Get Your Dose of Nursing Info!

October 2020 CNSA - SACRAMENTO STATE CHAPTER VOLUME 37, ISSUE 1

What is Senate Bill 1237 (SB 1237)?

By Nou Thao
Legislative Director
4th Semester

Senate Bill 1237 (SB 1237) was introduced

by Senator Dodd and has just been signed by
A Little Advice Governor Gavin Newsom on September
From Night Shift 18th, 2020. This piece of legislation pro-
Page 2 posed an expansion to the scope of practice
Real-Life Superheroes for nurse-midwives. Previously, nurse mid-
in Pediatrics wives had to be under the supervision of a
Page 3 physician and surgeon to care for all cases. It
would allow nurse-midwives to attend cases
Battling Food Insecurity:
The Nevada County of low-risk pregnancies as long as it meets
Food Bank the mutually agreed-upon policies and protocols put in place at that facility (CA Legislative
Page 4 Information, 2020). The care includes prenatal, intrapartum, postpartum periods as well as
COVID-19 Vaccine
family planning, interconception care, and newborn care (CA Legislative Information, 2020).
Barriers Outside of The These policies and protocols can be agreed upon by forming a Nurse-Midwifery Advisory
Science Labs Committee which would consist of 4 qualified nurse-midwives and 2 qualified physicians and
Page 5 surgeons (CA Legislative Information, 2020). However, the new changes indicate that nurse-
Mental Health Matters:
midwives would have to refer emergencies to a physician and surgeon or provide emergency
Resources care until assistance is obtained (CA Legislative Information, 2020). Additionally, nurse-
Page 6 midwives have more access to certain drugs and certain surgical procedures (CA Legislative
Information, 2020). Evaluation of the outcomes of this bill will be required to be reported af-
Welcome 1st Semester
Students
ter four and a half years and every year annually afterwards (CA Legislative Information,
Page 7
2020).

CNSA 2020 Virtual

Convention As a nursing student, I believe this is a major milestone in nursing history. It has expanded on
Page 8
the professionalism of the nursing career and has allowed nurse-midwives to perform more
specialized care for their patients. For more information about SB1237 and the changes it has
Voting Information
outlined, please refer to the reference provided.
Page 9
Important Upcoming Reference
Dates CA Legislative Information. (2020). SB-1237 Nurse-midwives: scope of practice. Retrieved from
Page 10 https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201920200SB1237
 THE MONTHLY SHOT PAGE 2

A Little Advice From Night Shift

By Austin Friedheim
Chapter Representative
3rd Semester

I just recently had the privilege to start a nursing ex-

ternship at UCDMC. Since starting work, I have had my
first experiences working a full twelve-hour night shift
and seeing what the hospital is like at night. Because
most of us will likely be starting on the night shift af-
ter graduation (the waitlist for day shift can be a few
years), I thought I could share some of my tips and
tricks to having a good shift and balancing nights with
school and clinicals.

So let us say I have a shift on Friday night. Typical

shifts are 6:45pm to 7:15am. If I am able to, I will try
to go to bed early Thursday night and get as much
sleep as I can. Then sometime in the afternoon, I will
try to take a nap and then eat a small dinner before I head into my shift. Maybe, it’s just me but food helps me
focus, and stay awake and so I will pack a second dinner which I will eat around 11 or 12 that night. I also bring
lots of water and Gatorade. I try to stay away from caffeine but if that works for you then by all means go for it.
The night shift has a lot of differences from the day shift in terms of the flow of work and when people take
breaks.

Typically, the start and end of the shift are hectic as nurses try to get meds in and help family members before
the patient goes to bed and visiting hours are over. Then around 12am most patients are asleep, and the fami-
lies are long gone. This is a great time to catch up on charting as well as to eat that second dinner. The 12-4 am
hours can be long and quite slow so I find it helpful to sit with nurses and either talk or walk around and check
on patients regularly (not waking them up but just making sure they are sleeping well). If I sit for too long the
tiredness settles in. Then around 4am things can begin to pick up as patients wake up, they need their meds,
and doctors start coming in to begin their prep. At this point, I finish off my remaining snacks and energy drink
and get ready for the last push. I try to get as much stuff done for my patient to help day shift because it is al-
ways the best practice to try and alleviate work for the next shift.

