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November 2022 CNSA - SACRAMENTO STATE CHAPTER VOLUME 41, ISSUE 3

My Day in the Neonatal Intensive Care Unit

By Abby Mendoza
Legislative Director
3rd Semester

During my OB clinical rotation, I was fortunate

enough to be given the opportunity to experi-
ence one day in a NICU. Given that I have had
The History Behind Fili-
limited experience with this unit and popula-
pinos in Nursing
tion, I was not sure what to expect. The nurses
Page 2 were so wonderful and took me under their
Public Health Nursing wing for the day, I was able to learn what it
Care vs Bedside Clinical means to be a NICU nurse. Throughout the unit,
Nurse Care there are multiple pods with up to six patients
Page 3 in each pod. The nurses’ workstations are in the
CNSA’s Homecoming pods directly beside the infants, so they are
Golf Cart Float closely monitored. The overall environment in
Page 4 the NICU is calm and quiet, and clustered care is
BUBBLES!
performed to decrease stress and stimulation
for the babies. I saw a variety of patients with
Page 5
different diagnoses. One patient presented as
Jeopardy Night the most extreme edema I have ever seen in
Page 6 every part of the body. Seeing these newborns
The Resilience of a in such critical condition was heartbreaking, and
Child I cannot imagine how emotionally tolling this could be for the families and healthcare
Page 7
team. Although there are tragic cases like this in the NICU, there are also hopeful sto-
ries. Premature infants can still have promising futures at gestational ages of as little as
Covid/Monkeypox
23 weeks. Some of the ways that these premature babies can thrive are by mimicking
Page 8 the environment in the womb - using the giraffe warmer bed, swaddling the infants
Mental Health tightly to create boundaries, and minimizing stimulation. Additionally, they are fed
Page 9 with 24-calorie formula or breastmilk with supplements to ensure that they are getting
Campus Resources
adequate nutrition. I am glad I was able to experience every part of the NICU - both
heartbreaking and optimistic. I admire the nurses’ compassion for the patient and their
Page 10
families. I admire the families’ readiness to learn and participate in their child’s care,
Nursing Meme Corner despite all of the grief they might feel. I am very thankful for this learning opportunity.
Page 11

Photo of author
 THE MONTHLY SHOT PAGE 2

The History Behind Filipinos in Nursing

By Antonette Josephine Muñoz
Pre-Nursing Representative
Health Science with an expressed interest in Nursing

As a Filipina, I have been surrounded by nurses all my

life. At every Filipino party, family gathering, and event I
have had at least one family friend or family member say
something like “become a nurse!” When I was applying to
college I came to the decision that I wanted to become a
registered nurse. I am glad that my parents didn’t force
me to go into nursing and it was more of my personal
choice. Many of my family members were happy and also
made jokes about how my parents made me major in
nursing when in reality it is truly something I am inter-
ested in. I never thought much about why so many Filipi-
nos are nurses until my dad sent me an informational
video about the history of Filipinos in Nursing. Due to the
Philippines being colonized by America, Filipinos started
to be taught fluent English. In 1903, U.S. President Wil-
liam Howard Taft enacted the Pensionado Act. Many Fili-
pino nursing students went to America to study at colleg-
es. Some of the nurses that studied in America either stayed to work or went back to the Philippines to help
out the nursing schools in the years 1903 to 1940. America was building hospitals in the Philippines so that
Filipinos can become nurses and move to the United States. Many nursing schools opened up in the Philip-
pines because of the increased demand for nurses after World War II. Filipinos were sent over to America to
work as nurses which was enabled by the president for various reasons. One of the main reasons was that af-
ter the war, many women quit nursing because of the lack of support Americans had towards their medical
workers. This program was also seen as a tactic for the Philippines to not be influenced by communism which
was very relevant during the Cold War. The Philippines leader back then, Ferdinand Marcos was a dictator and
he believed that sending Filipinos for labor and sending money back home would also help the economy. The
Philippine Overseas Employment Administration (POEA) was made by the Philippines Government and fo-
cused on sending Filipinos to work in other countries. My dad was originally majoring in Engineering but then
his parents made him switch over to nursing. He became a BSN RN in the Philippines and moved to San Fran-
cisco in the 90s. In the Philippines, Nursing is seen as a stable job that will help them immigrate to America
and be able to provide for their family. I believe that it is important to know the history behind different cul-
tures and the medical system even if they aren’t always “happy” stories. Don’t forget to say thank you and ap-
preciate all the nurses and medical workers out there! If you would like to learn more about this and know
where I gathered some of the information, I will provide some links below. Thank you so much for reading!

