Casey Gelderman's portfolios

Pace Path

The Pace Path combines intentional co-curricular opportunities with the academic experience to en...
7 portfolios

Thesis Abstract

Staphylococcus aureus, is a typically commensal bacterium that is present on the skin, hair, and mucosal membranes of most of healthy humans. Although humans regularly associate with many different bacteria on a daily basis, some members of the genus Staphylococcus, S. aureus in particular, can invade host tissues when the cutaneous tissue is compromised. This can lead to a multitude of superficial or deep infections that can cause serious health complications. The ability of S. aureus to become resistant to antibiotics in a short amount of time is of great concern to the medical community. Antibiotic resistance of S. aureus has become a significant problem in countries around the world and few reserve antibiotic remain for humans. Penicillin was the first antibiotic to be used to treat resistant S. aureus, but within thirty years, penicillin-resistant strains were considered a pandemic. Overuse and unnecessary applications of antibiotics in general has led to the overall evolution of resistance in S. aureus. Methicillin has become one of the last antibiotics used to treat penicillin-resistant strains of S. aureus. Methicillin-resistant S. aureus, or MRSA is now considered an epidemic as hospitalizations for this infection has tripled over the last decade. Staphylococcus aureus becomes resistant to antibiotics by acquisition of the MecA gene via horizontal gene transfer. The MecA gene allows for overproduction of penicillin binding proteins, which reduces the effect of β-lactam antibiotics on cell wall synthesis.

            College students, especially college athletes, are more prone to MRSA infections due to tight living spaces and poor hygiene habits. This study was conducted to determine if the student-athletes at Pace University are exposed to these strains of bacteria through contact with communal use facilities, specifically gym equipment and surfaces used in athletic competition. Samples were taken from locations around campus where athletes work out and compete. Surface isolates were diluted in distilled water and isolates were grown on blood agar plates. Blood agar plates were chosen as a selective medium for isolation of S. aureus strains. Most strains of S. aureus are β-hemolytic bacteria, meaning they completely lyse red blood cells. Bacteria that showed the β-hemolytic characteristic by having zones of clearing were chosen for colony PCR, where the MecA gene was amplified. Samples that were positive for the MecA gene were identified if a band at 310 base pairs were visualized via gel electrophoresis. Key isolates of S. aureus that contained the MecA gene as well as ones showing beta-hemolysis were identified by sequencing the 16srRNA gene.

EBP Practice Improvement Proposal

Our group proposed implementing a medication checklist into existing electronic medical records in order to reduce medication errors. We saw a lack of evidence published specifically in rehabilitation healthcare settings. First hand, we saw a high potential for medication error, as each patient received up to 20 medications at a time, and most patients had altered level of consciousness. “Pop-up” windows would appear inside the EMR when a nurse is administering drugs that require pre-administration assessments. The goal is to prevent nurses from working around the barcode system. The next step in this project is to evaluate the specific hospital policies about the process of reporting medication errors. When an error is made, encouraging an educational environment rather than a disciplinary philosophy is crucial. It allows us to collect accurate data and adjust the secondary checklist to help nurses based on common errors that are being made, and ultimately benefits our patients.

Course Listing

Fall 2019:
NURS 424Clncl Mngmnt of Popltin Hlth
NURS 426Orgnztnl & Systm Ldrshp in Nur
NURS 428Evolution of Prfssnl Nrsng
NURS 434Gerontological Nursing
NURS 487Health Assmnt & Clncl Reason

Summer 1 2019:
NURS 412Clncl Mgt in Adlt Mdcl-Srgcl
NURS 414Clncl Mgt in Mtrnl-Nwbrn Nrsng
NURS 416Clncl Mgt in Chld Hlth Nrsng
NURS 418DRctn for Smstr 2 & 5 CDP Nrsng
NURS 432Pathophysiology/Pharmacology 2
NURS 448Ethcs & Excllnc in Prfsnl Nrsn

Spring 2019:
NURS 401DRctn for Smstr 1 & 4 CDP Nrsng
NURS 402Fndmntls of Nursing Practice
NURS 403Pathophysiology/Pharm I
NURS 404Cmmnctn for Prfssnl Nrsng
NURS 406Clncl Mgt Psychtrc Mntl Hlth
NURS 409Cncpts of Evdnc Bsd Prctc

Spring 2018:
PSY 112Introduction to Psychology
BIO 334General Physiology
BIO 375Advanced Cell Biology
BIO 480Research in Biology

Fall 2017:
BIO 210Ecology
BIO 251Principles of Human Anatomy
CHE 326Biochemistry

Spring 2017:
PHY 112General Physics II
PHY 112RGeneral Physics II Recitation
PSY 233Psychology of Civic Engagement
BIO 264Microbiology
HON 499Snr Smnr in Rsrch Mthds

January Intersession 2017:
HIS 107World Civilization I

Fall 2016:
SPA 102Elementary College Spanish II
PHY 111General Physics I
PHY 111RGeneral Physics I Recitation
ENG 201Writing in the Disciplines
BIO 327Cellular Biochemistry
BIO 490Intro to Rsrch in Biolgcl Sci

Spring 2016:
ART 133Ceramics I
MAT 141Intro Stats for the Life Sci
CHE 224Organic Chemistry II
CHE 224ROrgnc Chmstry II Recitation
BIO 335Molecular & Cellular Biology

Fall 2015:
CIS 101Introduction to Computing
HW 165Strss Redctn: Comp & Alt Thrpy
COM 200Public Speaking
CHE 223Organic Chemistry I
CHE 223ROrganic Chemistry I Recitation
BIO 231Genetics

Spring 2015:
RES 101Intro to the Study of Religion
BIO 102General Biology II
CHE 112General Chemistry II
CHE 112RGeneral Chemistry II
MAT 132Calculus II
INT 197GRome: The Eternal City -Travel

Fall 2014:
BIO 101General Biology I
UNV 101First-Year Smnr Unvrsty Cmmnty
PHI 110Philosophical Problems
CHE 111General Chemistry I
CHE 111RGeneral Chemistry I
ENG 120Critical Writing