On the way home, since I have a little bit of a commute I roll the windows down and turn up the radio to keep
myself awake and then I usually shower and go straight to bed when I get home. I find it easiest to cluster my
nights to 2-3 in a row rather than spread them out so that my body gets somewhat used to the sleep routine
and can recover the other four days rather than spreading them out. Hope this helps!
THE MONTHLY SHOT PAGE 3

Real-Life Superheroes in Pediatrics

By Bella Zulfikar
4th Semester

Being in the hospital can be frightening

for adults, so imagine how it must be for a
child? We’re seeing an abundance of grati-
tude and appreciation for healthcare he-
roes who are working during this unprec-
edented time. When you read “healthcare
heroes,” the first groups of people that
come to mind may be nurses or doctors.
In the realm of pediatrics, child life spe-
cialists are the true heroes of the unit.

Child life specialists are there for the pa-

tients as soon as they enter the hospital.
They are skilled in helping children devel-
op an understanding of a medical diagno-
sis or procedure using therapeutic play
appropriate for their developmental stag-
es. They are a bit different than other
members of the care team in that they focus on the emotional and psychosocial needs of the patients
without taking part in any medical interventions. In other words, they are a major part of making hos-
pital care for the children as atraumatic as possible.

During my first shift, I cared for a patient who was scheduled for diagnostic imaging later that day. Af-
ter speaking with the family, they told me that the child was scared for their roommate who had left
for surgery and had yet to return. The child was also afraid to leave the bed because they feared that
they would get another “painful poke.” Though we may not view radiology or needles to be such
frightening events as adults, any medical intervention can be a cause for stress and fear for children.

Later that day, I asked one of the phenomenal child life specialists if she had planned to speak to the
patient and the mom about the procedure. Within a few minutes, she arrived at the bedside with an
age-appropriate preparation book, introduced herself to the family, and created a safe space for each
party to express their concerns using language appropriate for the child’s developmental level. After
their conversation, the outcome was remarkable. The mother and patient felt more at ease during the
remainder of their care. They were also able to use their coping mechanisms taught by the child life
specialists to prepare for the diagnostic test.

For so many children, this is a time when they are the most vulnerable. Staying in a hospital is never
easy, but child life is an essential part in making the hospital a less scary place. I am constantly in awe
of the impact they have on children and families, and to many, they are truly the definition of a
healthcare hero.
 THE MONTHLY SHOT PAGE 4

Battling Food Insecurity: The Nevada County Food Bank

By Mary de Leon
Undergraduate Rep 4
4th Semester

2020 has been a crazy whirlwind year

for the history books, from the social un-
rest caused by George Floyd’s death, to
the devastating California wildfires, to
the ever-growing concerns with the
COVID-19 pandemic. Though people
have been encouraged to adjust to this
new “normal,” the transition has been
especially difficult for low to moderate-
income families. With the unforeseen
economic ramifications caused by the
pandemic, many people have lost their
incomes, jobs, and businesses. This
leaves them with no choice but to turn to
community resources to feed and shelter
their families. One such resource is the
food bank, who procures and distributes
food to those in need.

As one of the fourth-semester students

volunteering at the Nevada County Food
Bank (NCFB) for my community health
rotation, I thought it prudent to raise awareness on the issue of food insecurity during the era of COVID-19. On my very
first day at the NCFB, the volunteer coordinator provided some context for the scale, impact, and importance of the food
bank in the community. She mentioned that before the pandemic hit in March 2020, the NCFB was serving around 2,000
people. However, after March, that number increased exponentially and now they’re serving more than 10,000! On top of
the financial problems generated by COVID-19, Nevada County residents have also had to face evacuations and displace-
ment with the wildfires sweeping through parts of Grass Valley. During this last month of volunteering, I’ve encountered
multiple families driving through the food bank’s distribution center claiming that their homes were burned down by the
fires and/or that they’ve lost their jobs due to the pandemic. They frequently stated that their only saving grace was the
NCFB providing them with enough food to last through the week, as they attempted to find new living arrangements and
sources of income.

