...Cath Lab Introduction Today I had the opportunity of observing in the cath lab at The term cath lab or cardiac catheterization laboratory refers to an examination room in a hospital or medical facility, in which diagnostic imaging equipment is used to view the arteries of the heat and its chambers. A cath lab is a highly sterile room, everyone has to wear, caps, gowns, mask and gloves during a procedure. Education of Cath lab nurse In order to perform the role of a cath lab nurse, one should possess a nursing degree, and a registered nurse license. A RN may opt to merely specialize in cath lab nursing. According to the not-for-profit, Cardiovascular Credentialing International, Inc. (CCI) website, a cath lab nurse should obtain the RCIS examination and credential. “CCI administers the Registered Cardiovascular Invasive Specialist (RCIS) examination. This credential has been recognized by our own society (the Society of Invasive Cardiovascular Professionals, or SICP) as the only credential for professionals working in cardiac catheterization laboratories that tests for all of the knowledge and skills that are necessary to do so.” (cathlabdigest, 2015). Role of the Cath Nurse Patient Assessment and Preparation Registered nurses who work in a cardiac catheter laboratory assist physicians with patient assessments. This includes task such as ensuring that the patient’s chart and records are updated, helping the patient to overcome fear by...
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...Cath Avery is a remarkable character that sheds a light on what it really means to be a fan girl. She is seen as an introvert living in the shadow of her twin sister, Wren. Ever since Cath has been little she used the world of fanfiction to escape reality and to cope with the issues of her mother abandoning her sister and her and leaving them with their dad. Cath is described as a slim, dark, brown, hair girl with glasses. Since she lived in the shadow of her sister, she developed low- self-esteem that consumed her every day. To say the least she had social anxiety problems that played a part in the next chapter of her life, which was college. Once Cath and Wren arrived at the same college that they both were attending, Cath got hit with news that changed her comfort zone, her twin sister wanted to put distance between them. Cath was always...
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...nk Abagnale was an intelligent man. One of the most successful con men in history, Frank lived as a pilot, doctor, lawyer and an FBI agent all before his 21st birthday. His primary technique was defrauding banks using different fake check schemes eventually amounting to over 2.5 million dollars. Along with a friend, Frank wrote his story which was later turned into an autobiographical film starring Leonardo DiCaprio and directed by Steven Speilberg. Much of what Frank accomplished in the film defied believability. Throughout the film Frank is creating different identities to try and make some money, but even though his name is changed his personality seems to remain the same. From the beginning his father, Frank Sr., is a huge role model for him and becomes the source of Frank’s longing for acceptance and appreciation. Once his parents are divorced Frank just wants everything to be ok and to have the perfect family back together, no matter the cost. In his eyes, his father just needs to win his mother back with a better life and material things when in reality, the relationship has been over for quite some time, a truth made clearly evident by his mother’s affair. Unable to deal with the stress of choosing which parent to live with, Frank runs away and soon realizes he needs to find a way to make money quickly. He first begins to create fake checks at different banks, scamming them out of hundreds of dollars and eventually realizing he needs to find...
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...by Rainbow Rowell is about a girl named Cather Avery (Cath) who is a major Simon Snow fan. In fact, for Cath, being a fan is basically her entire life. She and her twin sister (Wren) got themselves involved with the Simon Snow series when they were just kids. They kept on reading and rereading the books over and over, until they were completely and totally sucked into the fandom.The Simon Snow fandom is what got the girls through the sadness and loneliness when their mother left. Wren is slowly, but surely getting more and more distant from the Simon Snow fandom, but Cath will never let go. She doesn't want to. Now, starting in Fall 2011, they're going to start college, Wren told Cath that she doesn't want...
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...1.1 Explain essential elements of valid contract according to contract law. 1.2 Explain different types of contracts and explain their impact. Any special rules need to be considered. 1.3 Explain terms of contract, their meaning, effects . Task 02 Two years ago Alan separated from his wife Cath. As part of a written agreement between them, Alan agreed to pay Cath $1000 per month in order to maintain her and their daughter dawn. The money also had to be used to pay off the mortgage on the house that Alan and Cath jointly owned. Alan promised that when the mortgage was paid off he would transfer his share of the property to Cath. Now however, although the mortgage has been paid off, Alan refuses to transfer his title in the house to cath. 2.1 apply the elements of contract in the scenario of Alan and Cath. Case Study A ship was chartered to the defendants for a 2 year period. The agreement included a term that the ship would be seaworthy throughout the period of hire. The problems developed with the engine of the ship and the engine crew was incompetent. Consequently the ship was out of service for a 5 week period and then a further 15 week period. The defendants treated this as a breach of condition and ended the contract. The claimants brought an action for wrongful repudiation arguing the term relating to seaworthiness was not a condition of the contract. 2.2 identify the terms included in the contract and evaluate the effect of different terms relating...
