Advanced Fire Administration Essay Example | Topics and Well Written Essays - 1500 words - 2

Propelled Fire Administration - Essay Example These organizations run from goods, PC shops, to stores. These business associations select their staff from all over America. The organizations additionally have a standard framework in their enrollment systems planned for enlisting nearby individuals, for motivations behind engaging local people according to the offer of their items. Large business associations inside my locale advance ecological and social activities. These are their procedures of making a positive brand name, inside the network. The education level of individuals inside my locale is over 70%, and this is a result of gigantic interests in school, and other tertiary establishments that offer information. This draws in financial specialists in light of the accessibility of work and the fundamental abilities for running an association (Varone, 47). The Federal and State government guarantees that there is sufficient security by building police headquarters, and setting up legal town halls. This is for motivations behind guaranteeing that the preliminary led is reasonable, and rapid (Grosshandler, 62). The legislature has contributed on social insurance arrangement by building various clinics, and setting up them with profoundly qualified medicinal services suppliers. Along these lines, my kin are guaranteed of better clinical consideration. Strategically, the earth inside my locale is steady, with the major ideological groups having an equivalent enrollment. That is the Democratic Party, and the Republican Party. On various events, political narrow mindedness radiates among the occupants of my locale, and this may be on the various perspectives the individuals from restricting ideological groups have. My people group additionally appreciates various social offices worked by the legislature, and private people. This incorporates arenas, eateries, night clubs and gambling clubs. In recognizing the issues that the local group of fire-fighters should concentrate on, the initial step is to distinguish the exercises inside Oregon that may trigger an episode of fire. To adequately

