Nursing Care Plan and Specimens Essay

Quality is a broad term that encompasses various aspects of nursing care (Montolvo, 2007). The National Database of Nursing Quality Indicators [NDNQI] is the only national nursing database that provides quarterly and annual reporting of structure, process, and outcome indicators to evaluate nursing care at the unit level (Montolvo, 2007). Nursing’s foundational principles and guidelines identify that as a profession, nursing has a responsibility to measure, evaluate, and improve practice (Montolvo, 2007). The purpose of this paper is to analyze the ‘mislabeled specimen’ indicator for an inpatient rehab unit and devise an action plan based on best practices to decrease the incidence of mislabeled specimens. Analysis of the data According to Dock, (2005) accurate specimen identification is a challenge in all hospitals and medical facilities. Ensuring that specimens are correctly identified at the point of collection is essential for accurate diagnostic information (Dock, 2005). A mislabeled specimen can lead to devastating consequences for a patient (Dock, 2005). Specimen misidentification can be serious, resulting in misdiagnosis and mistreatment (Dock, 2005). For the second quarter of FY09, the rehab unit met their target of zero mislabeled specimens. The third quarter yielded two actual mislabeled specimens with a variance of two. The fourth quarter actual was one with a variance of one. The first quarter FY10 showed an actual of one and variance of one. For the FY09 the rehab had a total of four mislabeled specimens. This indicator was chosen because of the magnitude of this medical error. Nurses, administrators and laboratory personnel must collaborate and create ways to decrease the mislabeling of spec imens. Nursing plan Nursing interventions to decrease the number of mislabeled specimens and improve actual indicator scores are: 1) Ensuring proper identification of patient 2) The use of electronic technology and 3) Bedside labeling. Each of these interventions will positively impact patient outcomes and reduce errors. According to The Joint Commission [TJC], proper patient identification is best practice for decreasing mislabeled specimens (The Joint Commission as cited by Sims, 2010). National Patient Safety Goal [NPSG], 01.01.01 states that healthcare providers should use at least two identifiers to identify patients. For example, the patient’s full name and date of birth is used to properly identify a patient (The Joint Commission, 2014). According to Kim et al., (2013), developing a standardized specimen handling system has the potential to reduce errors. Figure 1. Steps to properly identifying a patient for specimen collection. Figure 1. Essential specimen handling steps. Blue items are physician-specific responsibilities; pink items are nursing staff-specific responsibilities. Adapted from â€Å"Standardized Patient Identification and Specimen Labeling: A Retrospective Analysis on Improving Patient Safety,† by Kim JK; Dotson B; Thomas S; Nelson KC; Journal of the American Academy of Dermatology, 2013 Jan; 68 (1): 53-6. The strongest intervention to reduce labeling errors is the addition of barcode technology (Brown, Smith & Sherfy, 2011). The use of automated patient identification and specimen collection techniques can be an additional safety net for routines that are vulnerable to error, especially when coupled with strong systems designs (Brown et al., 2011). Brown et al (2011), found that the clinical applications of electronic and information technology support can assist in the identification, control, and reduction of error rates throughout the process. According to the World Health Organization [WHO] healthcare providers should encourage the labeling containers used for blood and other specimens in the presence of the patient (World Health Organization, 2007). This would suggest labeling specimens at the patient’s bedside or before leaving the room. Nurses should never label specimens before collection as this could lead to serious errors. Summary In summary, NDNQI indicators serve as a schoolmaster that holds nursing accountable to practice. An analysis of ‘mislabeled specimens’, found that an inpatient unit had a total of four incidents for FY09. While this does not seem like a great deal of errors, any one error could have detrimental consequences. The plan of action based on best practices is to properly identify the patient, using electronic technology, and labeling specimens at the bedside. References Brown, J.E., Smith, N., Sherfy, B.R., (2011). Decreasing mislabeled laboratory specimens using barcode technology and bedside printers. Journal of Nursing Care Quality, (26)1, 13-21. Retrieved from http://sfxhosted.exlibrisgroup.com/waldenu?genre=article&issn=10573631&title=Journal%20of%20Nursing%20Care%20Quality&volume=26&issue=1&date=201101 Dock, B. (2005). Improving the accuracy of specimen labeling. Clinical Laboratory Science, 18(4), 210-2. Retrieved from http://search.proquest.com/docview/204803914?accountid=14872 Kim J.K., Dotson B; Thomas S; Nelson KC; Journal of the American Academy of Dermatology, 2013 Jan; 68 (1): 53-6. Retrieved from ent%20identification%20and%20specimen%20labeling%3A%20A%20retrospective%20analysis%20on%20improving%20patient%20safety.&spage=53&sid=EBSCO:rzh&pid= Montalvo, I. (2007). The National Database of Nursing Quality Indicators (NDNQI). Online Journal Of Issues In Nursing, 12(3). Retrieved from http://web.a.ebscohost.com.ezp.waldenulibrary.org/ehost/detail/detail?vid=50&sid=909dc60d-9c0d-474c-a02e-2e8f9df097e1%40sessionmgr4003&hid=4104&bdata Sims, M. (2010). The Joint Commission clarifies key compliance issues. MLO: Medical Laboratory Observer, 42(4), 72. Retrieved from http://web.a.ebscohost.com.ezp.waldenulibrary.org/ehost/pdfviewer/pdfviewer?vid=54&sid=909dc60d-9c0d-474c-a02e-2e8f9df097e1%40sessionmgr4003&hid=4104 The Joint Commission, (2014). National patient safety goals. Retrieved from http://www.jointcommission.org/assets/1/6/2014_HAP_NPSG_E.pdf World Health Organization. (2007). Patient safety solutions. Retrieved from http://www.who.int/patientsafety/solutions/patientsafety/PS-Solution2.pdf

