...CASE STUDY: THE VETERINARY PRACTICE Background. Simon Harrison has run a successful veterinary practice for many years from a large Victorian semi-detached house in a smart suburb of a large English town, about 30 miles from London. The practice caters for small animals. There are two qualified vets in Simon and his son Joe, who joined the practice a few years ago, and is now a partner. There is a senior veterinary nurse Ros, and two trainee nurses Rukia and Kath, plus Simon’s wife Anna, who, as a qualified nurse herself, plays an active role part-time. All the nursing staff have to act as receptionists too at times. There are two consulting rooms, one operating theatre /X-ray room, a drugs storeroom, a reception /office area, and a small waiting room. One problem at the current location is that vehicle parking by clients is very difficult in the busy, congested street. Simon is nearing retirement age but does not want to fully retire yet and would like to become part-time, with his son playing a larger role and the practice taking on a younger, more recently qualified vet. Joe is keen to do this but, as we will see below, has more ambitious plans, and if Simon were to agree, there are a number of aspects and activities of the practice that could be altered and improved at the same time. Even though veterinary services can be very expensive, the demand for them in the area is growing quite rapidly, as more people have pets and more people take out insurance for...
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...Evidence based practice (EBP) in nursing has many varied definitions among the nurses, my favorite definition is “the integration of the best research evidence with clinical expertise and patient values” (Sacket et al., 2000). My practice setting to date has been my clinical rotations and preceptorship. While my experience in the hospital setting is limited, there is a key observation I have made regarding evidence based practice and desired patient outcomes. This observation is based on three codes I witnessed in three different hospitals. Having completed my ACLS and EKG certification on summer break last year just prior to beginning my high acuity rotation, I was familiar with the protocol for running a code. There are very clear guidelines set forth by the AHA (which is the only course accepted by the hospitals in Palm Beach County). According to the AHA, these guidelines are” based on the scientific consensus of resuscitation experts from a variety of countries, cultures, and disciplines,” ("2010 Guidelines for CPR and ECC," 2013) using the most recent research, clinical application, and positive patient outcomes. These guidelines having been implemented into the respective hospital’s “safe practice” employee protocol, it was interesting and frightening to see just how horribly wrong things could go when not following EBP. The first two codes I witnessed were nothing short of a disaster, it was chaos, at one point no one was even doing CPR. The third code I witnessed...
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...Liberty theological seminary seven practices of effective ministry A Book critique submitted to Dr. Terry Faulkenbury In PARTIAL FULFILLMENT OF THE REQUIREMENTS FOR evan 510 Master of divinity by edmund johnson lynchburg, virginia January 30, 2015 Bibliography Stanley, Andy, et al. 7 Pratices of Effective Ministry. Colorado Springs: Multnomah Books, 2004. Summary 7 Practices of Effective Ministry is a book written by Andy Stanley, which outlines steps to be taken or practiced by ministry leaders in order to have an effective ministry. It outlines areas in the ministry and accentuates solutions to issues that most church ministries fail to grasp; as they (Church ministries) endeavor to carry out day to day operations of their ministries. Stanley utilized the concept of a baseball team in an attempt to convey his message through his work with the North Point Community Church. Moreover, he emphasizes the importance of practicing effective avenues to invigorate the ministry. Furthermore, he outlines seven steps which he calls, clarify the win, think steps not program, narrow the focus, teach less for more, listen to outsiders, replace yourself, and work on it. It (steps) is a template when implemented accordingly will energize all facets of a ministry. This book contains two parts. In the first part which is labeled Getting in the Game: Ray’s Story, contains nine (9) chapters. Chapter one thru chapter three alludes to clarifying what the goal and accomplishment...
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...Part 3: Business Quality – 5 Practice Principles By: Gautam Borah Abstract: “Business Quality – The Fundamentals”, is the first treatise in the series of Business Quality. The first part contended a new Postulate on Quality which addresses the need of an organization and customer in the current global scenario of business. The title “Business Quality - The Delivery Model” is the second treatise on the subject of Business Quality. This is the third part titled “Business Quality – 5 Practice Principles”. This part delineates the principles on which the Business Quality is predicated. The treatise proposes 5 principles which can help an organization to create the DNA of Business Quality. Introduction The first treatise in this series of Business Quality discussed the notion of Quality in the context of current global business environment and a new postulate has been reprised. The second treatise delineated a Delivery Model for the postulate. This article is the Part 3 of the same series which illustrates the Practice Absolutes of Business Quality. The intrinsic notion of the practice principles The principles presented in this article are at practice levels. Unlike strategic principles, the practice principles aim at execution and will assist the organizations to build a culture of business Quality. Besides, practiced with a suitable monitoring and measurement system, these principles will act as the operational building blocks to sustain the Business Quality initiative...