https://news.berkeley.edu/2019/05/28/filipino-nurses-in-the-us-podcast/
https://time.com/6051754/history-filipino-nurses-us/
https://medium.com/frame-of-reference/the-history-of-filipino-nurses-in-the-united-states-of-america-e29889d910bb
https://www.youtube.com/watch?v=GQfuRQ6xaIk&ab_channel=OneDown
https://www.youtube.com/watch?v=yw8a8n7ZAZg&ab_channel=Vox

Photo from author

 THE MONTHLY SHOT PAGE 3

Public Health Nursing Care vs Bedside Clinical Nurse Care

By Tamila M.
4th Semester

Throughout nursing school, I have gained bedside nursing clinical experience

in various hospital units that gave me an opportunity to apply nursing skills
and theoretical knowledge. Before diving into public health nursing, I had to
learn about public health nurses' responsibilities when caring for our pa-
tients. According to the CDC, public health is about protecting and improving
the health of people and their communities, by promoting healthy lifestyles
and researching disease and injury prevention (2022). Additionally, public
health is responsible for detecting, preventing, and responding to infectious
diseases and protecting the health of entire populations (2022).
Based on my experiences, there are the following benefits of being a public
health nurse: more freedom and autonomy when caring for patients. For ex-
ample, with the residents that I care for I have the freedom to make my own
schedule for my visits with them. I choose my own questions to ask to gather
their health data. Also, I have more one-on-one time with the residents, which
helps them open up and share their health needs, which is so important to
provide patient-centered care and building trusting relationships with them.
Teaching and sharing resources available for my residents is another benefit
of being a public health nurse, which allows me to teach my residents about
preventative measures for hypertension, stroke, falls and other issues. Being
able to visit residents at their homes and learn more about their daily rou-
tines is helpful to scan their environment for any additional help that the resident may need to stay safe at home and
improve their quality of life. For example, after learning from a resident that they had developed a problem with their
balance recently and being able to observe it in their home environment, I educated them about the need to always use
their walker, even when going to the kitchen. My advice was confirmed with their PT, who also emphasized the need to
always use a walker. One of my favorite benefits of public health nursing is the ability to come back to my resident and
meet with them again for evaluation, implementation of a new plan for their care, and finally, to simply continue my care
and support, while building trusting relationships with them.
In contrast, based on my experience as a clinical nurse we do not have the autonomy and luxury with making our own
daily schedule. We do not see the home environment of our patients and cannot accommodate their care support based
on their home environment. We rely on the information they provide to us about their home support system and living
conditions. Lastly, we usually never see our patients when they get discharged from the hospital and have no chance to
build long-term relationships with patients, which may feel a lot less rewarding than public health nursing. However,
there are some benefits in bedside nursing that allow us to provide direct patient care, including immediate medical
care, by having direct access to the provider, access to medications, and the ability to take appropriate steps during
some protocols such as SIRS, code situations and for implementation of rapid/emergency medical treatments. Also, clin-
ical nurses in the hospital have more resources available and can advocate for a patient for more medical treatments for
the patients.
In summary, I would like to say that both public health nursing and clinical nursing experiences have a common goal of
delivering safe patient-centered care. They have their own strengths when collaborating with patients whether in the
hospital as a clinical bedside nurse or in a clinic/patient home as a public health nurse. It begins with compassionate
care involving public health nurses, trying to prevent the occurrence of more serious problems in our patient popula-
tion, by providing support and resources to stay safe and improve their quality of life. But if anything happens, they have
their partners, clinical nurses, taking over the care of these patients and continuing the goal of delivering safe patient-
centered care with the same compassionate approach.
Centers for Disease Control and Prevention. (2022). How to Stay Healthy Around Pets U.S. Department of Health and Human Services. https://www.cdc.gov/healthywater/drinking/public/
water_diseases.html

Photo of Author and her Clinical Instructor

THE MONTHLY SHOT PAGE 4

CNSA’s Homecoming Golf Cart Float

By Rita McCann
CNSA Treasurer
3rd Semester

At this year’s homecoming football game, the School of Nursing participated in the golf cart decorating contest
and parade. Our cart featured a skeleton in a pair of Sac State scrubs, a homemade defibrillator, a Foley bag,
yellow and green stethoscopes, and glove balloons. A crowd favorite was the cups of urine that were dyed yel-
low and green. Many thought they were made of Jell-O and some even asked if it was really urine. It was amaz-
ing to see people in the crowd during the parade point to themselves, say “I am a nurse”, or attendees telling
us their family member is a nurse. We had members of the public also say, “we love our nurses!” It is amazing
to see appreciation from our fellow Hornets and community. Although we did not make the top 3, we were a
fan favorite for sure! Thank you to Helen for letting us borrow supplies from the lab and to everyone who
helped decorate!

