It has been a busy couple of weeks for first year MEPN students. Having recently learned, in the lab, how to administer intramuscular injections students had an opportunity to practice their new skills by administering Flu shots to USD students, faculty, and staff. Over the course of only a couple of weeks, MEPN students gave over 600 Flu shots!
Way to go MEPNs. Thank you for keeping the USD community healthy.
This post is written by guest writer, and 2nd year MEPN Jessica Erickson
USD Hahn School of Nursing continues to expand its footprint throughout Tijuana, Mexico. The Mulvaney Center, USD’s connection for community engagement and social action, led us beyond the border to Ambassadors of Jesus, a shelter for migrants hoping to seek asylum, safety, and stability in America.
The Migrant Protection Protocol, put in place by the Federal government, frequently referred to as “Remain in Mexico”, was implemented in January 2019. This policy returns asylum seekers arriving at ports of entry on the US-Mexico border back to Mexico to wait there for the duration of their US immigration processing; and thus, Ambassadors of Jesus was born. The US Department of Homeland Security states Mexico will provide this vulnerable population with appropriate humanitarian protections for the duration of their stay. However, our eyes were opened to the reality of what this promised protection truly looks like from the perspective of the asylum seeker.
Ambassadors of Jesus is a humble space currently housing over 200 individuals from various countries throughout South America, along with 30 adults and 5 children from Haiti. There are two structures separated between the South American and Haitian populations with an evident racial divide. This gap is only bridged when medical relief is present at the facility. Upon first glance, a sea of tents chaotically fills up the main room. Bunk beds are stacked against a wall for child use only. There is running water, bathroom facilities and a kitchen. No privacy is offered. There are few toys and children’s books available, but only in English or Spanish. Everyone seems to stay inside.
With close proximity comes easy spread of disease. Lice, scabies, and other communicable diseases were breeding throughout the population at this shelter. There is an alarming need for health education. Therefore, 15 MEPN students ran an interactive health fair that consisted of dental hygiene, hand hygiene, personal hygiene, and lice screenings with treatment. First year MEPNs ingeniously used corn on the cob and coffee grounds to depict dirty teeth that require daily brushing. Students acted out when to wash your hands, and the children followed suit with laughter. Families lined up for lice screenings and treatment, turning the opportunity into a communal game of who could pick out the most amount of lice first. After families went through each station, they received a goodie bag containing basic hygiene products the shelter does not provide. Medical relief was offered that day, but only because it was Saturday. The volunteer medical services consisted of 7 doctors, each with a specific specialty ranging from pediatrics to infectious disease. MEPN students assisted with patient intake and assessment.
First year MEPNs Rachel Hammersley and Kimberly Woolery performing lice treatments.
One guest consented to me telling her perspective, and encourages it to be heard. After what felt like rejection from America, she said that she had no other option but to come to this center. Her current length of stay at Ambassadors of Jesus is longer than anticipated, but she is grateful that she is safer than she was in her home country. At first, she felt uncomfortable living in an open space with strangers. Luckily, there is safety in numbers, and the neighboring community is one of welcoming unity.
This guest explained that the resources of this center are given from the surrounding, Mexican community members. It is the community that actually sees, hears, and acknowledges the needs of these asylum seekers. Neighbor is helping neighbor seek security and ensure protection of human rights, instead of either Mexico or US government systems. This community spreads awareness, shows support and empowers across cultures, demonstrating how change is possible and can be sustainable. What a lesson we learned that day. This guest pleaded that we follow suit with our own neighboring asylum seekers in the US because they too need our advocacy.
A message of hope at Jewish Family Services.
Community-based care is demonstrated on our side of the border as well. My community clinical at Jewish Family Services (JFS), part of the San Diego Rapid Response Network, offers services to asylum seeking families in San Diego. JFS reflects the important work of Ambassadors of Jesus, and is also functioning off of outside resources. The site speaks for the marginalized, spreading awareness about the need for meeting human rights with justice. Yet, as JFS rises to lift others up, it falls with lack of support from our community and government. At JFS, we have learned our main role as nursing students is to ensure that no one stands alone in our community. As nurses, we are advocates for the people. We have a duty to treat our patients as a whole person first. No matter our race, religion, political affiliation, gender, sexual orientation, or socio-economic status, nursing takes us to a level of humanization for each individual we cross paths with. Ambassadors of Jesus and JFS embody this perspective: for the people.
