Professional Documents
Culture Documents
Aug Sept
Aug Sept
A P U B L I C A T I O N O F T H E D U Q U E S N E U N I V E R S I T Y
S T U D E N T N U R S E S ’ A S S O C I A T I O N
The Scope is the proud recipient of the 2013 and 2014 Student Nurses
Association of Pennsylvania Excellent Newsletter Award.
DuquesneScope.wordpress.com
2
Image from clker.com
Table of Contents
Updates Page 11
Get the scoop on flu prevention tips and our legislative committee
NP vs. PA Page 12
Get a perspective from the other side as we hear from a Duquesne PA student
3
The Price of Life
Cathleen Casillo, Senior
Can you put a price on saving someone’s life? According to Mylan, one of the largest generic
and specialty pharmaceutical companies in the world, saving someone from a life-threatening aller-
gy attack costs roughly $300 for an EpiPen injection.
The price of EpiPens has sparked a
highly controversial debate because of the
tremendous inflation in the price of this
medication. To give you an idea of the dra-
matic increase, this pen used to cost $100
in 2007, showing an upsurge in cost of
nearly 450%. Now, both patients and poli-
ticians are speaking out against large drug
companies, such as Mylan, in order to provide effective care at an affordable cost. The most shock-
ing fact of all is that the actual medication delivered by the EpiPen cost about $1 per dose according
to analysts. While the cost of a dose of epinephrine is cheap, the auto-injector pen itself has allowed
Mylan to surge the dollar amount.
This topic is very important for our nation because the healthcare system sheds light into how
much power and monopoly these pharmaceutical companies really have. Mylan defended its com-
pany saying how the reason for the price increase was not by choice for profit, rather, because of in-
surance coverage. Nevertheless, this dispute has revealed the major flaws in our healthcare system.
Heather Bresch, Mylan’s chief executive, has appeared on many talk shows and news broad-
casts explaining what Mylan plans to do from here on out. In a response to many frustrated consum-
ers and legislators, Mylan announced that the company plans to lower the out-of-pocket costs for
some patients who require EpiPens. For example, for commercially insured families who are respon-
sible for their own co-payments, Mylan is offering a savings coupon for up to $300 to ease financial
burdens. For families that are uninsured, Mylan is now offering free EpiPens to patients whose in-
come falls below the poverty level. As you can see, the company is dedicated to helping families and
patients better afford the medication. The biggest issue, however, is that the price of the two pack
has yet to actually decrease from $600.
So why should you care? Regardless of whether you are an EpiPen user yourself or not, this
issue reveals how expensive our health care system truly is. Whether it is the pharmaceutical or the
insurance companies to blame, it is obvious that there is a large discrepancy in how much it does
cost to save a life. It is crucial for health care providers to be aware of the prices of interventions and
treatments in order to best fit a patient’s needs. Further investigation into this subject matter may
hopefully lead to positive outcomes and awareness before healthcare becomes utterly unaffordable.
Maybe you have sleep quantity covered, but what about sleep quality? Check out these facts and myths:
Myth: I can sleep less during the week and “catch up” on sleep over the weekend.
Experts say that to maintain ideal health and performance, you need 7 to 9 hours each night.
Exercising can benefit your sleep habits. However, falling asleep may become more difficult if you
exercise shortly before bed or if you have a varying exercise schedule. Experts at National Sleep Founda-
tion say “Sleep is just as important as diet and exercise.”
Although sometimes it seems impossible, we college students need to get our 7 to 9 quality sleep
hours. Consider sleep a necessity rather than an indulgence. We young adults can find ourselves being
pulled in a million different directions; just be sure one of those directions is your bed each night! So after
you get in a workout and some studying, get comfortable, turn off your bright screens, and make those 7
to 9 hours a priority. Maybe hitting the snooze button isn’t such a bad idea after all…
5
Picture Credits: https://freeenglishmaterialsforyou.com/2016/04/12/you-snooze-you- Article Citations: 25 Random Facts About Sleep. National Sleep Foundation. (2016)., Myths and Facts About Sleep. Cleveland Clinic. (2014, October
lose-english-proverb/ 30). How Much Sleep Do We Really Need. National Sleep Foundation. (2016).
