...Delegation Exercise in a Health Care Setting Ana Bergeron University of Phoenix Assignment After rounding on patients the RN made the following assignments. See appendix for a full description of each patient: Assignments | | Macy LPN #1 | Pod 1 | | Mr. Black (UTI) | | Ms. Johnson (Crohn’s) | | Mr. Raynor (diabetic foot ulcer) | | Mrs. Tolento (CHF) Mr. Smith (pneumonia) | | Ms. Swanson (S/P hysterectomy day 2, in pod 2) | Ana RN | Pod 2 | | Mr. Smith (GI Bleed) | | Mr. Moretz (Night sweats, neg pressure room) | | Mrs. Flanco (S/P Colectomy day 2)Mr. Reddington (GSW) | Mike LPN #2 | Pod 3 | | Mr. Smith (Atrial Fib) | | Ms. Harper (s/p breast mastectomy) | | Ms. Levin (s/p attempted suicide) | | Mrs. Walnut (aspiration pneumonia)Mrs. Stewart (Diabetic Ketoacidosis) | | | Gilda CNA | Pods 1-3 | | | Explanation The following is a detailed explanation of the assignments made for this shift: Macy LPN: Macy was given her patients based of her skill and scope. She always volunteers to take on the Spanish speaking patients since she is more comfortable speaking in Spanish. The RN, after moving patients to different pods, she gave Macy one possible discharge today and what would be consider by some a difficult patient that can be abusive and refuses to be take care of be the other LPN on shift today. Macy also had to take on a total of 6 patients instead of six, the RN will cosign her notes at of shift. The patients...
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...repair of a testicle Orchiopexy 14. discharge of milk Galactorrhea 15. difficult labour or delivery Dystocia 16. suture of the tongue Glossorrhaphy 17. surgical puncture of the abdomen Abdominocentesis 18. pus in the urine Pyuria 19. pertaining to above the kidney Suprarenal 20. narrowing of the urethra Urethral Stricture Question 2 Give the meaning of each of the abbreviations below. Abbreviation Medical Meaning 1. LUQ Left upper quadrant 2. GI Gastrointestinal 3. OGD Oesophago-gastro duedenoscopy 4. CVS Chorionic villus sampling 5. STD Sexually transmitted disease 6. IUD Intrauterine device 7. TURP Transurethral resection of the prostate 8. DRE Digital rectal exam 9. UTI Urinary Tract Infection 10. C&S Culture and sensitivity Question 3 Using your learning resources, give a brief definition of each of the following medical terms. Medical Term Definition 1. chronic Describing a disease of long duration involving very slow changes. 2. sign An indication of a particular disorder that is detected by a physician while examining a...
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...The paper is about the Smith Consulting and staff. The Smith Consulting needs a database design that can keep up with their staff members and their skills, projects that they are assigned to. Also needs a database that need their environment analyzed. Also would need to know where their problems and constraints come from. Next, what are their objectives of their scope and boundaries. Last, but not least, what will be the entities and attributes that they should use in their database system? These are all the things that we are going to find out and more. This company was founded in 1984 by Blair Smith and three associates from his firm in order to provide his accounting clients services in technology consulting. This was the beginning of Smith Consulting where Blair Smith launched a business doing this type of work. Analyzing the database environment is our first steps. This is the purpose of analyzing the database environment is to make an initial study of where the company stands and in what situation the company is in based on the results of the initial study. It is extremely important to determine if the current system is failing and the reasons why is because it is actually failing now at this moment in time. In the case of Smith Consulting, their current database system is unable to support the addition of new information and needs to be updated in order to keep track of the staff as well as the other requirements of the project. These will include tracking staff...