Bodegas Caballe free essay sample

First we might want to much thanks for your task and your trust in us as newcomers in your organization. We read both your charging letter to the Polish enlisting organization and the reports of the pre-chosen competitors with extraordinary intrigue. After a broad examination we conceded to some broad standards to base our choices about the most appropriate candidate for your organization on. The standards are as per the following: Language, versatility, deals understanding, pay, dependability, past business experience and extra abilities. Language: Since the organization intends to build up itself on the clean market, better than average clean language abilities are critical. Being the salesperson for the entire focal Europe, familiar French and English are ideal too. Portability: The starting point for the market nearness in focal Europe is to be Poland, in this manner the up-and-comer of decision should be eager to move there. Deals understanding: Due to the way that Bodegas Caballe experiences experienced issues with too accomplished business experts the spotlight ought to be founded on past work, as opposed to instruction. We will compose a custom article test on Bodegas Caballe or on the other hand any comparative subject explicitly for you Don't WasteYour Time Recruit WRITER Just 13.90/page Additionally, these being new and remote markets, the salesperson need extraordinary information and adaptability as it must be picked up by long periods of involvement with the field, so as to adjust. Compensation: This may be a minor, yet not nonessential point, since the administration of Bodegas Caballe Has given a scope of 45. 000$ to 60. 000$, which ought not be surpassed. Dependability: The candidate of decision will be liable for the entire focal European checked, and bears incredible obligation. This makes a profoundly dependable individual alluring. Past business contacts: As examined und deals experience Bodegas Caballe Tries to achieve another market. Having past business contacts in the exchange facilitates the beginning up altogether. Extra aptitudes: Every candidate accompanies some one of a kind capacities and foundations. This rule gives a premise to factor those into the choices making process. Competitor number 1: Stanislaw Michalski Mr. Michalski is an accomplished man at 51 years old. As a worker of the French Intersection hypermarket chain he has increased a lot of involvement with different divisions and elements of retailing. This is a significant preferred position since we need to enter French and German hypermarket chains in Poland. Him presently being head purchaser of wines and spirits, he as of now has an incredible information on our section. Mr. Michalski has been advanced without a scholarly foundation and appears to have followed the rule â€Å"learning by doing†. He has worked his way through various difficulties and has taken grown-up training classes in dialects and advertising. We are certain that his absence of expert training is preferably a positive over a negative viewpoint since our organization thinks that its hard to fit in competitors with proficient administration foundations. Mr. Michalski additionally satisfies the measures of loyality and family esteems. He has worked his entire vocation for a similar organization. One of the most significant reasons he needs to leave his present manager is the adoration for his clean spouse, who needs to move back to Poland. This is actually the nation our organization wishes to enter first. With that regard it will be exceptionally useful that he is a brilliant organizer and acquainted with the Polish culture. The dialects angle shows opportunity to get better. Mr. Michalski communicates in French locally, respectable Polish (with solid French inflection) and some English. At the point when he is set up to put resources into the improvement of Polish and English he will be a perfect contender for our organization to add to the objectives set for Central Europe. Compensation will most likely not be an enormous snag since his desires, aside from an organization vehicle, are inside our range. Applicant number 2: Boleslaw Piasecki Mr. Piasecki is 39 years of age and right now lives in our first objective market Poland. He has an extraordinary information on sufficient dialects. He communicates in Polish local, Spanish easily, great Italian and Russian and some English. His order of every one of these dialects will facilitate the correspondence in Central Europe just as with our organization. The applicant has no genuine Sales experience however may repay this with his current experience as Catering Services and Purchasing Manager of the Torum Hotel and Restaurant Group. Since he is responsible for purchasing all nourishments, wines and different supplies he knows about our portions as of now. Evidently he has an incredible information on European wines and the business sectors in Central Europe. The presentation procedure will in this manner be much simpler. Then again we have a few worries with respect to his way of life and abnormal foundation. Mr. Piasecki may be excessively knowledgeable and shows some unusual propensities like vanishing for brief periods. Additionally his compensation desires are past our compensation go. Gauging the entirety of Mr. Piasecki’s great and less great characteristics we are sure that he will be a decent second candidate. Up-and-comer number 3: Sergei Nikitin Sergei Nikitin is 29 years of age and the main individual with a current Sales work. A Great preferred position since Sales requires different capabilities than different capacities like for e. . buy. A further bit of leeway is the competitor being comfortable with retailing gatherings and bar chains, both significant appropriation channels for our organization. Mr. Nikitin is a dedicated and imaginative man. With these character attributes he satisfies the vast majority of our driving organization esteems. The perspective devotion is more di ligently to quantify. Mr. Nikitin is somewhat youthful and has had two bosses after his graduation. One may infer that he is more aggressive than faithful. His MBA foundation may be of help to set up an expert association in Poland. Then again it may strife with our experience that scholastics think that its difficult to adjust to our organization. His compensation desires are amazing for our organization. It is actually as far as possible we have set. His language aptitudes are somewhat appropriate for the activity. We suggest improvement in Polish and ideally preparing in Spanish, despite the fact that he speaks (American) English fluidly. We have a few questions with respect to his expectations to move to Poland. As we would see it this is important to set up an organization auxiliary in Poland. Mr. Nikitin lives in the Czech Republic and shows more enthusiasm for moving to the USA than to Poland. Also we prescribe making fixed game plans with respect to garments and individual appearance since Mr. Nikitin appears to incline toward rather long hair and easygoing dress. Considering the entirety of his characteristics he is a fascinating third up-and-comer. Applicant number 4: Maria de la Garriga Maria de la Garriga is the main female up-and-comer and is 32 years of age. She has a solid and eager drive to move into Sales. Ms. De la Garriga has the Spanish nationality and lives in Poland; The ideal mix for this activity, in spite of the fact that she ought to put time in improving her insight into the Polish language. She may remunerate this anyway with her familiar Russian and great English. Ms. De la Garriga as of now increased some involvement in offering wines to grocery stores, yet this was only a side activity during her advanced degree. Her degree in Foreign Literature and Languages may be of help to comprehend the different societies in Central Europe. Then again could her examination and her college foundation be an obstacle to fit in the wine-innovation focused culture of our organization. Planning, sorting out and conveying appear to be a portion of her extraordinary attributes. These characteristics are an outright premise condition to be fruitful in setting up and creating business in Central Europe. There are three angles which concern us. Most importantly we have to know whether her private life is all around organized. She is separated and has two kids. How can she bargain e. g. with a work excursion to Spain or different nations? Other than she doesn't yet have a genuine business or Sales experience. She increased a great deal of skills in different fields, yet would she say she is ready to make an interpretation of these to the business condition? Moreover she clearly became worn out on the â€Å"macho† college culture in Spain. As we would like to think the business condition can be comparative. How can she manage that circumstance at that point? As you see we manage some unanswered inquiries. On the off chance that these inquiries can be offered an explanation to absolute fulfillment Ms. De la Garriga will be a fine fourth applicant. An inquiry which is now addressed is that her pay desires are inside our cutoff points. We are certain that our positioning will be useful in your official conclusion.

