...completion of the Nursey Residency Program. You are a great asset to our team! It is always pleasing to hear about the extraordinary care you give to our patients when I do my leadership rounding. This week, kudos goes out to Michelle Salem, Shannon Faulkner, and the nursing team. Our patients appreciated the love and compassion they received from each of you and made it mission to recognize you. As we discussed in our staff meeting and daily shift huddle, we have some care concerns needing improvement. 1. We have responsibility to answer the call light promptly to address out patient needs. When conducting hourly rounds it is important to encourage...
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...In evaluation hourly rounding, the specific data analysis method utilized was the mean. The mean number of falls pre-implementation to the mean number of falls post implementation was compared to determine if there was an improvement after the hourly rounding project was initiated. The mean was also utilized to compare HCAHPS survey scores to determine if an improvement occurred in the two specific domains, responsiveness of staff and communication with nurses. HCAHPS survey scores were compared pre-implementation to post-implementation scores to determine whether or not the mean post-implementation had increased. Notably, the clinical manager and the student nurse spent a great deal of time throughout both the implementation and post-implementation...
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...In a recent article published in the MEDSURG Nursing journal it discussed the effects of hourly rounding to prevent falls for patients in acute care. Falls not only cause harm to patients, they cost hospitals money. In 2012 “the Joint Commission identified reduction of harm from patient falls as a national patient safety goal” (Hicks, 2015). In attempts to reduce falls, studies have been conducted on hourly rounding. “The main components of hourly rounds include reducing anxiety by using key words, addressing the four Ps (pain, potty, position, and possessions), assessing the environment for safety issues and telling the patient when staff will return” (Hicks, 2015). Data for this article was gathered from fourteen published journal articles...
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...Purposeful Hourly Rounding project in detail by giving a timeline of each phase of the project. • Present PowerPoint on Purposeful Hourly Rounding to both Clinical Manager and Director of Nursing and take feedback and modify presentation prior to meeting with nursing staff • Review the audit tool with the Clinical Manager prior to having champions begin audits on the unit of nursing staff preforming hourly rounding • Review HCAHPS scores with clinical manager...
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...Advanced Object-Oriented Analysis & DesignDiploma in ITYear 2 (2015/16) Semester 4 | Week 4 | | 3 hours | Moving into Design | OBJECTIVES The objective of this set of exercises is to learn: * the difference between analysis and design * the difference between logical and physical design * the difference between system and detailed design * the major concerns of system design * the characteristics of a good design * the need to make trade-offs in design. ACTIVITIES 1. What are the advantages of separating the analysis and design phases of a system development project? 2. What are the advantages of separating the analysis and design activities of a system development project? 3. The NPCineplex system handles the booking of tickets at a movie theatre. For each of the elements below, determine if it represents analysis, logical design or physical design, and tick the corresponding box. | | Analysis | LogicalDesign | PhysicalDesign | a. | The seat bookings are represented by a 2D array of Seats. | | | | b. | The seat bookings are stored in an SQL database. | | | | c. | Users choose the seats to be booked by tapping them on the touchscreen. | | | | d. | Customers can pay for their tickets by cash or credit card. | | | | e. | Customers can cancel their bookings up to 24 hours before the start of the movie, but they must pay a cancellation fee. | | | | f. | A movie session is specified by the movie title, date, time and theatre...
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...to the very foundation on which they were constructed upon. This happened to Intel when they decided to release a microprocessor that they knew had a defect, but went ahead and released it anyway. In June 1944, Intel engineers discovered the flaw in the floating-point math subsection of the new Pentium microprocessor. “Under certain data dependent conditions, low order bits of the result of floating-point division operations would be incorrect, an error that can quickly compound in floating-point operations to much larger errors in subsequent calculations.” (Engineer, 2008) There was a sequence of numbers a user could enter in the OS calculator that showed the error. This rounding error didn’t occur every time, just once every “27,000 years,” or so they thought. In reality, for most typical users, this rounding error would be noticed, on average, every 24 days. After the release, in October of 1994, Dr. Thomas Nicely, a professor of mathematics at Lynchburg College, discovered the bug. Upon the finding of this error, professor Nicely contacted Intel about the issue he discovered in the new microprocessor. After weeks of hearing nothing in return, professor Nicely posted a message on InternetWord. Intel’s reaction to this news was that it was a minor issue and nothing to concern the public with. After this The New York Times ran a piece by John Markoff spotlighting the error. (Engineer, 2008) At this point Intel changed its position and offered to replace every chip. Before...
