...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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...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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...Accreditation Audit: AFT Task 3 Western Governor’s University Abstract AFT Task 3 allows the examination of data from a patient while hospitalized at Nightingale Hospital and utilizes a tracer methodology to identify trends, patterns, and pertinent problems for healthcare improvement. We plan to develop a corrective action plan to address the organization’s improvement while maintaining compliance from a Joint Commission standard. Accreditation Audit: AFT Task 3 Nightingale Hospital is preparing to devise a mock tracer methodology to assess the organizations’ current compliance with Joint Commission Standards. A tracer methodology follows a patient through the course of care and evaluates all aspects of care (Joint Commission E-dition, 2014). This method allows a quick overview of a patient through the flow of a system in order to evaluate the effectiveness of the process flow. Our mock tracer patient is a sixty seven year old female whom recently underwent an open total abdominal hysterectomy secondary to menorrhagia and uterine fibroids. The patient presented back to the emergency room one week postoperatively with complaints of a subjective fever of 100.2 degrees Fahrenheit and incisional drainage described as yellowish-green in color. A CT scan of her abdomen was performed in the emergency room and revealed a peri-umbilical abscess. The surgical team was consulted and an incision and drainage of the abscess was performed. Infectious disease physicians determined...
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..."AFT" The New Business Theory by Joseph Barnhardt Strayer University, Professor Lind Contemporary Business Bus 508 Summer Term 2 Many successful business tycoons have created great business theories and or philosophies that been implemented and with stood the test of time in which their business are the model for many to follow today. So in thinking of a new business theory one comes to mind of ” AFT” which stands for Attention, Focus, and Thinking. Steve Case CEO of AOL.com used his own theory when he started his businesses in the early 1990‘s towards his success which were People, Passion and Perseverance. This logic of think has made his company what it is today a fortune 500 company and a major player in todays internet business market. In todays entrepreneurial leadership processing, new theories can be tried and proven effective or not. So beginning with the first word of AFT being attention, can be implemented in every business decision and planning you can become successful. Attention begins the fa major step in planning strategies or creating a plan of attack with the goals for leading your project from beginning to end. Webster defines attention as condition of readiness for such attention involving especially a selective narrowing or focusing of consciousness and receptivity (Webster, 2011). Attention is a very important piece of planing and decision making for any project to begin to come to fruition. The next piece of “AFT” is Focus, focus...
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...requirement of various tools to conduct such an exercise. Introduction: Significant interest is being shown by academic institutions in research activities related to Remotely Piloted Vehicles (RPV’s) and Unmanned Aerial Vehicles (UAV’s). Flying platforms and their design with suitable payloads reinforce classroom education while exposing students to a host of flight related problems and issues of systems integration. There has been a long felt need to bring students, especially in the field of engineering, closer to the complexities and risks in dealing with actual systems. The Department of Aerospace Engineering, IIT Bombay has decided to make headway in this direction by developing remotely piloted aerial vehicles as experimental platforms[1]. The various disciplines required for such a design activity are aerodynamics, performance, structures, stability, control and propulsion. Each of these designs are different compared to conventional aircraft. Scalability cannot be applied directly and it opened up new research areas. Low speed aerodynamics, new construction methodologies, efficient power plant and Navigation Guidance and control are few emerging research fields in the development of these mini aerial vehicles. Methodology developed for the airframe design will help in reducing the time required for...
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...2006 24 INTERNATIONAL MELGES CLASS RULES Authority*: International Sailing Federation * The International Sailing Federation (ISAF) is not a National Authority (NA) INTERNATIONAL MELGES 24 CLASS RULES 2004 The Melges 24 Class was designed in 1992 by Reichel and Pugh and was adopted as an International class in 1997. SECTION A - FUNDAMENTAL RULES. A.1. TYPE OF CLASS RULES. A1.1. The Melges 24 is a closed class. The intention of these rules is to ensure the boats are as identical as possible in construction, hull shape, weight, weight distribution, equipment, rigging and sail plan. It is impossible to foresee every conceivable innovation which may be thought of in the future and to mention every suggestion that has been ruled illegal in the past. When considering anything in connection with the boat or its sails or equipment which is not within established practice in the Melges 24 Class or involves the use of a material not previously used or accepted by the class or is not clearly covered by the class rules, plans or specification, you must assume that it is illegal, and must obtain a ruling from the Class Technical Committee before attempting it. A.2. ABBREVIATIONS. A.2.1. ISAF. MNA. ISAF Member National Authority. ICA. International Melges 24 Class Association. NCA. National Class Association. ERS. The Equipment Rules of Sailing. RRS. The Racing Rules of Sailing. A.3. AUTHORITY. A.3.1. The international authority of the class is the ISAF which shall co-operate...
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...Interpreting Laws and Court Decisions Interpreting labor and employment laws, as well as court decisions, can be a tedious task at best. The laws set in place are constantly changing and use language that is not easily deciphered by the average working American. The United States Labor laws cover the binding legal connection between the employers, their employees and the employee labor unions. Within the borders of the United States; it is generally know that employers and labor unions do not see eye to eye on most issues regarding labor and employment laws. Labor laws can address one of three different situations: “A union attempts to organize the employees of an employer and to get the employer to recognize it as the employees’ bargaining representative; (2) a union seeks to negotiate a collective bargaining agreement with an employer; or (3) a union and employer disagree on the interpretation and application of an existing contract between the two. Within these three situations, specific rules have been created to deal with rights of employees and employers.” (Labor Law, 2005) The third situation is often seen more times than not; thus creating an everlasting rift between the two parties. In the case study 1-1 of our text, Reinstatement and Back Pay Remedy for Illegal Discharge, it seemed like a common sense; open and shut scenario. My initial thoughts without any research had me thinking there was no way an employer would need to reinstate an unlawfully terminated...
