Premium Essay

“Worst Case Scenario” – the Nightmare

In:

Submitted By uyanga
Words 858
Pages 4
Uyanga N

Chapter 3: Case Study 4: “Worst Case Scenario” – The Nightmare

1. Overview of the issue:

Small acute care hospital CEO received call from night supervisor. The four-bed intensive care unit (ICU) was full and the supervisor asked the CEO if one of the ICU patient could be transferred elsewhere to receive car accidents victim from Emergency Department (ER). One of the ER patient’s injuries was so severe that she had to get into the ICU in less than two hours because only the ICU had the necessary technology to keep this patient alive. Since there are no funds to add ICU beds, what steps should the CEO of this hospital take to plan for the worst case for a full ICU bed scenario? (Longest, & Darr, 2008)

2. Statement of the questions:

1) Steps CEO should take in the planning process
Systems and processes are critical in decision making process for the worst case for a full ICU bed scenario (Hick, Barbera, & Keken, 2009) . First of all, CEO should have a meeting with all managers to discuss the issues and develop strategic plan to solve this problem. Planning the worst case for a full ICU bed scenario is affected by many variables. There are four key interdependent factors that contribute to an effective full-bed response: system, space, staff, and supplies (Hick, Barbera, & Keken, 2009). Moreover, managers should consider the underlying system components during their planning process such as command, control, communication, coordination, continuity of operations, and community infrastructure (Hick, Barbera, & Keken, 2009).
Secondly, the CEO should formalize final policies for worst case scenario for full ICU bed by having inputs from managers. There are several steps that should be taken before transferring the existing ICU patient in order to receive more critical patient from ER. At first, the night supervisor should assess all ICU

Similar Documents

Free Essay

Define a Nightmare

...Define your nightmare, the absolute worst that could happen if you did what you are considering. 1) What doubt, fears, and “what-ifs” pop up as you consider the big change you can or need to make? (Envision them in painstaking detail) 2) Would it be the end of your life? 3) What would be the permanent impact, if any on a scale of 1-10? 4) Are these things really permanent? 5) How likely do you think it is that they would actually happen? What Steps could you take to repair the damage or get things back on the upswing, even if temporarily? 1) How could you get things back under control? What are the outcomes or benefits, both temporary and permanent, of more probable scenarios? (need to reword) 1) Now that you have defined the nightmare, what are the positive outcomes, whether internal (confidence, self-esteem, etc.) or external? 2) What would the impact of these outcomes be on a scale of 1-10? 3) How likely is it that you could produce at least a moderately good outcome? 4) Have less intelligent people done this before and pulled it off? If you were fired from your job today, what would you do to get things under financial control? 1) Imagine this scenario and run through questions 1-3 above. 2) If you quit your job to test other options, how could you later get back on the same career track if you absolutely had to? What are you putting off out of fear? 1) What we most fear doing is what we most need to do, that phone call, that conversation, whatever the...

Words: 458 - Pages: 2

Premium Essay

The Literary Representation of Genetic Engineering

...Genetic engineering is a subject that charges emotions across the world. Stances taken for or against the subject help politicians win elections, send researchers to plead for funding in the hope of curing today’s most horrendous diseases and fuel anger at protest rallies. Both sides vie for public attention to sway the undecided in an attempt to be a controlling majority. With groups arguing to prevent genetic research, common discussion points raise fears that genetic manipulation will lead to a reduction of genetic diversity and perhaps derange the natural course of the life process. They present that although these activities are wrapped in the guise of altruistic science they are actually blasphemous attempts by man to place himself at the level of God. In the book Double Helix , Nancy Parker personifies the fear and potential evil of genetic engineering with the character Anthony Beecher. Double Helix uses Beecher as the literary representation of the fears of genetic engineering; structuring his persona as a successful scientist searching for cures while hiding his greed and prejudice. Scientist world wide hail the possibilities of genetic research revealing solutions to many severe diseases and injuries. Even opponents of genetic engineering admit that the promise of curing disease and extending life is a noble cause (Hoedemaekers 1). They believe this a temptation that hides the perils true of tampering with genetic code. Parker frames the temptations and fears related...