Stayin’ Alive
Hayley Bergell, Senior
We all entered nursing school for our own reasons. One thing we have in common
though, is compassion and the will to help save lives. Some aspects of nursing care that we all
master are CPR & First Aid. We renew our certification every two years in order to stay on top
of things and refresh our memory in case there comes a time in clinical, or the real world,
where we would need to resuscitate someone, or help someone in an emergency medical cri-
sis and save their life.
So why should you learn CPR in the first place? Cardiac arrest is a leading cause of death
in the United States. When someone goes into cardiac arrest, CPR needs to be done immedi-
ately by someone nearby and as a result, will double or triple a person’s chance of survival.
Guidelines change on how to effectively perform CPR and it is important to stay on top of the
recent changes the American Heart Association makes in order to provide the best outcomes
for patients.
Rescuers Should Rescuers Should Not
Perform chest compressions at a Compress at a rate slower than
rate of 100-120/min 100/min or faster than 120/min
Compress to a depth of less than 2
Compress to a depth of at least 2
inches (5 cm) or greater than 2.4
inches (5 cm)
inches (6 cm)
Allow full recoil after each com- Lean on the chest between com-
pression pressions
Interrupt compressions for greater
Minimize pauses in compressions
than 10 seconds
Ventilate adequately (2 breaths
Provide excessive ventilation
after 30 compressions, each
(ie, too many breaths or breaths
breath delivered over 1 second,
with excessive force)
each causing chest rise)
Some warning signs that first aid might be needed are: Prolonged chest pain, uncon-
trolled bleeding, difficulty breathing, shortness of breath, choking, severe pain, weak or nonex-
istent heartbeat and confusion.
Here are some tips to help yourself, and others during a medical crisis:
Remain calm, be aware of your surroundings
Do not move the injured person unless instructed by a medical professional
Do not try to drive someone to a hospital
If CPR is needed, make sure to perform chest compressions at a rate of 100-120. It helps to
do this to the beat of “Stayin Alive”
As nurses, it is our responsibility to help anyone in a medical emergency whether it be in
the hospital, home, or out in public. Keeping up to date on CPR and First Aid ensure that we
can provide effective care and respond appropriately.
6
While our Baroque Art class was highly demanding, the vast amount of
knowledge instilled in me will never be forgotten. Our “classroom” was on-site at
the Capitoline Museum, the Roman Forum, the Pantheon, the Trevi Fountain, the
Colosseum, the Vatican Museum, Castel San’Angelo, the Villa Borghese and numer-
ous churches. It allowed me to truly appreciate artwork and sculptures throughout
Italy. On the other hand, in our Cultural Applications course, we had the oppor-
tunity to visit a private hospital called Salvator Mundi International Hospital. Many
opportunities were readily available to students during our month abroad such as a
wine tasting class, an art day in Florence, an included excursion to southern Italy,
the Pentecost mass at the Pantheon and numerous authentic meals. Words and
pictures will never explain how much this trip came to mean to me. From learning
about Italian culture and ancient art to growing as an individual and making lasting
memories with friends I’ll never forget, I can honestly say this experience has
opened my eyes to what the world truly has to offer. I am beyond thankful to call
Rome, Italy my second home.
