Monitoring Performance And The Conditions Of Machines

The most familiar procedure is electroencephalogram. The EEG is the most completed procedure. EEG’s help with a lot of symptoms. They are used to help in the diagnosis of epilepsy and variation of neurological symptoms. People with head trauma or severe disease are evaluated with EEG’s. EEG monitoring is done during surgeries in the neck or around heart. This helps offer more information about brain function. EEG’s normally take about 90 minutes. Another procedure is PSG, which stands for Polysomnograms. This is a recording during sleep that uses physiologic monitors to evaluate sleep, and sleep disorders. It monitors load snoring, struggle to stay awake during the day, falling asleep at unsuitable times, and insomnia. Physician’s use Polysomnograms to recognize dysfunction in wake and sleep cycles, and breathing disorders. Evoked potentials and Nerve Conduction Studies are two other procedures ENDT’s perform. Evoked potentials are extremely helpful evalulating spinal cord injuries, hearing loss, blurred vison, acoustic neuroma, and blind spots. Nerve Conduction evaluate potentials from peripheral nerves. This test is for patients suffering from nerves that produce tingling, muscle pain, muscle cramping, muscle

Through basic observations, health professionals are able to evaluate the performance of an individual’s health status. In relation to Casey, it is noted in her Observation Chart that in the time span of two hours the patient’s health status had changed from being relatively normal (to the patient) to an increased respiratory rate, heart rate and temperature as well as a decrease in blood pressure. It is also noted that the patient has a score of 8 in the pain scale (compared to the score of zero two hours previously), relating to the lower abdomen. Programs such as Between the Flags acknowledges the fact that the early recognition of deterioration of patients can reduce harm to patients through designing and implementing systems which provide a structural response in the event of a deteriorating patient, such as Rapid Response and Clinical Review. There are two phases involved in the rapid response, which includes the afferent phase and the efferent phase. The afferent phase focuses on the overall monitoring and recognising the deteriorating patient whereas

• Pulse Oximetry - Tests the percentage of oxygen in the blood. 95% or more is a normal level,

Pulse oximeter used to check his oxygen saturation level, which was 98% on air with no central or peripheral cyanosis. Since Mr Devi, does not seem to have any sign of abnormal respiration. The next assessment is circulation, where there are many physical signs to look for. The colour of the hand and digits, are they blue, pink, pale or mottled. Also need to measure for capillary refill time (CRT) by applying cutaneous pressure for 5 Sec on a fingertip held at heart level of Mr. Devi. The normal value of CRT is usually less than 2 second prolonged CRT suggests poor peripheral perfusion. Measure his Blood Pressure (B/P), count pulse rate by listening to the heart with a stethoscope or palpate peripheral and central pulses, assessing for the presence, rate, quality, regularity and equality. All of this assessment indicates the cardiovascular system in the patient is within the normal range or is there any emergency measures should take (Resus.org.uk 2016). However, Mr Devi’s circulation is a concern because his HR was 110bpm which is higher than normal range, the normal heart beat for adults ranges from 60-100bpm. Also his BP was 190/99mmhg with mean arterial pressure (MAP) of

The head to toe physical assessment is to be performed in less than 10 minutes using a stethescope, pen light, your hands, and observational skills. It comprises of four different techniques: IPPA inspection, palpation, percussion, and auscultation. This sequence, in apparent order, is used for al systems except for the abdominal assessment, which requires auscultation before palpation and percussion. Inspection is visually examining the person, focusing on one area of the body at a time. Palpation is using touch, feeling for texture, size, consistency, and location of body parts. Auscultation is listening for sounds within the body, mainly listening the lungs, heart, as well as the abdomen with the use of a stethoscope. Percussion is tapping an area of the body with the fingers and is usually a special assessment skill that the RN or physician uses, not a practical student nurse.