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...bandaging. Abstract Part of the role of the mentor is to “facilitate the selection of appropriate learning strategies to integrate learning from practice and academic experiences” (NMC SLAiP Standards 2008). Assessing and carrying out leg ulcer dressings is a vital part of working as a community nurse and this report describes how I as a mentor facilitated a student to assist with this activity and identifies some of the range of facilitative strategies to support learning in practice. It describes carrying out an activity, from preparation, implementation and evaluation of the activity, assisting my student to to evaluate her own learning, identify further learning needs and planning and management of how these learning needs can be met. Overall this report demonstrates how supervising a student in a learning situation, setting learning objectives and giving feedback are all part of the role of the mentorship. Background and introduction to the activity Student S is a year two semester two student nurse currently on her second week of a nine week community placement. At this stage she should be using evidence based practice and focusing on the service user. Student S has identified that wound care, rationale behind different dressings and types of bandaging is an area where she needs to gain more knowledge. Further practice in the practical aspects of using aseptic non touch technique and physically applying bandages was also identified as a learning need. Prior to going...
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...ADAPTATION OF BEST PRACTICES THE EXPERIENCE OF THE INSTITUTE OF PUBLIC ADMINISTRATION IN CANADA (Written Report, 2015) AS PARTIAL FULFILLMENT OF THE REQUIREMENT FOR ADMINISTRATIVE INNOVATIONS AND REFORMS (MPA 620) SUBMITTED BY UMAR SHADRACK. J SUBMITTED TO: PROF .SHERWIN WILLIAM A. CUASAY (MPM) UNIVERSITY OF BATANGAS GRADUATE SCHOOL INTRODUCTION A best practice may be a particular method, or it may be a whole program or intervention. “Best practice” status is sometimes conferred either officially – by a government body, professional association, or other authoritative entity – or by published research results. Best practices, in short, are those methods or programs that have been found to be successful in accomplishing their goals and that can be used, or adapted for use, in your circumstances. The standards for choosing a best practice vary tremendously, depending upon who’s doing the choosing. In some cases, almost any program that can show some success is labeled a best practice. In others, the criteria are so strict that only a few are selected (more likely with professional associations that are trying to set or uphold research standards.) Where the standards are relatively loose, programs designated as best practices may be only adequate, rather than truly the best the field has to offer. Where the standards are too strict, many superb...
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...been asked to investigate a new procedure that physicians would like nurses to adopt in the hospital. Discuss the process you would apply to determine whether the procedure falls within the RN scope of practice and how you would go about introducing the new procedure with physicians and fellow nurses. When it comes to investigating a new procedure, a systematic approach should be applied. It is imperative to determine whether a given procedure is within the nursing scope of practice before deciding to adopt or implement it. Some standard steps that must always be followed are based on the Nurse Practice Act, the ANA Standards of Practice, rights of patients, and safe nursing practice. According to Anderson (2013), determining if a new procedure is within the scope of nursing practice can be accomplished in three steps. First, define the issue, which means clarifying what exactly is being asked and what the new procedure entails. This step also includes gathering any additional information such as conducting a competency assessment to perform the task, as well as any previous experience, current knowledge and skill. Evidence-based practice and nursing research must also support the adoption of any new procedure. Secondly, since evidence is not the only component, the Nurse Practice Act and the policies of the workplace must also be considered. Nurses may be limited by the facility policies/standards to perform certain tasks even though the tasks are allowed by the BON (Anderson...