Words: 1217 - Pages: 5

Premium Essay

Abortion

...States was estimated to be around one point two million; while the number of deaths from botched abortions caused many individuals and groups to begin protesting the established abortion laws that would draw national attention to the problem at hand. The first major decision that sparked a rapid debate not only within the three branches of government but the nation’s general public, was Colorado’s alterations to their abortion laws in nineteen sixty-seven that allowed a women more exceptions to have an abortion such as scenarios of rape or incest. These small alterations to their state laws caused a chain reaction and other states began to follow Colorado’s example by nineteen seventies. While the alterations in itself were shocking to the general public, New York’s direct elimination of their abortion law in nineteen seventy caused individuals to start to create the laws within the national courts and led to the Supreme Court's landmark decision for the case Roe vs. Wade. Where the ruling of Roe vs. Wade stated that the right to an abortion was a constitutional liberty; or at least it is during the...

Words: 1733 - Pages: 7

Premium Essay

Zigmount Bazon Analysis

...It is affecting ever element of social structure and humanity at large. In this case, refugees are symbolic reminds of the worst scenarios that is going to hit. They might be refugees themselves as well as their young once. Using this logic pseudo intellectuals and politicians instill fear. This fear has two sides, on the one hand, it is brining a worst nightmare that young refugees are crossing international unaccompanied. Thus, if the future is uncertain this might happen to them as well. On the other side, this fear that is implanted by pseudo politicians and policy makers who are always propagating the idea of having a strong men/women onboard. Their argument stems from the point that you need strong leadership and you need strong people. If you do not have that your youngest and your most loved once will be refugees as well. So is you. Lastly, the notion of liquid fear is eye opening concept which is really addressing the whole complexity behind displacement...

Words: 719 - Pages: 3

Premium Essay

Business: Undercapitalization and Bankruptcy

...uncharted seas of financial security is to make sure you are aware of the dangers and pitfalls. The road is rough and has laid waist to many who have tried before you so be sure that you have what it takes, financially and intellectually. Fortunately there are solutions to this problem, albeit the people you will need to talk too are few and far between, it is good advice before you start that will give you that edge when the going gets rough and the pizazz to ride the crest of the wave when things go well. Business: Undercapitalization and Bankruptcy While there are many reasons to cling to the security of the hourly wage paycheck, the hopes and dreams of personal freedom is something that we, as humans, still crave. In this particular case, that freedom leads to the status of the self-employed businessperson. The problem is that just wanting success is never enough to accomplish it. Although freedom leads to self-sufficiency in an ever-changing, increasingly global market, the mere desire for success is a delusion in terms of real-world achievement. So the real question becomes, how can a small startup business avoid bankruptcy? The Golden Idle To begin with, the age-old cliché is true: “It takes money to make money.” This is fully understood by the business gurus of the modern world as under capitalization. It would seem so simple for a person with good intentions and a great product to just go down to their local bank and ask for a business loan....

Words: 1041 - Pages: 5

Free Essay

A Study on Fire Risk Safety Management

...Background Fire can be a useful tool, but it can also be a deadly nightmare. As the old proverb states, it is a good servant but a bad master. Fire has always fascinated and frightened us. Without fire, civilization would be radically different. In fact, it might not even exist. However, the cost of fires which get out of control is high. Human interest in fire safety probably dated back from the discovery and employment of fire. Primitive man used heat for cooking, warming and lighting his dwelling with the inherent risk that misuse or accident in his control of fuel might precipitate disaster. The obvious benefits of numerous friendly uses of heat energy are often overshadowed by the enormous destructive power of fires. Today, as in primitive society, that risk has not been eliminated despite the apparent sophistication of modern living. With the development of habitations, attitudes towards fire safety have also developed. There is continuous interest in understanding the causes of such perils and in devising means of their elimination or reduction. Fire and the effects of fire on escape possibilities constitute the type of danger involved in response in the event of fire. (Drysdale, 1985). The total property loss of fire incident in 2009 and 2010 was 305,89,72,104 tk and 532,11,18,531 tk accordingly; where injured were 156 persons and 78 persons; death were 167 persons and 189 persons accordingly. This furious scenario represents the vulnerability of fire danger and our helplessness...

Words: 1895 - Pages: 8

Premium Essay

Dara's Dilemma

...DARA’S DILEMMA Based on the details provided in the case, the major problem seen, in this case, is the Dara's dilemma regarding whether to hold the stocks of Casinos International or sell them. If she sells the shares now, the can earn $54 per share. In other case, if she holds the stocks and the company get the permission to open the floating casino, then she can sell it for $60 per share while in the worst scenario, the price of the stock will fall together with the bearish market. Alternative 1: Investing in the IPO of Tech Company could be a good decision unless there is a good possibility of growth in the market. This investment could be the profitable as the technology companies are growing rapidly. They can earn good profits and the profit margins in these types of companies are good. NewestHighTech.com has received early financing, and it has found its new client who is using its chip to manufacture the cell phones. Therefore, in this situation this can be a profitable investment. Nevertheless, if the economy is going to face the downturn, then the investment could be the nightmare. The tech industry will be hit hard in case the economy faces recession. The mobile phones sales will be reduced as the result of which the company's chips sale will be affected leading to low profit. Alternative 2: The alternative of buying the Casinos stock remains to be the midpoint. The stocks can go high if the court grants the permission for the floating casino. If the permission...

