...is scheduled to help ease the patient during the post-surgical time frame. One of the side effects of anesthesia exiting the body is nausea and vomiting which can make the patient feel dizzy and lightheaded, thus making them a great risk for falls. This has been the reason that the topic was chosen; to attempt to improve this issue in the hospital setting and to provide a system in which all hospital staff collaborate to help increase the quality of patient care. The location that is being observed is the post-surgical/orthopedic floor where the author is currently working. A description of risks and concerns are provided and patient outcomes depend on implementing the proposed interventions. The two solutions that are presented are hourly rounding and the importance of an improved nurse call light button and education on proper usage. Each intervention is supported by evidence-based practice peer-reviewed journal articles. The proposal will show the improvements of patient safety and increased patient compliance to hospital staff, physicians, and administration. A power point presentation that will be presented on Appendix B will also be used to highlight key points of the proposal. Another tool that will be used is...
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...____________________ Date: _3/25/12_____ Topic: Hourly Nursing Rounds to Improve HCAHPS Scores * Clearly state the proposed project (what do you plan to do): Implement hourly nursing rounds on the Progressive Care Unit at SPGH to improve patient satisfaction. Hourly nursing rounds have been shown in evidenced based practices to not only improve patient satisfaction but also help to reduce patient falls and reduce the occurrence of decubitus ulcers. Not only does hourly nursing rounds help the before mentioned items it also serves to reduce the call light usage by patients thereby increasing productivity for nurses (Culley, 2008). The proposed project includes education of the nursing staff on PCU to the initiation of hourly nursing rounds, including evidenced based research showing how regular rounds helps to improve patient satisfaction and safety. Described potential or real barriers and solutions (financial, political, social, etc) and methods that will or could be used to address these barriers: Some potential barriers could be reluctance by the nursing staff to participate in the hourly nursing rounds due to the feeling that they do not have enough time to complete these hourly rounds. By providing the unit with appropriate staff and helping to reduce or eliminate their fears by providing them with the research gathered can hopefully achieve this goal. Also by showing them that call light frequency will be lower when hourly rounds are completed they may be less...
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...my preceptor and I floated to another unit. While there, I noticed a few lapses on the implementation of universal fall precautions. This ranged from failure to use and untimely response to bed and chair alarms, missing patient fall risk bands, cluttered patient rooms, and missed hourly rounding. Importance of this Issue Patient falls is still a significant issue in healthcare. Around 700,000 to 100,000 people in the U.S. suffer from falls in a hospital setting (Agency for Healthcare Research and Quality, 2013). Obviously, this is problematic because falls can exacerbate the patient’s condition. It can cause unwanted outcomes like pain, fractures, head injuries, or in a worst-case scenario, even death. Preferred Practice Falls in a hospital setting are preventable. Successful implementation of universal precautions is a big part of preventing this issue. It should always be practiced. Universal fall precautions include but are not limited to • Properly identifying patients...
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...Although falls that occur are often harmless to the patient, the consequences can be serious and even result in death. It is the responsibility of each directly related staff member to prevent potential patient falls from occurring. When forming a team of members who are involved in this work process within my unit in a hospital setting, I would choose: doctors, nurses, certified nursing assistants, physical therapists, case managers, and dietary staff. All of these staff members have the most frequent direct contact with patients throughout their...
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...223 Innovation and Job Creation in a Global Economy: The Case of Apple’s iPod Greg Linden1, University of California, Berkeley Jason Dedrick, School of Information Studies, Syracuse University Kenneth L. Kraemer, University of California, Irvine Abstract Globalization skeptics argue that the benefits of globalization, such as lower consumer prices, are outweighed by job losses, lower earnings for U.S. workers, and a potential loss of technology to foreign rivals. To shed light on the jobs issue, we analyze the iPod, which is manufactured offshore using mostly foreign-made components. In terms of headcount, we estimate that, in 2006, the iPod supported nearly twice as many jobs offshore as in the United States. Yet the total wages paid in the United States amounted to more than twice as much as those paid overseas. Driving this result is the fact that Apple keeps most of its research and development (R&D) and corporate support functions in the United States, providing thousands of high-paid professional and engineering jobs that can be attributed to the success of the iPod. This case provides evidence that innovation by a U.S. company at the head of a global value chain can benefit both the company and U.S. workers. 1 This article represents solely the views of the authors and not the views of the U.S. International Trade Commission or any of its individual Commissioners. This paper should be cited as the work of the authors only, and not as an official...
