The DSN Digest Happenings at DSN… INTERESTING NURSING SPECIALTIES Andrea Mitrovka (pictured above) is the Perinatal Loss Coordinator at University of Colorado Hospital. She began her nursing career in 1979 at the Ronald McDonald House; in 1984 she worked for the Denver Hospice and began nursing school while raising two children. Through transitions and graduation Andrea started working at University of Colorado Hospital as a Level II nursery nurse. She would later transfer to high risk labor and delivery for the next 25 years. Andrea is still committed to patient care along with her new role as the Perinatal Loss Coordinator. Perinatal loss includes miscarriage, termination due to either fetal abnormalities, genetic disorders, or choice, still births, and IUFD. Regardless of the loss it can be devastating to a parent and family. If the loss is known at admission then Andrea is contacted and she will come to the family’s room to begin her support. The RN assigned on duty will assist in the family support during this time of loss. If the loss is unexpected or unknown then Andrea is notified and she will see the family as soon as possible. When the loss has happened Andrea or the R.N. who is taking care of the patient will create “memories” for the family. This consists of photos, locks of hair, hand and foot prints, books, and a variety of other mementos. Andrea will then have a follow-up visit with the family within two weeks after the loss to assess needs. Assessment of needs is dependant on age, maturity level, culture, personal experiences of the mother, along with mental and physical needs. Support groups are very important. There are many resources Andrea taps into for her patients. For a term or genetic loss, resources are Difficult Decisions (counselors and psychiatrist), M.I.S.S. (mothers, in sympathy and support), Surviving twin counseling, Spanish speaking only, and SHARE (for any type of loss). Educational resources and pamphlets are also given to the parents in a packet that includes, Empty Cradle Open Heart (perinatal loss book), handouts such as milk production, depression, physical needs, etc. When I asked Andrea why and what is fulfilling about her job she stated, “I do it because I can, society is uncomfortable with death in general and I am not. There is a need there that has to be satisfied and I am that person.” For anyone interested in working with any type of loss weather adult or perinatal you must know it is not as much physically demanding as mentally challenging. You have to look within yourself and compare your cultural and moral values. Training programs are out there to guide you in the right direction. Resolve through Sharing located at Gunderson Lutheran Medical Center in Wisconsin and SHARE are great starts for someone interested in this field of nursing. Written by June Lamb Did you have a great experience with a Faculty member? Let everyone know! Nominate he/she for July’s MVP Faculty! SNA WELCOMES A NEW ADVISOR In June, DSN appointed a new Director of Student Services, Michael Ruschival. Mike not only leads the Student Services department, but will act as the SNA advisor, and a great advocate for students across the school! He previously worked in Academic Support for two years, and is excited about his new position. Mike graduated with his Bachelors of Arts from Metropolitan State University, in St Paul Minnesota in 2008. He recently celebrated his 1st anniversary to his wife, and they have a dog named Roadhouse. Ask Mike, about his guitar skills, rumor has it he is in a punk rock band. Feel free to stop by and welcome Mike in his new position! DSN JOINS THE CROHNS AND COLITIS WALK On Saturday, June 16 a group of 46 students and faculty, and their families together participated in the DSN Hates Crohn’s Guts team. We raised $2,526.00, $526.00 above our goal, for the Crohn’s and Colitis Foundation. This was the first time DSN participated in the walk, with great success! Everyone looks forward to the event again next year! Nutrition tips for 12 hour shifts At some point, all of us will be working 12 hour shifts, whether in clinical or in our practice. Although nurses are great at taking care of others, sometimes we can overlook our own health. It is not always easy to prepare healthy meals ahead, let alone make time to eat these meals with a large patient load, but as nurses, we have to remember to take care of ourselves too. Skipping meals can lead to health problems, as well as poorer job performance. There are many healthy snacks that can take less than 30 seconds to prepare, and are quick and easy to eat when you have little time in between seeing patients. Here are some tips to eating healthier on your long days: Don’t skip meals! Skipping meals makes your body use less efficient energy sources such as protein (remember your patho?). It also causes your glucose to drop, which can make you tired and irritable. And because glucose is what your brain uses to function, your decision making processes may slow down, and you may feel physically unstable. Skipping meals can also cause cravings, glucose spikes, and elevated triglycerides, which actually leads to weight gain. Don’t binge on a single large meal! Eating just one large meal overwhelms your body, and the calories you take in are not processed. It is best to take in your daily calories in several small meals, not one big one. Limit your caffeine intake! Most of us rely on caffeine from time to time, if not on a daily basis. Caffeine may make us feel more awake initially, but when it is no longer in our system, we crash. Caffeine can also cause insomnia, GI upset, and act as a cardiac stimulant. Stay hydrated! Keeping well hydrated helps with bowel function, circulation, and overall body temperature regulation. Dehydration causes cardiac strain, increased body temperature and can contribute to fatigue. Take a large water bottle to work every day, and try to drink 8 cups of water or decaffeinated liquid every day. Take your own meals and snacks to work! The hospital cafeteria may be tempting, but most of the meal choices are not very healthy. Relax while you eat! It had be hard to take time out to relax during a stressful day, but stress can decrease your appetite, which can lead to missed meals, or insufficient meals. Take the time to relax before taking that first bite to be sure you can take in your whole meal. Now that you know how, and what to eat to keep you going over your long shifts, it’s time to get to the grocery store to buy the ingredients for these simple, inexpensive snacks! Written by Brooke Phillips DSN ROCKIES GAME DAY An event that students look forward to each year is quickly approaching. DSN has150 tickets reserved for students to purchase at a discounted rate of $10 a piece. Up to four tickets can be purchased in the book store per person We will be attending the Rockies game on Friday, July 27th at 6:40pm against the Cincinnati Reds. Reserve your tickets today! Did you know that… It is possible to lead a cow upstairs but not downstairs In the Caribbean there are oysters that can climb trees. NEED HELP FINANCING SCHOOL? As we move towards a career in nursing, many of us are faced with overwhelming debt that will follow us for years to come. Luckily, there are scholarships and other opportunities to help fun our education and pay back our debt. http://www.fastweb.com/ Create a profile that is unique to you and get matched with a database of over 1.5 million scholarships to help see what you may qualify and apply for. http://www.scholarshippoints.com/ ScholarshipPoints is a point based reward program for students that awards over $100,000 in scholarships to high school and college students each year. http://www.nursesco.org/default.asp?PageID=10002697 The Colorado Nurses Association keeps an ongoing list of scholarships available in Colorado for those currently in nursing looking to further their education and for those interested in entering nursing as a career. http://www.nationalguard.com/life/incentives/st udent-loan-repayment-program The National Guard will pay back up to $50,000 in student loans with at least a six-year commitment. They are not the only branch of the military that offers this type of program, so do your research! http://www.coruralhealth.org/programs/loanrep ayment/index.htm Colorado offers loan repayment & scholarship programs in exchange for service in certain underserved areas and to certain underserved populations. These areas and populations are in rural communities and in urban underserved clinics that serve the uninsured and underinsured. Scholarships are funds you would apply for and receive while in school; loan repayment monies are funds you would apply for and receive after school, when you are working. Written by Lindsey Lavely Upcoming SNA Meetings: Thursday, 7.12 at 11 Wednesday, 7.25 at 11 Monday, 8.6 at 11 Thursday, 8.23 at 11 Friday, 9.7 at 11