...December 2, 2013 RAFT Task 1 Executive Summary for Joint Commission Standards Compliance Nightingale Community Hospital is a 180-bed acute care hospital that is a not-for profit entity. The hospital is community based and provides leadership in quality health services in which they provide. Their vision is to be the hospital that people choose, the place employees, physicians and volunteers want to work and a hospital of choice for the community. They are committed to providing a healing environment to their patients with a compassionate commitment to healthcare excellence. The four main areas of focus for the Joint Commission for Nightingale Hospital include Communication, Information Management, Medication Management and Infection Control. The goal of these four focus areas is safety. The goal of safety is the most important because it allows for the best management and treatment of patients. This will guide the hospital’s focus toward the best protocols and policies which will reduce patient harm and errors. Each policy and protocol is specifically designed for each individual facility. Medication Management is the focus area in which I chose to discuss the existing compliance of the organization. The Joint Commission’s ethics for medication management address the critical processes involved and support compliance with the National Patient Safety Goals. “The medication management standards are geared to allow assessment of the organization’s eight essential medication...
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...Priority Focus Area: Communication In preparation of a review from the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) Nightingale Community Hospital will focus on improving its communication process in the operating room. The purpose of communication in the healthcare setting is to disseminate information in such a way as to create shared understanding about the patient and about what needs to be done for a positive outcome. (synergia.com) A patient is at his most vulnerable state during procedures that require sedation or anesthesia. The patient is releasing his decision making ability and safety into the control and care of the healthcare team. Therefore, effective communication on behalf of the patient is critical to the patient’s outcome. As we prepare for this upcoming review by the Joint Commission, communication is our priority focus area. From a previous Joint Commission visit 2 years ago it was found that Nightingale Community Hospital fell short in the area of communication. In one instance the surveyor was unable to find the link between the interdisciplinary and collaborative process that the hospital already had in place to the actual usage of the process to affect patient outcomes. (PC.01.03.01) It was also found that leadership had not effectively communicated how the hospital manages its programs, services, sites or departments as evidenced by an interview with three different staff nurses. (LD.04.01.05) Lastly, as it relates...
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...Information Management Compliance. Felicia Ntow Western Governors University Information Management Compliance The hospital’s plan for information management encompasses the full spectrum of data generated and used by the organization in all various departments from housekeeping, laundry services, imaging, and pharmacy through to nursing. In order to provide cost-effective quality services, information must be accurate and communication of the information should be securely transmitted in a timely manner to the appropriate individuals on a need to know basis. Compliance Status The Nightingale Community Hospital current compliance status is not meeting the standards of the Joint Commission. RC.01.01.01 The hospital has just an admission orders form that does not define the components of a complete medical record. The admission orders form does not contain the unique patient’s identification. It has just the patient name, and two or more people may have the same name. Wrong patient identification may be one of the reasons why there have been errors labeling patient specimens. Although there is a place on the form to identify consults, there is no justification for the consult on the patient’s chief compliant and no admitting diagnoses recorded. The medical record on hand does not contain information needed to justify the patient’s care, treatment and services. For example, there is no reason given for intake/output nor is there route for the intake...
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...Running head: NIGHTINGALE INFECTION CONTROL STATUS Nightingale Infection Control Status Daniel Pennebaker Western Governors University, College of Business Abstract This executive summary will judge the status of Nightingale Community Hospital’s Infection Control performance against the Joint Commission’s accreditation standards. The summary will include a corrective action plan designed to aid Nightingale in meeting all standards. Nightingale Infection Control Status Executive Summary TASK A Accreditation Audit Consultants was asked to provide a review and corrective actions plan for each of the Joint Commission Primary Focus Areas as part of Nightingale Community Hospital’s Re-Accreditation readiness program. While each of the Primary Focus Areas will be reviewed, this Executive Summary will cover Nightingale’s performance in the Infection Control PFA. Using the Surveillance Objections document created April 23rd and comparing that to data collected over the course of the year the following successes and areas to be improved are noted. Hand Hygiene, one of the four main areas for Infection Control as listed in the Joint Commissions Standards for Infection Control, is performing above the goal stated in the Surveillance Objectives documents. The goal stated is >90% and Nightingale is clocking at a hospital-wide 92% with even higher observed compliance scores for Physicians (94%) and Ancillary Providers (96%). While this success is to be applauded it should...