HOW TO Update WordPress Secret Keys

HOW TO Update WordPress Secret Keys Make Money Online Queries? Struggling To Get Traffic To Your Blog? Sign Up On (HBB) Forum Now!HOW TO: Update WordPress Secret KeysUpdated On 23/04/2017Author : Pradeep KumarTopic : WordPressShort URL : http://hbb.me/2ozcDGY CONNECT WITH HBB ON SOCIAL MEDIA Follow @HellBoundBlogWordPress Secret Keys are kinda similar to passwords, harder the better. Which is tough to crack? This one 3gFi67dfads8FnU9 or something like welcome, password, etc.In the WordPress 2.6, three security keys, AUTH_KEY, SECURE_AUTH_KEY, and LOGGED_IN_KEY, were added to ensure better encryption of information stored in the users cookies. WordPress Secret Keys are normally used for better Cookie Security. It makes cookies secure against attacks like when someone hacked into your database via an SQL injection exploit or some other tactics, etc.Example of WordPress Secret Keys [Dont Use This]The 8 security keys are AUTH_KEY, SECURE_AUTH_KEY, LOGGED_IN_KEY, NONCE_KEY with respective salts AUTH_SALT, SECURE_AUTH_SALT , LOGGED_IN_SALT, and NONCE_SALT. They will make your site is harder to hack and crack by hackers.These keys are required for the enhanced security. The four salts are recommended, but are not required, because WordPress will generate salts for you if none are provided. They are included in wp-config.php by default for inclusiveness.Updating WordPress Secret KeysOpen wp-config.php file using any of your favorite file editor, I would recommend Notepad++. Find the default secret keys.Now use the new Secret Code Generator for getting the secret keys, just copy and replace them. Dont forget to save the file!READ5 Simple Steps To Faster Broadband ConnectionAlso do remember changing these values will invalidate all existing cookies and logout all WordPress users (including admin) on your site. Who knows, even some hackers will lose their access to your account.Updating WordPress secret keys is one of the most recommended WordPress Security Tips. If you are not comfortable with editing wp- config.php or facing any issues, you can ask someone you trust to do that for you, because simple mess in wp-config.php can collapse your entire site.

