...Informational Speech Making it count in surgery Purpose: To prevent retained items in Surgical Procedures Thesis: My goal is to inform my audience the importance of counting the instruments and sterile supplies for Surgical Procedures. Organizational Pattern: Topical I. Introduction A. Attention Getter: Have you ever heard of someone having a sponge left inside them from surgery? When this happens, it’s because staff did not count correctly. A retained object can cause a patient pain, severe infection, additional surgical procedures and even death. B. Relevance: According to Joint Commission statistics, Retained Surgical Items are the most reported sentinel events C. Credibility: I’ve been an Operating Room nurse for 22 years. In that time I have been a was a charge nurse for 6 years, O.R. Clinical Instructor for 8 years and have spent the past year as head nurse. D. Thesis: My goal is to tell you of the steps we take in surgery to prevent a Retained Surgical Item (RSI). E. Preview: Let me explain what puts the patient at risk for this adverse event and what steps we take to prevent harm to our patients. Transition: First you should know that unless the case is emergent, the Operating Room staff counts all of the items that will be used in a surgical procedure before that patient ever comes into the operating room. II. Body A. There are a few situations that we are aware of that predisposes...
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...As one is to consider all the different cultures in the world, the differences between each of them are extraordinary. One’s culture can shape their morals, principals, and perspective of what is right or wrong. Cultures are driven by religion and tradition. Cultural relativism is the ethical theory that right or wrong rests with a society’s actual moral guidelines, and these guidelines vary from place to place and from time to time (Quinn, 2013). This theory can be proven on many levels. Although, most societies have many things in common such as the value of human life, respect for one’s parents, and practices such as marriage. There are also some distinct differences. One is to consider these differences and contrast how these differences are relevant to cultural relativism. After spending much time in Southwest Asia, I had a great opportunity to experience another culture. As the culture in Southwest Asia was very similar to my own, there were some distinct differences. In the United States, our laws are designed to cater to every religion, nationality, and even visitors. In Southwest Asia, 90 percent of the population is Muslim. Therefore it was very different in Southwest Asia, the laws of the land were based off Islamic law. Despite a person’s religious preference, while visiting Southwest Asia, one had to follow laws that derived from Islamic law. For example, Islamic law is very strict on marriage, therefore no couple could show any sign of physical affection such as...
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...CHAOS MANIFESTO 2013 Think Big, Act Small THE CHAOS MANIFESTO TABLE OF CONTENTS PREFACE Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Executive Management Support User Involvement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Optimization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13 Skilled Resources . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17 Project Management Expertise . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .21 Agile Process . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .25 Clear Business Objectives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .29 Emotional Maturity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33 Execution . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .37 Tools and Infrastructure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .41 Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .45 THE CHAOS MANIFESTO Copyright © 2013. The CHAOS Manifesto is protected by copyright and is the sole property of The Standish Group International, Incorporated. It may not under any circumstances be retransmitted in any...
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...ARTICLE IN PRESS Social Science & Medicine 58 (2004) 1647–1657 Understanding breast cancer stories via Frank’s narrative types Roanne Thomas-MacLean* Dalhousie University Family, Medicine Teaching Unit, Dr. Everett Chalmers Hospital, P.O. Box 9000, Priestman St. Fredericton, NB Canada E3B 5N5 Abstract While breast cancer narratives have become prevalent in Western culture, few researchers have explored the structure of such narratives, relying instead on some form of thematic analysis based upon content. Although such analyses are valuable, Arthur Frank (The Wounded Storyteller, The University of Chicago Press, Chicago, 1995) provides researchers with an additional means of studying stories of illness, through the examination of their structures. In this article, the author applies Frank’s work to a phenomenological study of embodiment after breast cancer. Frank’s three narrative types are used to enhance understanding of the ways in which stories are culturally constructed, using data collected through one focus group discussion and two in-depth interviews with each of 12 women who had experienced breast cancer. The author then conveys the significance of this form of analysis for future research. r 2003 Elsevier Ltd. All rights reserved. Keywords: Breast cancer; Qualitative and narrative Introduction Frank (1995) writes that those who are ill ‘‘need to become storytellers in order to recover the voices that illness and its treatment often take away’’...