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...Working Today: Understanding What Drives Employee Engagement The 2003 Towers Perrin Talent Report U.S. Report Table of Contents Executive Summary .............................................................................................................................................................2 Defining Engagement: What It Looks Like ......................................................................................................................5 Exhibit 1: Defining Engagement ................................................................................................................................5 Exhibit 2: Current Employee Engagement...............................................................................................................6 Exhibit 3: Engagement Across Job Levels .............................................................................................................7 Exhibit 4: Engagement Across Industries...............................................................................................................7 Driving Engagement: What It Takes ................................................................................................................................9 Exhibit 5: Top Drivers of Engagement: How Employees Rate Their Companies Today.................................9 Exhibit 6: Employee Views About Leadership............................................................................................
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...DAVAO CITY FOR A PERIOD OF FIVE YEARS (2007-2011) Reyna Lea C. Rosales Course: Master of Science in Criminology Research Paper In MC 209 Professor: Dr. William A. Revisa TABLE OF CONTENTS I. Introduction ……………………………………………………………………………..3 II. Discussion A. Traffic Volume Data Collection…………………………………………………...4 B. Objectives of the Traffic Volume Monitoring Program ……………………..5 C. Uses for Traffic Volume Data …………………………………………………….5 D. Ways of conducting Traffic Survey / Methods of Traffic Volume Study……………………………………………...7 E. Importance of Traffic Volume Study …………………………………………..11 F. GLOBAL …………………………………………………………………………….12 G. NATIONAL ………………………………………………………………………….16 H. LOCAL ………………………………………………………………………………17 Table 1 ……………………………………………………………………………...19 I. Data Analysis ……………………………………………………………………….19 III. Conclusion …………………………………………………………………………...20 References ……………………………………………………………………………..21 I. INTRODUCTION Traffic volume studies are taken to determine the number of movements and classifications of vehicles in a specific location. This information can help classify significant flow time periods and determine the influence of large vehicles and/or pedestrians. The time period in which these traffic volumes are calculated will vary depending on what data that is being collected and what its purpose is. Traffic counts are reported as the number of vehicles expected to pass a given location on an average day of the year. This value is called the...
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...secondary to staffing issues and family participation. The facility has had two critical falls this year, one ending in a patient breaking a hip and the other a death secondary to hemorrhagic bleed to the brain. The facility has had numerous other falls which lead to added procedures, exposure to radiation (radiological exams) and increased lengths of stay, multiple bruises, fractures, pulled out IV which need to be preplaced, and numerous bleeds and skin tears. The unit I work on is a Medical Surgical Telemetry (4 Tower) unit which consists mainly of pre and post open heart patient and pre and post angiogram patients who may or may not have had interventions which include stents, plasty, TCPA, Pacemaker / AICD placement, and EP studies with ablations. The patient population is mainly sixty years of age and above, with a high incidence of diabetes (neuropathy), cardiovascular disease which includes CAD, Dysrhythmias, CHF, HTN. Most of the patient have had some sort of narcotics in procedure and or for pain control after surgery which increases the chance for a fall. The facility uses a fall risk screening tool which is required every shift. The fall prevention kit includes the patient wearing yellow socks, yellow wrist bands, fall...