Karl Marx The Oldest Surviving Boy Essay - 1080 Words

Karl Marx is a sociologist, economist, historian, journalist, revolutionary, and philosopher of German decent. Karl Marx was born in 1818 in Trier, Prussia; he was the oldest surviving boy in a family of nine children. Both of his parents were Jewish, and descended from a long line of rabbis. Marx was also raised in a home that originally was Jewish until his Father, Heinrich Marx, converted to Protestantism. He was home-schooled until 1830 when he enrolled at the Jesuit high school in Trier.. In 1835, Marx studied in the University of Boom. In 1835 Marx left to the University where he read and fell in love with the philosophies of G.W.F. Hegel, and joined a group known as the Young Hegelians, who were challenging existing institutions and ideas on all fronts, including religion, philosophy, ethics and politics. In October 1835, at the age of 17, Marx travelled to the University of Bonn wishing to study philosophy and literature. however his father insisted to take on a better maj or. his father insisted law as a more practical field. During his early stages of education, marx also wanted to to pursue a career in the military. unfortunately he was was excused from the military for many odd reasons. later on After receiving his degree, Marx began writing for the liberal democratic newspaper Rheinische Zeitung, and he became the paper’s editor in 1841. Marx s articles forced the Prussian government to close the paper as they were too radical for people to read. onceShow MoreRelatedEssay on Karl Marx827 Words   |  4 Pages The Life of Karl Marx Karl Marx was one of the greatest thinkers ever. Studying law and philosophy, he became an important social philosopher and revolutionary. He influenced the lives of millions of people in generations well past his. A man of mystery in the democratic societies, Karl Marx led an interesting life of new ideas that would influence millions in the future. Karl Marx was born on May 5th, 1818 (Karl Marx). He was the eldest son of Heinrich and Hennrietta Marx. He was bornRead MoreOne Significant Change That Has Occurred in the World Between 1900 and 2005. Explain the Impact This Change Has Made on Our Lives and Why It Is an Important Change.163893 Words   |  656 Pages1500–2000, ed. Jorge Canizares-Esguerra and Erik Seeman (Upper Saddle River, NJ: Prentice Hall, 2007). 10. David Eltis, ed., Coerced and Free Migration: Global Perspectives (Stanford: Stanford University Press, 2002), 7. 11. Markus Vink, â€Å" ‘The World’s Oldest Trade’: Dutch Slavery and Slave Trade in the Indian Ocean in the Seventeenth Century,† Journal of World History 14, no. 2 (June 2003): 131–177. 12. Anthony Reid, ed., Sojourners and Settlers: Histories of Southeast Asia and the Chinese (Honolulu:Read MoreDeveloping Management Skills404131 Words   |  1617 Pagesyour life, including working in assigned teams in this and other courses, planning social events for a campus or community organization, counseling a troubled sibling or friend, managing end-of-semester deadlines, or handling a difficult issue with a boy/girlfriend or spouse. The sooner you begin—and the more you persist in—practicing what you learn in this course, the more you’ll be able to count on these skills as â€Å"automatic responses† when you need them as a manager. Supplemental Material PASSWORD-PROTECTED