Words: 1116 - Pages: 5

Premium Essay

A Group I Belong to

...A Group I Belong To Life is full of diverse and completely unique individuals, but all of these individuals find themselves failing into a group. These groups are basically conglomerates of people that may, or may not, know each other but they all do share an activity or social aspect in common. In my case I am an avid golfer and I fall into a large social and sport driven group. My group is close to 61 million strong and still steadily growing. Golf is extremely important to me and is what I like to do when I have free time. This game is truly maddening, but fulfilling at the same time. I have put thousands of hours into my game over the years and sometimes I see remarkable results, and other times the ball just won’t fly straight, but that’s why I love it. Golf is definitely for the upmost tedious people, this game is made up of inches that can glorify you and/or demoralize you. I have been playing golf for 6 years now and have become quite good at it and it now holds a special place in my life. I have met many of my friends through golf and I can guarantee that all of these people will be in my life forever. I know that many people are in given social, racial, religious, or economic groups, but their group doesn’t make their lives better or more fulfilling; that is why I love my group it is unique and it makes my life better. Society sees golfers as rich, stuck up, and rather egotistical people; this may be completely incorrect but that is what I gather from the general...

Words: 866 - Pages: 4

Premium Essay

Child Abuse And Bereavement

...This is only to bring awareness to those who are blind to these certain situations. Child abuse is wrong, and in the worst case scenario, can devastate a family and community. Awareness on child abuse can help you gain knowledge and hopefully prevent someone else from going through this experience. People should always be aware of those that they trust. You also have to look for signs from your children, which can show you many things that can prevent the abuse from going any further. Although many people attend college this is not something that can be seen just by looking at them. It is hard for students to concentrate and barely pass their classes due to some kind of battle of depression that they have been faced...

Words: 833 - Pages: 4

Premium Essay

Ptsd

...What is post-traumatic stress disorder? What can cause PTSD and how does it affect that individual and the people around them? When the subject of PTSD arises, the “average” persons’ first thoughts of PTSD are combat veterans. The fact of the matter is, PTSD has many ways of rearing its ugly face into society. PTSD is caused when an individual if any situation where they have experienced a tremendous event, whether it be through observation or have experienced the event directly. Examples that may cause post-traumatic stress disorder are: child abuse, child neglect, a physical altercation, sexual molestation, rape, combat exposure and among many other things which can include witnessing a death ( In World of Criminal Justice, Gale, 2002). Although all are serious experiences that can cause PTSD, concentration on this paper will be focused on the cause and effects of the veterans that have been exposed to combat. Combat exposure not only affects the people that are in the military but also the civilians that are directly exposed to combat. What causes post-traumatic stress disorder? The medical community has only recently recognized stress due to combat as PTSD. It did not have a name until the Vietnam War. During World War I, PTSD was called "shell shock" and as "battle fatigue" during World War II. Medical historians described PTSD-like symptoms as "Da Costa’s Syndrome" during the Civil War ( In World of Criminal Justice, Gale, 2002). In combat situations, military veterans...

Words: 1016 - Pages: 5

Premium Essay

Post Traumatic Stress Disorder

...can be taken. For years this condition has been seen a form of mild psychosis rather than a treatable medical condition, the instability involved in the victims of this illness isn’t easily ignored. The world around us is filled with terror and angst, so much that often the human mind tends to bend and break rather than adapt to these wild events. The effects of traumatic events vary from person to person and it isn’t without trail that studies begin to unravel what causes PTSD, and from that moment civilization has been on an evolutionary path to break down and understand what can be done to help. The most common association with PTSD is the mental state of soldiers returning from war, these individuals experience violent and graphic scenarios and often fall victim to instability in the mind. Events like going to prison and domestic abuse are also common factors in the acquisition of PTSD. There is however hope for any individual suffering from this terrible illness, modern medical developments allows for victims to be analyzed and often lead onto a path of recovery. Medication, controlled therapy, and group support are just a few of the many sophisticated ways in which PTSD can be controlled and managed. It should be any individual’s priority to be informed and educated...