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...Nightingale Community Hospital is expecting an audit from the Joint Commission in 13 months, and the areas of Information Management, Medication Management, Communication, and Infection Control all need to be addressed before the visit. The purpose of this executive summary is to review and outline the current state of compliance at Nightingale Community Hospital in a specific priority focus area discussed below. Information Management is one of the areas of focus for the Joint Commission visit, and it is being explored in depth in this summary. Here are the Joint Commission Standards in regards to the area of Information Management: IM.02.02.01 : The hospital effectively manages the collection of health information. A: Compliance Status Under the standard IM.02.02.01 in The Joint Commission Edition, there are three elements of performance. One of these states “The hospital follows its list of prohibited abbreviations, acronyms, symbols, and dose designations” (The Joint Commission EDition). While most of these elements of performance are being followed, Nightingale Community Hospital is at 99.6% compliance for unacceptable abbreviations, and needs to strive to reach 100%. From December to January, items that are on the list of unacceptable abbreviations were brought down to 0% in many cases...
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...Effective Date: May 2, 2014 I. PURPOSE: A. The goal of Nightingale Community Hospital is to establish a comprehensive Infection Control Program to ensure that the hospital has processes in place to minimize/eliminate the risk of Surgical Site Infections (SSI) and Healthcare Associated Infections (HAI) B. The Infection Control Program at this hospital incorporates the following on an ongoing basis: i. Surveillance/identification, prevention/control, and reporting of infections throughout the hospital not limited to patients, employees, or physicians focusing on Nosocomial Infections (Endogenous infections and cross contamination infections) 1. Nosocomial Infections: known as hospital acquired infections are infections are not presenting at the time of admission but develop over the course of stay. a. Endogenous: the patient already has the infection at the time of admission minus the signs/symptoms of such infection but resistance lowers over course of stay and infection presents b. Cross Contamination: patient becomes infected while staying in the hospital by coming in contact with infective agents subsequently developing an infection ii. Evaluate and monitor the results of changes made 2. Continually edit procedures and policies as needed iii. Select and implement best techniques to minimize negative outcomes 3. Separate the infection source from the...
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...INSS 370 Final Exam Study Guide Below is a study guide for your final exam. There will be a combination of true/false and multiple choice questions. 1. Who is responsible for prioritizing the product backlog? 2. What does a burn‐down chart show? 3. What are the principles outlined in the Agile Software Development Manifesto? 4. If our highest priority is to satisfy the customer through early and continuous delivery of valuable software, in general, how can we do that? 5. In agile software processes are the highest priorities to satisfy the customer through early and continuous delivery of valuable software? 6. What traits need to exist among the members of an agile software team? 7. In agile development is it more important to build software that meets the customers' needs today than worry about features that might be needed in the future? 8. The ____ phase of the SDLC includes four main activities: requirements modeling, data and process modeling, object modeling, and consideration of development strategies. 9. One of the main activities in the systems analysis phase is ____ modeling, which involves fact‐finding to describe the current system and identification requirements for the new system. 10. How is planning performed on projects that use Agile approaches? 11. Who should be the main judge of the business value (think of the various roles within an agile team)? 12. How should work be allocated and who should allocate the work to the team in an Agile ...
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...Identifying Good or Bad Statements Anit Maharjan HUMN210-H5WW Meghan Roehll Franklin University 4th April, 2013 a. Nobody in the world today is really good. Yes, I have heard of good people, but not really good people. - Good statement. b. The world is not flat. Well, if you look at a map it is: - in what point of view - bad statement. c. I will need an extended period of laborious cogitation to assimilate the missive. This doesn't make any sense - bad statement. d. The number 2 is odd. Are we talking about an even number? I believe your confusion comes from the fact that 2 is a prime number, but it is still even. It is the only even number that is prime – false statement. e. If you believe in evolution, then your ancestors were filthy apes. There are two kinds of people in the world: - one is god prayer and the next is science believer. If you support the statement from the point of scientific theory of evolution by Darwin, then yes our ancestors are filthy apes, whereas if you think form the side of god’s prayer then the statement is false – good statement. f. Some swans are black. In this statement, I am not sure that some swans are black or not, all swans could be black or white – good statement. g. If you are a human, then you are a person. If you are an individual, then you are alive. Human is a person and of course the person becomes an individual and every individual breaths...
