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freshmen nursing 2013

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mike massey

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Transcript of freshmen nursing 2013

mike@tsu.ac.kr
Freshmen Nursing 2015
grading
week 2
week 5
week 7 review for midterm
group captains
week 6
stress and crisis
week 4
"medical error" video
week 3

the medical assessment (eating disorder) dialogue we've studied is performed in stages. How many stages were there? and what were they?
1. ______________
2. ______________
3. intro
4. ______________
5. ______________
6. ______________
transcript: Nurse Terry
postpartum hemorrhage
eating disorder
how to bandage the lymphodema arm
medical error
postpartum hemorrhage


about me
Introduction
Freshmen Nursing 2015
medical assessment
Michael (no middle name) Massey
Maryland USA
Masters in Applied Linguistics
Married w/30 month old daughter (elly)
Play ukulele, frisbee
Been in Korea since 2002
Favorite food is Bossam
find these stages on the public walls in this building write them down and present a list of the stages in order
confirmation
physical medical assessment
Joyce's confession
sub-stage
greeting
eating disorder stages
3 part exchange
affirmation
id band
can you tell me... / may i have...
spoken language clauses
unknown allergies can be dangerous
confidentiality and privacy law
transition between stages with 'so'
'just' #
just means: only this and nothing else
nuero checks
no imperative mood pattern rather listed "I'm gonna..."
a false start is an unfinished sentence
'need you to' shows power ' just
which procedures are administered?
she constantly affirms for legal reasons and protocol
she uses humor to make patient more comfortable
this is done to assess mental states and get background information
this is unfinished in the video
Pathology
accumulation
lymph
soft tissue
accompanying swelling
extremities
inflammation
obstruction
removal

lymphedema[ lim-fi-dee-muh ] noun Pathology
1. The accumulation of lymph in soft tissue with accompanying swelling, often of the extremities: sometimes caused by inflammation, obstruction, or removal of lymph channels.
How to bandage the lymphedema arm

pa·thol·o·gy
[puh-thol-uh-jee]
noun, plural pa·thol·o·gies.
1.the science or the study of the origin, nature, and course of diseases.
2.the conditions and processes of a disease.
3.any deviation from a healthy, normal, or efficient condition.

lymph
[limf]
noun
1.Anatomy, Physiology . a clear yellowish, slightly alkaline, coagulable fluid, containing white blood cells in a liquid resembling blood plasma, that is derived from the tissues of the body and conveyed to the bloodstream by the lymphatic vessels.
let's spend 20 minutes practicing your dialogue and role-play of "making a doctors appointment" then table captain will choose best speakers to reenact the situation next week.
Activity
assignment
for fun
don't take the papers off the wall only write the stage down and make a list in order and give it to me
music
activity
assignment

activity
lets choose one of the captions from "how to bandage the lymphedema arm" video; practice it with your table and the new table captain will present its meaning and purpose to the class
questions
1. what happened in the video?
2. who are the participants?
3. what stages are performed?
4. how is the problem solved?
activity
discuss and present the following questions:
1. what is postpartum?
2. what is 'hemmorhage'?
3. how many actors in the video?
4. what stages of action appear in the video?
5. what is the problem and the solution?
6. why is examining this video important?
assignment
i'd like each of you to think about why and when you decided to become a nurse. then discuss with your table. and then the table captain will choose two students to help him / her present the two best stories to the class.
activity
tell 2 stories of how why and when you decided to become a nurse. we'll start with table 3.1.4.2.6.5
you should know

id band
pulse
vital sign
allergy
privacy and confidentiality
Pathology
accumulation
lymph
soft tissue
accompanying swelling
extremities
inflammation
obstruction
removal
lymphedema
types of bandages
postpartum
hemorrhage
1. the problem and solution of each video we've watched,
2. be familiar with "making a doctor appointment" dialogue ,
3. the neuro tests given in a medical assessment. (from video 1)
4, any language special to nursing that we have discussed in the class, ie transitions, 3 part exchange, 'i'm gonna need you to..' 'i just need you to...' i'm gonna be...'
5. the difference between spoken and written language / nursing and conversational language.
how many actors and what are their roles?
what is the problem and solution?
make a list of three words that you didn't know from the video.
vocabulary
general information
videos
week 9
Un-Witnessed Fall
activity
What is the problem and solution of this video?
How many actors are there and what are their roles?
What is the SPLATT protocol?
Have you ever witnessed or discovered a fall? what did you do?
SPLATT
S
ymptoms
P
rior fall
L
ocation
A
ctivity
T
ime
T
rauma
protocol
presentations
class A
class B
class C
class D
class E
class F
let's each (group) choose a scenario from the videos in this class or any other idea you have.
presentations should be:
3 minutes long in length,
involve all group members (actors directors writers),
props are not necessary,
tables 1,2,7 week 11
tables 3,4 week 12
tables 5,6 week 13
tables 1,2,8 week 11
tables 3,4 week 12
tables 5,6,7 week 13
week 10
respiratory therapy
activity
what is the patients problem?
what are the methods used for therapy?
what do the nurses say that is common in all videos so far?
have you ever had any trouble breathing? how did it feel?
what was the last procedure called in the video?
tables 1,2,7 week 12
tables 3,4 week 13
tables 5,6 week 14
tables 1,2,7 week 12
tables 3,4 week 13
tables 5,6 week 14
tables 1,2 week 12
tables 3,4 week 13
tables 5,6 week 14
presentation standard:
2 pts ready to go
2 pts memorized script
2 pts clear language
2 pts use of knowledge in our class
2 pts no mistakes
= 10 points
tables 1,2,8 week 12
tables 3,4,5 week 13
tables 6,7 week 14
week 11
presentations
presentation standard:

2 pts ready to go
2 pts memorized script
2 pts clear language
2 pts use of knowledge in our class
2 pts no mistakes
= 10 points
sterile field setup
contamination
sterile
above my shoulders below my waist out
past your peripheral vision
open the flap away from you
autoclave
inspect
1 inch margin
saline solution
opened bottle
unopened bottle
4 by 4s
don't laugh
don't talk
don't sneeze
don't let anyone near it
what you should know
activity
what are the basic steps?

why does it need to be sterile?

do you know what this protocol is?

have you ever seen one?
assignment
at home:
research the steps of a sterile field setup

next week (in class):
new table captain will write 50 words based on the research.
week 12
wound care video
activity
presentations
Name something that costs more money if you have a daughter instead of a son.


Name something that some people just cannot hold onto.


Name a word that most people yell at their dogs.


Name a musical instrument that is too big to carry on an airplane.


Name something New York City claims to have the very best of.


Name something you wear that might be plaid.


Name something that is harder to do if you have braces.


Name something cats have that people do not.


Name something people have to run to catch

.
Name someplace you would find a water fountain.


Name a type of fish people order at fine restaurants.


Name something people wear when they want to dress casual.


Name a reason why a baby might be cranky.
Wedding 42
Clothing 37
Money 78
No 27
Bad 5
Tuba 31
Piano 28
Cello 10
Harp 9
Drums 8
Bass 5
Trombone 4
Saxophone 3
Restaurants 12
Shirt 30
Shorts 7
Chew 59
Brush Teeth 8
Talk 6
Tails 21
Whiskers 12
Bus 44
Pet 15
Park 50
School 23
Salmon 24
Swordfish 9
Jeans 49
Tired 6
Family Feud
the final exam
the five most important vocabulary words from the midterm test.
5 points
the problem and solution of all videos we watched
15points
translate 10 words or phrases from everyday English to nursing English. (example: take out remove) 20
points

=40points
week 13
According to women: What is the most important element in a relationship?

Name a reason you might be up on your roof.

Besides a church, name a place where people get married.

Name a company that makes batteries.

Name a famous pig.

Name something people do with their fingernails.

Name a reason why people might suddenly close their car window.

Name something you need if you want to go bowling.
Name a reason people take out a loan.

Name something you could find in an art class.

Name a place where you see lots of joggers.

What is a problem most people have in their lives?
Id Band
pulse
allergy
vital signs
extremities
bleeding
after birth
blockage
take out
"I am your nurse"
"can you please sit up"
"what is your name?"
permission from patient for protector
the soft parts of the human body
the study of disease
challenge 10 points
group presentation 10 points
mid term exam 20 points
final exam 30 points
attendance 20 points
group participation 10 points
100 points
every week we'll do rock scissors paper in our groups to choose a table captain. we'll do this each week until everyone in the group has been captain once. the captain will collect and present the table's work for the day.
how many actors are there? 3
what are their roles?
how many and what are the stages in this video?
1. why is the greeting in three parts? hello-hi-hello
2. why aren't there complete sentences?
3. why does the nurse speak differently to the patient and the guardian?
4. what are the transitions between stages?
5. what words and phrases are used most often?
table captain should prepare a paper listing the subtitles from the video with their korean translation
spread fingers apart when wrapping
start at the top of the nail until covered
apply fluff loosely
spread the fingers apart
pull snug but not too tightly
overlap half the width of the bandage

no assignment this week
2nd activity
have you ever experienced or heard of a medical error?
assignment
lets present our dialogues, then table captains will tell us about what is different between this dialogue and what typically happens in Korea in this situation
assignment
1. table captain will choose one person to present the "taking an xray" dialogue next week. (please try to memorize)
2. please edit and create a script for your future job interview.
final presentation
Choose a nursing scenario and decide who will be the actors, writers and director. Next week please give me one paper with all of your roles and the title of the scenario. Writers should provide well written scripts and copies for acting. This will be your presentation for the semester and will be performed the week of May 26th and 27th (A and B classes on June 1st). Performances should 1-3 minutes performed in front of the class.