Nurse at Sea
Kaitlin Andres, Sophomore
I am a midshipman at Carnegie Mellon’s Navy ROTC unit. To make things short, I am receiving my military
training during my four years in college and then I will commission as an Ensign after graduation. Part of my train-
ing is to visit Navy ships and hospitals to understand how the medical field works in the military setting. This sum-
mer, I was sent to the USS Whidbey Island (LSD-41) for about a month. We started in Norfolk, headed to Camp
LeJune, then across the Atlantic through the Strait of Gibraltar, and finally Italy
where my last stop was before going home. I worked every day with the hospital
corpsmen, the medical people of the military. Even though none of them are actual
doctors or RNs, they might as well be qualified to be ones. The amount of
knowledge and experience the corpsmen had was astounding. The corpsmen gave
me many opportunities to do almost everything they do on a daily basis. I got
hands on practice with things I will doing in my future clinicals such as giving out
medications, making and giving immunizations, doing patients assessments, draw-
ing blood samples, and setting up IVs. They showed me what they would put in
their med packs when they were out in the field and let me participate in the ship’s
medical emergency preparedness and response drills. I am extremely grateful for
my experience and will always remember the corpsmen who dedicated their time
9
to guide me.
Photo Credits: Morgan Polce and Kaitlin Andres
Lunch On the Run
Julie Herr, Senior
“What am I going to pack for lunch tomorrow?” The dreaded ques-
tion we seem to ask ourselves on clinical eve. It is always a toss up be-
tween, do I pack? Or should I just buy something in the hospital cafeteria?
As a senior I have come to learn how to pack a balanced lunch for clinical,
even if you are living in a dorm. First, you need to get yourself a lunch
bag. Depending on the refrigeration availability at your clinical site, you
may consider an insulated lunch box, otherwise a brown paper bag or
grocery bag will do the trick! Next, you should prepare your main item.
For this I usually pack a sandwich, salad, or even leftovers from dinner. If
you live in a dorm and don not have much storage for food, here is a tip:
have on hand bread, peanut butter, tuna packets, or even lunch meat in
the mini fridge. These can all be used to make a sandwich, and if you find
you are running low on something, the market in Towers is good for last
minute items. In addition to a main item, you should always add a fruit or
vegetable. If time permits, I like to make a fresh fruit salad, but, with a
nursing student’s schedule, time is hard to come by. I recommend having bananas or oranges on
hand, something that is easy to throw in your lunch bag. A convenient option for a vegetable is ei-
ther carrots or celery sticks. To spice it up, take a snack size “Jif” peanut butter for the celery, or
even grab a little ranch at the salad bar for the carrots. Now that you have got a good base for your
lunch, pick out a snack item. A favorite of mine is white cheddar Cheez-its or Cool Ranch Doritos. If
I’m feeling daring, I’ll pack a cookie or two! These items can all be
purchased at the market with flex dollars, or even stock up on
snack items if you make a trip to the store. But, what is all this
food without something to drink? I recommend taking a water
bottle with you that can be refilled or packing a disposable bottle
of water. Always store your drink containers appropriately, but
never be afraid to ask for a water break. I know that may sound
silly, but often times we will work all the way until noon without
realizing we have not had a sip of water! Another important tip
for clinical days is always eat breakfast. I know it is easy to pass up
when we are tired in the morning, but eating a high protein and
high fiber breakfast will give you the extra energy for the day. Our
brains always work better on a full stomach! Last but not least,
coffee. If you do not have access to a coffee maker no problem!
Head to Starbucks the night before and grab your favorite coffee.
An iced coffee can sit in the fridge overnight, and a warm drink
can easily be warmed in the microwave the morning of clinical. I
hope you can use these insider tricks to pack yourself a healthy, balanced lunch for clinical.
10
Legislative Update
Holly Storm, Sophomore
This upcoming year in Legislative Committee is a big one with a few major tasks and com-
ponents. The first major task of the year is writing our resolution that we will bring to the SNAP
convention in November. The resolution is due October 15th, one month ahead of the conven-
tion as a committee in SNAP needs to review and make sure that our resolution is good to go.