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...PA:253 Legal Ethics | Unauthorized practice of Law | Unit 8 Assignment | 12/11/2012 | D Seagraves PA: 253 Legal Ethics Unit 8 Assignment December 11, 2012 Polly is a paralegal that works for a law firm, one day she receives a message from a friend, Mr. Stan Smith, Mr. Smith wanted to know if grounds for divorce in North Carolina include adultery. Before Polly was able to call Mr. Smith back, her phone rings again this time it is Mrs. Smith, another friend and also Stan’s wife. Mrs. Smith leaves a message as well, this time she asks if she has grounds for a divorce in the state of North Carolina, and follows by telling Polly that she just found out that her husband had an affair. Polly is now torn about what to do, does she call her friends back giving them both advice, or does she explain to them the issue at hand. Due to the fact that Polly is a paralegal and not an attorney she is unable to participate in the practice of law. The practice of Law involves giving legal advice, drafting documents, and representing clients in a legal stance. In order to do this, one must be a licensed attorney. Unauthorized practice of Law, also known as UPL, Basically what this means is the application of a rule of law to a particular person’s fact pattern and giving a response or answer (Orlik, 2008). This can be done knowingly or mistakenly however either way can cause serious issues. Polly first calls Mr. Smith back, the phone rings three times then she hears his...
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...Project Management Best Practices In the project management world, the development and utilization of best practices is the key to success for projects of all shapes and sizes that yield the highest quality result. Finding the perfect balance between the organization, observing, and governing of projects help organizations reach the goals and objectives set by shareholders and executives. Best practices can be determined by finding simply what works best. Organizations can determine this a couple of ways. One way is to benchmark, or compare practices used by other organizations that are similar to yours. (Veatch, 2011) If a company in your industry is striving, using philosophies or techniques that are commonplace to them should become familiar to your organization. Another way is to use techniques such as postmortem meetings after the closure of projects to determine what worked and what did not. Listening to your resources and determining what was helpful in reaching the goals outlined in the project, or finding out what was an interference can outline practices that will spell success for future projects. Having postmortem meetings itself can be a best practice. It’s always a smart business decision to continue to find ways to improve. David Herron and David Garmus from the Davis Consulting Group, outlined that analysis of quantitative data collected, such as size, effort, duration, and defects along with qualitative data, such as process, methods, skills...
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...Ludington Kaplan University PA 253 D. Weigel November 7, 2014 The practice of law is limited to those who have meet their state's requirements of education, moral character, and understanding of the law. They then become licensed to practice law, one who does not hold this license and practices law is committing UPL. UPL is the unauthorized practice of law anyone who practices law without a license may be held to their states disciplinary procedures. Injunction, criminal prosecution, citations for contempt of court and writs of quo warranto are some of the actions states take for those who commit UPL. Paralegals or legal assistants are “a distinguishable group of persons who assist attorneys in the delivery of legal services”. They are not licensed to practice law. In the scenarios , Polly Paralegal’s response is the only thing that can determine if she has committed UPL. If Polly Paralegal responds to Mr. Smiths question by stating “Yes, Mr. Smith in the state of North Carolina adultery has grounds for a divorce.”, then yes Polly is committing UPL. Polly would be using her knowledge in the legal field to answer Mr. Smith’s question. If on the other hand, Polly tells Mr. Smith that she is not able to give him an answer to his question, he should seek an attorney’s advice, then no, she is not committing UPL. Polly would not be giving any legal advice to Mr. Smith, therefore, there is no practice of law taking place. The same situation will apply to Polly with Mrs...
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...UPL Unauthorized practice of law is a crucial part of our legal system and how law is administered. Also known as, UPL, this topic deserves attention so boundaries in the legal profession can be clearly understood. My question that I raise with this topic, is UPL defined well enough or is it too strict and those that can’t afford legal help suffer for it? In the American Bar Association Model Rules of Professional Conduct, it states, "A lawyer shall not practice law in a jurisdiction where doing so violates the regulation of the legal profession in that jurisdiction or assist a person who is not a member of the bar in the performance of activity that constitutes the unauthorized practice of law." What this definition indicates is that attorneys may not practice law where they are not licensed to do so and they may not assist another person in UPL. So for an attorney licensed in only one state, she/he may not practice law in another without appropriate licensure. As for another person committing UPL, this would include helping a legal assistant work outside the boundaries of their legal responsibilities as a non-lawyer professional. The goal of UPL is to protect the public from being subjected to fraudulent practice by persons not qualified to give legal counsel. In addition, when they employ legal assistants they must be cautious not to do anything less than adequately supervise their staff and ensure that UPL is not committed. Attorneys are the only ones who can give...