Clearly the peri-operative evaluation should include a careful history and physical examination, together with structured questions related to the planned procedure. Simple questions related to exercise tolerance (such as can you climb a flight of stairs without shortness of breath) will often yield as much useful information as complex tests of cardiorespiratory reserve. The clinical evaluation will be coupled with a number of blood and radiological tests to complete the clinical evaluation. There is considerable debate as to the value of many of the routine tests performed, and

BP 166/73 | Pulse 69 | Temp 96.9 °F (oral) | Resp 14 | SpO2 99% on room air

Based on industry forecasts there might be a trend to use more equipment and automation to substitute for hard to find labour. In addition to this increase in importance to noise reduction and energy conservation might mean upgrading of already existing equipment.

The primary assessment of this patient is the Airway, Breathing, Circulation, Disability, Exposure (ABCDE) approach. According to the ABCDE approach, it is crucial to check the airway first to see if the airway is patent. Then, check the patient’s breathing. Determining the respiratory rate, inspecting movement of the chest wall, measuring pulse oximeter and using the stethoscope to auscultate the lung sounds are the possible way to check if the breathing of the patient is sufficient (Thim et al., 2012). Next, check the circulation. Skin changes, such as check the colour and sweating, relate to the circulatory problems. Also, heart auscultation, blood pressure measuring and electrocardiography monitoring should be involved in this procedure (Thim et al., 2012). When measure the blood pressure, using the AVPU score (A for ‘alert’, V for ‘reacting to vocal stimuli’, P for ‘reacting to pain’, U for ‘unconscious’) to assess the consciousness, which is for the disability part. Moreover,

Results-based monitoring and evaluation is a set of concepts associated with performance management or results based management (RBM) strategy, which evolved in 1990’s. During that period, many countries introduced extensive management reforms in responding social, political and economic pressures that were triggered by the factors of globalisation, budget deficits, structural adjustments and competitiveness (Binnendijk, 2000). Central feature to most of those reforms has been an emphasis on ‘performance improvement’ and ‘achievement of targeted/expected results’ which were the core features of RBM. RBM has been used by many development agencies, governments, and donor agencies in delivering development interventions and has become an emerging trend in contemporary development practice.

A head to toe assessment is the visual and manual inspection of each body part starting at the head and scalp and continuing downward to the feet and toes. These four techniques will be used: Inspection=what can be seen, Palpation=what can be felt, Percussion=what can be heard and Auscultation=what can be heard using a stethoscope. It is very important to perform a complete head to toe assessment on all patients at the beginning of the shift as this information will help determine if the patient is getting worse or starts having any unforeseen problems.

The following expanded annotated bibliography will be look at the topic of electronic monitoring, it will be providing the reader with sufficient information how it could potentially be better for our society, it will also be providing studies and researches conducted on electronic monitoring

I have experience in performance management and understand the performance appraisal or a disciplinary process. It aims to improve organisational, functional, team and individual performances. Effective performance management measures the progress being made towards the achievement of the organisation's business objectives. It does so by planning, establishing, monitoring, reviewing and evaluating organisational, functional, team and individual performance.

Saving on time and costs, the remote corrosion monitoring leads to more productivity, reliability and profitability.

Cody Fixer is director, quality assurance at industrial products plant having 1600 employees. Cody met with his subordinate Mark Hamler to know what happened last week as he was busy in seminar “Quality in the 2010’s”. He came to know that they had problem on the grease line. As Cody Fixer started inspecting and understanding the work culture of the company, he figured out there were lots of problem in the marketing, manufacturing, plants and equipment and product designing area. They have been facing problems with new filling equipment’s and the rate at which the products are being produced is 50% of standard, about 14 cases per shift that caught halfway. There was the safety issue of the high‐pressure in the cans too. The gear had been adjusted by plant upkeep for taking care of the lower thickness Greasex, which it had not initially been planned for. This included planning a unique filling head. There was no booked deterrent support for this supplies, what 's more the parts for the delicate filling head, supplanted three times in the last six months, had to be made at an adjacent machine shop. Moreover the plastic nozzles which were purchased were not of proper size which are showing sign of coming danger. The most important issue that Cody figured out was that the employees there were not interested in providing good quality.