The resolution has to be specific in the way that it is written with the research going into the
whereas statements and the measures that should be taken against this problem in the resolved
statements. The second big task for Legislative Committee is to implement last year’s resolution
on Intersex Infants and providing all care options to the parents. This task will really be fulfilled
in the second half of this year as we prepare to go to NSNA. Our resolution this year is on Edu-
cating Adults on the Continuing Need for Bicycle Helmet Safety. This resolution really came
about from looking at children and bicycle helmet safety and finding that in many states, legisla-
tion and laws regarding helmet safety and the use of helmets all together really only applies un-
til a person is eighteen. Just because someone is an adult does not mean there is not a need for
helmet or helmet safety, which is where or resolution really came from. Our goal this semester is
to get our resolution passed at SNAP so it can move forward to the NSNA convention that will be
in the Spring of 2017. 11
Both considered a mid-level care provider, a PA and NP are both a non-physician health care provider. When work-
ing within inpatient environments a PA and NP can sometimes be viewed as interchangeable as their day to day work is
similar. They are both able to prescribe medications to patients, and they receive similar pay averaging about $95,000 an-
nually. Both careers give you more responsibility than a position such as a Registered Nurse, but still leave one able to have
a home life, and not be “married to the job,” as many physicians find themselves. The differences however, can be seen
more broadly, with differences found in things such as the education model and specialty choices. These small differences
can ultimately become major decision makers or breakers for someone deciding between the two professions.
First, the foundations of the education are different. Since the Nurse Practitioner is expanding on the role of the
registered nurse, a nurse practitioner follows a nursing school education model. A nursing model is biopsychosocial based
which defined by the University of Rochester Medical Center as, “an approach that systematically considers biological, psy-
chological, and social factors, and their complex interactions in understanding health, illness, and healthcare delivery.” This
approach can be used by any practitioner of medicine but primarily is found within nursing schools, as the role of a nurse
focuses on disease prevention and health education. Physician Assistant schools, usually housed within a medical school,
tends to follow a skill/ procedural based education model, more closely related to the medical education that physicians
receive. This type of education focuses more on the biological and pathological basis for the treatment of patients.
Small differences also lie within the clinical practice of both NPs and PAs. Nurse Practitioners have the opportunity
to work under a physician or they have the opportunity to work independently. Holding a masters or doctoral degree, you
will find more NPs working in specific subspecialties such as pediatrics, obstetrics/gynecology, and family practice as their
knowledge is very specialized. Many practitioners have an average of 10 years’ experience in one field prior to obtaining
their DNP. PAs are dependent providers, and thus they must work under a practicing physician. They have more general-
ized medical training which means they have a little bit of knowledge on a lot of topics, allowing them to easily transition
between specialties. Because of this you will find that more PAs work in more areas of such as Emergency medicine, inter-
nal medicine, and surgical subspecialties.
For me, the deciding factor Topic Physician Assistant Nurse Practitioner
came down to the education. I was Pre-Requisite Education Bachelor’s Degree Bachelor’s Degree
looking for a generalist education, Education Model Medical- Physician Medical-Nursing
Total Post High School Education 4-6 years 6-8 years
one that would allow me to have a
Residency Optional 1-2 years depending on None
little but of knowledge over many specialty
different specialties of medicine, Graduate Degree Masters Some Masters, transitioning to
and ultimately allow me to switch Doctorate
specialties as my future phases of Base Salary $97,280 $97,990
Independent Practitioner No In Most States
life changed. It will allow me to be
Ability to Write Prescriptions Yes Yes
able to work in pediatric surgery
before I decide to settle down and have kids, and then switch to general pediatrics or family practice when I do decide I
want a slow paced specialty. For my roommate, she desired the nursing education foundation. She loves the idea that clini-
cal would start sophomore year of college allowing her to have direct patient care experience and practice, years before
she graduated. Either profession comes with its benefits as well as its few drawbacks, simple research can help you decide
if pursing which graduate degree in the medical field is for you.
12
Photo credits: thepalife.com Content of this article is taken from Medical Terminology Class at Duquesne University
News & Announcements
DUSNA School of Nursing
SNAP: November 18-20 in Lancaster, PA. Stay
tuned for applications to open. Advanced Physical Assessment Volunteers
NSNA Mid-Year November 10-13. needed for October 12-13 to act as patients
Nurses Night, with ATD and NCF, October 23 from for NP students. Contact Susan Hardener
9-11 in Union NiteSpot. at @hardnersue@duq.edu if interested.
