Casey Gelderman's portfolios
Pace Path
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.
Papers and Projects
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 424 | Clncl Mngmnt of Popltin Hlth |
NURS 426 | Orgnztnl & Systm Ldrshp in Nur |
NURS 428 | Evolution of Prfssnl Nrsng |
NURS 434 | Gerontological Nursing |
NURS 487 | Health Assmnt & Clncl Reason |
Summer 1 2019: | |
NURS 412 | Clncl Mgt in Adlt Mdcl-Srgcl |
NURS 414 | Clncl Mgt in Mtrnl-Nwbrn Nrsng |
NURS 416 | Clncl Mgt in Chld Hlth Nrsng |
NURS 418D | Rctn for Smstr 2 & 5 CDP Nrsng |
NURS 432 | Pathophysiology/Pharmacology 2 |
NURS 448 | Ethcs & Excllnc in Prfsnl Nrsn |
Spring 2019: | |
NURS 401D | Rctn for Smstr 1 & 4 CDP Nrsng |
NURS 402 | Fndmntls of Nursing Practice |
NURS 403 | Pathophysiology/Pharm I |
NURS 404 | Cmmnctn for Prfssnl Nrsng |
NURS 406 | Clncl Mgt Psychtrc Mntl Hlth |
NURS 409 | Cncpts of Evdnc Bsd Prctc |
Spring 2018: | |
PSY 112 | Introduction to Psychology |
BIO 334 | General Physiology |
BIO 375 | Advanced Cell Biology |
BIO 480 | Research in Biology |
Fall 2017: | |
BIO 210 | Ecology |
BIO 251 | Principles of Human Anatomy |
CHE 326 | Biochemistry |
Spring 2017: | |
PHY 112 | General Physics II |
PHY 112R | General Physics II Recitation |
PSY 233 | Psychology of Civic Engagement |
BIO 264 | Microbiology |
HON 499 | Snr Smnr in Rsrch Mthds |
January Intersession 2017: | |
HIS 107 | World Civilization I |
Fall 2016: | |
SPA 102 | Elementary College Spanish II |
PHY 111 | General Physics I |
PHY 111R | General Physics I Recitation |
ENG 201 | Writing in the Disciplines |
BIO 327 | Cellular Biochemistry |
BIO 490 | Intro to Rsrch in Biolgcl Sci |
Spring 2016: | |
ART 133 | Ceramics I |
MAT 141 | Intro Stats for the Life Sci |
CHE 224 | Organic Chemistry II |
CHE 224R | Orgnc Chmstry II Recitation |
BIO 335 | Molecular & Cellular Biology |
Fall 2015: | |
CIS 101 | Introduction to Computing |
HW 165 | Strss Redctn: Comp & Alt Thrpy |
COM 200 | Public Speaking |
CHE 223 | Organic Chemistry I |
CHE 223R | Organic Chemistry I Recitation |
BIO 231 | Genetics |
Spring 2015: | |
RES 101 | Intro to the Study of Religion |
BIO 102 | General Biology II |
CHE 112 | General Chemistry II |
CHE 112R | General Chemistry II |
MAT 132 | Calculus II |
INT 197G | Rome: The Eternal City -Travel |
Fall 2014: | |
BIO 101 | General Biology I |
UNV 101 | First-Year Smnr Unvrsty Cmmnty |
PHI 110 | Philosophical Problems |
CHE 111 | General Chemistry I |
CHE 111R | General Chemistry I |
ENG 120 | Critical Writing |