Photo from event

THE MONTHLY SHOT PAGE 5

BUBBLES! In honor of our 3rd Semester pediatrics rotation!

By Jessica Ornelas
Global Initiatives Director
3rd Semester
 THE MONTHLY SHOT PAGE 6

Jeopardy Night
By Mariya Tkachenko
CNSA Chapter Representative
3rd Semester

On Friday, November 18th, the Health and Human Services Joint Council invited members of
various health-related majors to participate in a Jeopardy Night, the Jeopardy Master of the
night being our very own Julie Ryoo. As some may remember, this Council put on a similar
event last semester. Because it was such a success the first time, they decided to make it even
bigger and better this Fall, increasing their venue capacity to accommodate a larger size group.
Over 30 students had the opportunity to collaborate and work together, each bringing a differ-
ent aspect of health knowledge to their team. Not only were members of the School of Nursing
in attendance, but so were students majoring in Physical Therapy, Psychology, Public Health,
Communication Sciences & Disorders, and many more. Attendees used the interprofessional
communication skills focused on so heavily in our program to problem solve and critically
think their way through the challenging questions. Tensions between teams grew heightened
as the night came to an end with Team Pineapple coming out victorious. One can only hope
that the Health and Human Services Joint Council organizes Jeopardy Night once again for all
those who could not attend this month. Until next time!

Photos from event

 THE MONTHLY SHOT PAGE 7

The Resilience of a Child: Lessons to Learn from Pediatric Nursing

By Lauren Zan
Undergraduate Representative 4
4th Semester

It is no question that being hospitalized is one of the most

challenging experiences a person may go through in their
lifetime. The physical demands of healing and continuous
procedures, sometimes with no clear timeframe for recov-
ery. The emotional demands of missing not only your loved
ones but also your investment of time into your hobbies and
your simple everyday life are now interrupted by the beep-
ing of machines and the structured environment of the hos-
pital. Compassionate nursing is nursing that acknowledges
these challenging experiences and approaches care from the
perspective of our patients. But what about when the pa-
tients we care for are the most creative, growing minds who
depend on nurture and play to thrive? The pediatric nursing
practice would be remiss if we didn’t acknowledge the even more specialized needs of a child, especially in what we
would consider an environment that even challenges the adult experience.
In my practice so far in caring for children, what has struck me most is their ability to still be playful, free-spirited beings
despite their circumstances. The lessons of resiliency they’ve modeled by simply being themselves transcend into les-
sons we as adults could learn from and apply to our everyday life. Children are often perceived as learners in our society,
but what often is overlooked is what they could be teaching us. The lessons pediatric patients have taught me can and
should be remembered as we navigate through the
Your imagination is your greatest tool
The power of our minds is not to be underestimated. Children model this behavior every day, but in the hospital have
shown their greatest moments of bravery because of what they can imagine. This pulse oximeter is suddenly a friendly
alligator, one that will take turns in nibbling on the nurses’ fingers and then their own. This blood pressure cuff? This is a
big hug that wants to squeeze their arm and leg. We can turn on music and suddenly be in a new place, and gaze at the
stars that are shining on the ceiling from their nightlight. Children have a magical way of accepting the world in a greater
way than adults often can. The good news is our inner child still lives within us, and we can take ourselves to new places,
too, with the practice of meditation, creative writing, and reading stories.
Big feelings are meant to be felt
Children are the greatest example of wearing their hearts on their sleeves. Joy is never mistaken because their eager
smiles and belly-aching giggles can be heard down the hall. Sadness is quickly replaced with tears and tight holds of
loved ones. As adults, we often learn to hold back our feelings, or at least feel them but have ways to suppress them so
they are in a more acceptable form to society. Our emotions are meant to be felt and are key signals to handle situations,
good or bad. Accepting our emotions better equips us to provide self-compassion and be the imperfectly, perfect beings
that we are!
Be a tree
Being a child is like being a tree. Each day offers a new opportunity for a little more growth, or perhaps a new leaf that
develops that was not there before. Growing strong roots helps to hold them steady in a challenging time, yet they may
still sway in the wind with a new experience they haven’t seen before. They even offer fruits, or what we can consider
the gift of imagination children provide to adults to remember the truly remarkable beings they are!
Photo from author
THE MONTHLY SHOT
Covid-19 and Monkeypox Updates
Sac County has had 5,437 new cases this
month and 46 deaths.
Regardless of vaccination if you are sick
with Covid-19 you should isolate from
others.
Isolate for at least 5 days from others after
you test positive. If you develop symptoms
after you must start isolation over and do
an additional 5 days.
The CDC recommends getting the new bi-
valent booster if it has been at least 2
months since your last Covid-19 vaccine.
You can get boosted at any local pharmacy
by making an appointment online or walk-
ing in!
PAGE 8
Monkeypox Update
Sac County has had 2 cases in the last
month and 144 total cases.
Monkeypox is spread 3 ways: close or inti-
mate contact, infected animals, or through
the placenta.
Monkeypox can be spread from the time
symptoms start until the rash has fully
healed and a new layer of skin forms.
The illness typically lasts 2-4 weeks. Symp-
toms appear around 3 weeks after expo-
sure.
Vaccine Info for Sac County can be found
here: 4,474 persons partially vaccinated
https://www.cdc.gov/vaccines/hcp/vis/vis-
statements/smallpox-monkeypox.html
Photo Credit: CDC, NHS England
 THE MONTHLY SHOT
Resources
COUNSELING:
Student Health & Counseling Services
https://www.csus.edu/student-life/
health-counseling/counseling/
We offer confidential individual and
group counseling. If you would like to ex-
plore whether counseling is right for you,
the first step is to call us during business
hours at 916-278-6461.
If you are experiencing an urgent matter,
you can drop in during our business
hours. (Mon-Fri: 8:30 a.m. - 4:00 p.m. )
Please reach out, support is out there you do not have to be alone!
PAGE 9
CRISIS ASSISTANCE & RESOURCE
EDUCATION SUPPORT (CARES):
https://www.csus.edu/student-affairs/
crisis-assistance-resource-education-
support/
The Sacramento State CARES office provides
support to students who are in crisis or experi-
encing unique challenges to their education.
They address a variety of issues including, but
not limited to: Transportation Barriers, Mental
Health and Wellness, and Physical Health and
Wellness.
THE MONTHLY SHOT PAGE 10

