...practice” (Polit& Beck, 2012, p77). The purpose of this paper is to summarize an area of interest, identify a problem, and explain the significance of this problem for nursing practice. Area of Interest and Identification of Problem “Key criteria in assessing a research problem are that the problem should be clinically significant; researchable; feasible; and of personal interest” (Polit& Beck, 2012, p 92). The area of interest I chose was the post-anesthesia care unit (PACU). The PACU is a specialty area that recovers post-anesthesia patients. The patients in the PACU have received some form of anesthetic agent and require close monitoring. Close monitoring is required to prevent post-operative complications and decrease post- anesthetic mortality (Nursing Link, 2007). Monitoring a patient’s airway and pain management is important in maintaining a patient’s safety. A major complication that makes both of these more difficult is post-operative nausea and vomiting (PONV). PONV potentially increases the recovery time, patient suffering, and delays patient’s...
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...Question 1. Briefly describe DIMCOs supply chain? Answer 1. DIMCO has a traditional or basic supply chemical grasp with all activities directed at delivering a finished output to clients. DIMCO uses 1350 components which are sourced from 375 suppliers. The finished goods go to a central warehouse; From the Central warehouse the finished goods go to regional statistical dispersion centers: 6 domestic and 4 international (outside the United States). In that respect are 10 in total. Each of these regional distribution centers then forward product to an average of twelve (12) local anesthetic distributors : (10x12 = 120 local distributors). Each local distributor in advance finished goods to an average of thirty five (35) retailers: (120 x 35= 4200). Question 2. What are the advantages that DIMCO can gain by implementing supply chain management? Answer 2. Operational Efficiency: better understanding and control all over internal operations; Adaptability: ability to respond faster to flock; and Monitoring and Tracking: insights into customer needs and purchasing trends as well as demand levels that affect your supply chain; Reduced Costs Operational expenses will be ameliorate managed; Increased Profitability Improved Customer Service Better positioning as it relates to the competition. Increased market share through insights into the internal, external and customer dimension of the business. Question 3. What would you recommend DIMCO attempt...
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...Pre-Operative 1. The nursing responsibilities in the pre-operative phase of surgery are to do a patient screening, this includes any blood and lab work, history of surgery, any allergies to medications, history of chronic illness, nutrition level including any dietary regimens the patient should be on before and after surgery, as well as assessing all medications the patient is on and if there are any contraindications to surgery. To prepare the patient mentally physically and spiritually and also to conduct a patient teaching to ensure the patient has all the information that they have the right to know. The nurse also acts as a witness to the signing of the informed consent. 2. The nurse must assess the needs of the patient pre-operatively this can include the need for information, education, the need for comfort, the need for spiritual guidance. The patient may need to use the bathroom; the patient may feel ill or need some calming techniques shown to them. 3. The nurse has the responsibility of ensuring the patient is ready for surgery. The nurses’ duties usually include placing the patient on NPO status, starting an IV line, prepping the intestinal tract and skin and administering the preoperative medicines. The nurse is usually following orders from the surgeon or guidelines of the facility they work in. The nurse also had the responsibility of ensuring that the patient feels as though they have all the information that they have rights to and that they have...
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...Pre-Operative 1. The nursing responsibilities in the pre-operative phase of surgery are to do a patient screening, this includes any blood and lab work, history of surgery, any allergies to medications, history of chronic illness, nutrition level including any dietary regimens the patient should be on before and after surgery, as well as assessing all medications the patient is on and if there are any contraindications to surgery. To prepare the patient mentally physically and spiritually and also to conduct a patient teaching to ensure the patient has all the information that they have the right to know. The nurse also acts as a witness to the signing of the informed consent. 2. The nurse must assess the needs of the patient pre-operatively this can include the need for information, education, the need for comfort, the need for spiritual guidance. The patient may need to use the bathroom; the patient may feel ill or need some calming techniques shown to them. 3. The nurse has the responsibility of ensuring the patient is ready for surgery. The nurses’ duties usually include placing the patient on NPO status, starting an IV line, prepping the intestinal tract and skin and administering the preoperative medicines. The nurse is usually following orders from the surgeon or guidelines of the facility they work in. The nurse also had the responsibility of ensuring that the patient feels as though they have all the information that they have rights to and that they have...