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...អាណាចក្រភ្នំ អាណាចក្រភ្នំ គស 50-630 ទីតាំង * ៣០០លី លិចលីនីយ(ជនជាតិចាម) * ៧០០០លី Jenan(តុងកឹង) * ឈូងសមុទ្រធំមួយ * ទន្លេរធំមួយ លិចនឹងពាយព្យគឺសមុទ្រ * ១លី=៥៧៦ម=១៧២៨គម=> 1. កម្ពុជា 2. កម្ពុជាក្រោម 3. ថៃ(ភាគកណ្តាល) រាជវង្សមាន៖ 1. លីវយី(៥០-៦៨) 2. ហ៊ុនទៀន(៦៨) 3. ហ៊ុនប៉ានហួង៖ដែលជាមេទ័ពបានប្រើល្បិចវាយក្រុងទាំង៧នឹងបានដណ្តើមអំណាចពីព្រះ បាទហ៊ុនទៀន 4. ហ៊ុនប៉ានប៉ាង៖ជាកូនហ៊ុនប៉ានហួង 5. ហ្វាន់ជេម៉ាន់៖ជាអ្នកសំលាប់សោយរាជ្យបន្តរឺក៍ហ៊ុនប៉ានប៉ាងផ្ទេរអំណាចអោយ 6. គិនចេង(២២៥)៖ត្រូវជាកូនរបស់របស់ហ្វាន់ជេម៉ាន់ពីព្រោះគាត់បានស្លាប់ពេលវាយ នៅ គិនស៊ីន 7. ហ្វានឆាន(២២៥-២៤៥)៖បានសំលាប់គិនចេងដើម្បីសោយរាជ្យបន្តដែលត្រូវជាក្មួយហ្វាន់ជេម៉ាន់នឹងត្រូវជាបងប្អូនគិនចេង 8. ហ្វានឆាង(២៤៥-២៥០)៖ជាកូនពៅរបស់ហ្វានជេម៉ាន់បានមកសងសឹកនឹងសោយរាជ្យបន្ត 9. ហ្វានស៊ីយ៉ុន(២៥០-២៨៩)៖បានសំលាប់ហ្វានឆាងសោយរាជ្យបន្ត 10. ធៀនឈូឆានតាន(៣៥៧) 11. កៅណ្ឌិន្យ(៣៥៧)៖គាត់មានកូនពីរគឺស្រីឥន្រ្ទវរ្ម័ននឹងស្រេស្ធវរ្ម័ន 12. កៅណ្ឌិន្យជ័យវរ្ម័ន(៤៤២-៥១៤)៖មានបុត្រាពីរគឺគុណវរ្ម័នជាប្អូននឹងរុទ្រវរ្ម័នជាបងក៍ប៉ុន្តែគុណវរ្ម័នជាអ្នកសោយរាជ្យដែលត្រូវជាកូនកុលប្រភាវតីជាមហេសីរីឯរុទ្រវរ្ម័នជាកូនស្នំ។ដោយមិនសុខចិត្តព្រោះខ្លួនជាបងមិនបានសោយរាជ្យក៍ប្រើល្បិចសំលាប់ប្អូនដើម្បី សោយរាជ្យម្តង។ 13. គុណវរ្ម័ន 14. ចេនឡា ចេនឡា រុទ្រវរ្ម័ន(៥១៤-៥៥៦) គស ៥៥០-៨០២ 15. ឥសីកម្ពុស្វយម្ហូវ៖ 16. ស្រុតវរ្ម័ន៖ 17. ស្រស្ធវរ្ម័ន៖ 18. វីរវរ្ម័ន៖ 19. ភវរ្ម័ន(៩០០-៩២២)៖ * ទីតាំងរបស់ចេនឡានៅត្រង់តំបន់បាសាក់តាមដងទន្លេរមេគង្គដែលច្ចុប្បន្ននៅភាគ អាគ្នេយ៍ប្រទេសឡាវ...
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...– – – – • – – • – • • • • – – – – • • • – – – – – – Wood Stick Holder Premium Wood Stick Holder Glow in the Dark Stick Holder Brass Burner Premium Brass Burner Aroma Ring Votive Holder NIPPON KODO INCENSE HERB & EARTH STICKS STICKS Classic STICKS CONES AFRICAN AMERICAN Family Unity – – Rhythm Sensuality Spirituality • • • • Bergamot Cedar • • • Fashion & Style • Number 4 - 100-st Number 6 - 100-st Chamomile Frankincense Jasmine Lavender Orange Patchouli Peppermint Rose Sandalwood Vanilla GONESH DIFFUSER SETS 3 fl.oz. Coconut Lime Mango Peach Sweet Apple Vanilla Cream REFILLS - 6 oz Coconut Lime Mango Peach Sweet Apple Vanilla Cream HOLIDAY TRADITIONS Number 8 - 100-st Number 10 Number 12 Number 14 Variety 1 (6,8,12) - 30 st Variety 2 (2,4,10) - 30 st MORNING STAR STICKS GONESH® EXTRA RICH Amber Apple Cider Jasmine Lavender Sandalwood Christmas Dream (Winter) Nutcracker Dance (Winter) Snowy Sensations (Winter) Holiday Memories (Winter) SCENTED REEDS & OILS REEDS OILS Black Cherry Cedarwood Cherry Blossom Cinnamon Coconut Dragon’s Blood...