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...Evidence Based Practice Diane Sheley University of St. Mary Evidence Based Practice Evidence-based practice analyzes research findings, quality improvement information, various forms of evaluation data, and expert opinion to identify ways to improve patient outcomes. “Research findings, knowledge from basic science, clinical knowledge, and expert opinion are all considered "evidence"; however, practices based on research findings are more likely to result in the desired patient outcomes across various settings and geographic locations. The impetus for evidence-based practice comes from payer and healthcare facility pressures for cost containment, greater availability of information, and greater consumer savvy about treatment and care options. Evidence-based practice demands changes in education of students, more practice-relevant research, and closer working relationships between clinicians and researchers. Evidence-based practice also provides opportunities for nursing care to be more individualized, more effective, streamlined, and dynamic, and to maximize effects of clinical judgment. When evidence is used to define best practices rather than to support existing practices, nursing care keeps pace with the latest technological advances and takes advantage of new knowledge developments.” (Youngblut & Brooten, 2001). Evidence-based practice is used to close the gap between the research being conducted and the actual practice of nursing. Research is a key component...
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...Unauthorized Practice of Law So Mr. and Mrs. Stan Smith have contacted their old pal, Polly Paralegal. They have asked her questions regarding the State of North Carolina’s grounds for divorce. Mr. Stan Smith wants to know if grounds for divorce in North Carolina include adultery. Mrs. Stan Smith would like to know the answer to a similar question as she has just found out that Mr. Stan Smith has committed adultery. Mr. and Mrs. Smith believe that Polly Paralegal will be able to answer their questions; after all she does work in the legal field right? Polly Paralegal does not have a license to practice law! Therefore, she should not answer certain questions! Mr. Stan Smith asks a very specific question, “Do the grounds for divorce in North Carolina include adultery?” Polly Paralegal should not answer Mr. Stan Smith’s question. There would definitely be some Unauthorized Practice of Law being committed if she does. Polly must advise Mr. Stan Smith to consult with an attorney, she may even refer him to the attorney she works for if divorce if possible. Now if Polly were not a paralegal, maybe she is a dog groomer instead, it would not be considered unauthorized practice of law for her to answer this question. But, Polly is a Paralegal; therefore, Polly should not answer this question. (Orlik, 2008). Now Polly must also deal with Mrs. Stan Smith. This must be awkward for her! Polly Paralegal must also remember ethics in this situation. She is a friend to both sides. Polly...
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...Child-rearing Practices and Parenting Styles January 15, 2013 Child-Rearing Practices and Parenting Styles Every aspect of one’s life has a distinct effect on his well being. This aspect can possibly be from emotional, environmental, physical, to social aspects of life. Family is connected and a part of each aspect, hence why the family can never be excluded in everyone’s life. Looking more into the influences of the smallest unit of the society, there are many factors that contribute to the impact brought by this agent that seeks for attention. One of these factors that affect an individual’s personality is the way his parents raise him up. Parenting in the early years is an exciting but challenging time, it is never an easy task. Parenting refers to the aspects of raising a child aside from the biological relationship, it dwells on how a parent or a guardian in some cases brought up a child providing his needs, ensuring safety, disciplining, showing love and affection. Parenting in simple words is guiding and supporting your child into an outstanding life until he is old and capable enough to do it by himself. How is Parenting Usually Occurs Nowadays in Terms of Disciplinary Strategies? The rapid phase of time is slowly changing the customary and conservative practices of raising a child inside a Filipino family. Base from what the elders often told the youngsters, the way of upbringing they had experienced during their childhood into adulthood life was a...
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...Best Practices Manual for Supervisors University of Phoenix September 24, 2011 MGT/210 Supervisors are a great asset to a company’s success. Supervisors need to be effective and efficient in their job as well as managing the employees beneath them. Supervisors have some of the greatest responsibilities in assuring that their teams are performing their task and achieving their goals to make the company successful. To have a successful team, Supervisors will need to demonstrate some best practices in certain areas to manage the team, these areas are: 1. Demonstrating Communication Skills 2. Determining Effective Orientation and Training Methods 3. Improving Productivity for Teams 4. Conducting Performance Appraisals 5. Resolving Conflict 6. Improving Employee Relations This Best Practice Manual for Supervisor will take each of these six areas and will demonstrate two best practices for each area. If a supervisor will learn from these best practices then they will become an effective supervisor for their teams and their teams will become effective and efficient. Demonstrating Communication Skills Demonstrating communication skills is a must for every supervisor. If a supervisor has poor communication skills they will not be able to communicate effectively to their teams. The two best practices for demonstrating communication skills are learning to listen, and keep written and verbal communications clear. The first best practice to communicate effectively...
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