...There are eight things that I learned when reviewing the patient safety goals of 2008. The first important lesson that I learned was about improving the accuracy of patient identification. It is always important to use at least two patient identifiers when providing care, treatment or services. No matter how silly it may seem, having the correct patient is tantamount. The next patient safety goal is regarding how to improve the effectiveness of communication among caregivers. I found it to be critical to understand the proper way in which to transfer information from one person to the next. Having a standardized system for information sharing is a key part of patient safety. The third principle that I learned was in regard to improved safety of using medications. It is crucial to label medication containers, as well making an annual list of drugs that look alike or sound alike. Making sure that drugs do not get confused or mixed up is definitely going to keep patients more safe. Another concern regarding patient safety is the concept of reducing the risk of health care-associated infections. This can be achieved by maintaining a high level of hand hygiene and by closely monitoring unexpected deaths or major loss of function associated with health acquired infections. The subject of accurately and completely reconciling medications across the continuum of care is pertinent to keeping patients safe. In order to accomplish this, a process needs to be in place...
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...Baderman Island Resort Executive Summary Baderman Island is accepting design bids for its seasonal annual marketing campaign. Team B is asked to design the following: * An 11” x 14” poster designed for print delivered as an unflattened PSD file smaller than 10 MB. * A 300 x 300 pixel web advertisement delivered as an unflattened PSD file smaller than 10 MB and a flattened JPEG of no more than 200 KB. * The color scheme must be consistent with the color scheme established on the Baderman Island website. * Both the poster and web advertisements to include the Baderman Island logo, located in the banner at the top of the Baderman Island home page. * Designs to include at least three different examples of text to include: The Baderman Island motto. A new additional slogan created by Design Team B. The company name Baderman Island, modified from text into a graphic. In order for Team B to create these designs, it is beneficial for them to learn more about the Baderman Island Resort, such as the accommodations, amenities, and restaurants. The site also has a blog that could be useful in finding out what guests look for most when coming to visit Baderman Island Resort. History “Welcome to Baderman Island: where paradise is reality.” "Established in 2004, leisure and convention center focused Baderman Island is dedicated in providing unique and quality experiences to Island guests and daily visitors. The Board of Directors and operational...
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...Club Med 'The Club Med (A) case is a big-picture case that examines the strategy of an international chain of all-inclusive vacation resorts. It outlines the forces that shape the industry's structure, and presents the particular factors that contribute to Club Med's success. Of critical concern are the potential areas where Club Med can establish a defensible competitive advantage. What are the essential ingredients of Club Med’s service-delivery system? Can the process be appropriated? We think the Club Med has diverse unique service-delivery system such as AI(all-inclusive) vocation package Unique concept to GM that means nothing to worry about except relaxing and enjoying themselves Guest-friendly talented Staff Advance distribution network for example indirect sales through travel agencies as well as direct sales to customers “Word of Mouth” of market strategy Location for eco-friend resort environment Customer centralized information: easy to use and share for future opportunity What are the determinants of service quality at Club Med? We think the Club Med has diverse unique systems. For example The Club Med has a lot of talented GO having passion and energy for customer’s satisfaction The Club Med rotate its GOs from one resort to another every 6 months, resulting in new ideas and better practices In pricing strategy, the Club Med provide a service with all-inclusive approach and provide membership programs. The Club Med think Word...
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...Baderman Island HM/486 02 December 2013 University of Phoenix Professor Lequrica Gaskins Baderman Island Baderman Island offers guests an all-inclusive vacation, destination wedding, or conference experience. Part of the Baderman Island mission statement includes offering price ranges for all budgets while providing a premium guest experience. The property, on an island in the Kelsey River boasts a size of approximately 930 acres. The lodging options include The Tenney, a couple’s retreat featuring only suites, The Melancon Conference Center, equipped to handle groups of nearly any size, and The Baderman Main Hotel, which accommodates the largest variety of guests. The main hotel caters primarily to family vacationers, and the facility is designed to accommodate all ages. In addition to the various lodging options, Baderman Island also hosts food services including several fine dining restaurants, cafes, and bistros. Currently reservations for dinner at any of the fine restaurants can be made online. The island features spas, art galleries, and boutiques as well as gift shops. The convention center offers full event services including access to recreational pursuits popular with conference attendees. These include an 18-hole golf course, water sports, and a botanical garden. The garden property alone consists of nearly one third of Baderman Island’s total acreage. At 375 acres, the Botanical Gardens offer some of the most intriguing of...