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...AIRCRAFT STATUS BÁO CÁO TÌNH TRẠNG MÁY BAY A/C STS ETOPS B ADD Raised Date MEL Reference MEL Limit Concession Operation Limit Defect/ Event Description/ Additional Information A141 M X B1165 03-Aug-11 FAA8100-9 41548 FH (31/07/12: 40045 FH) AFT cowl skin LH T/R of LH ENG damaged. C/O temp repaired I.A.W EO 3141.11 B1226 16-Dec-11 25-20-01 NA Flex LT AT seat 1H, 4K, 4AC broken B1341 24-Jul-12 21-25-01-01 03-Aug-12 141-07-1/12, Date:02-Aug-12, Exp:08-Aug-12/Strictly follow conditions of MEL B777:item 21-25-01-01 Recirc fan 3SC + 3C + LDGs ASSY RPL From 06-Aug-12 to 27-Aug-12. 2. Server P/N:1303576-100 was robed to CLR ADD of A142 on 08-Aug-12. A142 S X B1105 AMM 49-11-00 CHK EVERY 90 APU HRS APU OIL CONSUMPTION NEED TO BE CHKD EVERY 90 HRS A143 S X B1225 09-Jun-12 25-25-02-01A N/A Seat 55K lock pin missing B1240 05-Jul-12 AMM 78-31-06-200-803 extend to 36917 FH (14/08/12: 36471 FH) LH thrust reverser thermal insulation on RH engine torn A144 S X B1265 26-Jul-12 38-10-01-01 23-Nov-12 Water gauge at AFT portable water service panel is damaged A145 S X A146 S X B1187 23-Jul-11 72-31-07 Next ENG overhaul 07 fanblade platform of LH ENG temp repaired with silicon rubber A147 S X B707 27-Oct-10 AMM 70-00-00-200-801 Next ENG overhaul 02 bolts at POS 06 & 09 o'clock of L/H ENG between LPT and turbin center frame broken B1020 09-Aug-12...
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...OPERATION OF MASS BALANCE Typically checks involve verifying that the static weight condition of component balances within a specified range. If the control surface has either too much weight ahead of or behind the hinge line, the control surface may flutter during flight. In extreme cases, flutter causes oscillations that progressively increase in amplitude, which ultimately can cause the pilot to lose control of the aircraft or could cause a catastrophic structural failure. The balance check is done with the control surface remove from the aircraft and assembled as specified in the manufacturer’s instructions. Generally all the mounting hardware and components contained within the control surface should be installed in their relative positions. Once assembled, the control surface is placed on balancing madrels within a draft-free room. The mandrels are positioned under the hinge points in a way that allows the control surface to pivot freely without dragging or binding. A balance beam or jig is then installed to determine the moment arm required to balance the control surface. The beam consists a graduated measuring scale in which weight can be moved to bring the control surface to horizontally level position or other position specified by the manufacturer. Once in the proper position, the distance that the weight is located ahead of or behind the hinge line is recorded and checked against the manufacturer’s specification. If the moment arm exceeds the manufacturer’s specification...
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...Accreditation Audit AFT Task 1 Roland Helmuth Western Governors University Accreditation Audit AFT Task 1 Medication Management A. Compliance Status I will be reviewing three specific areas dealing with medication management. They are the following with the correlating Joint Commission Standard following each one: 1. The hospital plans its medication management process, (MM.01.01.01). 2. Label all medications, medication containers, or other solutions on and off the sterile field, (NPSG.03.04.01). 3. Reduce the likelihood of patient harm associated with the use of anticoagulation therapy, (NPSG.03.05.01). In review of standard MM.01.01.01, I see that Nightingale Community Hospital (NCH) has a policy that speaks directly to this standard. The elements of performance are met by the policy that is in place and includes further information to make this important standard compliant with Joint Commission standards. In review of standard NPSG.03.04.01, I do not find the NCH has a policy that addresses this. Seeing that NCH has surgical and sterile procedures performed at its facility this standard needs to have a policy in place. The basis of this is patient safety related to the five rights of medication administration; Right patient, Right medication, Right dose, Right route and Right time. Even in a controlled environment of a surgical suite, this is vital to any procedure performed. In review of...
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...straight-and-level flight and in slow flight. Use actual angles of attack. Typical light aircraft wings stall at 18-22º. How can you enter a spin? Wing exceeds critical angle of attack with yaw acting on aircraft (uncoordinated). That is, a stall when in a slipping or skidding turn. Danger of base to final turn—cross controlled stall leading to spin. The high wing has the greatest lift due to the greater airspeed, and overall less drag and lower angle of attack. The low wing has the least lift (due to lower airspeed) and greatest parasitic drag due to its higher angle of attack. Center of gravity affects the spin characteristics. An aft CG makes spin recovery more difficult. The worst case is the aircraft may enter into a flat spin if CG is too far back, making recovery impossible. Center of gravity affects the spin characteristics. An aft CG makes spin recovery more difficult. The worst case is the aircraft may enter into a flat spin if CG is too far back, making recovery impossible. Phases of a spin: • Entry—pilot provides input for the spin • Incipient—aircraft stalls, rotation starts to develop; may take 2 turns in most aircraft, usually 5-6 seconds •...
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