Interwest Healthcare Essay Example for Free

Interwest Healthcare Essay What are the potential sources of the problem? The source of these problems seems to be coming from two areas in Interwest Healthcare. The first area is the miscommunication that the hospital administrators are having with upper management. The hospital administrators and upper management are not only having miscommunication issues but they also do not share the same role expectations with each other which is creating tension. â€Å"The hospital people accused Singh of being a bureaucrat who did not care about patient services. Singh accused the hospital staffs of not understanding the importance of accurate reporting† (Brickley, Smith Zimmerman 2009 p. 38). The second area is the system or process that is in place for recording and entering data. The current process is clearly not running at an efficient rate which is raising concerns for upper management. Even though hospital administrators do not see to eye to eye with upper management the concerns that they have are valid and can have a very negative impact on Interwest Healthcare if the issue is not resolved. What information would you want to analyze? The first information that would be analyzed is the process that is done to record and enter data for patients. It is important to gain as much information as possible regarding the data entry because that is the root of the whole issue between hospital administrators and upper management. Another area that would be analyzed is the workplace with emphasis on how time is managed and the importance employees put on data entry. It is important to gather and analyze as much information as possible on the source of the problem. By gaining and analyzing the information it would help Interwest Healthcare make progress on the data entry issue which will put them in a better position to succeed. What actions might you recommend to increase the accuracy of the data entry? The first point of action would be streamlining and simplifying the data entry process. By completing those it would not only increase the accuracy of the data entry but it would also decrease the burden on the hospital administrators. But before any changes to the data entry process are made it is important to communicate directly to the hospital administrators. It is important to have the hospital administrators on board with the changes that will be made with the data entry process. By gaining the hospital administrators consent with the changes this will allow a smoother transition for the data entry change and it could provide a positive change to the workplace. As for the changes to the data entry it would most likely be a simple computer process along with small piece of paperwork. It would be best to have some sort or paper record on file that would need to be alphabetized along with a simple computer program. The computer program would help ensure accuracy and would have the patient’s data record on file which will be easy to locate. There would be very little paper work for the process mainly because it takes up space and takes more time to record. The paper work that is part of the process would simply serve as a backup if the computers were down. The key to ensuring accuracy with the data entry is to make the process as simple as possible so it would minimize the errors. How does your view of behavior affect how you might address the consulting assignment? As a consulting assignment I see Interwest Healthcare as a company in distress due to the way the hospital administrators and upper management. The way the two groups have been behaving and treating each other it is a clear sign of stress and miscommunication. One of the first tasks is to mediate the two groups and try to have everyone on the same page. There is a clear disconnect on the expectations of each other’s roles but by bringing them together the roles and expectations can be made by both parties and progress can be accomplished. In order to make progress both parties will need to be able to compromise and be willing to understand each other’s concerns and priorities. Refreneces : Brickley, J.A., Smith, C.W. Zimmerman J.L. (2009). Managerial economics and organizational architecture (5th Ed.). New York: McGraw-Hill Irw

Capital Punishment Essays -- essays research papers fc

  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Capital Punishment He is escorted down to a room with handcuffs on both arms and feet. The tension in the room causes nervousness and a stirring in his stomach, which entombs his dinner from the night before. He is told to take a seat. Still in doubt of his fate he notices the witnesses and their various expressions. His family is grief-stricken, a sharp contrast to the family of the brutally murdered, for which he was found guilty of. If only they knew what he knew; for they would not be strapping him into the chair, soaking a sponge, and placing it on top of his head along with the metal skullcap. If they knew the truth there would be someone in his place today. But alas, the truth dies along with the innocent. Capital Punishment, as read in the scene above, has importance in times dating back to ancient civilizations. It’s purpose is to permanently disband those unfit to live with society. Even knowing its prominent background, in modern times there is doubt whether or not it is still necessary. Today, in the twenty-first century, there are currently 38 states with the death penalty. The other twelve have life with out parole as the maximum sentence. In the practicing states there were 66 executions carried out in 2001, 85 in 2000, and 98 in 1999. If this trend continues there will be even fewer this year. The states leading execution are Texas and Oklahoma, as of 2001. Texas carried out nearly 26% of the 66 executions and Oklahoma leads with 28%. By region; the South carries out 79% of the U.S. executions, with the Midwest at 15%, the West at 6% and the Northeast at 0%. (Death Penalty Info†¦.) The reasons why someone may be sentenced with capital punishment vary from state to state. The most common factors include first-degree murder and aggravated kidnapping. According to the poet Hyman Barshay, â€Å"The death penalty is a warning, just like a lighthouse throwing its beams out to sea. We hear about shipwrecks, but we do not hear about the ships the lighthouse guides safely on their way. We do not have proof of the number of ships it saves, but we do not tear the lighthouse down.† Barshay and other pro death penalty supporters believe that the death penalty deters would be killers. A person would be less likely to do something if he or she thinks that harm will come to them. This is basic human... ... Due to the fact that it costs more to support life with out parole, the money saved from capital punishment can be used to help society in a better way. Both sides have their point in this argument. Although many oppose capital punishment, in most states it is still active whether they believe in it or not, and are still punishable by it. It’s the choice of society to take a stance and show their opinion. Bibliography Death Penalty Information Center 29 April 2002 Press release, Death Penalty Information Center, Oct. 27, 1992 Denno, Deborah W., Is Electrocution an Unconstitutional Method of Execution? The Engineering of Death over the Century, 35 WILLIAM & MARY L. REV. 551, 664-665 (1994). Karwath, Rob & Susan Kuczka, Gacy Execution Delay Blamed on Clogged IV Tube, CHICAGO TRIB., May 11, 1994, at 1 (Metro Lake Section). Kwok, Abraham, Injection: The No-Fuss Executioner, ARIZONA REPUBLIC, Feb. 28, 1993, at 1. Pro Death Penalty 29 April 2002