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...Case Analysis Club Med Luya Li (999651880) Lec 02 Professor Tarun Dewan 23rd January 23, 2015 OVERVIEW Club Mediterranee, or Club Med, is a corporation in the hotel and travel industry. It was originally founded as a sports association by a group of French sports enthusiasts in 1950, as the customer demand and business opportunities increased, it transformed from an association into a travel company with the help of the managing director Gilbert Trigano. Club Med created the all-inclusive vacation concept and later became the market leader in the resort industry. Throughout the years, the corporation had enjoyed financial growth and geographically expanded its business throughout the world. In 1984 and 1985, both Club Med S.A and its subsidiary, Club Med. Inc. went public and offered their shares on major stock exchange. However, the company should pay close attention to its potential weakness given the pace of commerce and heated competition. This report will list the comparative advantages of Club Med and explain the reasons for its success over the past years. It will also highlight the company’s unique corporate culture. Moreover, the report will point out Club Med’s potential problems, and provide recommendation in regards to Club Med’s future strategy. ANALYSIS Club Med’s success can be measured both financially and non-financially. After transforming into a travel and hotel company, Club Med further expanded its business by forming the U.S. subsidiary...
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...which the general public becomes familiar with the role of nurses. How does the media positively or negatively influence the public's image of nursing? What other avenues may better educate the general public on the role and scope of nursing as well as the changing health care system? Hollywood definitely portrays nursing in an unrealistic fashion. For the most part there are two different types of TV show’s/movies out there right now and they both shed a different light on nurse’s. Even though I am in love with it, shows such as Grey’s Anatomy in my opinion do not show what it’s like to actually be a nurse. For the most part, we are not running around hooking up with every doctor we see, and one thing that drives me crazy is that they show the doctor’s doing jobs that the nurses do! I have NEVER seen a doctor, not even a resident start a peripheral IV or draw blood. Yet on Grey’s they are starting IVs, drawing blood, pushing meds and spending way more time than I have ever seen talking to patients. I know the show is focused on the doctors, but if I only knew about nursing through watching TV, I would think the doctors were the heroes who comfort patients 24/7, and that all nurses did were stare at each other all day. Sometimes I think even the news can affect how the public views nursing. Within the last few months, a med tech was responsible for a huge Hep C outbreak at my hospital. I know this negatively effected the way the public in my area views nurses, how...
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...Family Health Nursing and a Healthy Environment Family health nursing provides the “conceptual foundations of family nursing across the life span” (Garwick, 2002, p. 284). “The Family Health Nurse (FHN) concept was developed by the World Health Organization (WHO) in Europe in order to provide a means to strengthen family and community-oriented health services” (West and Macduff, 2006). WHO defines family health nursing as presenting a “key contribution within a multi-disciplinary team of health care professionals in the attainment of the 21 health targets” produced by the World Health Organization 21-policy outline. Family systems frequently change as the members of a family adapt to the stress that is inherent to illness and/or injury. Families adapt to the stress, making use of family resources and capabilities, but they often need help in making these adjustments (Servonsky and Gibbons, 2005). In aiding families, nurses employ care that is culturally competent care that uncovers a family’s personal story that reveals both the strengths and the deficits of a family, illuminating where they require assistance within a specific health care system (Servonsky and Gibbons, 2005). Denham (2003) points out that a great deal of nursing concentrates on the individual. However, it is the family and the home that should garner more attention from healthcare professionals because it is within the home "where health is learned, lived, and experienced),” as well as being the "niche...
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...history, legislative regulations, controversial aspects and opinions MANDATED NURSE PATIENT RATIO How does it affect you and your loved ones? Nurse patient ratio for safe care means when the staffing between the nurses and the patients are safe to provide the care patients need to get well in the hospital or nursing homes. Why is this important? Several studies have shown that patients get well faster and safer when they receive more nursing care. Even more importantly according to Linda Aiken study (2003), mortality rates and staffing ratios are closely tied. Each additional patient per RN after four patients, chances of dying in the hospital is increased by 7%.Patient on a surgical unit with patient –RN ratio of 8:1 were 31% more likely to die within 30days than those on surgical units with ratios of 4:1.Studies have shown that more infections like UTI, pneumonia, shock or cardiac arrest increases when patients receive fewer hours of nursing care. Medication errors and unsafe hand washing techniques were found more in increased patient workloads. Unsafe staffing gave more job dissatisfaction, job burnout and more nurses quit or drove nurses away from nursing. This increased mandatory overtime and increased nurse...