Enacting a Corporation in the State of Florida Research Paper

Enacting a Corporation in the State of Florida - Research Paper Example These laws are intended to cater for the needs of the people and constitution of Florida. After graduating from college, starting a business corporation would be a great idea to earn a clean living. This essay will discuss the procedures and requirements one is supposed to abide by when enacting a corporation in the state of Florida after graduating from college. As a new investor, it is essential to know the types of corporations allowed in Florida. One type includes a general profit corporation which is owned by stockholders. Another type is Close Florida Corporation which is limited to between 30 and 50 stockholders. The director of the close corporation is required to offer shares to existing stockholders before selling them to new ones. Another type of corporation is a Florida limited liability company, a form of business structure from Latin America and Europe. There are many business opportunities for fresh college graduates. Starting a lucrative business is one such opportuni ty that many college graduates can venture into. Many fresh college graduates have brilliant business ideas. However, these ideas only materialize for the few who are willing to endure the strain that come with initiating a new business (Strauss, 2003). Starting a new corporation requires some information to be created about the business venture. The first and most prominent is the name of the corporation. A name can either be inviting or repelling to potential clients (Strauss, 2003). The name of a corporation needs to be unique and not in use by any other registered body. The name of a corporation uniquely identifies and differentiates it from many other businesses that already exist. ‘Newline Corporation’ has been chosen as the most suitable name for the business that is being set up in Florida. This is because the name is not in use by any other business and it signifies a new development that is coming up in an already existing industry (Barnet & Ronald, 1974). The next step is to create a filing receipt system. This allows constant follow up of any purchases or payments that have been made. It also creates accountability in the use of capital and resources (Kamoroff, 2000). Knowing the amount of money that has been spent at each stage and on what enables an individual to plan for the remaining tasks. It can also be helpful in time management and in evaluating the progress made in starting up the business. A filing receipt system can be used to determine if it is in line with the specification on when the corporation should be up and running (Beerel, 1993). A filing system enables an individual to easily retrieve information whenever it is required. The filing system consists of both manual and automated systems that are labeled under the month and years of their receivership. The most current files should be put at the top. It is crucial to keep a record of the receipts due to tax purposes. Some kinds of receipts that will need to be kept sa fe include unpaid invoices, business receipts, vender statements and client product receipts (Beerel, 1993). At the end of each year, the receipts need to be purged and filed with taxes. An article of incorporation is sometimes referred to as a certificate of incorporation. It must fulfill information as permitted by set laws. A form is required to be filled and filed by the secretary of state (Corporations in General, 1964). This form includes information about the name of

Sri Lankan travellers needs and expectations about airline websites Literature review