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...that can occur, it is very important to follow an appropriate change management process to reduce potential risks. Disaster are inevitable so as change. Disaster management is used to manage risks and consequences that a disaster could bring. It includes different aspects of planning and responses in all stages of a disaster (Othman and Beydoun 2013, 218). A thorough preparation for possible disaster is a requirement (Rolland and Patterson et al. 2010, 69). The purpose of this paper is to analyse critically the management of Costa Concordia disaster and how the disaster management impacted on the risks and consequences in the disaster area. This paper also reveals how disaster management influences the management style and process. This paper also recognises lessons that can be learnt to minimise the consequences that occurred. Causes, Triggers and Drivers In a disaster, there are number of causes, triggers and drivers for a specific chaos to happen. In Costa Concordia’s issue the main cause of this was the ship hitting a sandbar with a huge rock on Friday evening near the island of Giglio in Italy (Westcott, 2012). This cause was triggered by the captain of the ship have sailed to close to land as this was an unapproved and unauthorised deviation in course (Johnston, 2012) and the captain confessed that he made a navigational error and gave an order for a turn too late (BBC News, 2013). The drivers for the chaos were the rock that the ship hit was not marked on the nautical...
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...We all hear about this word at one point and time in our lives… climate change. Hot summers, cold winters, and bush fires, air pollution and rising sea levels, yet no one seems to question what the cause is of this issue. Who is directly involved and what are stakeholders such as the Australian government, economy and the Christian perspective doing in order to combat this issue. According to UNFCC climate change is defined as “ a change in climate which is attributed directly or indirectly to human activity that changes the composition of the global atmosphere in which is in addition to the natural climate variability observed over a compatible time periods”. Greenhouse effect is defined by the Australian Academy for Science as a barrier that traps heat energy in order to keep the planet warm. The average temperature ...
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...parts, and assembly and distribution of liquid crystal display (LCD). It exports its products to the United States, Europe, Japan and Australia. The Company’s wholly owned subsidiaries include Kenmark Paper Sdn. Bhd., which is engaged in manufacturing plastic parts for wooden furniture and cabinets, and investment holding; Kenmark (Labuan) Limited, which is engaged in international trading, commission agent and investment holding; Phoenix International Group Limited, which is engaged in trading in electronic devices, and Billion Dynamic Sdn. Bhd., which is engaged in the assembling and trading of electronic devices. http://klse.i3investor.com/servlets/stk/bizbg/7030.jsp KENMARK INDUSTRIAL CO (M) BERHAD Previous company name Name change date Company Overview Kenmark Industrial Co. (M) Berhad is a Malaysian-based firm involved in the manufacturing and trading of computer workstations, cabinets, furniture, and related products in Malaysia. It is a publicly quoted company incorporated in September 1988, and has its registered head officelocated in Kuala Lumpur, Malaysia. The company’s common stock is listed on Kuala LumpurStock Exchange under the trading symbol KMAK. The company, together with its subsidiaries, also repairs and modifies moulds; prints packaging materials; as well as distributes consumer products in the country. Among Kenmark Industrial’s subsidiaries are: Kenmark Paper Sdn. Bhd., which is focused in manufacturing plastic parts for wooden furniture,...
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...Often when we experience a disaster that will set in motion the need for change. As we look back through history we come to realize that we have a tendency to make changes after a disaster has already occurred. We often have many warning signs prior to an incident but we choose to ignore them and continue to take chances as was done at the Triangle Shirtwaist Factory. On March 25, 1911 in New York City 146 people paid with their lives because of the unsafe working conditions that many workers endured during that time. Had just a few precautions been taken before that fateful night it is likely the loss of life would have been greatly reduced. This tragedy helped pave the way for new safety standards including better fire codes and factory safety standards. Industrial growth was proving to be hazardous to people’s health; America was now the world leader in industrial accidents. There was no denying the extremely harsh working conditions were to blame for many of the accidents. The workers at the Triangle Shirtwaist Factory on the 9th floor were getting ready to go home, standing in single file with open purses so they could be checked to ensure they were not stealing from the company. It was the end of the day and the workers were giddy to be leaving, within moments chaos ensued. Flames had broken out on the 8th floor and as they had in the past workers grabbed pails of water to douse the flames only this time the fire spread quickly, before anyone was aware the...