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...The Pentium FDIV Bug La Keith Lee EN1320 COMP 1 The Pentium FDIV Bug * On certain input data, the FPDIC (Floating Point Divide Instructions) on the Pentium processor produce inaccurate results. * The error can occur in any of the three operating precisions, namely single, double, or extended, for the divide instruction. However it has been noted that far fewer failures are found in a single precision than double or extended precisions. * The incidence of the problem is independent of the processor rounding modes. * The occurrence of the problem is highly dependent on the input data. Only certain data will trigger the problem. There is a probability that 1 out of 9 billion randomly fed divide or remainder instructions will produce inaccurate results. * The degree of inaccuracy depends on the input data and upon the instructions involved. * The problem does not occur on the specific use of the divide instruction to compute the reciprocal of the input operand in single precision. The bug affects any instruction that references the lookup table or calls FDIV. Related instructions that are affected by the bug are FDIVP, FDIVR, FDIVRP, FIDIV, FIDIVR, FPREM, and FPREMI. The instructions FPTAN and FPATAN are also susceptible. The instructions FYL2x, FYL2XP, FSIN, FCOS, and FSINCOS, were a suspect but are now considered safe. Intel has adopted a no-question-asked replacement policy for its customers with the Pentium FDIV bug. It has done a statistical research...
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...Case Study: Bank Of America How it learned that what customers really want is to Keep the Change THE PROBLEM Innovation in services is rare. In financial services, the last big breakthrough was online banking, nearly a decade ago. In October, 2005, Bank of America (BAC ) brought out a radically different product that broke the paradigm. It's called Keep the Change.The cocept solves a critical banking problem -- how to get consumers to open new accounts. The product works like this: Every time you buy something with a BofA Visa debit card, the bank rounds up your purchase to the nearest dollar and transfers the difference from your checking into your savings account. It also matches 100% of transfers for the first three months, and 5% of the annual total, up to $250 a year. Since the launch, 2.5 million customers have signed up for Keep the Change. Over 700,000 have opened new checking accounts and 1 million have signed on for new savings accounts. THE RESEARCH How did Bank of America create Keep the Change? In the spring of 2004, it hired an innovation and design research firm in Palo Alto, Calif., to help conceive of and conduct ethnographic research on boomer-age women with children. The goal was to discover how to get this consumer segment to open new checking and savings accounts. For the next two months, a team of five BofA researchers and four researchers from a West Coast consulting firm visited Atlanta, Baltimore, and San Francisco. They observed a dozen...
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...leader in automobile manufacturing, beautiful architecture, or the world most amazing sceneries. We think peace. Never would we ever imagine a darker side to this mostly peaceful culture. We refer to a dark side where some of our closest friends and believe by some people, relatives are slaughtered. No, we are not referring to another event such events at Pearl Harbor or other atrocities. We are referring to the slaughter at Taiji Cove. More than 20,000 dolphins are killed or rounded up and sold around the world for aquarium display from this location each year alone. The smartest animals of the sea and our closest relatives; why kill them. In a season that last from September to March. The local government places a quota on rounding up dolphins and small whales 2,026 per season (Wakatsuk, 2014). Tiaji locals believe it is customary perfectly fine to kill the dolphin. According to CNN locals believe it is no different than killing other animals for meat. (Wakatsuk, 2014). Organizations such as Sea Shepherd are leading the way to end the practice and Japanese leaders that to continue only brings shame and dishonor about the image of Japan (Sea Sheperd, 2014). Reference Wakatsuk, Y. (2014). CNN. Retrieved from http://www.cnn.com/2014/01/20/world/asia/japan-dolphin-hunt/index.html Sea Sheperd. (2014). Retrieved from http://www.seashepherd.org/world-love-for-dolphins-day.html Slide 1 JAPAN Known for: Amazing Architecture Beautiful...
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...SIGNIFICANT FIGURES - Mathematical Operations ADDITION AND SUBTRACTION: When adding or subtracting numbers, count the NUMBER OF DECIMAL PLACESto determine the number of significant figures. The answer cannot CONTAIN MORE PLACES AFTER THE DECIMAL POINT THAN THE SMALLEST NUMBER OF DECIMAL PLACES in the numbers being added or subtracted. Example: 23.112233 | (6 places after the decimal point) | 1.3324 | (4 places after the decimal point) | + 0.25 | (2 places after the decimal point) | 24.694633 | (on calculator) | 24.69 | (rounded to 2 places in the answer) | Note: There are 4 significant figures in the answer. MULTIPLICATION AND DIVISION: When multiplying or dividing numbers, count the NUMBER OF SIGNIFICANT FIGURES. The answer cannot CONTAIN MORE SIGNIFICANT FIGURES THAN THE NUMBER BEING MULTIPLIED OR DIVIDED with the LEAST NUMBER OF SIGNIFICANT FIGURES. Example: 23.123123 | (8 significant figures) | x 1.3344 | (5 significant figures) | 30.855495 | (on calculator) | 30.855 | (rounded to 5 significant figures) | The rules governing fundamental operations involving significant figures are: In addition and subtraction, identify first the s.f. in the decimal point of each given measurement. second, add or subtract(depends on the operation given) the given measurement and finally, your answer must have the least decimal point as the least accurate given measurement. For example: 2.51 + 3.98000 The given 2.51 contains 2 decimal place while 3.98000 contains...