Sri Lankan travellers needs and expectations about airline websites - Literature review Example Increasing demands of the customers have forced almost every business to have their own website. Similarly the airline industry has also been actively participating in this race and many airlines now maintain very attractive and eye catching websites (Weeks and Crouch, 1999; Morrison et al., 1999). The recent years have seen many studies and researches in the field of website assessment (Liu, 2000, Olsina, 1999 and Barnes and Vidgeon, 2001). Although there is a great deal of variation in the website design and content amongst different industries nonetheless quite a few assessment tools with precise excellence criterion have been made (Kim, Shaw and Schneider, 2003). The flowchart regarding the website evaluation is given below: Figure: 1 Website Evaluation Flowchart (Park and Gretzel, 2007, p.48). Website evaluation methods used by different authors As the internet has developed very rapidly there has been a number of websites available now. This vastness of information and types of websites makes it a necessity there must be some sort of criteria for the evaluation of these websites so that a proper level of quality can be maintained and junk material could be avoided (Seoyoung and Jinwoo, 2004). In order to carry out this evaluation a study was carried out and the characteristics were collected and analyzed. The contents were divided in to a number of categories so that it becomes easy to evaluate each one. The 4 Ps category division by McCarthy (1976) was adapted as the initial division criterion These 4 Ps were â€Å"product, price, promotion and point-of-sale†. It has been argued by some researchers that the above mentioned 4 Ps fit properly with the internet related stuff especially websites (Chaffey et al., 2003) however some other authors recommend total substitution of these 4 Ps (Constantinides, 2002; Kotler, 1998). A model for the adaptation of internet commerce has been developed by Burgess and Cooper (1999). The model is composed of 3 point s i.e. endorsement that relates knowledge regarding the corporation provision regarding interaction dispensation linked to online communication Ho (1997) uses an approach for website evaluation that is based upon the approach of phases. According to him the structure of the evaluation criterion is based upon 2 dimensional matrixes. First dimension is of â€Å"purpose† which is divided into 3 further categories i.e. Promotion i.e. data regarding the services and products provided to the clients Provision i.e. presence of information in order to attain the exposure, good will, and credibility. Processing i.e. commerce dealings. The 2nd dimension is called ‘value-created’’. This dimension is also divided into further categories named i.e. well-timed worth, custom significance, logistic worth and amazing value. Wan (2002) projected a tool for evaluating and ranking the international websites for tourists. He used 3 categories i.e. diversity of knowledge, user interface ease, and online reservation facility. â€Å"Airline Site Evaluation Framework (ASEF)† The website analysis of an air line usually address the requirement for ASEF i.e. a â€Å"client-oriented Airline Site Evaluation Framework (ASEF)† in which the assessment techniques and instrumentation methods developed previously were used with particular

A hard days Night Essay Example | Topics and Well Written Essays - 500 words

A hard days Night - Essay Example With acknowledgement that each era presents its own values, â€Å"A Hard Day’s Night† movie did its best in reflecting the values of then. The movie presents a number of themes which were very imminent in the 1960’s. With it’s critically thought scenes; this movie is indeed balanced in conveying the situation of the American society in the 1960’s. Struggle for fame is one of the basic elements that are very evident in the movie. The scene of interview brings out this clearly. Everybody in the 1960’s was in pursuit of fame. This implied using any method as is depicted by the way the actors were answering questions to the journalists. They did it in a very comical way and throughout the press conference; they had to be very witty. This is because the questions were not by the journalists for themselves but for their fans. They were though very respectable despite Ringo saying that he was a mocker. Liberation is also a powerful theme which is also portrayed by this film. Thoughtfulness leads characters to wander around making them to be in control. There is joy in having freedom over what you do. Simplicity is everything in any major artistic work. In the 1960’s, there were a lot of pressures and expectations in the movie industry. A break from that monotony is what the â€Å"free style interview† depicts. People now want to the village on the screen and this is what exactly this film goes into fulfilling. This movie has even been argued as to have happened by a mistake because of the way it breaks from the previous rules of filming. Following formalities is overcome by doing notion of doing one’s thing. Nevertheless, the liberation did not lower the quality of the filming standards only that it impacted the feeling of liberation and diversification to anybody who watched it. Being real is human. In the 1960’s people were forced to mask most of the thing all

Analysis of the poem The Jabberwocky Essay Example | Topics and Well Written Essays - 750 words

Analysis of the poem The Jabberwocky - Essay Example A closer look at the first two sentences reveals that the words are not orderly organized making readers to question their originality as they are far strange from the ordinary world. Going down to line six, the poet is making an allusion of an enemy whose identity is known by using illusion as a style â€Å"other than equipped with rather nasty jaws and claws†. In line six of the poem, the poet goes further to give an explanation of the features of the monsters he is alluding about giving the audience a clue that whatever he is describing is not from this ordinary world. Secondly, the poet uses sound and word play to give more meaning to his poem. An example is that in line one, the poet uses a word like portmante ua which is derived from two words which contributes in giving the word force and meaning when being read by the audience. In line twenty three, the poet uses sound play to show the expression of joy. An example is the use of frabjous instead of fabulous. The conflict arising from the poem is that between good and evil. This is presented by the hero and the jabberwork who is considered the evil in the poem. An analysis into the two themes shows that conflict only arises when the two, hero and jabberwork meets. Therefore, the poem brings out the element of an ordinary man standing against a beast which is not known to this world. Surprisingly, the conflict manifest itself as the hero, human being is forced to fight with something which lacks sense in the world as it is an imaginary creature created in the mind of the poet. The theme of violence is also present in the poem because towards its climax. In the second stanza, its sets up the theme as the protagonist of the poem prepare to face the unknown beast into the wild. This when interpreted simply means that the protagonist was going to start a conflict between him and beast. Moreover, we notice that the hero at the end manages to