We ended the journey across the border at a taco shop. With full stomachs and happy hearts, we unpacked the highs and lows of the day. Our team encouraged one another on what was done well, and what steps could be taken toward areas of improvement for the benefit of the Ambassadors of Jesus community in the future. These trips continue to mold our time management and critical thinking skills, creativity, teaching abilities, communication across barriers and patient advocacy. The emphasis on cross cultural and community based partnerships continue to fuel our passion to serve.
written by guest writers and 2nd year MEPNs- Dena Bisgaier, Augustus Leveque-Eichhorn, Jacquelyn Gaynor, Kelly Huerta, Arielle Sima , Mariah Winters, and Samantha Joy Zamora
During the summer and fall semesters of the second year in the MEPN program, USD nursing students have the opportunity to work with under-served communities around San Diego. This clinical rotation is centered around learning family and community health nursing. The Monarch School is a public school serving homeless youth in the Barrio Logan neighborhood here in San Diego. One of the 2nd year MEPN clinical groups is stationed at The Monarch School once per week from June thru December. Here is a glimpse into what we have been up to:
It has been such a joy to be assigned to Monarch for the past two semesters. Our clinical group has really been able to immerse ourselves in the Monarch community. We have been fortunate enough to participate in the school’s community engagement events such as their open house, flu clinic, and dental clinic. We also have had the opportunity to implement our own health education lesson plans for kindergarten through third grade. We have been able to deepen our understanding of the homeless community in San Diego through partnering with Serving Seniors and Father Joe’s to serve hot meals to the homeless community. Some of our Monarch students reside at Father Joe’s, a nearby organization that helps prevent homelessness and provides resources for residents to find housing and employment.
Alongside serving the community, we are also greatly involved in
the classrooms at Monarch where we tutor students and create special bonds. By
getting to know each student, we learn about their lives and we see how each of
their living situations has impacted them. Many students struggle with their
academics due to what they are facing outside of the school environment.
However, every student we encounter has the drive and capability to do great
things. We, as nursing students, help facilitate learning by building a
positive and trusting relationship with the students at Monarch, and encourage
them to thrive in their academic endeavors.
Below are a few images documenting our experience. We hope you enjoy reading about our experience as much as we enjoy our time at Monarch.
On this day Dena and Mariah presented their lesson plan to the second grade class. The focus of their lesson plan was on personal hygiene, the amount of sugar content in common drinks, the importance of drinking water and eating healthy.
On this day we served breakfast and prepared lunch for the homeless community at Father’s Joe’s Village.
On this day we set up health education booths on Monarch’s “Back to School Night”, to educate students and their families on topics such as Vaping, Blood Pressure, and Sugar Content.
In preparation for “Back to School Night” our clinical group assembled grocery bags of donated food and toiletry items. The grocery bags were used as an incentive for Monarch students and their families get a flu shot. Overall, the day was a success and we ended up assembling over 100 grocery bags and over 100 flu shots were administered.
As we continue to teach and grow as leaders in nursing, we are humbled at what the communities that we serve can teach us in return. This clinical experience reminds us that there are many factors influencing patient health, some factors stemming from the environment and the community in which the patient lives. We must work to strengthen our understanding of creating healthier communities, and in turn, we can influence environments for better patient outcomes.
This post is written by guest writer and MEPN student, Jessica Erickson
This past weekend, twelve MEPN students escaped the stress of their summer semester and jumped at the opportunity to teach at an educational health fair in La Morita, Tijuana. As most trips abroad tend to unfold, things did not go according to plan. An important funeral in the community used the intended space for the health fair at the San Eugenio Clinic site. Thankfully, the students displayed patience, adaptability and creativity, and set up the stations in classrooms below. However, because the health fair was now out of sight, a creative spark was needed once again. The most competent Spanish speakers invited members of the community to our health fair from the nearby farmers market and fair grounds. Soon, by word of mouth from around the neighborhood, our health fair blossomed with families.
Stations ranged from Hand hygiene, Diabetes, Hypertension, Hands only CPR and Nutrition education. Parents, grandparents, aunts, uncles, sisters, brothers, friends and more joined in on the fun. Although the students were first intimidated to teach in Spanish, their compassion for healthcare and people shined through. Laughter, smiles and friendly conversation danced around the room. Blood glucose and blood pressure are always the most desirable stations, but hand hygiene, CPR and nutrition attracted just as many bodies with their positive energy and passion to teach. A highlight of the day was making bracelets, drawing pictures and playing cornhole with the kids of family members present.