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...woman Cath, goes through as she and her twin sister grow into adulthood. Throughout the story the protagonist, Cath, finds herself faces with the obstacles of learning independence and surviving the stress of college life. Cath Avery, an eighteen-year old girl living in Nebraska, discovers many things about life during her first year of college. The story follows the conflicts she endeavors with a bipolar, work addicted father and a twin sister who is breaking away from her family as well as dealing with her own issues. Cath deals with her first ever boy troubles as well as the conflicts with her family, struggles of college and stress of being a popular fanfiction writer. “In new situations, all the trickiest rules are the ones nobody explains to you” (Rowell 15)....
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...|RM |Isolation |RM |Isolation |RM | |MD |MD |MD |MD |MD | |DX/DATE |DX/DATE |DX/DATE |DX/DATE |DX/DATE | |PMH |PMH |PMH |PMH |PMH | |Allergies |Allergies |Allergies |Allergies |Allergies | |IV |IV |IV |IV |IV | |Activity |Activity |Activity |Activity |Activity | |Neuro AAO x |Neuro AAO x |Neuro AAO x |Neuro AAO x |Neuro AAOX | |RUE RLE LUE LLE |RUE...
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...|[pic] | |Higher National Diploma in Business | |Assignment Front Cover Sheet | |Unit Title: |Tutor’s Name: | |Aspects of Contract and |D.K Hashani shashiprabha | |Negligence for Business | | |Assignment Title & Number: |Learning Outcomes Covered: |Assessment Criteria Covered: | | |Outcome1: | | | |Understand the essential |See the following “Notes to | | |elements of a valid contract |Students” the assessment | | |in a business context |criteria...
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...A1. Risk Factors Trinity conducted a community health needs assessment in which the following demands were identified: Oncology Services, Orthopedic Services and Cardiovascular Services. These targeted demands are mainly in part due to an aging community population (15% of the population will be over 65 within the next five years), and with that these particular services are in great demand and currently Trinity Hospital offers no formal services of this kind. A Strategic plan is in place to target these services and a recommendation to implement will be provided and we will first identify the risk factors for each of these services in the community and how the needs are being addressed at the current time in the Trinity community. Oncology Services- There are several risk factors affecting the community if cancer treatment isn’t addressed in an appropriate manner. New cancer cases are expected to grow at a 34% rate in the next five years and currently the facilities and equipment to diagnose and treat patients is not able to keep up with the growth of cancer patient volume and physicians and nurses say that the available services are disorganized and poorly put together. This is a visible risk to the community and Trinity Hospital if the surrounding community cannot depend on the hospital to adequately diagnose and treat their illness. Another risk factor is the need for cancer prevention and educational programs focusing on lifestyle changes to emphasize healthy living...
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...Woman is Fickle: A Modern Comparison By Jonathon Davis Dr. Michael J. Pendowski Auburn University, Auburn, Alabama November 13th, 2010 Verdi’s “La donna è mobile,” translated into “Woman is fickle”, puts onto display many popular key musical elements of the 19th century that are still very much alive in today’s modern music. Giuseppe Verdi utilizes several trends in music of the day to create the masterpiece that we still recognize today, despite the immense time gap. The piece is written about a woman whose mind constantly changes direction and leaves her admirers constantly pursuing in vain. Giuseppe Verdi (1813-1901) was an Italian world class composer of operas during the height of the Romantic period. This piece is widely considered his most notable work, but considering all of his great operas still performed to this day, to place anything as his “most notable” would be an understatement. His career took off with Nabucco, which he wrote after the death of his children and wife, and was able to write masterpiece after masterpiece, even into his twilight years. Verdi died with twenty-eight operas on his resume, many of which are still performed today. Most of Verdi’s inspiration came from the works of Shakespeare, with the opera Macbeth as an example. Verdi also incorporated political messages into his operas, as Italy was leaving Austrian Hapsburg rule at the time. A chorus of Nabucco is still considered an Italian patriotic theme. The opera that this piece...