Dollar Decline Essay Example | Topics and Well Written Essays - 1250 words

Dollar Decline - Essay Example THESIS STATEMENT The essay intends to describe the impact, which is imposed by decline in the purchasing power of a dollar over the individuals and their respective families. Additionally, it provides the measures that can be adopted in order to combat the declining purchasing power. Moreover, the essay would also reveal the steps that are adopted by the national leaders such as the politicians to mitigate the problem of declined purchasing power of a dollar. HOW IS THIS DECLINE IN THE PURCHASING POWER OF A DOLLAR IMPACT YOU AND OR YOUR FAMILY? With respect to the decline in the value of dollar, the citizens of the US will be facing adequate challenges in relation to their purchasing power as the prices of commodities will increase due to rise in the rate of imported commodities. Specially mentioning, the unemployment rate will also augment due to increased rate of import price for industrial sector, which will unfavorably affect the life of people by a certain degree. It may further lead to scarcity in food products. In this regard, it can be comprehended that a decline in the value of dollar will lead to price inflation and the purchasing power of the people will decrease. ... Thus, decline in the value of dollar will imbalance the economy in relation to trading activities and investments among others. In this regard, a decline in the value of dollar will adversely affect people and their family with increased commodity price and deprived living standards (Feldstien,† The Declining Dollar†; Hammer, â€Å"7 Economic Consequences of a Dollar Collapse†). WHAT CAN YOU DO, FROM A PRACTICAL DAY TO DAY STANDPOINT, TO COMBAT THIS DECLINE IN PURCHASING POWER? The decline in the value of dollar will led to inflation and eventually would decrease the purchasing power of the people. In this regard, the people in order to address or to combat such declining purchasing power are required to devise certain appropriate strategies along with plans. In this situation, people having investments in the stock markets should reinvest and convert those in valuable assets that include gold and silver among others in order to preserve their wealth. Additionally, the people can also seek towards converting dollar in certain other currency. In this regard, people are required to plan their income in accordance with their respective budgets in order to maintain a minimum living standard under such inflationary conditions. Moreover, monetary credit operations ought to be minimized in order to maintain financial stability. Respectively, people with adequate savings and stabilized financial conditions will be facilitated with the opportunity of maintaining their living standards and most vitally combating decline in purchasing power (Mehalko, â€Å"Protecting Purchasing Power in Inflationary and Deflationary Environments†). In order to combat against the decline in purchasing power, people can invest more in real along with

Summer Vacations Essay Example for Free

Summer Vacations Essay 1. What I did on my summer vacations. Last summer, we can’t have a lot of relaxing vacations, because I have to move here, but we have a one weekend that my family and I went to Cancun. We had great time together with the joy of swimming, lying on the beach and got a lot of souvenirs. That was my vacation on July. The weather was so hot. My father decided to go to Cancun beach. We bought 5 train-tickets and went on the trip excitedly. That night I couldnt sleep well. I just thought about the interests. We arrived at 9 am. Then my parents rent a house for a hotel. We unlocked our handbag and quickly went to the beach. Dad brought us a kite to fly it. We swam a lot, until 11 am. At lunch time, we ate burgers with bacon. The food was so delicious that my brother wanted to eat more and more. We took a nap for about 3 hours, then got up to meet some friends. Unfortunately, when we arrived at my father friends house, he wasnt at home that time. Some neighbors told us that he had came to the beach to relax. So we decided to go there by taxi. The cost wasnt expensive. When we arrived, my fathers friend was eating a lot. Then we stay there to swime until 6 o clock. At night, we went sight-seeing with some tourist. We saw beautiful natural landscapes and ate ice-cream. We felt pleasant. 2. How my family celebrates Holydays First, my mom and two girls in my family (Mom, grandmother, aunt, cousin etc..) get together to cook an â€Å"epic meal each year we used to go over Xmas eve to 1 of sister-in-laws house for whole family gathering†¦. There are 3 kids in my family, did the Xmas tree present thing and all that. Would say Thank You prayer when all done. Now 2 are grown up oldest has 2 little ones so history repeats itself with my grown kids and grandchildren. All at my house, nice midday meal and enjoyment of each other. At night we used to put the presents in the tree, but there is no little kids in the family, so we haven’t wait untill next morning to open them, always is a nice time with the family and we vow to make everyday like Xmas.