Apple Business Games Health How To Humor Innovation iPhone iPod Music Post The Internet Wii

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Things Every Nursing Student Should Have: Part II, Palm Pilots and Programs

I left a cliffhanger of a post in Part I of this article. This section of the article will focus more on things to help you be successful and knowledgeable in your clinical skills as a student nurse, even if you do decide to go further for your master's or doctorate degree in nursing. Palm Pilots As I mentioned in the previous article, buying a palm pilot was the smartest thing that I ever did. Going on many websites, your head may swoon when thinking of all that you have to consider when buying a Palm Pilot. There are only three things that you need to worry about: price, compatibility, and memory. Price Most good palm pilots (PDAs) start at a range of $199 and can go as far as $499 or higher. I am not a rich person at all. The Palm Pilots (yes, plural...see below) I have bought took months for me to save up for. In my humble opinion, I would have to say that a PDA for $199-299 might be all that you need. Before you tsk, tsk me, there are several things working for you as a student nurse. The first is that you're a student, a poor, poor student who needs help financially. Most companies offer some kind of student discount if you order PDAs from their website like Skyscape and Epocrates. These two websites offer bundles in which you buy PDAs and medical programs together at a discounted price. There might be more sites out there, but these are the two big sites that I deal with when shopping for medical stuff for my PDA. Secondly, as I said in the last section of this article, you can always hit all of the relatives up for some palm pilot lovin' during Christmas/Hanukkah/birthday or whatever time. Compatibility I have had 4 Palm Pilots in my whole life. The first was lost by family members. Number two was tossed out due to the power button breaking...that was the Tungsten E, which I guess was on the list of many repairs and updates leading to Tungsten E2. The third was a Tungsten E2 that ran out of memory. Epocrates is a memory hog...more on this below. Currently I have a Palm TX, one of the few loves of my life. I only know Palm OS (operating system) as opposed to Windows Mobile. Most of the PDA programs that you're going to buy are going to be Palm OS compatible, so it can work on both a Mac or a PC. The PDAs that are only Windows Mobile compatible can only work with programs built for Windows, not for Macs. There are not many Windows only programs, so you're best bet is buying a PDA that is Palm OS compatible. Memory You want to have at least 32 megabytes of memory on the actual device. Palm's Tungsten E2 has this much memory and did very well for me. Most nurse practitioners (and nurses) who I have seen with a PDA have a Tungsten E2. If you choose to shower your palm with a good reference guide, medical dictionary, and drug book, then you will definitely need a memory card. A memory card with 1 gigabyte should be enough. I'm kind of obsessive about new and cool medical books available on PDAs, and I have a 1 gigabyte memory card. Be sure to know which major programs you would want to buy before buying a PDA. Some software requires a certain amount of memory to be on the actual PDA device, even if you have a huge amount of memory on your memory card. Programs Here's the fun part. The inner nerd in me loves nothing more than to break open a new PDA box or play with a new medical e-book found on the internet. You will find this to be true, too,or maybe I am a freak. Student Nurse Must Haves: 1. Epocrates Essentials Pros:
  • Keeps you up to date on current research (depending on how much you update Epocrates)
  • A 5-minute Clinical Consult in which you type in symptoms and it gives you the most likely diagnoses and treatment modalities
  • You can look up different labs and what they mean, different medical diagnoses/diseases, different drugs different medical math formulas i.e. body mass index, creatinine clearance, and pediatric maintenance fluids.
  • Epocrates = memory hog. Get a memory card to save you the trouble and heartache
  • It sometimes has trouble updating and gives you corrupt files. If you have a PDA with WiFi, like the Palm TX, then do the auto update wirelessly instead of using your hotsync cable. This will save you 5 months of constantly calling Epocrates tech support. You'll know exactly what all this mumbo-jumbo is when you actually have a PDA, I promise.
2. Taber's Cyclopedic Medical Dictionary Pros:
  • A full 2439 pages all wrapped up in 10966 kilobytes of memory.  It may sound like a lot of memory, but it's still not as much as Epocrates.
  • web access to the dictionary with illustrations.
  • No illustrations for the PDA version.
3. Lexi Comp Drugs International Pros:
  • In-depth description of tons of drugs...far better than Epocrates.
  • Many international drugs used in Canada and Europe listed.
  • Patient education and monitoring parameters are really spelled out well.
  • It is a bear to download and update. They are based in Hudson, OH, but their books are used all over. I'm really surprised that they haven't made their website more user-friendly.
Grad Nursing Student Must Haves: 1. Washington Manual Outpatient Medical Survival Guide 2. Washington Manual Internship Survival Guide These two books saved my life a few times when doing my clinical rotations. As student NP, you are basically treated as a resident because many people don't know what your training exactly is. This experience was bittersweet...maybe more sweet in hindsight, because I trained myself to not only think on an advance practice nurse's level, but also on medical level along with all of the residents and docs. Studying many sections of these two books also had prepared me for seeing common problems in all of my rotations that NPs and docs have to deal with all the time. I know it is the end of the school year for many and maybe soon to be the beginning of the school year for some. I get asked these questions all the time from classmates, so I figured if that many people wanted to know about PDAs and medical software, then there has to be hundreds more people out there who haven't even started nursing school, yet. I hope this article has helped you. If you have any questions, post them in the comments section below and I will try to answer or add additional parts to this article. Feedback is always greatly appreciated. Good luck in your future studies!