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...Mr. Weidenboerner Period 7 Purpose: To explore sensors and use them to knock down a box filled with bean bags without going over the edge of a precipice. Hypothesis: I think that designs with a high point of impact and and sensor placed out in front of the robot will have the best results. Group 2 | Trial | Distance from the Egde | 1 | 28 mm | 2 | 32 mm | 3 | 35 mm | 4 | 22 mm | 5 | fail | Average | 32 mm | Competion | Group | Average | 1 | 23 mm | 2 | 32 mm | 3 | fail | 4 | 7 mm | Program Flow: 1. #Include “Main.h” 2. 3. void main (void) 4. { 5. int limitswitch; 6. 7. // 0 is pressed 8. // 1 is not pressed 9. Wait (5000) 10. while (1==1) 11. { 12. limitswitch = Get DigitalInput (1); 13. if (limitswitch==1) 14. { 15. Set Motor (1.0); 16. Set Motor (10.0); 17. Wait (200) 18. } 19. else 20. } 21. Set Motor (1.-40); 22. Set Motor (10.40); 23. } 24. } 25. } Results: Group 1 cam in second place with an average of 23 mm from 5 trials. Group 2 (my group), came in third place with an average of 32 mm from the edge of the table. Group 3 came in last place with one fail and not having completed the rest of the trials yet. Group 4 came in first place with an average of 7 mm from the edge of the table. Conclusion: I think that...
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...@; do rep=1 to 3; do s1=1 to 3; do s2=1 to 2; input y @@; output; end;end;end; datalines; 1 1 12 13 14 15 23 22 15 16 17 18 24 15 26 25 18 19 20 21 1 2 23 10 23 20 15 33 26 13 26 23 16 12 18 36 29 16 29 26 1 3 21 15 34 23 16 19 24 18 37 26 17 17 19 22 27 21 40 29 2 1 13 18 23 14 18 21 16 21 26 17 19 20 21 24 19 24 29 20 2 2 16 16 13 25 19 21 19 19 16 28 20 18 22 24 22 22 19 31 2 3 17 24 15 17 19 21 20 27 18 20 20 26 22 24 23 30 21 23 ; proc print; run; /* lets consider A and B are random, and of course rep, samoplings ( s1 and s2 ) all are random */ proc glm; class a b rep s1 s2; model y=a b a*b rep(a*b) s1(rep*a*b); random a b a*b rep(a*b) s1(rep*a*b); run; proc varcomp method=type1; class a b rep s1 s2; model y=a b a*b rep(a*b) s1(rep*a*b); run; output: The SAS System 10:46 Wednesday, November 16, 2011 21 Obs a b rep s1 s2 y 1 1 1 1 1 1 12 2 1 1 1 1 2 13 3 1 1 1 2 1 14 4 1 1 1 2 2 15 5 1 1 1 3 1 23 6 1 1 1 3 2 22 7 1 1 2 1 1 15 8 1 1 2 1 2 16 ...
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...To Write a Chemical Formula in OWL Enclose subscripts with underscores _. Enclose superscripts with carats ^. The underscore key is next to the number zero on the keyboard. The carat key is the number six on the keyboard. H_2_O = H2O Cr^3+^ = Cr3+ Combined: SO_4_^2−^ = SO42− Ions Unit Charge Ions Write the number first and then the charge. Do not include the number one in unit charge ions. N^3−^ = N3− Ca^2+^ = Ca2+ Na^+^ = Na+ Cl^−^ = Cl− Using the Chemical Formula Input The chemical formula input box displays the superscripts and subscripts as you enter the formula. There are 3 ways to use the input box. • Keyboard: Use the keyboard to enter underscores and carats on your own. • Buttons after: Enter the formula without underscores or carats, then highlight each superscript and/or subscript, click the appropriate subscript or superscript button, and the underscores or carats will be filled in automatically. • Button during: Use the subscript or superscript buttons to enter the underscores and carats while you type the formula. To Write a Chemical Formula in OWL Enclose subscripts with underscores _. Enclose superscripts with carats ^. The underscore key is next to the number zero on the keyboard. The carat key is the number six on the keyboard. H_2_O = H2O Cr^3+^ = Cr3+ Combined: SO_4_^2−^ = SO42− Ions Unit Charge Ions Write the number first and then the charge. Do not include the number one in unit charge ions. N^3−^ = N3− Ca^2+^ = Ca2+...