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...teaching profession. In order to facilitate this we become parts of a real classroom teaching process and frame our views on the basis of what we observe. Purpose of the study In order to further upgrade my understanding of the teaching profession I chose to observe this class based on home task, the teachers personality and the strength of the lesson. Herein this piece of writing I would therefore explore the highlights and let downs of these parameters, evaluate them and form an analysis for future reference. I would stress on the distinguished factors of the study in the reflections I make and share my inputs on the same. Similarly I would identify the drawbacks and asses the reasons why they occurred and what could have been done to prevent the same. Once again I got the opportunity to asses and evaluate a class being taught the same lesson as observed by me in the previous class. This gave me a golden opportunity to distinguish between two methods of teaching the same lesson. It is a fact, that the parameters analyzed differ but the stark contrast in the teaching style of two teachers intrigues me to assess the strength of the lesson. Observations Social Science in view of most of the learners is more of theory and less of practical. Such views exaggerate emotions of lack of interest in most of the students. In such a scenario the onus of making the subject interesting lies completely on the shoulders of the teacher. Home task is traditionally assigned to the...
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...Chemistry 105 Spring, 2013 Unit 2 Summary 4/25 Outcomes: 1. To review air quality issues related to fossil fuel consumption and the limitations of this resource. 2. To define energy, work, heat, and temperature in scientific (thermodynamic) terms, and how the terms calorie, nutritional Calorie, joule, and kilojoule are related. 3. To describe the First Law of Thermodynamics as the conservation of energy, and the interplay of kinetic, potential, heat and work energy. To describe and apply the Second Law of Thermodynamics from several points of view: randomness, chaos, probability, distribution of matter and energy, energy efficiency. 4. To know that we measure energy only through change, such as with a calorimeter. 5. To use potential energy diagrams to represent changes that take place in reactions 6. To use the terms endothermic and exothermic to describe the entry or exit of heat from chemical systems (and that the opposite change must take place in the surroundings). 7. To know that energy changes in reactions come from changes in chemical bonds, and how they can be estimated from differences in bond energies of bonds broken vs. formed. 8. To express and interpret these changes in potential energy diagrams and apply these skills to the combustion of fuels. 9. To view and describe recent trends in energy source utilization. 10. To give specific details on the composition of coal and its impacts on environmental quality. Assignments: Read §4.1 – 4...
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...A Manager’s Handbook: “All people, regardless of race, religion or culture, harmoniously living and working together into the future” Contents Introduction to Law and Business Ethics and Social Responsibility 3 Legal Dispute Resolution Process and Alternative Dispute Resolution Mechanisms 4 Business and the Constitution and Administrative Law 5 Business Crimes, Business Torts, and Product Liability 6 Contracts 7 Business Structure and Securities Regulation 8 Business Property and Antitrust Law 9 Employment Law 10 Introduction to Law and Business Ethics and Social Responsibility Include in this section information from Assignment 1.2. BP Oil, crisis in the Gulf The careless and unethical approach that BP Oil practices when drilling for oil, led to one of the largest man-made disaster in history. The Gulf of Mexico has had devastating results due to BP’s lack of action in regards to emergency protocol. Though the spill has since been capped and controlled, the aftermath isn’t going anywhere soon, with new problems emerging daily from the spill itself and from cleanup efforts as well. The extent of damage is numerous, and will cost BP millions of not billions in awards from the many law suits that stand, as well as ones pending. BP will never be able to fully restore or recover what once was. 27,000 workers are presently involved with cleanup efforts; Scientists from all fields are giving advice as well. A major cause for concern for...