Despite how vital the Nevada County Food Bank has been in keeping families afloat through these difficult times, they’re
severely lacking in manpower. They only have a small number of workers and volunteers to help pack and distribute
thousands of food bags every week. When the nursing students arrived to begin their community health rotation, we re-
ceived countless words of thanks and gratitude for our help. Tasks that previously took them a whole day to accomplish
were finished in a matter of a few hours with our assistance. Thus far, this experience has really humbled me and encour-
aged me to reflect on the importance of unity, teamwork and compassion in times of hardship, especially as future nurses
that communities will rely upon!

In order to provide quality care for patients, we must understand why they’re ill, injured and/or seeking medical treat-
ment. This includes being mindful of recent community events, such as local wildfires and effects of COVID-19, and how
they can influence people’s current physical, mental and social well-being. We must also be willing to step up in situa-
tions where our help is needed, whether that’s providing compassionate care to COVID-19 patients in the hospital setting
or providing aid to the food bank in the community setting. I encourage anyone who wants to make a difference in peo-
ple’s lives to volunteer at the Nevada County Food Bank, or any other service-oriented organizations near you! They will
really appreciate your kindness and willingness to rise to the occasion to help others!
 THE MONTHLY SHOT PAGE 5

COVID-19 Vaccine Barriers Outside of The Science Labs

By San Lu
4th Semester

I had an amazing opportunity to attend a webinar event “Earning

trust in the Age of the Pandemic” by The National Academies of Sci-
ences, Engineering, and Medicine (NASEM) and The American Acad-
emy of Arts and Sciences. The event discussed the other barriers for
COVID-19 vaccines outside of the science lab. With all the scientists
in the world focusing on creating a vaccine for COVID-19, an effec-
tive and safe vaccine will inevitably be created in the near future.
However, there will be a challenge in convincing the public to re-
ceive the new vaccine. The two crucial barriers are the anti-vax
movement and the mistrust in the African American community.

The anti-vax movement started from a false study published in The

Lancet. The study accused the MMR vaccine of causing autism in 8
children (Gerber, 2009). This study had raised concern in the public
about vaccination. Many studies came after and demonstrated no
connection between autism and the MMR vaccine. However, the cur-
rent anti-vax movement is still around. In addition, because the
COVID-19 vaccine is new, the public may have concern for the effectiveness and side effects of the vaccine. In the study
“Determinants of COVID-19 Vaccine Acceptance in the US,” 67% of 672 participants said they would accept the COVID-19 vaccine
(Malik, 2020). This is a good acceptance rate, but it is not good enough to create herd immunity from COVID-19 (Malik, 2020).

In addition, the African American community may be resistant to the COVID-19 vaccine. The African Americans’ mistrust in the
health care system and scientists emerged from the 1932 study “Tuskegee Study of Untreated Syphilis in the Negro Male.” The Afri-
can American participants were misled into believing that they were being treated for “bad blood” while the researchers injected
syphilis in healthy men (CDC, 2020). The study went on for 40 years and the participants did not receive treatment even though peni-
cillin was introduced to treat syphilis in 1947 (CDC, 2020). This study is one of the many studies that mistreated and violated African
American patients’ rights. The mistrust in the African American community is a great barrier for COVID-19 vaccine acceptance. Dur-
ing the panel discussion “Earning trust in the Age of the Pandemic,” Dr. Francis Collis recommended that to increase the public ac-
ceptant of the COVID-19 vaccine, we need the community leaders in these communities to advocate for the vaccine and participation
in the COVID-19 vaccine clinical trial. On September 16th, the National Institutes of Health (NIH) funded a program called Communi-
ty Engagement Alliance (CEAL) Against COVID-19 Disparities. The CEAL program is focusing on raising awareness and education
about COVID-19 in minority communities (NIH, 2020).