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...C H A P T E R Operations and Productivity 1 DISCUSSION QUESTIONS 1. The text suggests four reasons to study OM. We want to understand (1) how people organize themselves for productive enterprise, (2) how goods and services are produced, (3) what operations managers do, and (4) this costly part of our economy and most enterprises. 2. Possible responses include: Adam Smith (work specialization/ division of labor), Charles Babbage (work specialization/ division of labor), Frederick W. Taylor (scientific management), Walter Shewart (statistical sampling and quality control), Henry Ford (moving assembly line), Charles Sorensen (moving assembly line), Frank and Lillian Gilbreth (motion study), Eli Whitney (standardization). 3. See references in the answer to question 2. 4. The actual charts will differ, depending on the specific organization the student chooses to describe. The important thing is for students to recognize that all organizations require, to a greater or lesser extent, (a) the three primary functions of operations, finance/accounting, and marketing; and (b) that the emphasis or detailed breakdown of these functions is dependent on the specific competitive strategy employed by the firm. 5. The answer to this question may be similar to that for question 4. Here, however, the student should be encouraged to utilize a more detailed knowledge of a past employer and indicate on the chart additional information such as the number of persons employed to perform the...
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...Associates Study of Economic Impacts to Port of Baltimore in 2006 The MPA commends the excellent work by Martin and Associates in completing a comprehensive report of the economic impacts of the Port of Baltimore in late 2007, and revised on January 28, 2008. There are two methodology changes (or new features) in the current report - induced and indirect related jobs and a new single measure of the total economic activity. Although other ports are using this enhanced methodology, the MPA chooses not to include them when speaking of the Port’s impacts for the following reasons: • In previous comprehensive studies, only the number of direct related jobs was measured. In the January 2008 study, the related impacts measure the jobs, personal income, and associated state and local taxes that occur at each stage of production of exports or consumption/use of imported cargo. This includes induced and indirect related jobs that are supported by the direct related jobs. The new change in methodology in the current study concerning total related jobs provides a very comprehensive and extremely broad view of the economic impact of the cargo moving via the Port of Baltimore to the State of Maryland. Upon further consideration and external peer review of the comprehensive study, the induced and indirect related jobs are not consider sufficiently linked to Port activity to be included by the MPA when it reports the economic impacts of the Port of Baltimore. Also new in the 2006 study is a single...
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...NURS 2010 Project Janice Klein Westerns Governors University Nursing is a profession that has been influenced by nursing pioneers, scholars, government agencies and nursing organizations. Nurses need to develop a professional mission statement that defines our understanding of nursing concepts, our professional strengths and our critical thinking abilities. A. Functional Differences A regulatory agency, such as the Virginia Board of Nursing (VBON), is state government agency that exists solely to enforce the laws that regulate nursing practice. The BON protects the public’s safety and welfare by outlining the standards for safe nursing care, issuing licenses to practice nursing and monitoring compliance to state laws (McDaniel, 2013-14). The BON will investigate complaints of nurses not in compliance with the nurse practice act and will take necessary disciplinary action against nurses found in violation. In addition, BONs approve pre-licensure nursing education programs and oversee the licensure examination of nurses. All health care professionals must pay licensure fees in order to practice legally in their state. These activities assure that the public is cared for by qualified individuals (McDaniel, 2013-14). Professional nursing organizations have the same goal as BONs, to protect the public, however the method by which it is accomplished is functionally different. Nursing organizations are nurses working together to develop professional standards and practices...
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...has been observed not only in the area of external trade; it is seen also in terms of capital flows, aid, technology transfer, international migration, etc. All of these have seen significant expansion in the period of reforms, even if this has been on a scale far smaller than in South East Asia and the other faster growing developing economies. Globalization has definitely created opportunities for various parts of the economy to gain access to larger pools of resources as well as markets. While this may generally be perceived to have impacted positively on the beneficiaries, there are also indications that globalization has introduced new risks to environments that were hitherto closed to those risks. The increased risk may, in some cases, have accentuated poverty and worsened income distribution in parts of the country. While poverty has always been generally closely associated with the condition of African states, its link with globalization is a more recent development, and is much less understood. The relationship between globalization and poverty is obscured by the fact that for long poverty was more generally associated with rural economies and societies than urban ones, while globalization was expected to reflect the transactions of the more urban sections of African societies. But there are indications that urban poverty is growing and the links between rural and urban economies are...