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...A complaint may be dismissed on motion if clearly without any merit; and this want of merit may consist in an absence of law to support a claim of the sort made, or a fact sufficient to make a good claim, or in the disclosure of some fact which will necessarily defeat the claim, but a complaint should not be dismissed for insufficiency unless it appears to a certainty that plaintiff is entitled to no relief under any state of facts which could be proved in support of the claim. Despite the liberal nature of the concept of notice pleading, however, a complaint must nonetheless state enough to give the substantive elements of at least some legally recognized claim or it is subject to dismissal under N.C. Gen. Stat. § 1A-1, N.C. R. Civ. P. 12(b)(6). A claim for relief must still satisfy the requirements of the substantive laws which gave rise to the pleadings, and no amount of liberalization should seduce the pleader into failing to state enough to give the substantive elements of his claim. While an incorrect choice of theory should not result in dismissal of the claim, the allegations must suffice to state a claim under some legal theory. Morrow v. Kings Dep't Stores, Inc., 57 N.C. App. 13 (N.C. Ct. App. 1982). Our Supreme Court has stated: "'A [complaint] may be dismissed on motion if clearly without any merit; and this want of merit may consist in an absence of law to support a claim of the sort made, or a fact sufficient to make a good claim, or in the...
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...Sample Letter of Inquiry The Virtual Community Group, Inc. 17 Park Road Rural Town, NH January 2, 2011 Jane Smith, Executive Director Xavier Foundation 555 S. Smith St. Washington, D.C. 22222 Dear Ms. Smith, I am writing to inquire whether the Xavier Foundation would invite a proposal from the Virtual Community Group, Inc., requesting an investment of $50,000 per year over two years to support our Enterprise 2000 initiative. This grant would provide part of the funds needed for us to train at least 1200 low-income entrepreneurs in rural New Hampshire in the computer skills they need to create sustainable businesses as we enter the twenty-first century. Your literature indicates that the Xavier Foundation is searching for innovative ideas to improve the lives of the rural poor; we believe Enterprise 2000 falls well within your area of interest. We believe that broadly-implemented technical skills programs such as Enterprise 2000 have the potential to transform the lives of many struggling entrepreneurs, and change the economic landscape of impoverished rural communities. Unlike many poverty alleviation initiatives, all of the Virtual Community Group programs are predicated on the assumption that these entrepreneurs already have 90% of what it takes to compete in the marketplace -- intelligence, ambition, initiative, and talent. After two years of experimentation and program development, the Virtual Community Group has fashioned a superb, easily replicable model...
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...Overview The Smith Foundation is a nonprofit organization whose mission is to fund public awareness campaigns and research programs about eye care. The foundation was founded over forty years ago with a multimillion-dollar endowment from industrialist and philanthropist Charlie Smith. Currently the foundation is operating on an annual budget of slightly less than $1,500,000.00 (Santora, 2006, p. 362). Their newest chief executive officer (CEO) is Dr. Rhonda Clark, an organizational outsider with no work experience within the foundation. Although only offered a one-year appointment, Clark has great academic credentials in the form of a PhD in political science and policy analysis from a major U.S. West Coast university, as well as a graduate school professorship. The 54-year-old also has an enviable amount of management experience in the nonprofit and public sectors. In the last thirty years, Clark has held positions as a director or research for a major statewide political office holder, the director or planning in a large metropolitan hospital, and the director of programs at a small foundation (Santora, 2006, p. 363). Very early in her new position as head of the foundation, Clark set about quickly learning the key decision makers and stakeholders on the board and in the larger community. She also established her initiatives at a board meeting where she detailed the major elements of her latest proposal. Realizing she did not have the full support of the entire board, Clark...
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...SAMPLE FORMAT FOR INTERNSHIP COVER LETTERS (Top and bottom margins should be approximately equal) Date Your Street Address City, State, Zip Ms. Sandra Jones, Director Marketing Division American Industrial Corporation 1111 American Avenue America, IL 60006 Dear Ms. Jones: Opening Paragraph: State why you are writing, identify the internship position for which you would like to be considered, and indicate how you heard of the position. Mention any individuals who may have referred you to the position. If you are sending an inquiry letter, simply indicate the type of work or position you are seeking. Be specific. Middle Paragraph(s): Your goal here is to show how you can be useful to this particular organization. Describe what strengths you have to offer this employer. Highlight particular classes, jobs, internships, achievements, and extracurricular activities as they relate to the position in which you are interested. You might want to use one of the following approaches: Identify three reasons for the employer to consider you for the position. Describe your previous accomplishments as they relate to the position. Illustrate the relationship between your skills and experience and the position you are applying for. State why you want to work for their organization. Refer the reader to your enclosed resume for additional information. Closing Paragraph: End your letter by clarifying what will happen next, indicating your desire for an interview, and how they can most easily reach...