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...Practical Nurses (LPNs), nursing home nurses, Home Health Nurses, and nursing aides. While there are many shared tasks, these nursing professions require special skills and different levels of patient interactions. We've compiled the many nursing job descriptions below: Nursing Forum: Join the discussion about nursing careers and education. Registered Nurse job description (RN) Registered Nurses (RNs) comprise the largest group of healthcare workers. To become an RN, students must learn what it takes to work directly with patients and their families. They are the primary point of contact between the patient and the world of health care, both at the bedside and in out-patient settings. RNs perform frequent patient evaluations, including monitoring and tracking vital signs, performing procedures such as IV placement, phlebotomy, and administering medications. Because the RN is much more regular contact with patients than are physicians, the RN is usually first to notice problems or raise concerns about patient progress. RN job descriptions also include developing the day-to-day nursing care plans both in the hospital and for care after discharge, to be administered by families and visiting nurses. While there is a national component to RN training (culminating in the NCLEX licensing exam), state laws determine the formal responsibilities of the RN. Nonetheless, because of the relatively broad nursing job description for RNs, the particular work enivironment determines what the...
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...POLYGRAPHY INTRODUCTION: The idea of using a polygraph for lie detection emerged at the end of the nineteenth century. Despite major technological advances in the twentieth century, the polygraph has evolved little since its invention. The polygraph works under the assumption that lies can be detected by certain measurable physiological changes, a theory proposed more than 100 years ago. The three physiological vectors measured in polygraphs in the 1920s cardiovascular, respiratory and perspiratory activities are still measured by modern polygraphs. Although the polygraph is still widely used, critics question its accuracy because of the subjectivity involved in the test. Recent technological breakthroughs have created new machines for lie detection. However, since many of these new technologies still operate under questionable assumptions, they are still prone to error and misinterpretation. Perhaps one of the most fascinating and misunderstood tools of the criminal justice and criminology industry is the polygraph exam, more commonly known as the lie detector test. While the tests are based on relatively simple scientific principles, not just anyone can strap you up to an instrument and start firing away with questions. Lie detector tests are instead conducted by highly trained and disciplined technicians, known as polygraph examiners. LIE DETECTION AND FORENSIC PSYCHOPHYSIOLOGY * Lie Detection * It is also referred to as deception detection which uses questioning...
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...HSM 543 Health Services Finance Spring 2013 Trends Toward the Innovations of Integrated Healthcare Service Systems Abstract The healthcare industry is a large and dynamic sector with many unique characteristics. It includes hospitals, health systems, ambulatory clinics, medical group practices, and other organizations providing health-care services. Business and leaders must be well equipped in traditional management knowledge and practices to manage the unique aspects of the health-services industry. The success of the new Health Care Reform depends on the cost, types of coverage and technological advances. Careful elevation and true quality assurance programs will reduce some the nepotism that goes on in our system. This will allow the best person, business, or technology to be used as it is needed. The innovation that has been created over the past ten years have allowed for improvements as well as lowering the mortality rate. Japan system allows for frequent health checks and even house calls are being done electronically. This paper looks at various costs of the Healthcare system, technological alternatives available in the Healthcare system and look at the pros and cons of different options available. History of the United States Healthcare If we compare the quality of health care today with the health care prevailing a century ago, it has dramatically...
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...Health & Medical Informatics Review Article Raghupathi and Raghupathi, J Health Med Informat 2013, 4:3 http://dx.doi.org/10.4172/2157-7420.1000132 Open Access An Overview of Health Analytics Wullianallur Raghupathi1* and Viju Raghupathi2 1 2 Graduate School of Business, Fordham University, New York, NY, USA Finance and business management, Brooklyn College, City University of New York, Brooklyn, NY, USA Abstract Objectives: We examine the emerging health analytics field by describing the different health analytics and providing examples of various applications. Methods: The paper discusses different definitions of health analytics, describes the four stages of health analytics, its architectural framework, development methodology, and examples in public health. Results: The paper provides a broad overview of health analytics for researchers and practitioners. Conclusions: Health analytics is rapidly emerging as a key and distinct application of health information technology. The key objective of health analytics is to gain insight for making informed healthcare decisions. Keywords: Data warehousing; ETL; Descriptive analytics; Discovery Introduction analytics; Health analytics; Informed decision; Insight; Predictive analytics; Prescriptive analytics management, and preventive care. In one scenario, for example, the use of health analytics technologies can ensure that emergency room doctors are briefed and ready to treat patients prior to their arrival...