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...Nursing Is… There was never a time in my life I didn’t know I wanted to be a nurse. From a young age I feel I have taken the necessary steps to prepare myself for a career in the growing field. My dream on becoming a nurse was highly influenced by my mother who worked in labor and delivery for most of her career. Growing up I would often say “I wanted to be just like her”. At that age I was very clueless as to what a nurse entailed but my desire for nursing grew with the experiences I have encountered during the years. I attended a Technical High School, and chose Health Occupations as my Vocational Major. Throughout my 4 years at Whittier I experienced the fundamentals of the health care industry, participated in the Nurse’s Aide Training Program, obtained my credentials as a Certified Nursing Assistant.. I graduated in 2007 among the top 20 in my class of 350 students, with a 3.54 GPA. I thoroughly enjoyed my time and feel it provided me with a concrete foundation for which I could build upon. Out of high school I continued working as a CNA in a nursing home / rehabilitation facility, where I worked with the Registered Nurses on staff to monitor, treat and care for patients. I enjoyed working closely with the patients and took an immense amount of pride in the job I did. Currently I work in Boston. I float to various floors in the hospital expanding upon my knowledge and skill level. Working here I’ve surrounded myself competent and powerful nurses that exceed...
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...additional rights are essential to professional nursing practice; 1. The right assessment 2. The right documentation 3. The client’s right to education 4. The right evaluation 5. The client’s right to refuse The right client needs to be ensured by checking the wrist band, and by checking a second piece of identification. This could be a picture on the chart, or a case number that is both on his chart and wristband. This must be done before any medication is administrated. The right drug means that the client receives the drug that was prescribed by a physician (MD), dentist (DDS), podiatrist (DPM), or an advanced practice nurse with the license to write prescriptions (APRN). The use of computerized systems to record medications has helped to decrease medication errors, because nurses are not trying to read written forms of the prescriptions. Dr.’s can electronically add a new medication order to a pt. chart from any location. If there is a phone order or verbal order it must be cosigned by the prescribing physician within 24 hours. The components of a drug order are as follows: · Date and time the order is written · Drug name (generic is preferred) · Drug dosage · Route of administration · Frequency and duration of administration (e.g, x 7 days, x 3 doses) · Any special instructions for withholding or adjusting dosage based on nursing assessment, drug effectiveness, or laboratory...
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...Rescue Barbara Combes Breckenridge School of Nursing ITT Technical Institute July 15, 2014 FAILURE TO RESCUE Abstract This paper describes failure to rescue (FTR), according to recent studies. Failure to rescue is discussed in terms of importance to nursing. The paper speculates on how knowing about failure to rescue may help in the nursing course studies and critical thinking skills. FAILURE TO RESCUE Introduction According to a 2007 article in Med Care, use of failure to rescue as an indicator of hospital quality and patient safety has increased over the past decade. Researchers have used different sets of complications and deaths to define this measure. (Silber JH, Romano PS, Rosen AK, Wang Y, Even-Shoshan O, Volpp KG, 2007). This paper gives a description of failure to rescue, discusses the importance to nursing and nursing students, in regards to course studies and critical thinking skills. References for this paper are research studies that used the “original” FTR (using all deaths) description. Description Failure to Rescue is generally defined as the inability to save a hospitalized patient’s life when he/she experiences a complication. A complication is a condition that is not present on admission, such as cardiopulmonary arrest/shock, pneumonia, upper GI bleed, venous thromboembolism (VTE), and sepsis. Failure to rescue does not necessarily imply wrong doing. (Silber, JH, 2007) Importance to Nursing Patients that experience a complication are...