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...relationship to the professional role, that is fundamental for professional culture assimilation (Slay & Smith, 2011). In this paper, there will be a summary of an interview conducted with a peer named Ms. S, which provide an understanding from her responses to the four questions related to her particular opinions concerning, professional identity and stewardship. Also, it will give a detail about her role, as a registered nurse (RN), how she defines leadership and professional, and as well as how that converts into and influences her nursing career and practice. Her Role It was a pleasure to interview Ms. S....
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...1800 Stone Ridge Street Your Street Address Los Angeles, CA 90001 City, State Zip July 4th, 2000 Month Date, Year Ms. Michelle Johnson Mr./Mrs./Ms./Dr. Full Name of Recipient President, Johnson Family Center Title of Recipient, Company Name 344 Western Lane Recipient Street Address New York, NY 10027 City, State Zip Dear Ms. Johnson Dear Ms./Mrs./Mr. Last Name When using this format, you do not want to indent, margins on all sides should be one-inch. Start the first paragraph by introducing yourself in a friendly way and then state the purpose of your letter. Know your audience because it’s very important that you keep their attention. Remember, you are not writing to yourself, think in term of the recipient and write passionately. Use a couple of sentences to explain the purpose, but save the detail for the body paragraph(s). Start the body paragraph by justifying the importance of the main point. In the next few paragraphs, continue justification with background information and supporting details. Body paragraphs are where you offer solutions, advices, suggestions, or proposals. Write as many body paragraphs as you want, however, keep it short and straight to the point, you do not want to bore the reader to death or look like you’re writing a school essay. ...
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...2-2: Planning Phase Analytical Procedures Case 2-3: Substantive Tests and Documentation Case 2-1: Risk Assessment Today is April 8, 2016, and your firm is currently in negotiations to renew the contract to audit Smith Corp. for the 2015 fiscal year (Smith uses a 12/31 year-end). Smith manufactures electronic components and sells these products to manufacturers of cell phones, e-readers, and tablets. The Smith family founded the company, which originally manufactured components for radios, in the 1930s. The grandchildren of the founder had no interest in active management of the company, and it went public in the 1990s under different management. Your firm has audited Smith for ten years, and has always issued standard, unqualified opinions for both the financial statements and internal controls during this time. New federal regulations concerning the disposal of manufacturing byproducts will impact Smith’s manufacturing process this year by limiting Smith’s ability to sell these byproducts to other companies. Furthermore, the company will have to incur costs to implement new methods of waste disposal. In combination, these issues related to the new regulations are material. To keep up with the rapid advancement of technological developments in its industry, Smith has invested heavily in R&D over the last few years. The R&D has led to several new products that are ready to be included in the manufacturing process this year. The company believes these products will allow...
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...W. Greenfield Ave (713) 600-9876 Investigator Jackson can testify to the entire investigation. * ATHONY KIRK 1511 W. Morgan Lane Investigator Kirk can testify to the entire investigation. * JEROME LANGLEY Riceland Police Department Lt. Langley can testify to the initial investigation at the scene. * SHERMAN JONES Riceland police Department Officer Jones can testify to the initial investigation at the scene. * OPAL LEE Riceland police Department Officer Lee can testify to the initial investigation at the scene. * HELLEN BANKS 1204 Sweet Street Houston, TX (832) 700-2222 Ms. Banks can testify she saw John Brown confront Robert Lowe with a rifle and then she heard gunshots. * JAYLYNN SOPHIA “TINY” CROW 44100 So. Newman Rd. Houston, TX 77021 502-3456 or Riceland Dental Care 800-1234 Ms. Crow can testify she heard gunshots and saw John Brown with a gun standing next to the fallen victim. * LARRY OMAR BLAKE DOB 4-19-94 (age 9) 926 Highway 146 Ruston,...