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...positions based on their attribute from people they know and some appointed based on support from their team members. The nurse leaders especially are selected based on how involved they are with their teams, how they manage conflicts and their performance on fiscal responsibility. The nurse leaders are recognized as followers of the mission and vision of the organization, that is, providing quality and affordable care for members and the vision for the organization as a leader in healthcare in the country. Leadership Theory of Each Key Player in KP Ambulatory Care Nursing Practice The Department Administrator (DA), Provider/Physician (MD), Registered Nurse (RN), and the Licensed Vocational Nurse (LVN) are our key players in our leadership change proposal. Being the department head, the administrator has the ultimate responsibility for the operations of the clinic. The DAs are selected based on trait theory, that is, he/she possesses the leader trait according to...
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...LIBERTY UNIVERSITY BAPTIST THEOLOGICAL SEMINARY Book Summary Submitted to Dr. Erik Mitchell, in partial fulfillment of the requirements for the completion of the course OBST 510-D10 Introduction to the Old Testament by Stephen Corbett November 10, 2013 Table of Contents Introduction 1 The Bible and Myth 2 The Bible in Its World The Bible and Myth: A Problem of Definition Continuity: The Basis of Mythical Thinking Transcendence: Basis of Biblical Thinking The Bible verses Myth The Bible and History 9 The Bible and History: A Problem of Definition Is the Bible Truly Historical? The Problem of History (1) Does it Matter Whether the Bible Is Historical? The Problem of History (2) Origins of the Biblical Worldview: Alternatives Conclusion 15 Introduction “The Bible Among the Myths” begins with the author, John N. Oswalt, establishing his credibility on the topic discussed. Following his studies at Asbury Theological Seminary and Brandeis University, Oswald went on to teach courses at multiple seminaries on the subject of the Old Testament. Due to his years of teaching, he followed the current thought in the scholarly world in reference to the Bible and the subject of myth. In a sixty year gap, scholarly thought went from a popular view of the Israelite thought being completely separate and unconnected to the ancient near eastern thought to currently...
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...the reporting relationships, five and ten-year plans, financial planning, and budget revisions and reviews. One major issue is that the company is dealing with an unfavorable profit objective. They are currently two million dollars short of their projection for the year. The weakening of the dollar, a poor mix variance and unexpected high start-up costs have all contributed to the underperformance of the company. In order to understand the position of Codman & Shurtleff, this paper will analyze the culture and the organizational structure of Johnson & Johnson, as well as Codman & Shurtleff. It will also analyze how well the company coordinates their financial planning and what problems they may encounter as the company implements changes in order to adhere to the corporate mission statement. Analysis The Culture of Codman & Shurtleff, Inc. / Johnson & Johnson Per the case, when Johnson & Johnson acquired Codman, they had to achieve a compromise on a new mission statement. Codman & Shurtleff’s current focus “is in the neuro-spinal surgery business.”[i] This new mission allows the Codman & Shurtleff division to be in the same frame of mind as corporate headquarters. They now have a common goal and must base their decisions according to what will help them to achieve their goals. A major contribution to...
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...Chaotic Growth with the Logistic Model of P.-F. Verhulst Hugo Pastijn Department of Mathematics, Royal Military Academy B-1000 Brussels, Belgium Hugo.Pastijn@rma.ac.be Summary. Pierre-Fran¸ois Verhulst was born 200 years ago. After a short biograc phy of P.-F. Verhulst in which the link with the Royal Military Academy in Brussels is emphasized, the early history of the so-called “Logistic Model” is described. The relationship with older growth models is discussed, and the motivation of Verhulst to introduce different kinds of limited growth models is presented. The (re-)discovery of the chaotic behaviour of the discrete version of this logistic model in the late previous century is reminded. We conclude by referring to some generalizations of the logistic model, which were used to describe growth and diffusion processes in the context of technological innovation, and for which the author studied the chaotic behaviour by means of a series of computer experiments, performed in the eighties of last century by means of the then emerging “micro-computer” technology. 1 P.-F. Verhulst and the Royal Military Academy in Brussels In the year 1844, at the age of 40, when Pierre-Fran¸ois Verhulst on November c 30 presented his contribution to the “M´moires de l’Acad´mie” of the young e e Belgian nation, a paper which was published the next year in “tome XVIII” with the title: “Recherches math´matiques sur la loi d’accroissement de la e population” (mathematical investigations of the law of...
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