Unit 26 Facilitating Change PP

To better understand the background of the contrasting views, we must look at how the fire service has developed around

changes in the nature of running a healthcare business. Lastly, they were able to realize the

Step 2 is forming a powerful guiding coalition. Leadership will have to be on board and on the same page in regards to the change. Kotter and Cohen reveal the core problems people face when leading change. Their main findings are that the central issue concerns not structure or systems but behavior and how to alter it (Farris, 2008). The success of the changes will depend on the ability of the managers to show their commitment to change and motivate the employees to do the same. Without any process to track the implementation, the change can also fail.

This applied research project will examine fire chief succession planning for Quilcene fire Rescue and how it can be accomplished. Applied

IDENTIFY TWO REPORTS ON SERIOUS FAILURES TO PROTECT INDIVIDUALS ON ABUSE. WRITE AN ACCOUNT THAT DESCRIBES THE UNSAFE PRACTICES IN THE REVIEWS.

Labeling issues-The lack of labeling as well as pre-labeling can put the patient at risk. The unit sited for this is the Operating Room.

The crew was not prepared for the fire when it suddenly arrived. A wave of fire, heat, and smoke over took them by surprise, Eight of the crew deployed their shelters on the road and the two civilians took shelter with one of the crew members. The squad boss was high above the road in the rock scree watching the fire. He ran down towards the road but couldn’t get there before the fire arrived, He turned around and ran back up the slope were the other four crew members and the crew boss was.

For years if not decades, firefighters have responded to a reported structure fire that turned out to be a fully involved single room. This fire scenario requires a core set of fire tactics and skills to control and extinguished the fire, but is it this simple? Perhaps twenty years it may have been, but new dangers are lurking in every scenario and may have detrimental outcomes for unsuspecting and unaware firefighters and victims. The National Institute of Science and Technology (NIST) agency along with the Underwriters Laboratory (UL) have been conducting research to understand fire behavior and fire dynamics. This research is providing firefighters with new information about how and why

The Mentor Fire Department has not been able to meet the goals of annual pre-fire planning. By not meeting these goals we could be placing firefighters at risk because they may not have the information necessary to safely, efficiently and effectively handle the fire emergency presented. The issues seem to affect each emergency incident differently. If the incident commander had knowledge of the building and how to use the preplan information that might be available, the situation was handled safely, efficiently and effectively. If the incident commander lacked knowledge of the building, and did not know how to acquire any preplan information, the incident was handled, but might not have been handled as safely, efficiently and effectively as possible.

Organizations must respond to their internal and external environment. Therefore, organizational success heavily relies on leaderships ability to manage change. Unfortunately, many leaders struggle to effectively lead change initiatives. In fact, Ashkenas (2013, para. 1) reported 60 – 70% of organizational change initiatives fail to meet their objectives.

As the aerial would be setup in the front of the structure, the engineer would setup the aerial for defensive operations while the rest of the crew does forcible entry or in accordance with command, and the attack group would provide ventilation. The 2nd engine looks for a water supply, hopefully the zone was preplanned and or the hydrant would be marked in their map book. Then laying the supplies, for best results 4 or 5 inch LDH supply for more water and less afford on the apparatuses. Listening to radio traffic, command knowing the units that were coming would assign water supply. In the Sofa Super Store fire, command was at one point roaming command and his incident management procedures were not met. From the incident management stand point, they should always be aware of the unit’s locations and tasks. When an incident commander knows the location of the crew, he has a better control of the scene and is able to assign tasks accordingly and effectively. In the event that a mayday is called, he would know placement and assignments of the

Staffing is so important to healthcare management because it is the bulk of healthcare cost. When you don’t plan and budget accordingly, staffing issues can cause the following problems:

Change is a double-edged sword (Fullan, 2001). Change is a word that might inspire or put fear into people. Leadership is challenging when it comes to dealing with change and how individuals react within the organization to the change. Marzano, McNulty, and Waters (2005) discuss two orders of change in their book School Leadership that Works; first and second. Fullan (2001) also adds to the discussion in his book Leading in a Culture of Change, with regard to understanding change. In Change Leadership, Keagan and Wagner (2006) discuss many factors of change and the systematic approach to change. Change affects people in different ways. Leaders need to be able to respond to the individuals throughout the change process.

Hospital understaffed in medical personnel – insufficient number of doctors and nurses relating to increasing number of patients.

A continuous concern that continues to present itself within the healthcare environment is adequate staffing on nursing units. Most hospital organizations try their very best to accommodate staffing needs, though many units remain understaffed for an unspecified amount of time. Inadequate staffing can negatively affect patient outcomes, lead to nurse burnout, and decrease patient satisfaction scores. Combating this issue will require a great deal of effort, as many geographical face nursing shortages when seeking new graduates and qualified candidates. Employees may begin to feel that they are unable to pursue personal goals within a healthcare organization, due to inability to transfer as a result of staffing shortages. This often results in nursing seeking employment or career advancement outside of the organization or geographical area, which further intensifies ramification associated with inadequate staffing.