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...(being the only female) was a minority being subjected to inappropriate language and other unwanted and uninvited behavior. Pollard was humiliated on a daily basis (i.e. pranks involving taping her drawers shut, locking her out of the guard shack, having a forklift backing up to the guard shack and backfiring into her ear) and also upset with the lack of support from her manager. In one incident Mr. King and the other warehouse workers put a sign on a truck that read "HARDHAT REQUIRED/BRA OPTIONAL." King and another employee called Pollard over to look at the sign and encouraged her to do as it said. This clearly indicates that Mr. King had knowledge of the harassment. Mr. King’s conduct was sufficiently serious to alter the conditions of Ms. Pollard’s employment and constitute an abusive working environment. Teddy’s Supplies can be held liable for the harassment of its supervisory employees because the harassment was pervasive enough to support an inference that the employer had "knowledge, or constructive knowledge" of it; under traditional agency principles Mr. King and the other male workers were acting as the agents for Teddy’s Supplies when they committed the harassing acts. Two recent Supreme Court cases have set forth a new test for determining when an employer is vicariously liable for a hostile work environment created by a supervisor. In Burlington Industries v. Ellerth, and Faragher v. Boca Raton, the Supreme Court held that “[a]n...
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...Introduction The aim of this paper is to forward legal advice to Ms Kalinda Sharma with regards to her rights in relation to her employment with Florrick Designs. It will also provide her with advice as to what action she should be in place to take, in accordance with her grievances with the employer which include discrimination on the grounds of no reasonable adjustments being made as to her disability, as well as direct discrimination on the basis that disability. Preliminary Issues Firstly it will be necessary to establish Ms Sharma as an employee. Article 3 of the Employment Rights (NI) Order 1996 defines an employee as an individual who works under a contract of employment. Although this does not give an extensive insight as to her status, it can also be inferred from her considerable employment with Florrick Designs over 12 years, that she is indeed an employee. It has already been established and is recognised that Ms Sharma is disabled within the definition of the Disability Discrimination Act 1995 (hereafter DDA 1995). It must also be established that the employer was aware of the disability of the claimant and that it left her at a substantial disadvantage in comparison to her non-disabled colleagues with regards to retaining employment. This should not be an issue here, due to the fact that Ms Sharma has worked at Florrick Designs for 12 years and was employed there when her accident occurred which resulted in the disability. She also had to take two years off...
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...Improbable Plot Casts Unflattering Light on SNC-Lavalin In October of 2012, one of Canada’s largest engineering companies, which was also one of the world’s five largest, hired a new CEO in what looked like the next chapter of an ongoing attempt to put a series of revelations about unethical and potentially illegal dealings around the world behind them. While the company had fired some key people who were connected with the scandals, there were those who publicly mused that the reported unethical and illegal dealings weren’t just the work of a rogue international VP, Riadh Ben Aissa, but that Mr. Ben Aissa’s way of doing business was well-understood within SNC. While Mr. Ban Aissa was detained in jail in Switzerland on suspicion of paying bribes in order to get contracts in North Africa, including Libya, the new CEO, Robert Card, stated that sorting out the payments scandal would be the job of the company’s Board of Directors and his job would be to reassure investors by growing the business. At that time, investor concerns had caused the stock price to fall to $35 from $60 18 months earlier. Over the past three years the company had reported strong financial results. In 2010, SNC-Lavalin’s revenues had been $6.0 billion and profit reached a record $477 million. In 2011, revenues had grown to $7.2 billion but profit declined to $379 million, partly as a result of the pullout from Libya, but still the second highest in company history. In 2012, the revenues were again trending...
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...downtown Toronto and a woman referred to as Ms. T gave a testimony. Ms. T said that she had been at the restaurant on the day of the shooting and had watched it happen but mentioned that she had never seen any of the men before the shooting. She was dropped off in Winnipeg and was arrested for unrelated charges, but was approached by the Toronto Police because they had heard that she may have information about the shootings at the restaurant. She told them her story and identified one of the shooters for the police. At the preliminary hearing Ms. T made a drastic change in her story, changing around who she thought each shooter was and their involvement in the shooting. This change of story had the proceedings delayed for two weeks, during which time Ms. T went back to Winnipeg and contacted a lawyer saying that she had lied on the stand and that she was coerced by the police to make a statement. She had also previously told her boyfriend that she didn’t even witness the murder. When contacted by the Winnipeg police she said that she had not witnessed the shooting but had made up the story based on what friends had told her. The Toronto police did not agree with this recantation because she knew too many details. She then went back on her recantation and said that she had in fact witnessed the shootings. She testified again in court and gave a sort of amalgamation of both of the stories she had told before. After this day of the trial, Ms. T’s friend Crystal said that she must be...
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