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...Grade 5 Math STAAR Student Workbook © Forde-Ferrier, L.L.C. Page 1 Table of Contents STAAR Reporting Category 1: Numbers, Operations, and Quantitative Reasoning TEKS 5.1(A) Read, Write, Compare, and Order Whole Numbers (Supporting) TEKS5.1(B) Read, Write, Compare, and Order Decimals (Supporting) TEKS 5.2(A) Generate Equivalent Fractions (Readiness) TEKS 5.2(B) Generate Mixed Numbers and Improper Fractions (Supporting) TEKS 5.2(C) Comparing Fractions (Readiness) TEKS 5.2(D) Relate Fractions to Decimals (Supporting) TEKS 5.3(A-C) Addition, Subtraction, Multiplication, and Division (Readiness) TEKS 5.3(D) Identify Common Factors of a Set of Whole Numbers (Supporting) TEKS 5.3(E) Addition and Subtraction of Fractions (Supporting) TEKS 5.4(A) Estimation (Supporting) STAAR Reporting Category 2: Patterns, Relationships, and Algebraic Thinking TEKS 5.5(A) Relationship of Data (Readiness) TEKS 5.5(B) Identify Prime and Composite Numbers (Supporting) TEKS 5.6(A) Solution Sentences (Supporting) STAAR Reporting Category 3: Geometry and Spatial Reasoning TEKS 5.7(A) Geometric Properties (Supporting) TEKS 5.8(A and B) Transformations (5.8A Readiness/5.8B Supporting) TEKS 5.9(A) Locate and Name Points on a Coordinate Grid (Supporting) STAAR Reporting Category 4: Measurement TEKS 5.10(A) Perform Simple Conversions (Supporting) TEKS 5.10(B) Formulas for Perimeter, Area, and Volume (Supporting) TEKS 5.10(C) Length, Perimeter, Area, and Volume (Readiness) TEKS 5.11(A) Changes in Temperature...
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...| Bright Lights * Released: August 2000 * Label: Island | 1 | 3 | 2 | 2 | 6 | 3 | 10 | 1 | * UK: 3xPlatinum * AUS: Platinum * GER: Platinum * SWI: Platinum * FRA: Gold * NZ: Platinum * IRE: Platinum | 2001 | Dangerously In Love * Released: October 2001 * Label: Island | 1 | 1 | 1 | 1 | 3 | 1 | 6 | 1 | * UK: 4xPlatinum * AUS: Platinum * GER: Platinum * SWI: Platinum * FRA: Platinum * NZ: Platinum * AUT: Gold * IRE: Platinum | 2003 | All Night Long * Released: August 2003 * Label: Island | 1 | 6 | 5 | 5 | 10 | 6 | 14 | 1 | * UK: 2xPlatinum * AUS: Gold * GER: Gold * SWI: Gold * NZ: Gold * IRE: Platinum | 2004 | Troublemaker * Released: October 2004 * Label: Island | 3 | 12 | 10 | 10 | 14 | 12 | 18 | 3 | * UK: Platinum * IRE: Platinum | Year | Song | Peak chart positions | Sold | Album | | | UK | AUS | GER | SWI | FRA | NZ | AUT | IRE | | | 2000 | | 2 | 12 | 10 | 10 | 14 | 12 | 16 | 2 | * UK: Gold * AUS: Gold * NZ: Gold | | | | 1 | 6 | 4 | 4 | 8 | 6 | 10 | 1 | * UK: Platinum * AUS: Platinum * GER: Gold * SWI: Gold * NZ: Platinum | | 2001 | | 8 | 24 | 22 | 22 | 26 | 24 | 28 | 8 | * UK: Gold | | | | 12 | - | - | - | - | - | - | 12 | | | | | 1 | 8 | 6 | 6 | 10 | 8 | 12 | 1 | * UK: Platinum * AUS: Platinum * GER: Gold * SWI: Gold * NZ: Platinum | | 2002 | | 1 | 4 | 3 | 3 | 6 | 4 | 8 | 1 | * UK: Platinum * AUS: Platinum * GER: Gold * SWI:...
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