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...Attach rubric to cover of careplan submitted RUBRIC For Grading Patient Assessment and Care Plan | GRADE:(total < 40; must redo) Success/Unsuccess | | Maternal Child Nursing Course - Care Plan | | | Student: Tiffany Rogers | Clinical Date: 11/07/2015 | Site: St. Vincent’s South | | | | | | Sections | Grading Criteria | Possible Points | Points Earned | Comments | Patient Information | General Information | 10 | | | | OB/Medical/Surgical Hx | | | | | Psychosocial Hx | | | | | Lab Information/Vital Signs | | | | | | | | | Postpartum/L&D | L&D Complications (or) | 10 | | | | PP Complications | | | | | Interventions | | | | Nursing Diagnosis (3) | Problems (Exclude Pain) | 10 | | | | Goals (2 goals (short/long term) per dx | 5 | | | | Interventions (5 min per goal) | | | | | | | | | | APA 6th edition reference page | 5 | | | Medication - Classifications | Name of Drug: | 10 | | | | Dose, Range, Route | | | | | Side Effects, Time Schedule | | | | | Action | | | | | Rationale for Drug Therapy | | | | L&D or Postpartum Clinical Rotation Worksheet Chamberlain College of Nursing Student: Tiffany Rogers Date: 11/07/2015 Faculty: Ellis Vaginal Delivery Client’s Initials: JL Age: 24 G: 1 T: 1 P: 0 A: 0 L: 1 Admission...
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...DaVinci assisted Laparoscopic right colon resection possible ostomy. Patient was able to answer most of the questions. His wife translated whatever needed more explanation. Client’s Current Health Status b. Chief Complaint: Patient stated his chief complaint was that the doctor advised surgical removal of a polyp. “I went to the doctor because of my age {56} for a colonoscopy and the doctor said I had 3 polyps. The doctor got the other two polyps but said he must cut out the polyp or it will rupture in the colon” c. Presenting Symptoms: No apparent evidence of pain. The onset of his diagnosis began when A.G. was having a diagnostic test done. A.G. went to the doctor on January 23 for a routine colonoscopy and found out during the test that the third polyp was too big, but benign. A.G. states “The location of the polyp was in the right side. It is localized in a small area, a couple of inches of the bowel” A.G. states he feels no pain. Due to the location of the bowel, there are no signs or symptoms that A.G. can detect without the aid of a diagnostic test. A.G. did not have any symptoms associated with the diagnosis with the condition: no alteration in bowel movement, no sensations, or discharges that would alarm the him. No other signs or symptoms were present. The only treatment for this condition is surgery. Due to the location of the polyp, surgery was the only answer. A.G. did not...
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...Knee Surg Sports Traumatol Arthrosc (2013) 21:1510–1515 DOI 10.1007/s00167-012-2149-5 KNEE Patient recall of surgical information after day case knee arthroscopy R. E. da Assuncao • J. Neely • J. Lochab • ¸˜ N. Mizumi-Richards • A. Barnett • H. Pandit Received: 29 November 2011 / Accepted: 19 July 2012 / Published online: 2 August 2012 Ó Springer-Verlag 2012 Abstract Purpose Day case knee arthroscopy is frequently performed on dedicated lists designed to optimise the throughput of patients. This could affect patient recall of clinical information with clinical, ethical and medicolegal consequences. The purpose of this study was to assess patient recall after knee arthroscopy and identify potential contributory factors. Methods Seventy-two patients undergoing day case knee arthroscopy were provided with information about their surgery post-operatively and tested for recall of the information prior to discharge. All patients underwent cognitive assessment when information was delivered and again when tested. Patient recall was correlated with demographic and anaesthetic factors and a multivariate regression model was used to identify risk factors for reduced recall. Results Recall overall was poor. Significant independent risk factors for reduced recall were reduced cognitive state at the time of information delivery and a shorter time between surgery and information delivery. Duration of R. E. da Assuncao (&) Á J. Lochab Á N. Mizumi-Richards ...
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...1st Edition Logistics Disaster Management Training Programme DHA/94/2 GE.94-00020 Logistics 1st Edition Module prepared by R.S. Stephenson, Ph.D. Disaster Management Training Programme 1993 2 STRUCTURE AND ORGANIZATION OF RELIEF LOGISTICS CONTENTS Acknowledgements ................................................................................6 Introduction ............................................................................................7 Part 1 Relief logistics ..................................................................... 9 Introduction ............................................................................................9 Relief logistics .........................................................................................9 The operating environment ....................................................................12 Case Study – Part 1 .............................................................................12 Planning for effective implementation of logistics programs .....................14 International involvement .......................................................................15 Part 2 Structure and organization of relief logistics ................. 17 The flow of transport and goods ............................................................17 Facilities and equipment ........................................................................19 Operational and support functions ................