One of the main goals of these trips is to establish community and build long term cross cultural relationships with our partners in La Morita. On a previous immersion trip, leaders Jessica Erickson and Kelly Huerta cultivated a friendship with Mexican medical student, Karla Gonzalez (featured above), and Karla returned for this most recent health fair. She not only assisted with educational conversation during the fair, but also shared her experience of what it is like to be a medical student in Mexico. Karla touched on the fact that, “we may be from different backgrounds, but we share a common ground of care for others as future healthcare workers, and that connects us as people. There should be no borders that separate us from helping one another.” After the health fair, the students toured San Eugenio Clinic, and were walked through the process of patient intake, assessment, diagnosis, treatment, prevention and discharge by the medical professionals working there. This clinic is unique in the treatment of interdisciplinary, collaborative care with medical, pharmaceutical, dental, psychological and spiritual services offered. It was a good reminder of the importance of holistic healing for patients.
The day ended at a taco stand where the students shared guacamole and reflected on their
experiences. Debriefing the highs and lows of the day is important for the students to process
their personal experience, and also helps to identify what could be improved for the next trip.
We discussed the needs of the La Morita community to be further addressed, and how to
continue to demonstrate our desire to serve with and learn from the welcoming community of La
Morita, Tijuana. Eyes were opened, hearts were filled, knowledge was shared, friendships were
strengthened and churros were eaten.
a short note to say congratulations on a job well done. Best of luck to
you as you are studying for the NCLEX, participating in job interviews, and
starting your new grad positions. All of us, at USD, look forward to
staying in touch with you and following each and every one of your nursing
A few things to keep in mind…
email is yours for life!
Join the Hahn School of Nursing group on ‘Linked In’
Plan to come back to campus for the MEPN Alumni Panel Discussion, in early
February, to share your new grad story with the graduating MEPNs.
As soon as you obtain your RN license, you are
able to apply for your PublicHealth Nurse (PHN) certificate (no exam
Contact Bianca Vazquez Pantoja at: firstname.lastname@example.org when you are ready and she will guide you through the process.
When you are ready to sit for the CNL exam, please contact the MEPN Office at
619-260-7608. We offer the exam on site at USD and can guide you through
the exam application process.
Don’t forget MEPN grads make the best lab and clinical faculty. Go out there and get
some experience, and then come back to USD to teach in the lab or clinical
setting. (Three years’ experience in the acute care setting is required by the
BRN so by then you will be ready to ‘pay it forward’ and educate the next
generation of nurses.)
It might be hard to fathom that someday you
might consider a PhD in Nursing. I would personally be thrilled to discuss this
educationally opportunity with you.
It is a pleasure and an honor to call you ‘colleague’.
Welcome to the nursing profession.
Kathy Marsh, Associate Dean, Hahn School of Nursing, USD and the
Team- Professor Peggy Mata, Dr Lyn Puhek, and Dr Deanna Johnston
Dozens of employees at Northwestern Memorial Hospital in Chicago, Illinois, were reportedly fired last week, accused of violating the HIPAA (Health Insurance Portability and Accountability Act of 1996) by accessing the electronic health record (EHR) of former “Empire” actor Jussie Smollett, according to several news reports.
NBC Chicago reported that “at least 50” employees were fired, citing anonymous sources.
Northwestern Medicine told Medscape Medical News that it could not comment on the reports of firings, citing privacy reasons.
Smollett reported to Chicago police in January that attackers assaulted him and yelled racial and homophobic slurs. He was taken to the hospital. Police and prosecutors now allege the report was a hoax meant to generate publicity, and Smollett now faces multiple felony charges.
The Chicago Sun-Times quotedan unnamed Northwestern hospital administrator as saying she was fired after an employee in another department came to her desk and asked if Smollett had been admitted under an alias.
It was a special treat last week to welcome home 2018 MEPN alums who returned to campus to share tips on interviewing for new grad positions, studying for the NCLEX, and ah-ha moments during the first year as a nurse.
Second year MEPNs had great questions for the recently graduated alums who openly shared their experiences as a new nurse.
Special thanks to MEPN 2018 graduates:
Amena Adams, Diane-Marie Aguilar, Kristi Armstrong, Riley Cable, Evan Gum, Ann Lawani, Jessica Leatherman, Judith Ramirez, Carmel Roshan, Mallorie Schoesler, Jason Vazquez, Jennifer Zaldivar
This post is written by 2nd year MEPN, and guest writer, Natalie Marsh
Two weeks after returning from our incredible trip to South Korea, MEPN students were excited to welcome our South Korean Buddies from Chung-Ang University, Seoul to the University of San Diego! Our buddies stayed for 11 days and were able to experience both San Diego and (for some) even Disneyland! After being welcomed to USD’s campus by Dean Georges, Dr. Marsh, and the MEPN faculty and students, the buddies spent their days touring many of San Diego’s hospitals and attending lectures about healthcare in the United States.