Literary Analysis The Adventures of Huckleberry Finn Essay

The Adventures of Huckleberry Finn â€Å"Persons attempting to find a motive in this narrative will be prosecuted; persons attempting to find a moral in it will be banished; persons attempting to find a plot in it will be shot.† (Twain, ix) Mark Twain opens his book with a personal notice, abstract from the storyline, to discourage the reader from looking for depth in his words. This severe yet humorous personal caution is written as such almost to dissuade his readers from having any high expectations. The language in The Adventures of Huckleberry Finn is completely â€Å"American† beyond the need for perfect grammar. â€Å"Mark Twain’s novel, of course, is widely considered to be a definitively American literary text.† (Robert Jackson,†¦show more content†¦.† (Twain, ix) He openly and firstly acknowledges the irregularities in this story and explains that it is not on a whim that he uses this specific type of language but with the p urpose to expose the world to a new and original form of literary design. The main character in this story is Huckleberry Finn, the complete opposite of a traditional European hero; he is not the typical king or nobleman that traditional stories tell of. He is an everyday boy uneducated and seemingly unworthy, Huckleberry Finn is the epitome of a real American every day hero. Mr. Twain writes this book as a way to show that just by simply maturing and growing up so that Huckleberry Finn can make the right decisions in all aspects of his life; it makes him a noble character. â€Å"We are asked to trust this not as a sport, but rather as a well-considered and well-honed document. . . We are invited to experience and to appreciate this narrative in terms of its thought, its thoughtfulness, and its craft.† (Fertel, 159 –Free and Easy†) A major theme in The Adventures of Huckleberry Finn is slavery and our evolvement towards the institution. â€Å"In fact, Twa in’s novel is often taught as the text that epitomizes this tradition, with Huck held up as its exemplar: a boy courageous enough to stand against the moral conventions of his society. . .† (Bollinger, 32 – Say It Jim) In the beginning of Huckleberry Finn’s relationship with Jim, he has little respect for him and as their journey progresses heShow MoreRelatedThe Adventures Of Huckleberry Finn Literary Analysis1888 Words   |  8 PagesThe Adventures of Huckleberry Finn Literary Analysis The Adventures of Huckleberry Finn by Mark Twain has been banned from many schools and public libraries due to the use of racial slurs. Although these slurs are frowned upon now, they were a normal part of the society shaped Huckleberry (Huck) Finns life. The world Huck Finn grew up in is before the abolition of slavery. This is when the states is begun to separate, but the civil war is not yet stirring. Huckleberry’s life was influenced by hisRead MoreLiterary Analysis of Adventures of Huckleberry Finn Essay1100 Words   |  5 PagesLiterary Analysis of Adventures of Huckleberry Finn In Huckleberry Finn there are several themes. There are themes of racism and slavery, civilized society, survival, water imagery, and the one I will be discussing, superstition ( SparkNotes Editors). Superstition is a belief or practice resulting from ignorance, fear of the unknown, trust in magic or chance, or a false conception of causation (â€Å"Merriam-Webster†). Superstition was a very popular theme in Huckleberry Finn thatRead MoreAnalysis of Literary Techniques For The Adventures Of Huckleberry Finn by Mark Twain982 Words   |  4 Pages In The Adventures Of Huckleberry Finn, Twain paints a colorful portrait of his life growing up in the south. Originally intended to be just a â€Å"fun† narrative about his childhood, Twain’s novel evolved into something much greater by criticising slavery and advocating for the rights of african-americans. The themes that the book represents were revolutionary in their time, something only accomplish ed through the narratives of Twain. The Adventures of Huckleberry Finn, is aptly named due to it’s perspectivesRead MoreThe relation of form to content in Mark Twains The Adventures of Huckleberry Finn1097 Words   |  4 PagesIn discussing the structure and substance of a novel, one would be remiss not to explore the narrative strategies through which its story is told. The Adventures of Huckleberry Finn (1884) is autobiographic, ensuring a valuable narrative unity; each scene is delivered as-is rather than being described into fruition. It is a tale of boyish adventure floating along the Mississippi told as it would have appeared to the boy himself. Thus, the novel ascribes to one of several contrasting aesthetics foundRead MoreThe Adventures Of Huckleberry Finn By Mark Twain1854 Words   |  8 PagesThe Adventures of Huckleberry Finn by Mark Twain is a one of a kind novel. The novel has been debated as controversial since it has been published in 1986. It has been consid ered racist, due to the â€Å"n† word. In its earlier days, racist people felt this book was a disgrace, because of the mingling of the two main characters. Among all of the negative comments, this book is truly a masterpiece. It is an unforgettable and enjoyable book for everyone to learn and scrutinize; it contains a multitude ofRead MoreAnalysis Of The Adventures Of Huckleberry Finn 1679 Words   |  7 Pages1. Analysis of an Important Character Adventures of Huckleberry Finn is a story about growing up, facing the world, and fighting for what’s right. Huckleberry Finn matures greatly throughout the book, and Tom Sawyer plays an important role in showing this change. His character allows the reader to see Huck’s increase in maturity throughout the story. Tom is the constant, his immaturity not changing from the beginning to the end of Adventures of Huckleberry Finn, while Huck is the changing variableRead MoreThe American Concept Of Self Creation1647 Words   |  7 Pagesindividual assuming a new identity to avoid danger or ridding themselves of a past life, are two examples of the literary concept of Self-Creation. In Mark Twain’s Adventures of Huckleberry Finn, we see the main character undergo several examples of â€Å"self-creation† during the course of the story for various motivations including those mentioned above. Throughout Adventures of Huckleberry Finn, the main character changes in identity for several reasons to include those in which he protects himself andRead More Huck Finn Essay900 Words   |  4 Pages Tim Lively Critical Analysis: The Adventures of Huckleberry Finn Setting: Late 1800’s along the Mississippi River Plot: When the book begins, the main character, Huck Finn possesses a large sum of money. This causes his delinquent lifestyle to change drastically. Huck gets an education, and a home to live in with a caring elderly woman (the widow). One would think that Huck would be satisfied. Well, he wasn’t. He wanted his own lifestyle back. Huck’s drunkard father (pap), who had previouslyRead MoreAnalysis Of Mark Twain s Works Made A Huge Impact On Readers And Literary Critics1288 Words   |  6 Pages2/26/17 P:2 Outline Mark Twain’s works made a huge impact on readers and literary critics. His writing occurred during both the romantic and realist time eras in American Literature. He has simple, seemingly artless narrators and an understated style leads readers to arrive at the social commentary of his narratives on their own. Mark Twain’s writing influenced society because he created a new perspective on life with the views pointed out in his books. The distinctive trait of Twain s was hisRead MoreThe Adventures of Huckleberry Finn Essay739 Words   |  3 PagesThe Adventures of Huckleberry Finn by Mark Twain â€Å"When a true genius appears in the world, you may know him by this sign, that the dunces are all in confederacy against him.† - Jonathan Swift â€Å"Thoughts on Various Subjects, Moral and Diverting† In some works of literature, the main character often finds himself or herself in conflict with the social or moral values of his environment. Choose one novel or play of literary merit in which the character is at odds with the people around him or her

Gun Control Laws Are Protect Women From Domestic Abusers...