Speech Outline: How to Start an Iv

How to Start an IV Introduction Attention Getter: How many people here have ever had to get an IV in the hospital? Was it a positive or negative experience for you? If you are one of the people that said yes then you know it can be a frightening and sometimes painful experience. What I am about to explain to you comes from my 8 years of experience as an emergency room nurse starting thousands of IVs. Some of the things I tell you could help you understand the process better and ease your anxiety for any future emergency room visit you or your loved one may have. Specific purpose: To demonstrate and explain the process of starting an IVCredibility: As a registered nurse for eight years I start IVs on a daily basis and I am a resource nurse for nurses whose patients are difficult to start IVs on from pediatric to geriatric patients. Thesis: Today I want to share my expertise on establishing intravenous access by explaining the process from preparation to discontinuing IV access. Body I . Preparation A. Basic preparation/Standard precautions 1. Explain procedure 2. Wash hands 3. Apply gloves 4. Position patient 5. Procedure assistant (if needed) B. Locate vein 1. Apply tourniquet 2. Assess vein a. Length b. Depth c. Circumference d. Fullness 3.Choose IV size 4. Remove tourniquet C. Pediatric Topical anesthetic 1. Time warranted 2. Topical EMLA Cream 3. Subcutaneous lidocaine II. Insertion (Demo) A. Prepare equipment 1. Set up supplies B. Insert IV 1. Clean site (Chlorhexadine) 2. Distraction 3. Insert angiocath a. 30 degree angle 4. Blood â€Å"flash† 5. Thread catheter 6. Remove needle a. Apply pressure 7. Attach T connector/extension tubing a. Secure device b. Apply tegaderm C. Assess patency 1. Blood collection a. Pull syringe (3 mL, 5 mL, 10 mL) b. Connect tube holder 2. Saline flush a. Educate patient b. Flush 5-10 mL NS c. Assess flow and site III.Monitoring A. Ongoing assessment 1. Visualize site 2. Intact dressing 3. Intermittent flush 4. KVO fluids B. Infection prevention 1. Hospital start 72 hours 2. Rescue start 24 hours 3. Signs of infection 4. Medication administration C. Discontinuing IV access 1. Explain procedure 2. Apply gloves 3. Remove tegaderm/tape 4. Remove angiocath 5. Assess angiocath 6. Apply gauze with pressure 7. Apply tape Conclusion Today I have demonstrated the process of starting an IV on a patient. As you have seen the procedure requires expert skill and precision along with confidence and experience to achieve optimal results.Following proper technique can prevent placement error, injury, and infection. It is also important to remember that patient education before and during the procedure can help reduce anxiety, stress, and fear. Memorable Ending: The next time you find you or your loved one on the other end of a needle having an IV placed remember this demonstration. If you have questions or concerns about the procedure don’t hesitate to talk to your nurse. Nurses usually welcome the opportunit y to provide education because it demonstrates our skill and knowledge in addition to providing emotional support and compassion for our patients.