3-points for attitude
2-points for organization without mistakes
3-points for memorization
2-points for readiness

this is 10% of your final grade
presentations
class A
class B
class C
class D
class E
class F
let's each (group) choose a scenario from the videos in this class or any other idea you have.
presentations should be:
3 minutes long in length,
involve all group members (actors directors writers),
props are not necessary,
tables 1,2,7 week 11
tables 3,4 week 12
tables 5,6 week 13
tables 1,2,8 week 11
tables 3,4 week 12
tables 5,6,7 week 13
tables 1,2,7 week 12
tables 3,4 week 13
tables 5,6 week 14
tables 1,2,7 week 12
tables 3,4 week 13
tables 5,6 week 14
tables 1,2 week 12
tables 3,4 week 13
tables 5,6 week 14
presentation standard:
2 pts ready to go
2 pts memorized script
2 pts clear language
2 pts use of knowledge in our class
2 pts no mistakes
= 10 points
tables 1,2,8 week 12
tables 3,4,5 week 13
tables 6,7 week 14
Name something men lose interest in when they fall in love.
Other Women 25
Friends 24
Sports 18
Going Out 7
Hobbies 5
Appearance 4

Name something women get excited about.
Jewelry 9
Gifts 3

According to single men: What is the one thing you might want to know when you meet a women, but do not have the nerve to ask?
Single 30
Age 14
Kids 7

nurse, patient, guardian
1. greeting 2. patient history 3. privacy / confidentiality 4. introduction physical assessment 5. physical assessment 6. mental assessment
first hello announces she's here, second hello begins introduction
because this is spoken language
nurse has power over patient not the guardian.
so, ok, great, now
so, ok, great, im just gonna, i just need you to, just
what are the neuro checks? and how are they performed?
Doctor's Assistant
: Of course, how about next Monday? There's a slot available at 10 in the morning.
Patient
: I'm afraid I'm working at 10. Is there anything available after three?

Doctor's Assistant:
Let me see. Not on Monday, but we have a three o'clock opening next Wednesday. Would you like to come in then?
Patient:
Yes, next Wednesday at three would be great.

Doctor's Assistant:
Alright, I'll pencil you in for three o'clock next Wednesday.
Patient:
Thank you for your help.

Doctor's Assistant
: You're welcome. We'll see you next week. Goodbye.
Patient
: Goodbye.
making a doctor's appointment
http://prezi.com/psptlunkr5au/?utm_campaign=share&utm_medium=copy&rc=ex0share

.Patient: Nurse, I think I might have a fever. It's so cold in here!
Nurse: Here, let me check your forehead.
.Patient: What do you think?
Nurse: Your temperature seems raised. Let me get a thermometer to check.
.Patient: How do I raise my bed? I can't find the controls.
Nurse: Here you are. Is that better?
.Patient: Could I have another pillow?
Nurse: Certainly, Here you are. Is there anything
else I can do for you?
.Patient: No, thank you.
Nurse: OK, I'll be right back with the thermometer.
.Patient: Oh, just a moment. Can you bring me another bottle of water, too?
Nurse: Certainly, I'll be back in a moment.



fever
to check someone's forehead
raised temperature
thermometer
to raise / lower the bed
controls
pillow
Helping a Patient
Key Vocabulary





Getting Patient Details

Administrative Staff: Hello, how can I help you?
Patient: I've got an appointment with Dr. Adams.

Administrative Staff: Are you Ms Moyers?
Patient: Yes, I am. I have an appointment at ten.

Administrative Staff: We just need to fill in some information for our files. Could you fill out these forms?
Patient: Certainly ... (comes back after filling out the forms) What's this form for?

Administrative Staff: It's just a privacy form informing you of our policies.
Patient: Is that really necessary?

Administrative Staff: I'm afraid it is. Could you also sign that form?
Patient: OK, there you go. Here's my insurance provider's card.

Administrative Staff: Thank you. OK, that'll be $20.
Patient: Why do I have to pay $20?

Administrative Staff: It's the deductible for office visits required by your health care provider.
Patient: ... but I'm insured aren't I?

Administrative Staff: Yes, of course. Your health care provider asks for deductibles on office visits.
Patient: Every time I turn around I've got some additional fee to pay. I don't know why I pay for insurance!

Administrative Staff: I know it's frustrating. We also have a lot of paperwork. Every provider has different forms and requirements!
Patient: This can't continue on like this!

Administrative Staff: I agree with that!




appointment
to fill in forms
files
form
privacy policies
to sign a form
insurance provider
insurance provider's card
deductible
office visit
health care provider
to be insured
additional fee
frustrating
paperwork
What is the SPLATT protocol?
S / dizziness' P / yes, at home' L / next to the hospital bed' A / while walking to the toilet' T / 5 minutes ago' T / bruising on head and arm

http://prezi.com/psptlunkr5au/?utm_campaign=share&utm_medium=copy&rc=ex0share
name 2 protocols
1.
2.
Full transcript