More gun control laws are needed to protect women from domestic abusers and stalkers. Five women are killed with firearms consistently in the United States. A lady s danger of being killed increments 500% if a weapon is available amid a local question. Amid the Iraq and Afghanistan wars, 5,364 US warriors were murdered in real life between Oct. 7, 2001 and Jan. 28, 2015; somewhere around 2001 and 2012 6,410 ladies were slaughtered with a firearm by a close accomplice in the United States. A 2003 investigation of 23 crowded high-pay nations found that 86% of ladies killed by guns were in the United States and American ladies are 11.4 times more inclined to be the casualties of firearm crimes 57% of mass shootings included aggressive behavior at home. For instance, the 2011 mass shooting at a Seal Beach, CA hair salon supposedly started in view of the shooter s guardianship fight with his ex who was a hairdresser at the salon. 31 states don t forbid indicted offense stalkers from ownin g weapons and 41 states don t compel sentenced local abusers from surrendering firearms they as of now own.76% of ladies killed and 85% of ladies who survived a murder endeavor by a private accomplice were stalked in the year prior to the murder or murder endeavor. Gun control laws, especially those that try to ban assault weapons, infringe upon the right to own guns for hunting and sport. In 2011, there were 13.7 million seekers 16 years of age or more seasoned in the United States, andShow MoreRelatedThe Issue Of Gun Control2213 Words   |  9 PagesGun control has been a major problem recently, in fact, in 1939 the Supreme Court ruled a case called â€Å"United States v. Miller.† This case states that the Second Amendment only protects guns suitable for a well-regulated militia. The Supreme Court has not had any other Second Amendment cases since 1939. However, the most recent ruling since 1939 was the Brady Bill, in 1994, which is a United States Federal law that requires a background check and five-day waiting period to determine whether the buyerRead MoreGun Control And The Second Amendment Essay1294 Words   |  6 PagesGuns, Guns, Guns. In today’s news Gun Control, has become a controversial topic. I have heard many peop le say that, â€Å"Guns don’t kill people, people kill people†. So, do we need gun control? People talk because they have mouths, they don’t know the extent about gun violence. About half of the country’s population is for / against gun control. Consistently, the media outlets are reporting shootings, that is accidental or intentional whichever way it is trending across the United States. Stronger gunRead MoreGun Control Discussion ( 100 Points ) Essay2462 Words   |  10 PagesSociology Gun Control Discussion No unread replies. 1 1 reply. Gun Control Discussion (100 points) Instructions: 1) Add your discussion in this forum by clicking the button at the bottom of this screen. In your post please include the following: This assignment is in lieu of the Term paper and must be in APA format. Include and label the following sections; Introduction: Familiarize the reader with the general topic of Gun Control that you are discussing. Provide general information about theRead MorePersuasive Essay On Gun Control1745 Words   |  7 Pagescommitted a mass shooting at a local Texas church. He was discharge from the Navy because he tried to kill his commanding officers. Devin P. Kelley escaped from a mental institution and was charged with domestic abuse,multiple misdemeanors and of mistreatment, neglect or cruelty to animals, and yet he was able to buy four guns legally (Rosenberg). That is the most recent example of why Americans need more gun control laws. Guns are not cool or makes you look good, they are a dangerous piece of machineryRead MoreAnnotated Bibliography On The Gun Of The Teeth : The Worldwide Plague Of Small Arms1597 Words   |  7 PagesRetrieved February 11, 2016, from fod.infobase.com There is one gun for every ten people on earth today. The people who supports gun control believe that if we are trying to save the world, guns for wars should not be shipped around for individual uses. There have been around 400 million deaths due to small arms and conflicts since the fall of the Berlin Wall. Once a person owns a gun, it is very rare that they will be willing to give the gun up. In South Africa, guns have been melted down, blownRead MoreThe Issue Of Gun Control2415 Words   |  10 PagesShootings are a big topic in the gun community throughout all of America. But how easy is it to go to the gun store and purchase a gun? Guns have been around since the 1340’s in China where they made cannons. Later, the Chinese traded gunpowder with European countries on the silk road bringing in new ideas for violence. Some people use guns for the purpose of protecting citizens and the community, but others use guns for criminal intent and harm innocent people. Gun control is a major topic today becauseRead MoreDomestic Violence, Abuse and Neglect2528 Words   |  11 PagesDomestic violence is the act of being angry and taking the wrong actions about the anger. â€Å"Violence and neglect are a part of many families’ everyday lives† which should not be considered a normal thing. Physical neglect is just one portion of domestic violence. â€Å"Failure to provide food, medical care, or shelter† is described as physical neglect. â€Å"Abuse can be a whole range of physical behavior—slapping, hitting, beating, or using weapons to hurt someone. Abuse includes verbal and emotional abuseRead More Why Women Stay in Violent Relationships Essay4419 Words   |  18 PagesWhy Women Stay in Violent Relationships Most women have at least one dependant who must be taken care of, many are not employed, their parents are either distant or unable or unwilling to help. She may lack the access to cash; she or the children may be in poor health, may face a decline in the living standard for herself and her children. Many older children may resent this decision. She may believe that she will be charged with desertion or losing the children and cash assets if she leaves.Read MoreThe Story Of Crystal Bram, Wife Of Tacoma Police Chief David Brame3330 Words   |  14 PagesIntroduction The story of Crystal Bram, wife of Tacoma Police Chief David Brame, is a picture perfect case of how many women are trapped and beaten by the men they love. Chief Brame had his wife on a schedule like no other. He would time her on how much time it would take to get to and from the store, how long to walk to and from the mailbox, and always when was David (their son) coming home? Crystal wasn’t every other woman though; her husband was the Chief of Police in Tacoma, Washington. With