During our immersion in South Korea, we were amazed at the many differences between Korean medicine and our own familiar hospitals. After visiting Sharp Memorial Hospital, UCSD Hillcrest, and Sharp Coronado Hospital, our buddies agreed- there are many differences! During our Farewell Dinner at La Gran Terraza on USD’s campus, one of our wonderful buddies reflected on her biggest takeaway from these tours by commenting on how she appreciated that hospitals in San Diego focus on supporting the mental, physical, and emotional well-being of their nurses. They took note of the drastically higher nurse retention rate in San Diego compared to their hospitals in Korea, where about 40% of nurses move away from the bedside within the first five years of their career. She shined a light on the importance of self-care within nursing and said, “They (Sharp Coronado) love their nurses!”
Our buddies were also surprised to see the amount of children there are everywhere they went in California. During our visit to Seoul, we learned a lot about the country’s low fertility rate, which is expected to drop below 1.0 births per woman in 2019. This, among many other factors, contributes to Korea’s “aging population”, which is a natural driving force in the structure of Korea’s healthcare system. The buddies were amazed to see so many children and infants here- both in our hospitals and in the “stroller parking” during their trip to Disneyland!
Second year MEPN, Natalie Mata, reflected, “Welcoming our Korean buddies into our school and our country has been such a gift, especially after they treated us so kindly and with such open arms during our visit to Seoul! It has been a privilege to learn from them, and I am grateful for the dialogue we have now entered into about healthcare efficiencies.” As a program, the MEPNs at USD are looking forward to our continued relationship with the nursing school at Chung Ang University, and are incredibly grateful for our new Korean friendships made along the way.
This post is written by guest writer and 2nd year MEPN, Lihini Keenawinna
Immersion group with faculty post visit to the OJO Skin Rehabili Center Clinical Lab and Academy
We started the day visiting the Oh-Jung-Ok Skin Rehabili Center Clinical Lab and Academy. Dr. Oh-Jung-Ok created the OJO method for use in skin rehabilitation, which is used with patients suffering severe burns or scarring. Her method consists of skin rehabilitation massage, aromatherapy, meridian pathway, cosmeceuticals, compression therapy, skin stretching and lymph circulation. The majority of the patients treated by Dr. Oh-Jung-Ok are between the ages of newborn and 3 years who are suffering from scalding injuries. After these patients have received treatment for their burns, they come to this clinic twice or three times a week over a varying period depending on the severity of the burn. They will receive skin rehabilitation massage that is a very gentle massaging of the skin in the direction of lymph circulation. After a number of sessions of skin rehabilitation nursing therapy (SRNT), the patients have a drastic improvement in their range of motion that would otherwise be restricted due to the contractures caused by the scarring, as well as reduction of the appearance and hyperpigmentation of the scars.
The before and after pictures shown to us were very impressive. What resonated for most of us was the fact that they were not just focused on the outward appearance of the patients but also worked towards trying to maintain psychological stability, and decrease stress and anxiety related to long-term self-esteem issues.The main goal of the therapy is to being allow patients the opportunity to return to their lives and once again become productive members of society.
After this visit, we ventured onward to the Korea University Anam Hospital, a state-of-the-art hospital with 1055 beds. The hospital has a cardiovascular center, digestive system center, cancer center, robotic surgery center, organ transplantation center, breast center, thyroid center, and international healthcare center. The international health center is a one-stop service center that helps patients take care of all their medical and non-medical services including transport, visas, and accommodations while they are in South Korea.
During our visit to the Korea University hospital, we heard from the President of the university, the Chief Nursing Officer (CNO), leaders in quality improvement, finance, nursing managers as well as representatives from their international office. From the quality improvement aspect, we heard about the ways in which they have implemented their evidence-based practice protocols specifically in falls prevention as well as their bloodless surgery protocols. We also learned about the structure and various other programs run by the quality improvement department. After spending the previous day at the National Healthcare Insurance Scheme (NHIS) Headquarters and Health Insurance Review and Assessment (HIRA) agencies, the presentation from the finance department really served as a meaningful review of the structure of the universal healthcare system and how it is utilized within the hospital system. The CNO and her leadership team also took the time to educate us about the operationalization of nursing care delivery, the professional progression ladder, leadership structure, shared governance and dedication to educational excellence.