Words: 1537 - Pages: 7

Premium Essay

Mgmt520 You Decide

...Nguyen Professor: James Powell MGMT 520 10/03/2015 You Decide Q1: Write a memo to the Teddy’s Supplies CEO advising him of the following: a) The case facts b) The decisions/proceedings to date c) The company’s potential for liability, and under what laws d) The worst-case damages that could be imposed To: Ted Moore, CEO and Founder of Teddy’s Supplies From: Independent Human Resources Consultant Subject: Appeal on Pollard Case The reason why I write this memo is to respond to your request for the facts regarding to the alleged sexual harassment of Virginia Pollard case and the possible liability that Teddy’s Supplies could be facing. Moreover, I strongly believe that you should know specifically which liabilities you are exposed to, the likelihood of being found liable, and the worst case damages that could be given to Ms. Pollard. She would argue that there was a violation of Title VII of the Civil Rights Act of 1964, which forbids sexual discrimination in the workplace, which may lead her to state that your workplace is a hostile environment. This is defined as discrimination in the form of foul physical and verbal conduct which is related to her constitutionally protected classification. To support this position, Pollard will raise the case Faragaher v. City of Boca Raton in which the court can find out that Teddy’s Supplies will be liable for the conduct of its employees. Mr. Steve King, your new warehouse supervisor...

Words: 1786 - Pages: 8

Premium Essay

Summary Of Poverty In Brew City

...Seeing as how the living conditions in the impoverished Milwaukee neighborhoods are not up to par with state code, landlord’s want minimum police, or other officials, presence as possible. But, children do the exact opposite. Caseworkers of families involved with Child Protective Services often inspect residencies for health hazards, which could lead to imposed fines on the landlords or even result in being shut down, as is the case with lead poisoning (Desmond, 2016). Children often are involved in trouble at school that follows them home, like is the reasoning behind one of Arleen’s evictions after one of her sons is involved in violence. This discrimination is rooted in the history of the Fair Housing Act of 1968 in which “it did not consider families with children a protected class, allowing landlords to continue openly turning them away or evicting them” (Desmond, 2016, p. 230). The importance of kinship is expressed as a way for families to get by day-to-day though large changes in society, including ‘the crack epidemic’ and ‘the prison boom’ had eventually “frayed the family safety net in poor communities” with the help of welfare guidelines imposed by the state...

Words: 1072 - Pages: 5

Premium Essay

Utilitarian Ethics of Bank of America in 2008 Crisis

...greatest good could be based on aggregate principle or a distributive principle. The Bank of America-Merrill Lynch merger will be assessed in regards to who, what and how the greater good will be affected in this merger. Within utilitarianism, a moral philosophy is developed that focuses on the consequences of specific actions. An action is done, then observed and then analyzed. After identifying all the people that were involved, one needs to ask the question, “Do the sum of good consequences outweigh the sum of the bad consequences?” Quantify all the good and bad consequences in the scenario and if the good consequences are greater than the bad consequences then the action was moral and vice versa. In this paper, the actions of the Bank of America-Merrill Lynch merger will be discussed, evaluated and quantified with the Richard DeGeorge Utilitarian perspective. Pinpointing the stakeholders in this case will show who was direct and indirectly affected and how they were affected. Furthermore, it will be discussed the overall affect it had on...

Words: 1992 - Pages: 8

Premium Essay

Signs of Child Abuse

...One of the fast emerging criminal type of cases is related to child abuse. A few years back, one would have found it hard to imagine that child abuse does exist. In the recent years, there has been a considerable increase in cases related to child abuse. Not just in United States, but thousands of children, all over the world, are begin abused according to the child abuse statistics. One should look out for signs of child abuse as it can help save a child from the sufferings. If you are a teacher, social activist, grandparent, aunt, uncle, elder sibling, family friend or even an acquaintance; it is important to watch out for the warning signs of child abuse. Child abuse is the worst form of treatment one can mete out to a child. The child is scarred for life, mentally, emotionally as well as physically. It can lead to irreparable damage to the young mind and body. In some cases, it leads to a tragic loss of young life. Ignoring signs of child abuse is a crime. If you are worried that someone you know is suffering from abuse at the hands of their parents, guardians or some other person, then make sure you seek help from authorities. If you are wondering what are the signs of child abuse and neglect, then go through the following list. Types of Child Abuse Child abuse is not always broken bones and unexplained bruises. There are different types of child abuse like emotional abuse, educational abuse, sexual abuse, neglect and so on, apart from physical abuse. Let us have...

Words: 1529 - Pages: 7