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...MEDICAL TOURISM IN THAILAND Table of Contents Medical Tourism What is Medical Tourism Why Thailand? Medical Tourism in Thailand Why Thailand is No.1 in Medical Destination? What makes Thailand a prime Medical Destination? History of modern medical services Medical and health services currently provided Present policy of medical tourism of Thailand Medical treatments that Thailand offer Additional services for your recover period Medical standards of Thailand Rules and regulations 4 4 5 5 6 7 10 12 14 15 19 23 25 Follow the doctor’s instructions pre-treatment strictly 26 While you are on your way Plan ahead Select health travel agent Summary 27 28 29 31 2 MEDICAL TOURISM IN THAIALND 3 Medical Tourism Medical tourism is a term that has risen from the rapid growth of international healthcare where people from all around the world are traveling to other countries to obtain general medical surgery, cosmetic plastic surgery and dental surgery at a fraction of the cost of healthcare in their home country. And, while abroad, if physical conditions permit, patients can experience the interesting cultural attractions their destination country offers. More and more people are seeking the expertise of medical tourism companies to travel abroad as an affordable, enjoyable, and safe alternative to having medical, dental, and cosmetic surgical procedures done in their home countries. What is Medical Tourism? Medical Tourism is the practice of travelling across the borders...
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...M.Sc. Program DISTANCE LEARNING ASSIGNMENT Introduction to Occupational Health Q1.( A) Define Health Hazards. Explain the processes that can be hazardous for the health of workers with examples. ANS. Health hazard is the state of events which has the potential to threaten and / or adversely affect health of the exposed employees. Or A danger to health resulting from exposure to environmental pollutants, such as asbestos or ionizing radiation, or to a life-style choice, such as cigarette smoking or chemical abuse. Health hazards may be classified as below 1. Chemical 2. Physical 3. Mechanical 4. Biological 5. Psychosocial Above mentioned hazards as well as all other health hazards are disastrous due to their adverse effects on exposed people like Bodily injury, Disease, Change in the way the body functions, grows, or develops, Effects on a developing fetus (teratogenic effects, fetotoxic effects), Effects on children, grandchildren, etc. (inheritable genetic effects) Decrease in life span, Change in mental condition resulting from stress, traumatic experiences, exposure to solvents. Effects on the ability to accommodate additional stress Following are some processes that can be hazardous for the health of workers 1. Abrasive blasting; abrasive blasting operations can create high levels of dust and noise. Abrasive material and the surface being blasted may contain toxic materials (e.g., lead paint, silica) that are hazardous...
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...Define the Problem……………………………………………………………………..pg 3 Ethical Dilemma(s)/ Overall vision/strategy/ Impact if not addressed……..…pg. 4 Establishment of Criteria………………………………………………………………pg. 5 SWOT Analysis………………………………………………………………..pg. 5-8 Contributing Factors…………………………………………………….……..pg. 8 Identification of Possible Solutions…………………………………………..………..pg. 8 Contributing Factor 1 Solutions...………………………………………...…....pg. 8-9 Pros and Cons………………………………………………….………pg. 8-9 Contributing Factor 2 Solutions…………………………………….………….pg. 10 Pros and Cons…………………………………………………….……pg. 10 Contributing Factor 3 Solutions………………………………………………..pg. 10 - 12 Pros and Cons…………………………………………………………pg. 10 - 12 Contributing Factor 4 Solutions……………………………………..……….. pg. 12 Pros and Cons………………………………………………...……….pg. 12 - 13 Solution recommendation and defense…………………………………………..…..pg. 13 Solution 1……………………………………………………………….…..…pg. 13 - 14 Solution 2……………………………………………………………….……..pg. 14 - 15 Solution 3……………………………………………………………….…..…pg. 15 Solution 4……………………………………………………………….……..pg. 15 Execution of Solutions..………………………………………………………….…...pg. 16 Solution 1………………………………………………………………….…..pg. 16 - 17 Solution 2…………………………………………………………………..….pg. 17 Solution 3…………………………………………………………………..….pg. 18 Solution 4………………………………………………………………..…….pg. 18 - 19 Work Cited………………………………………………………………………..…..pg. 20 -21 II. Define the Problem Case 27: Rhino Capture in Kruger...
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