Light the Night Walk, October 5 at 5pm.
FOCUS backpacks start October 6. Contact Megan Midterms are the week of October 10-14.
Rudzinski at Rudzinskim@duq.edu if interested.
Legislative Committee meetings Monday and
Thursdays at 4:45 on fifth floor of library.
NCLEX Nook
Question is from: mightynurse.com
Answer on Page 15
A. Supine
B. Side-lying
C. Trendelenburg
Photo Credits: www.duq.edu
D. High-Fowler’s
Ingredient s 1. Put white cake mix, pumpkin puree, pumpkin pie spice and water into a small
3 tablespoons white cake mix greased, microwave-safe mug or ramekin.
(regular or sugar free)
2. Mix with a fork until mostly smooth.
1 tablespoon pumpkin puree
1 tablespoon water 3. Microwave on high for 60 seconds.
½ teaspoon pumpkin pie spice
Optional: Top with whipped cream and pumpkin pie spice
13
Leo The stars are aligning to make Already feeling your class load? Yeah,
the perfect opportunity to finally Aquarius all the other nursing students are
apply for that hospital internship with you. Take some time to wind
you’ve been looking at for years. down and have a ‘Treat Yo-Self Day’!
Don’t waste any more time and It’s the perfect time to catch up with
send it in! your friends.
July 23-August 22
January 20-February 18
August 23-September 22
February 19-March 20
Libra The time is ‘nigh to erase every- Uh-oh. Watch out when the moon is
thing and have a fresh start. Aries full. No, there’s no werewolf busi-
Leaves are falling and the air is ness going on (wait till Halloween)
fresh. Rewrite some goals, make but the full moon will test your rela-
some resolutions, find a new tionships to the max. Reevaluate
Netflix series to binge. what’s best for you and decide.
September 23-October March 21-April 19
22
Better weather calls for sweater Mars is directly in line with Neptune
Scorpio weather. Splurge on some cute Taurus meaning your concentration and
and comfy sweaters (even productivity will be at your all time
though you’re probably gonna highest. Start finishing those care
end up wearing the same two maps and do all those HESI ques-
every day). tions!
April 20-May 20
October 23-November
21
ACHOOO! Allergy season is Better watch your back on the 29th.
Sagittarius creeping up and all we can hear You will be extremely tempted to
are your sneezes, Sagittarius. Do Gemini have fun with your friends, but re-
yourself and others a favor and member…you have clinicals the next
take extra care of yourself. Take day. Better not risk it and move the
some Claritin, Zyrtec or nasal celebration to the weekend. Trust
spray. Don’t forget all those tis- me, you will thank me later.
November 22-December sues too.
May 21-June 20
21
Capricorn The new semester is in full Pittsburgh is filled with beautiful his-
swing. Tests are rough, you find Cancer toric and modern site. Take ad-
yourself studying in the library vantage of this and go Pokémon
for seven hours, and you’re run- hunting! The 28th will bring you a
ning on three hours of sleep. rare Pokémon. With all those poké-
What’s a student to do? That’s stops, you’ll never run out of sup-
right – keep sticking with it plies.
December 22-January 19
June 21-July 22
14
The Scope’s HoroSCOPE is brought to you by the Dukie.
DUSNA BOARD OF DIRECTORS
President– Julie Herr
Vice-President– Sarah Gibson
Secretary– Kerri Silbaugh
Treasurer– Briana Gavin
Social– Brittany Hopper
Service– Megan Rudzinski
Fundraising– Elena Billy, Dana Bernard
Legislative Coordinator–Holly Storm
Recruitment– Lauren Mertha
Publicity–Emily Churchill, Morgan Gruender
NCLEX
ANSWER : B
Rationale: After a repair of a
cleft palate, the child should
be placed in a side-lying posi-
tion to promote drainage and
an open airway.
15
Photo credits: Briana Gavin, Megan Rudzinski, Kaitlin Andres, Kali Contillo
16
Photo credits: Morgan Polce and Kali Contillo