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...A. Rounding and Truncation 1. When rounding a student’s grade to a whole number, you look at the thousandth’s place to see if that number is higher or lower than 5. Student 1 had 299 points out of a total of 334. Without rounding the quotient is .895, meaning Student 1 would be rounded up to .90 which would then be an A. 2. Truncation is a little different. When truncating, you just remove any numbers after the desired position. This means Student 1 would still be left with a B because you would just drop the 5 in the .895 leaving Student 1 with an 89 percent. 3. Taxpayers would prefer to have truncating instead of rounding. Any time the rounding concerns how much money is paid, the payer would much rather have percentage points truncated whereas the payee would prefer to see rounding take place. The more money that is made, the larger the difference in what is paid out or potentially paid out depending on whether percentages are rounded or truncated. a. An example to look out would be taxpayers who make $100,000 per year with an income tax rate of 27.8%. Each of these individuals would save $1,000 if truncating was being used. The government likes to have payers round. Each of the taxpayers making $100,000 would then be paying the previously mentioned extra $1,000. Say there are 100 taxpayers making that much money, then the government would be receiving $100,000 more just from rounding 27.8% up to 28%. What an enormous difference for...
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...measurements without experimental uncertainty. By convention, a mass measured to 13.2 g is said to have an absolute uncertainty of 0.1 g and is said to have been measured to the nearest 0.1 g. In other words, we are somewhat uncertain about that last digit —it could be a "2"; then again, it could be a "1" or a "3". A mass of 13.20 g indicates an absolute uncertainty of 0.01 g. The objectives of this tutorial are: —Explain the concept of signficant figures. —Define rules for deciding the number of significant figures in a measured quantity. —Explain the concept of an exact number. —Define rules for determining the number of significant figures in a number calculated as a result of a mathematical operation. —Explain rules for rounding numbers. —Present guidelines for using a calculator. —Provide some exercises to test your skill at significant figures. What is a "significant figure"? The number of significant figures in a result is simply the number of figures that are known with some degree of reliability. The number 13.2 is said to have 3 significant figures. The number 13.20 is said to have 4 significant figures. Rules for deciding the number of significant figures in a measured quantity: (1) All nonzero digits are significant: 1.234 g has 4 significant figures, 1.2 g has 2 significant figures. (2) Zeroes between nonzero digits are significant: 1002 kg has 4 significant figures, 3.07 mL has 3 significant figures. (3) Leading zeros to the left of the...
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...source of evidence for your assessment of the student’s learning progress. Yes, my students learned what was intended, however, only 70% of my students accurately completed the lesson assessment individual sheet. The students who did not accurately completed the sheet appears to have misapplied the rounding rules for rounding numbers left to right. In addition, one student in particular rounds the number to the nearest tens instead of the tenth place. The teacher will meet these students in a one and one Math conference and reteach place value using games and other hands-on activities. 2. What do student work samples from this lesson, reveal about...
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...Research Critique: Nurses’ Perception of Patient Rounding by K. Neville, K. Lake, D. LeMunyon, D. Paul, K. Whitmore Introduction to Nursing Research February 19, 2012 Research Critique: Nurses’ Perception of Patient Rounding by K. Neville, K. Lake, D. LeMunyon, D. Paul, K. Whitmore Hourly rounding may be described as the purposeful checking of assigned patients at regular intervals. When rounding on patients, nursing staff do so with the intent of checking the “4P’s”- pain, position, potty (the need to toilet), and proximity of personal items and safety measures (call light, phone, side rails etc.) (Halm, 2009 pg 581). Evidence reveals that when doing purposeful patient rounding, falls decreased, use of call lights decreased, and patient satisfaction scores increased. However, the majority of studies did not include evaluate nurses’ the perception of whether hourly rounding would benefit their own practice. So while hourly rounding may increase patient safety and satisfaction outcomes; this study evaluates whether hourly rounding will increase or decrease nursing job satisfaction and what factors may influence their views. Somerset Medical Center (SMC), a 350-bed medical center located in New Jersey implemented hourly rounding over a six-month trial period, which proved to increase patient satisfaction and perception of pain management while decreasing the fall rate and use of call light. However, the postproject did not include an evaluation of the nurses’...
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...light usage before initiation of hourly rounding, and call light usage after the initiation of hourly rounding. With is in compliance with the objective described by the hypotheses developed in this study. Hourly rounding improves patient satisfactory score. Narrative descriptive also uses to confirm their finding. For a pilot study, one thinks that the sample size was adequate. A sample made of 51 patients, 29 females, 22 males a long with a randomly selected control group is used for that study. Although the researcher did not explain how the data were entered into the computer one assume that it was entered to promote accuracy and to reduce the possibility and effect of bias. In summary this pilot study shows that Ford, B. (2010) provide evidence to suggest that hourly rounding increase patient outcome with is benefited to nursing practice. The author took time to focus on the significant problem, she explains how the data was collected, and the diagram shows the percentage of error and the frequency of the variable. The study’s strengths and weakness is clearly defined. The author stated that the positive results of rounding exceed expectations in most facilities where the strategies have been used. Consistent hourly rounding is a key for improving safety and quality of care, it result in fewer call light interruptions, allowing nurses to organize their time better and reduce stress. Additionally, patients are less anxious. Hourly rounding contributes in several key areas...
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