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...Original article | Published 3 February 2011, doi:10.4414/smw.2011.13157 Cite this as: Swiss Med Wkly. 2011;141:w13157 Do not attempt resuscitation: the importance of consensual decisions A qualitative study Lorenz Imhofa, Romy Mahrer-Imhofa, Christine Janischb, Annemarie Kesselringc, Regula Zuercher Zenklusend a b c d Zurich University of Applied Sciences ZHAW, Institute of Nursing, Winterthur, Switzerland Department of Education, Training and Professional Development, Stadtspital Waid Zurich, Switzerland Institute of Nursing Science, University of Basel, Switzerland Department of Medicine, Pourtalès Hospital, Neuchâtel, Switzerland Correspondence: Lorenz Imhof PhD RN Zurich University of Applied Sciences Institute of Nursing School of Health Professions Technikumstr. 71 CH-8401 Winterthur Switzerland lorenz.imhof@zhaw.ch pivotal. Therefore, leadership by experienced senior physicians and nurses is needed and great efforts should be made with regard to multidisciplinary education. Key words: decision-making; multidisciplinary collaboration; end-of-life issue; resuscitation orders Introduction Since the 1980s, “do-not-attempt-resuscitation (DNAR)” orders have become common in medical practice. DNAR orders are given for 50–60% of patients who die a non-sudden death, with wide variations among countries. DNAR orders apply to only 19% of hospitalised patients in Italy, but to as many as 83% in Sweden and 86% in Switzerland [1, 2]. The frequency of DNAR decisions in...
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...avenue in which the general public becomes familiar with the role of nurses. How does the media positively or negatively influence the public's image of nursing? What other avenues may better educate the general public on the role and scope of nursing as well as the changing health care system? Hollywood definitely portrays nursing in an unrealistic fashion. For the most part there are two different types of TV show’s/movies out there right now and they both shed a different light on nurse’s. Even though I am in love with it, shows such as Grey’s Anatomy in my opinion do not show what it’s like to actually be a nurse. For the most part, we are not running around hooking up with every doctor we see, and one thing that drives me crazy is that they show the doctor’s doing jobs that the nurses do! I have NEVER seen a doctor, not even a resident start a peripheral IV or draw blood. Yet on Grey’s they are starting IVs, drawing blood, pushing meds and spending way more time than I have ever seen talking to patients. I know the show is focused on the doctors, but if I only knew about nursing through watching TV, I would think the doctors were the heroes who comfort patients 24/7, and that all nurses did were stare at each other all day. Sometimes I think even the news can affect how the public views nursing. Within the last few months, a med tech was responsible for a huge Hep C outbreak at my hospital. I know this negatively effected the way the public in my area views nurses, how it was...
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...Benchmarking Productivity in Nursing is Useful Benchmarking is a quality improvement tool that determines who the best is, who sets the standard, and what the standard is. There are two main purposes for benchmarking. The first is to identify best practices to be applied in measuring and improving performance in an organization. The second purpose is to seek ways to improve the delivery of service through the efficient use of staff. For health care managers who are responsible for a variable expense cost center or department, maintaining appropriate levels of productivity is one of the greatest and ongoing challenges of the management process and requires constant research and advice regarding relevant productivity standards. Comparing one’s departmental operations with other successful operations of another organization is a useful source of benchmarking data and many health care managers depend on associates or outside consultants to provide data to assist in implementing new and effective strategies to improve staff productivity. There are three sources of productivity standards. The first source is internally developed historical standards where standards are based on past performances but do not provide information about relative efficiency. The second source is engineered standards where internal staff or outside consultants conduct a study of the work environment and define normal standards of productivity. The third source is a comparative group standard...
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...in a nursing setting that is long-term (LTC). It is required of the nursing care staff and physicians to document all aspects of patient care. When documentation is considered to be effective, it provides a patient’s response to the care given as well as a legal record of the care. When one goes about documenting in this form it is considered to be written communication to those who will be providing care to the patient in the future. In the beginning of a nurse’s shift, a report is documented of the activities from the last shift of nurses verbally. Without this form of vocal communication between nurses, med techs, and CNAs would have read every chart to know what activities were performed by the nurses before them which is a very timely task. Documentation As mentioned in the previous paragraph, document provides a legal and tangible record of care. To keep track of the resident care and those outcomes the nursing facility uses many documents. Each patient has a file documenting important factors about the residents’ health, ranging from social history, dietary needs and lab results. This charts documents a complete and detailed look at the patient’s medical history and progression through treatment. MAR, which is the Medication Administration Record, is used to record times, dosage, and method of medication when it is given to the patient, this document is also used to relay any additional messages by any new physicians about changes to the medication. The med tech...
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