know if these things help you, but These are the things I used to memorize drugs that are impossible to memorize using traditional methods.
This is original and not copied from anywhere else. Post away and tell me if this help so I can know If the application of this strategy is universal, or only works with students who appreciate stories.
This is a very nice strategy for instructors who want to divert students' attention, fooling them that you are telling a story but in the real essence, you are teaching drugs and their classifications in a really unexpected way.
Si Nora, Ana at Ela.
By : Budek
Depressed ang magbarkadang si NORA, [ Norpramine ] ELA [ Elavil ] at ANA [ Anafranil ] At nagpunta ang tatlo sa AVENIDA [ Aventyl ] Para makilahok sa welga. Sila ay mga TOFnotchers [ Tofranil ] ng kanilang mga unibersidad at mga ASCENDERA [ Ascendin ] ng kanikanilang mga angkan.
" IMPRISON [ Imprin ] Dionisio and Madeja! Sunugin SINA KUAN! [ Sinequan ] VIVA [ Vivactyl ] Nursing Students! " Ang sinisigaw ng mga magkakabarkada at nakasulat sa kanilang rally banner.
Dumating SI LEX [ Celexa ] Ang pinaka FAVERITE [ Faverine ] na newscaster sa pinas.
Nora, Ana, Ela : " Mga PRO [ Prozac ] Retake kami! Di namin LUV [ Luvox ] ang mga PAXIL [ Paxil ] na Board examiners na yan! Mabuti pang mag ZOLO [ Zoloft ] Nalang kami at pupunta sa PANAMA[ Parnate, Nardil, Marplan ] at doon nalang kami mag nurse! Ang sagot ng mga magkakabarkada.
NOTE :
From NORPRAMINE up to VIVACTYL = TCAs
From CELEXA up to ZOLOFT = SSRI
Parnate, Nardil and Marplan are MAOI
Post away your comments and suggestions.
ABOUT BREAST FEEDING
I. Physiology of Breast milk production
As soon as delivery of the placenta is over there will be an abrupt decrease on both Estrogen and Progesterone -----> this will stimulate the APG to secrete PROLACTIN.
note: Be aware that sucking also stimulates Prolactin secretion as this will stimuate the nerves and impulse will travel from the nipple to the Hypothalamus
PROLACTIN will act on the acini cells (alveolar cells) of the breast to produce milk. This milk is called FOREMILK and is stored in the lactiferous sinus. FOREMILK is contiously being produced.
What happens next?
When the baby sucks on the breast of the mother OXYTOCIN is stimulated and oxytocin will act on 2 organs.
1. Breast (Let down reflex)
2. Uterus (promotes Involutions)
OXYTOCIN will cause the mammary galnds to contract and push the milk forward making it available for the baby.
What will stimulate the Let Down reflex?
1. Sucking of the baby
2. Sound of the baby's cry
note: After the Let Down Reflex a new milk will be formed and this is called HINDMILK and this contains more FATS that is needed for the growing newborn
.STAGES OF BREASTMILK:
1. Colostrum - 2-4 days present
-content: decrease fats, increase IgA, dec CHO, dec CHON, inc minerals, -inc fat soluble minerals
2. Transitional milk- 4 – 14 days
-content: inc lactose, inc water soluble vit., inc minerals
3. Mature milk- 14 & up
-content: inc fats (linoleic acid) – resp for devt of brain & integrity of skin
-inc CHO- lactose – easily digested, baby not constipated.- esp of sour milk smelling odor of stool.
-Lactose intolerance- deficiency of enzyme LACTASE that digest LACTOSE
-Decrease CHON- lactalbumin
Difference with cow's milk
Cows milk
–inc fats -Dec CHO
-Inc CHON – casing- has curd that’s hard to digest.
-Inc minerals–traumatic effect on kidneys of babies. Can trigger stone formation.
-Inc phosphorusnote:
Note Baby who are breastfed are least likely to develop tetany. It is seen that botlle fed infants have more difficulty in regulating calcium and phosporus. Because cow's milk have more fat contents, this fatty acids may bind with calcium in the GIT causing more decrease in calcium.