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...Cardiac Catheterization Paper 11/17/2011 1) Describe the procedure of cardiac catheterization: Cardiac Catheterization (Cath) is a specialized study of the heart during which a catheter, or thin hollow flexible tube, is inserted into the artery of the groin or arm. Under x-ray visualization, the tip of the catheter is guided to the heart. Pressures are measured and an x-ray Angiogram (Angio) movie of the heart and blood vessels are obtained while injecting an iodinated colorless "dye" or contrast material through the catheter. Coronary angios are obtained by injecting the contrast material into the opening or mouth of a coronary artery. The iodinated solution blocks the passage of x-rays. X-ray movie pictures taken during the injection of the contrast material allow the coronary arteries to be visualized. In other words, coronary arteries are not visible on x-ray film. However, they can be made temporarily visible by filling the coronary artery with a contrast solution that blocks x-ray. (Heartsite) 2) Discuss the rationale for catheterization. Cardiac catheterization allows the doctor to see the heart as it pumps blood. He is able to view the expansion and contraction of the chambers of the heart; the opening and closing of the heart valves; and the flow of blood through the coronary arteries. As compared to other diagnostic tests, cardiac catheterization provides more accurate and detailed information. This is...
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...Read the attached article regarding new techniques for treating heart attack victims and identify the problem statement for a study among residents in the Minn. area where this new technique is being practiced. This study is to learn how the residents feel about the new technique being used. You might want to include survivors of this technique to learn of their assessment of the technique vs. the more commonly used techinque of clot busting. |PAGE ONE | | | | | | | | | | | |[pic] | |[pic] ...
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...mga libro at babasahin na parang ito ay totoo. Ang pangunahing paksa sa pelikula ay ang paghahambing ng awit na Florante at Laura sa buhay pag-ibig ng mga kabataan. Sa pelikula, si Flo ay inihambing kay Florante. Dati ay hindi pa kilala at takot na takot pa itong si Flo sa mga tao. Nagbago iyon ng nakilala niya si Dolfo (na ginampanan ni Teejay Marquez) na inihambing ng pelikula bilang si Adolfo. Si Dolfo ay isang sikat na mag-aaral sa kolehiyo. Mayaman, matalino at makisig, madali niyang nakukumbinsi ang mga tao sa kanyang mga ginagawa. Nakilala din ni Flo si Laurie (na ginampanan ni Cheska Carillo) na isang mahirap na estudyante na mahilig rumaket para lang magkapera. Isa sa mga raket niya ay ang pagiging artista sa mga bidyo ni Cath. Si Cath ay tumatakbo bilang Editor-in-Chief. Para siya ay makakuha ng boto, siya ay nagpapabango ng pangalan sa harap ng kamera. Kumukuha siya ng mga aktor para gumawa ng isang scenario kung saan siya ang bida. Ginagawa niya ito kahit na may tinatapakan na siyang iba. Gusto mang tulungan ni Flo si Laurie dahil sa gusto niya ito, hindi niya magawa dahil di niya alam ang kanyang gagawin. Humingi siya ng tulong kina Florante at Laura. Imbis na makatulong, tila lalo pang naguguluhan si Flo sa mga payo ni Florante at Laura. Lagi kasi magkasalungat ang...
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...products. Pt and family teaching, chart audits, and discharge planning. Northwest Regional Medical Center Clarkesdale, MS Telemetry/RN/Traveler 09/07- 11/07 Number of beds in unit: Approximately 40 Nurse to patient ratio: 1:7 Responsibilities included but not limited to: Cardiac drips, cardiac monitoring, EKGs, admitting, assessing, IV therapy, O2 therapy, and administering blood and blood products. Pt and family teaching, chart audits, and discharge planning. Wesley Medical Center Hattiesburg, MS Pulmonary/Traveler/RN 4/11/06- 9/08/07 Number of beds in Unit: 30 Nurse to patient ratio: 1:7 Provided care to following kind o patients: Acute and chronic cardiac pt, CAD, HTN, post cath and intervention pts, post pacemakers, Diabetic, MI, CHF, COPD, and Renal Failure to name a few. Responsibilities included but not limited to: Cardiac drips, cardiac...
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...When analyzing the community health assessment several risks and weakness are identified. There are a few risks and weakness with the current state of Oncology Services. With physicians practices already at capacity there is no room to handle the current and future demand for these services. With an aging population new cancer cases are expected to increase by 34 % in five years. Higher smoking rates also contribute to new cancer diagnosis. Another risk is the equipment to diagnose and treat cancer is not keeping up with patient volume. This could be due to antiquated equipment that takes longer to scan patients therefore delaying results and sometimes requiring additional scanning. Additionally, poorly coordination of services by the staff is a risk factor. When test are not schedule timely it could be detrimental to the patient. A timely diagnosis could be the difference between life and death. Also, at Trinity there is little emphasis on cancer prevention and control is yet another risk. Early diagnosis leads to a more positive outcome. In addition, the sporadic use of educational programs focused on healthy living is a risk factor. Once people learn better they tend to do better. Knowledge is power. There are also some risks associated with current condition of Orthopedic Services. The main risk is the lack of physicians. With orthopedic cases expecting to increase by 46% and outpatient joint and spine procedures increasing by 350%, recruitment is top priority...
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