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...Harvard Business School 9-794-024 Rev. August 6, 1996 DO Wal*Mart Stores, Inc. In Forbes magazine’s annual ranking of the richest Americans, the heirs of Sam Walton, the founder of Wal*Mart Stores, Inc., held spots five through nine in 1993 with $4.5 billion each. Sam Walton, who died in April 1992, had built Wal*Mart into a phenomenal success, with a 20-year average return on equity of 33%, and compound average sales growth of 35%. At the end of 1993, Wal*Mart had a market value of $57.5 billion, and its sales per square foot were nearly $300, compared to the industry average of $210. It was widely believed that Wal*Mart had revolutionized many aspects of retailing, and its was well known for its heavy investment in information technology. David Glass and Don Soderquist faced the challenge of following in Sam Walton’s footsteps. Glass and Soderquist, CEO and COO, had been running the company since February 1988, when Walton, retaining the chairmanship, turned the job of CEO over to Glass. Their record spoke for itself—the company went from sales of $16 billion in 1987 to $67 billion in 1993, with earnings nearly quadrupling from $628 million to $2.3 billion. At the beginning of 1994, the company operated 1,953 Wal*Mart stores (including 68 supercenters), 419 warehouse clubs (Sam’s Clubs), 81 warehouse outlets (Bud’s), and four hypermarkets. During 1994 Wal*Mart planned to open 110 new Wal*Mart stores, including 5 supercenters, and 20 Sam’s Clubs, and to expand...
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...JWCL165_c10_444-505.qxd 8/12/09 7:24 AM Page 444 10 Liabilities Chapter STUDY OBJECTIVES After studying this chapter, you should be able to: 1 Explain a current liability, and identify the major types of current liabilities. 2 Describe the accounting for notes payable. 3 Explain the accounting for other current liabilities. 4 Explain why bonds are issued, and identify the types of bonds. 5 Prepare the entries for the issuance of bonds and interest expense. 6 Describe the entries when bonds are redeemed or converted. 7 Describe the accounting for long-term notes payable. 8 Identify the methods for the presentation and analysis of long-term liabilities. ✓ The Navigator Scan Study Objectives Read Feature Story Read Preview Read text and answer p. 453 p. 465 ■ ■ ■ ■ ■ p. 458 ■ Do it! p. 461 Do it! ■ p. 463 ■ ■ ■ ■ ■ Work Comprehensive p. 469 Review Summary of Study Objectives Answer Self-Study Questions Complete Assignments ✓ The Navigator Feature Story FINANCING HIS DREAMS What would you do if you had a great idea for a new product, but couldn’t come up with the cash to get the business off the ground? Small businesses often cannot attract investors. Nor can they obtain traditional debt financing through bank loans or bond issuances. Instead, they often resort to unusual, and costly, forms of nontraditional financing. Such was the case for Wilbert Murdock. Murdock grew up in a New York housing project, and always had...
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...Research Health Benefits from Large-Scale Ozone Reduction in the United States Jesse D. Berman,1 Neal Fann,2 John W. Hollingsworth,3 Kent E. Pinkerton,3 William N. Rom,3 Anthony M. Szema,3 Patrick N. Breysse,1 Ronald H. White,4 and Frank C. Curriero1,5 1Department of Environmental Health Sciences, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA; of Air Quality Planning and Standards, U.S. Environmental Protection Agency, Research Triangle Park, North Carolina, USA; Health Policy Committee of the American Thoracic Society, Washington, DC, USA; 4RH White Consultants LLC, Silver Spring, Maryland, USA; 5Department of Biostatistics, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA 2Office 3Environmental B ackground : Exposure to ozone has been associated with adverse health effects, including premature mortality and cardiopulmonary and respiratory morbidity. In 2008, the U.S. Environmental Protection Agency (EPA) lowered the primary (health-based) National Ambient Air Quality Standard (NAAQS) for ozone to 75 ppb, expressed as the fourth-highest daily maximum 8-hr average over a 24-hr period. Based on recent monitoring data, U.S. ozone levels still exceed this standard in numerous locations, resulting in avoidable adverse health consequences. Objectives: We sought to quantify the potential human health benefits from achieving the current primary NAAQS standard of 75 ppb and two alternative standard levels, 70...
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