Note: Breast feeding can be iniated
if had Cesarian Section- after 4 hours
if NSD, ASAP
Advantages of Breast feeding
1. Economical
2. Always available
3. Breastfed babies have higher IQ than bottle fed babies.
4. It facilitates rapid involution
5. Decrease incidence of breast cancer.
6. Has antibodiesI(gA), lactoferrin, lyzozymes and interferon (inhibit and/or destroy pathogenic bacteria and viruses)
7. Has lactobacillius bifidus- interferes with attack of pathogenic bacteria in GIT
8. Has macrophages
Store milk- plastic storage container
Store milk – good for 6 months from freezer- put rm temp. don’t heat
Disadvantages:
1. Possibility of transfer HEP B, HIV, cytomegalo virus.
2. No iron
3. Father can’t feed & bond as well
Proper breast feeding technique
1. Be in a comfortable position
(Most appropriate is Upright sitiing for this position avoids tension)
2. Entire body of teh baby should be turned towards the mother's breast.
3. Initiate feeding by stimulating the Rooting reflex- by touching the side of lips/cheeks then baby will turn to stimulus. Disappear by 6 weeks- by 6 weeks baby can focus. Reflex will be gone-
Purpose rooting- to look for food.
Sucking Mechanism (breast)
a. Lips of the infant should clamp a C-shape
b. The tounge thrusts forward to grasp nipple and areola
c. The nipple is brought against the ahrd palate as the tounge pulls the areola into the mouth
d. the gums compresses the areola, squezing milk at the back of the throat
Sucking mechanism (bottle)
The large rubber nipple strikes the soft palate and interferes with the action of the tounge. The tounge moves forwards against the gum to control overflow of milk in the espphagous (same reason why dental malocllusion is prone to bottle fed babies, because they thrust their tounge FORWARD causing problem in the formation od the dental arch)
4. Burp or Bubble the babyduring and after feeding to allow escape of air (preventing colic). Sit infant on lap, flexed forward, then rub or pat the back (note: avoid jarring the infant)
Criteria of Effective Sucking
a.) Baby’s mouth is hiked up to areola
b.) Mom experiences after pain.
c.) Other nipple is also flowing with milk.
NOTE: Make sure that the mother feeds the baby at the same breast she last feed her baby. THis is to facilitated complete emptying of the breast and thereby promote complete filling of milk.
Contra Indications in Breast Feeding:
a. Maternal Conditions:
1. HIV, CMV, Hepa B
2. Recieving Coumadin, Lithium or Methotrexate
3. has breast cancer
4. has herpes lesion on breast
b.Newborn Condition - Inborn errors of metabolism usch asErythrobastosis Fetalis – Rh incompatibility, Hydrops Fetalis, Phenylketonuria, Galactosemia, Tay Sachs disease
Problems experienced in Breastfeeding :
3RD day changes in breast post partuma.1
1)Engorged breast- feeling of fullness & tension in breast. - sometimes accompanied by fever known as MILK FEVER.
Mgt:Warm compress- for breastfeeding momCold compress
– for bottle feeding & wear supportive bra.
When is involution of breast- 4 weeks
b.) Sore nipple – cracked with painful nipple
Mgt: 1.) exposure to air – remove bra & wear dress, if not, expose to 20 Watt bulbavoid wearing plastic liner bra-will create moisture, cotton only
c.) Mastitis- inflammation of breast : staphylococcus aureus
Factors:
1. Improper breast emptying
2. Unhealthy sexual practices
- manually express inflamed breastfeed on unaffected breast- give antibiotics
– can still feed on unaffected breast
Type of stools with different milk products:
1. Transitional stool - - green loose & shiny, like diarrhea to the untrained eye
2. Breastfed stool
- golden yellow, soft, mushy with sour milk smell, frequently passed
- recur every feeding
3.. Bottlefed stool –
- pale yellow, formed hard with typical offensive odor, seldom passed, 2–3 x/day
- with food added -brown; odorous
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