Undoubtedly, there are a many barriers in getting the public to accept the COVID-19 vaccine. As nursing students, we have the re-
sponsibility to educate and raise awareness about COVID-19 and the vaccine in our own community. We are the leaders who will
bridge our community and the healthcare community.

References
CDC (2020). The Tuskegee Timeline. Centers for Disease Control and Prevention. https://tools.cdc.gov/medialibrary/index.aspx#/media/id/281461
Gerber J.S., & Offit P.A. (2009). Vaccines and autism: A tale of shifting hypotheses. Clinical Infectious Diseases, 48(4), 456-461. https://
doi.org/10.1086/596476
Malik, A.A, McFadden, S.M., Elharake, J., & Omer, S.B.. (2020). Determinants of COVID-19 Vaccine Acceptance in the US. The Lancet, 26, 100495.
https://doi.org/10.1016/j.eclinm.2020.100495
NASEM (2020). Earning trust in the Age of the Pandemic. The National Academies of Sciences, Engineering, and Medicine. https://
www.nationalacademies.org/event/09-16-2020/earning-trust-in-the-age-of-the-pandemic#:~:text=Trust%20is%20fragile%20and 20fos-
tering,and%20effective%20COVID%2D19%20vaccine.
NIH (2020). NIH Funds Community Engagement Research Efforts in Areas Hardest Hit by COVID-19. National Institutes of Health. https://www.nih.gov/news-events/news-
releases/nih-funds-community-engagement-research-efforts-areas-hardest-hit-covid-19
 THE MONTHLY SHOT PAGE 6

Resources

COUNSELING: CRISIS ASSISTANCE & RESOURCE

Student Health & Counseling Services EDUCATION SUPPORT (CARES):
https://www.csus.edu/student-life/
health-counseling/counseling/ https://www.csus.edu/student-
affairs/crisis-assistance-resource-
We offer confidential individual and education-support/
group counseling. If you would like to
The Sacramento State CARES office provides
explore whether counseling is right for
support to students who are in crisis or expe-
you, the first step is to call us during
riencing unique challenges to their education.
business hours at 916-278-6461.
They address a variety of issues including, but
If you are experiencing an urgent mat-
not limited to: Transportation Barriers, Men-
ter, you can drop in during our business
tal Health and Wellness, and Physical Health
hours. (Mon-Fri: 8:30 a.m. - 4:00 p.m. ) and Wellness.
THE MONTHLY SHOT PAGE 7

Welcome 1st Semester Students!

Welcome
Class of
Spring 2022!
THE MONTHLY SHOT PAGE 8

CNSA 2020 Virtual Convention

THE MONTHLY SHOT PAGE 9

Don’t Forget to Vote!

Important Dates

Deadline to Register
October 19th

Election Day!
November 3rd

Register to vote and check your registration status here:

https://registertovote.ca.gov/?t=s
Help Sac State compete in the University and College Ballot Bowl:
https://caballotbowl.sos.ca.gov/BallotBowl/Index
 THE MONTHLY SHOT PAGE 10

Learn more about

Men in Nursing at
IMPORTANT UPCOMING
www.aamn.org/ DATES
Events:

Men In Nursing Meeting:

Congratulations
October 16th (Friday) at 4:30 pm
Via Zoom
(Link will be provided in cohort FB groups)
Learn about UCDMC’s New Grad

to our new
Residency Program

C.N.S.A. Meeting
November 6th (Friday) at 4:30pm

CNSA Board
Via Zoom
(Link will be provided in cohort FB groups)
Join us for nominations and elections
for the CNSA Board of Spring 2021!

of Contact Info
California State University, Sacramento,

Fall 2020!
School of Nursing:
6000 J Street
Sacramento, CA 95819-6096
http://www.hhs.csus.edu/nrs
Phone: (916) 278-6525
Fax: (916) 278-6311

Monthly Shot Editor: Izza Villarino

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

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.
friends doing awesome nursing-related One clinical at a time. “Like” Sac State Nursing on Facebook!
activities! Become a celebrity and submit
Keep going…” www.facebook.com/SacStateNursing
pictures for the next issue!

Send pictures today to: -Anonymous

[email protected]