The Best Wii Games You’ll Never Play

The Nintendo Wii is a lot of fun, but it's in a bit of a new game drought right now. While the rest of us sit with bated breath awaiting Super Smash Brothers and Metroid, some folks have made some Wii games of their own. Or at least they pretended to and put videos on the Internet. Here's a whole series of rejected WiiPlay games from the folks at Loading.Ready.Run. Wii toothbrushing is probably the best idea ever, but there is something a little sinister about this series of clips. The Wii controller is all fun and games until someone dies in a spray of obviously fake CG blood. [youtube]MwX8I7PA6t8[/youtube] The Wiimote should not be used to spread butter, margarine, or any other spreadable food item. [youtube]9XXLrrLA6RU[/youtube] Finally, a little bit of NSFW video to keep your mind in the gutter: [youtube]JpB9BpeGJGw[/youtube]

Who Cares About the iPod, Where is the Apple Glucose Meter?

A few months ago I was looking at blood sugar meters and cholesterol testers for family members.  I have had my blood tested for various things throughout my life and I've seen the standard drugstore-issue glucose monitors in action, so I had a very basic idea of what I was looking for.  But I wasn't exactly an expert, so I went online. Now one of the benefits of living in the Internet age is that if you need to learn about any technological device, from MP3 players to video cards to application servers, you can quickly and easily find out all about it online.  Making a major purchase?  Some skillful Googling will lead you to novice-level tutorials, product comparisons, recommendations from normal users, and jargon-laden details from experts. Unless you want to buy a glucose meter.  I found virtually nothing except for short blurbs on retailers' sites.  I even had a hard time finding product info from manufacturers! The worst thing is, I was wasting my time.  Even if there had been a ton of info out there, comparisons, anecdotes, reviews, etc., it would have been no use.  Because as far as I can tell, all blood glucose monitors are complicated, confusing devices that are difficult to use.  Diabetics are supposed to test their blood every day, but the testers are temperamental, require expensive consumables, and can fail without always alerting you to the error. You have to line up drops of liquid on a tiny little target.  Make sure you cover the whole target, or the results will be off.  Make sure you don't go outside the target, or you'll screw up everything.  Oh, maybe you need to recalibrate.  Did you check how old the strips are? I was really, really surprised about this.  Actually, it was a mix of surprise and anger - why should anyone have to put up with such frustration for something that is so important? Why would a confusing interface make me so angry?  I couldn't really put my finger on it (bad pun) until now.  I just read an article at Techcrunch, "Apple iPod vs. the Insulin Pump."  Apparently a blog that covers Diabetes that has posted an open letter to Steve Jobs of Apple:

We are, of course, deeply grateful to the medical device industry for keeping us alive.  Where would we be without them?  But while they’re still struggling with shrinking complex technologies down to a scale where we can attach them, hard-wired, to our bodies, design kinda becomes an afterthought.

This is where the world needs your help, Steve.
This is precisely what is needed.  Now, it doesn't have to be Steve Jobs or even Jonathan Ive, the guys who designed the iPod.  Any designer with some insight and a proven track record of making usable devices could probably improve these medical devices immeasurably.  Millions of people's lives could be made easier if someone married modern medical technology with user-centered design. So add me to the list of people asking the questions in this letter, Steve (few people realize that Steve Jobs reads Unsought Input daily and hangs on our every word).