Campus Resources—Food Pantry and Pop Up Pantry

ASI Food Pantry ASI Pop Up Pantry

Registration once every semester:

Fresh produce at no cost to Sac State
https://asi.csus.edu/asi-food-pantry
students in need!
MONDAYS: 12 pm—3 pm 10:30-1:30pm or until supplies last
TUESDAYS: 10 am—2 pm December 5th
WEDNESDAYS: 1 pm—5 pm
THURSDAYS: 12 pm—3 pm
FRIDAYS: 10 am—2 pm
Location: University Union, Room 1246

Students are able to select foods using a

points system every week!

For more information, visit ASI’s website https://asi.csus.edu/asi-food-pantry or Instagram @sacstateasi

Photo Credit: Andrea Price (Instagram @andrea.price.sac)

THE MONTHLY SHOT PAGE 11

Nursing Meme Corner

Do you have a nursing meme you want posted?

csus.cnsa.monthlyshot@gmail.com
Photo Credits: CNSA Board
 THE MONTHLY SHOT PAGE 12

Learn more about

Men in Nursing at IMPORTANT
aamncsus.weebly.com UPCOMING DATES
& aamn.org
Events:

Men In Nursing Meeting

Fall 2022 Apparel Order Dec 9 @4:30pm
Folsom Hall 1049
Elections

C.N.S.A. Meeting
December 2 @4:30pm
Orders have been processed and in Folsom Hall 1050
Specialty Speakers!
manufacturing! 110 orders!!
Contact Info
California State University, Sacramento,
School of Nursing:
7667 Folsom Blvd.
Sacramento, CA 95819-6096
https://www.csus.edu/college/health-
human-services/nursing/
View Past Monthly Shots Phone: (916) 278-4106

sacstatecnsa.weebly.com/past-entries Monthly Shot Editor: Hugh Darwent

Email: csus.cnsa.monthlyshot@gmail.com

Faculty Co-Advisors:
Dr. Denise Wall Parilo
Write for the Monthly Shot! & Dr. Bridget Parsh
Join CNSA:
Each article is one CNSA event and is great for your CSUS CNSA chapter:
nsnamember- resume! Articles should be at least 250 words, and can
sacstatecnsa.weebly.com
be about anything nursing or school-related.
ship.org
We want to hear from all semesters!

SUBMIT YOUR PHOTOS TO “Nursing school.

THE MONTHLY SHOT! One syllabus at a time.
For each issue, it is nice to see pictures
One class at a time.
of you and/or your nursing school One exam at a time. “Like” Sac State Nursing on Facebook!
www.facebook.com/SacStateNursing
friends doing awesome nursing-related One clinical at a time.
activities! Become a celebrity and submit Keep going…” Follow Sac State CNSA on Instagram!
pictures for the next issue! --unknown @sacstatecnsa

Send pictures today to:

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