One of the most challenging aspects of the job so far for me is how to stage changes without breaking anything and how to always keep the service running without any downtime. When you factor in the multiple microservices we have and the number of developers checking in at any time plus the multiple client applications we have, then you can have a sense of the combinatorial explosion of possibilities that are possible. The following are a couple of techniques that I use - I learnt most the hard way and so far they've worked great for me and I always use them when developing new features or potentially harmful features. 1. Live configurations Most applications allow you to set configuration as part of code but distinct from it. The …show more content…
The major goal is that changes should be transparent to the users and things should not break. I remember once trying to integrate a brand new v1 service into our offering. the challenge was that the v1 service we were going to depend on was in flux and things were broken at times - not pointing fingers or blaming them but that is expected when you are building things from scratch at the beginning. Consequently I had to mock the expected responses and thankfully the set of possible responses then was quite small - there were only two possible states since we were just starting out. I hardcoded these responses into our configuration files, wrote the code in such a way that it would read the configuration files and choose the expected response and return it. To the end-users, it didn't make a difference however the beauty of it was that it gave us a way to slowly swithc to the service without any downtime. And when the v1 service did break, all we had to do was flip the flag / feature switch and we would fall back to the configuration without having to do a code deploy or spin up a live site incident. Eventually the service became mature and stable and the hardcoded configuration fallback went away. 3. Opt-ins for breaking changes Breaking changes are inevitable - the service has to grow and evolve and things have to change. In fact, some underlying major piece of the software might get rewritten and we'll have to respond (Yes, I am looking at you
The healthcare systems of Switzerland and the United States are quite similar in some aspects and vastly different in others. In Switzerland, the healthcare is universal and available to all. It is provided by private individual insurance companies and subsidized by the government when needed. Basic health insurance is required to be purchased within 3 months of residency or after birth and is an individual’s choice as to what carrier they choose. Of course, there are exceptions to this mandate but they are very few.("Healthcare in Switzerland," “n.d.”, para. 1) Because of this requirement, 99.5% of the population in Switzerland has
However, the largest hurdle that most companies face during the implementation/integration of a new system or process are the users. It is normal to encounter resistance by users, they perceive change as a potential threat to their jobs, and removes them from their routine and/or comfort zone.
2. What steps do you take to stay up to date on current services or changes in
Evaluate the extent to which electronic communication enhances or detracts from the quality of interpersonal communication compared to face-to-face communication. Your analysis must engage with three elements of interpersonal communication (for example, eye contact or gestures) and discuss how each is affected by one particular electronic channel of communication. Your essay should be grounded in communication theory from appropriate academic sources.
2.2Security Control SelectionAre selected security controls for the information system documented in the security plan?
Nursing-sensitive indicators reflect the structure, process and outcomes of nursing care. The structure of nursing care is indicated by the supply of nursing staff, the skill level of the nursing staff, and the education/certification of nursing staff. Process indicators measure aspects of nursing care such as assessment, intervention, and RN job satisfaction. Patient outcomes that are determined to be nursing sensitive are those that improve if there is a greater quantity or quality of nursing care (e.g.,
I do it by ensuring the risk assessment is in place and that I follow all the policies and procedures to minimise the risk as far as possible
The structure, processes, and outcome factors of nursing care are reflected in Nursing-Sensitive Indicators (NSIs). There are several things that the nurses in the provided scenario could have done to promote quality patient care. By being aware of restraint use as an NSI the hospital staff would be more likely to increase their focus and attention to its need and any development of complications. This increased focus and attention could have led to the development of educational opportunities for the hospital staff on the identification of pressure ulcer related complications. Had the nurse and nursing
Nursing sensitive indicators reflect the structure, process and outcomes of nursing care. The structure of nursing care is indicated by the supply of nursing staff, the skill level of the nursing staff, and the education/certification of nursing staff. Process indicators measure aspects of nursing care such as assessment, intervention, and RN job satisfaction. Patient outcomes that are determined to be nursing sensitive are those that improve if there is a greater quantity or quality of nursing care. ("Nursing world," 2013) Having knowledge of these indicators
Negative publicity of the company and loss of credibility in the eyes of existing and potential customers impacting overall business
As the nursing supervisor in this scenario involving Mr. J, I would utilize several resources to address and resolve the ethical issue. When I was first informed of the kosher meal mix-up, I would have informed the patient’s daughter of the
It is critical to have an understanding of nursing-sensitive indicators in order to provide safe, quality, compassionate and satisfactory patient care. In this scenario, applying restraints to Mr. J, a demented patient with hip fracture seems appropriate. However, it is standard practice that restraints are to be removed as soon as possible, and the patient in restraints may need assistance to change position every two hours. In Mr. J’s scenario, there should have been a bedside commode, and a urinal for him to use at the bedside so he does not have to walk very far to the restroom. As for the CNA, if she was well trained, she would have been able to recognize the marks on his spine
“Nemo me impune lacessit,” in other words no one attacks me without worrying about punishment. These words are from the intriguing character Montresor, or the author of the story Edgar Allan Poe. Montresor, from the short story of “the cask of amontillado” is a serial killer who murders people who insult him. In this short tale he murders a man by the name of Fortunato who ends up insulting the wrong person. Another character that would make great friends with Montresor would be General Zaroff, from the short story “the most dangerous game” by Richard Connell. General Zaroff is a ruthless man who loves to hunt people, not just anyone but people he believes are low in status or are of equal match to his capability to hunt. General Zaroff
ensure that all licenses and legislation is adhered to with regards to the software and programming.
Change is inevitable. Changing is not always welcomed but it is necessary for organizations to maintain their place in the world. Successful organizations thrive because they have a vision, a mission