The Genetic Engineering Debate Essay - 1411 Words

In recent discussions of genetic engineering, a controversial issue has been whether genetic engineering is ethical or not. In â€Å"The Person, the Soul, and Genetic Engineering,† JC Polkinghorne discusses about the moral status of the very early embryo and therapeutic cloning. J. H. Brooke’s article â€Å"Commentary on: The Person, the Soul, and Genetic Engineering† comments and state opinions that counter Polkinghorne’s article. On the other hand John Harris’s â€Å"â€Å"Goodbye Dolly?† The Ethics of Human Cloning† examines â€Å"the possible uses and abuses of human cloning and draw out the principal ethical dimensions, both of what might be done and its meaning, and of public and official response† (353). While in C. Cameron and R. Williamson’s article, â€Å"In†¦show more content†¦They concluded that a human embryo and a â€Å"dolly embryo† acquire respect differently. A â€Å"dolly† embryo is no different genetically when in the laboratory from the somatic cell from which it is derived from. A somatic cell is any cell of a plant or an animal other than a germ cell. A human embryo acquires respect when it meets the criteria that â€Å"its development status of the embryo, the embryo’s potential, and the value of the embryo to other people or to themselves† (Cameron and Williamson 218). When dealing with a â€Å"dolly embryo† it obtains dignity/respect â€Å"upon the successful act of implantation, because after implantation development takes place which, if uninterrupted, leads to the birth of a human being† (Cameron and Williamson 218). I agree with Cameron and Williamson that a human embryo and a â€Å"dolly† embryo differentiate when they acquire dignity/respect. A human embryo is formed during fertilization, while a â€Å"dolly† embryo doesn’t require fertilization to become an embryo. Fertilization is the action or process of fertilizing an egg, female animal, or plant, involving the fusion of male and female gametes to form a zygote. Since fertilization does not take place, it makes it hard to tell when life begins in a â€Å"dolly† embryo. J. H. Brooke argues in her article â€Å"Commentary on: The Person, the Soul, and Genetic Engineering† that dignity is ascribed to an embryo not given, or that someone has to give the embryo dignity for itShow MoreRelatedThe Debate On Human Genetic Engineering2124 Words   |  9 PagesLong Stance Paper on Human Genetic Engineering The debate on whether human genetic engineering should be researched and used as the main alternative solution to disease have been going on since the creation of the human genetic engineering phenomenon. The ethical question is clear: should money be invested in human genetic engineering and should we research it at all, even if it is formally criticized by all monotheistic religions? The ethical principles in conflict are beneficence (people withRead MoreThe Debate Over Genetic Engineering1772 Words   |  8 Pages Over the past few decades genetic engineering has caused plenty of controversy not only in politics, but as well as in science and the lives of everyday people. Controversy is not new to this subject, in fact it has a rich history of it, from cloning to patenting several types of DNA. Some scientist in this field even oppose this subject. While there are many cons in this subject such as people taking advantage over the technology, there are also a lot of pros that c ome out of it and has helpedRead MoreThe Human Genetic Engineering Debate Essay1823 Words   |  8 Pagesin astronomy, chemistry, geology, paleontology, and many more scientific fields. However, some of the fastest growing subjects are in the field of biological sciences, more specifically genetics. 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What more and more individuals in the early 21st century are coming to realize is that Genetic Engineering has already exceeded our wildest imaginations in a dark corner of a lab, outside of the view of the main stream public. Indeed, in 2017, genetic engineering is in full swing on both plant and animal life. Only from hearingRead MoreThe Future of Genetic Engineering in Babie Is in Our Hands Essay1173 Words   |  5 PagesBabies Group The Future of Genetic Engineering in Babies is in Our Hands The idea of designer babies has been around for a very long time, in various media, video games all the way to on-screen movies. Only recently through massive breakthrough of technology and science can genetically modified babies actually be possible for the future. The definition of the expression ‘designer baby’ is â€Å"a baby whose genetic makeup has been artificially selected by genetic engineering combined with invitro fertilizationRead MoreSale - Pro Plans Are 20% Off Today View Plans. Gradeproof1164 Words   |  5 PagesSentence Count: 28 Readability: 11.52 % Grade Level: 16.59 years Reading Time: 2 minutes Speaking Time: 4 minutes Type your title here... Genetic Engineering is a common theme of Gattaca, Splice, and Blade Runner. Gattaca takes place in a future where the best opportunities are given people that have the best genes, as a result from Genetic Engineering (cite). The main character Vincent has not been genetically engineered and has many health issues like Myopia (cite). He aspires to become anRead More Genetic Engineering: Our Key to a Better World Essay1128 Words   |  5 Pages What is genetic engineering one might ask and why is there so much moral controversy surrounding the topic? Genetic engineering as defined by Pete Moore, is the name given to a wide variety of techniques that have one thing in common: they all allow the biologist to take a gene from one cell and insert it into another (SS1). Such techniques included in genetic engineering (both good and bad) are, genetic screening both during the fetal stage and later in life, gene therapy, sex selectionRead MoreThe Importance Of Genetic Engineering1282 Words   |  6 PagesGenetic engineering is defined as the modification of the characteristics of an organism by altering its genetic material. Although the definition makes it seems clear and concise, it is far more complicated. This new advancement has caused a huge debate over the ethics and laws of what it is able to do. Genetic engineering is immensely important because of the potential benefits it contains and the advances it allows for in the future. The ultimate goal of genetic engineering is to prevent, treat