Assignment

• China is set to overtake the United States as the world’s largest economy by 2016—a date that is fast approaching. How do you think this monumental economic shift will affect your life in the short term? How will it affect

378). Hospitals have an array of medical devices at the bedside that have alarms, which have grown significantly within recent years. Nurses may be exposed to over 350 physiologic alarm monitors per day, resulting in sensory overload thus leading to desensitization. When the alarm sounds it should be corrected immediately, even though it may be a false alarm or no issues with the patient. The Joint Commission has identified alarm fatigue as a 2014 National Patient Safety Goal, requiring hospitals “to establish improvement of alarm system safety as an organization priority” (as cited in Horkan, 2014, p. 83). Alarms are deliberately designed for high sensitivity so that nurses do not miss a true event. Firing alarms are usually muted, disabled or ignored by nurses altogether because alarms are viewed as a nuisance. Alarm hazards have generated national attention, in one highly publicized case an alarm sounded for 75 minutes before a nurse responded to a patient’s heart monitor that needed a battery replaced. When the nurse finally went to change the battery the patient was found unresponsive and could not be resuscitated because he had gone into cardiac arrest (Sendelbach & Funk, 2013). The patient’s heart monitor battery eventually died and did not issue the critical alarm alert. In another event, a patient fell getting out of bed and bleed to death because the nurse

1. Evaluate key elements of the selected production or service organization’s operational efficiency with its operational strategy. Determine three (3) tasks that do not align with the operational strategy. Determine the weaknesses that are evident in each task.

Looking back from when I began my career, I can say I came a long way learning the concepts of understanding the expectations that arose from all my positions. In my first job just after graduating, I was appointed as a Business Accountant of a multinational company. Since then, I was caught in the myth that people who were in leadership positions or high ranking were leaders. Being in a junior position, I could have the least effect on any new ideas as my voice seems to have landed in deaf ears. I have seen how those businesses were not in line with their Missions and Values only to find later that many of the staff had left the company.

Bedside reporting has the primary function of sharing patient information between nurses, as they change shifts. The nurse ending their shift would report all the changes that have occurred in the state of the patient and all measures which have been taken for the respective patient. This information would be transmitted to the nurse commencing her shift, who would then write and further transmit all patient information occurring during their shift, to the nurse coming to replace them.

Traditionally, nursing shift-to-shift reports were organized methods of communication between only the oncoming and leaving nurse, designated to a location such as the central nursing station or nook of a hallway. Shift reports can be considered the foundation of how the day is going to plan out because it introduces the patient, diagnoses, complications, medications, consults, upcoming test and the entire plan of care. These reports are full of complicated and vital information and while set in certain locations that are vulnerable to interruptions, such as the nursing station, medical errors and miscommunication are more likely to be made. The Joint Commission’s 2009 and 2010 National Patient Safety Goals (Joint Commission, 2015) included two patient safety standards, first to encourage patients to be involved in their health care plan and second, to implement a standardized communication process for handoff reports between providers. Soon after in 2013, The Agency for Healthcare Research and Quality under the United States Department of Health and Human Services introduced a set of strategies to improve patient engagement along with safety and quality in patient care. Within these strategies the new method of nurse bedside shift report was developed, which suggests nurses to conduct shift-to-shift reports at bedside in the room of each patient, rather than out of the room. The benefits of this new method were

gives the nurse back much of the control she once held previously. It is however offset by the

Bedside reporting involves giving information or a report to the oncoming nurse in the presence of a patient. This method gives the patient an opportunity to ask questions and get clarification regarding his or her care. Bedside reporting increases patient satisfaction, quality of healthcare and nurse-to-nurse responsibility. Hospitals need to design a better handoff process that can easily reduce patient risks and increase patients’ involvement in their care. Emergency rooms shift reports usually take place at the nursing station of every patient care area. The departing nurse gives information verbally to the oncoming shift. Therefore,

Do not change the settings and if the alarm goes off – call the doctor nurse.

Let me expand on your response to Debra’s post. Are we so busy running around taking care of numerous patients that we get caught up in desensitization of alarms? I have to concur with you that ignoring alarms is not an option, those nurses who jeopardize the safety of patients are only making a fool of themselves. We all know what the end result might be. It is in our jurisdiction to protect our patients by making sure that they are free from harm; therefore, regardless of how many times an alarm is sounding, we should make sure to check the patient. One of the disadvantages is that there are times when we are busy with another patient and cannot respond to an alarm. This is why it is important that nurses collaborate so that we do not

Friday March 28, 2018 (Friday, March 28, 2018)is my first day of attending this subculture. When my aunty, her husband, and me (I) went into the building, there is a doorbell. This doorbell is being used as a protection against threat (threats). The only way to open this doorbell is that you will need a nurse to open it from inside of the building by pressing keyboard or clicking on something that is on the computer that will automatically unlock the door. There are no cards that provide to patients to scan when they enter the building, or no fingerprint scanner to scan patient’s fingerprint. A lot of equipments are being used in this subculture and I am going to see it being use more when I attend more visits to this subculture. Part of my

As mentioned above, every day dozen of nursing assistants receives many phone calls about patient abnormal results and by the time those results are mentioned to the doctor it could be too late to call the patient to come for a visit. For instance, I remembered receiving a call from Bio lab about a patients with very high A1C, Lipid panels, CBC and CMP. I confirmed with the lab technician that I received the lab and right away I called the patient to come see the doctor. I knew what to do so I took it upon myself to call the patient. If I waited for the doctor then she could had a stroke or something worst. Sometime messages got lost or forgotten; doctors, nurses and others do not know received the messages and lost the opportunity to provide help for the patient. Having the alert could help those messages get to the right doctors or health professionals and from there they could decide what else to

For example, the monitoring device and accompanying tools will easily detect the movements of breathing and account for it during radiation treatment. However, uncontrolled movements inevitably will result in undesired circumstances. If the subject encounters a cough attack, the entire body shifts due to the forced compression and expansion of the lungs. This can dangerously move the subject’s radiation target area, and so the laser tape measure can be calibrated to perform an emergency shutdown of the treatment to ensure the safety of the subject. This threshold can be set by the technician or physician attending the subject. Also, subjects undergoing radiation treatments might feel nervousness or anxiety. This can cause the subject to shake or breathe abnormally, which can also endanger them. These factors can be dealt with by the emergency shutdown, and the treatment can resume when the attendant sees that the subject’s safety is

The injuries that occurred during this study were small, including that of bruises, abrasions and lacerations. The intervention group reported 24 minor injuries, whereas the control group resulted in 16. There was also a few major injuries that were sustained throughout both groups which resulted in fractures, but no significant outcomes are differentiating either group concerning this. There was also a total of 120 problems reported with the sensor function and were classified as being de-functioning equipment, pagers which became faulty, and sometimes where working pagers were found unattended. The ethical implications of this study included participants to give written, informed consent. Those who lacked the capacity of doing so were in consult with their MPOA (medical power of attorney) and medical professional, in keeping with the research requirements which were approved by a local Research Ethics Committee. Participants also had the option to withdraw from this study at any

Respondent: It’s very much in positioning. I think our nature would be, we wouldn’t come out necessarily with the full offering so we would tease that across. Whatever we put across, we’d need to manage expectation accordingly. The sample size would be very small at first because the functionality wouldn’t be all there. We’d communicate with those people and maybe even coach them. Say, “This isn’t the end all be all we expect it to be. Give us your thoughts.” As they give us their thoughts, we grow that a little bit. Larger user base and get more impressive. When we finally go, I think it would need to be quite a splash, a very impressive app.