Death of A Salesman American Dream free essay sample

Arthur Miller penned Death of a Salesman in an ever-changing period, the 1950s. During this time, many Americans were stepping back for a bit of self-analysis, both as a county, and as individuals. This is present in Death of a Salesman, as well as another well-known work, an essay by John Steinbeck, â€Å"Paradox and Dream. † In this Steinbeck analyzes the state of America and what exactly it is they’re striving for(Thomas). In Death of a Salesman, Arthur Miller takes on a similar task, providing commentary on what the American Dream is through Willy Loman and his family. Since then, Death of a Salesman has become one of the most well known, renowned plays in American theater for it’s interpretation of the American Dream. The presence of dreams in the play is highly debated. Some critics contest that the American Dream may not be in it at all, while others simply discuss which interpretation of a truly â€Å"American Dream† Miller portrays through the Lomans. It is most easily said, that Arthur Miller wrote Death of a Salesman to bring the American Dream to light, rather than to give a clear, concise answer as to what it is. To begin, readers shall look at the first case of American Dream in Death of a Salesman, Willy’s son Biff. Biff is the character in the play most torn between what the true definition of the American Dream is. Coincidently, Biff becomes the character who is most clear as to what his definition of the American Dream is. When readers meet Biff, he seems to be on the same path, as his father, chasing the same rendition of the American dream. While Biff doesn’t get particularly impressive grades, he makes up for it in charisma, and by being held in high regard amongst his classmates. So, initially Willy and Biff have a mutual understanding of the American dream, but Biff’s interest in the outdoor life and working with his hands began to pull him away from his initial dream of a world in business. (Lawrence) Finally, as his father’s funeral, Biff makes his final decision on which path he will take with his life, deeming the vision his father had as the wrong one. In sum, Biff Loman uses his father’s image to transform his idea of the American dream and pick one for himself. The next case of American Dream in the play is Willy’s other son, Happy. Like Biff, his idea of the American Dream is highly influenced by his father’s. The only difference is that while Biff is able to see his father’s faults, deviate from his dream and follow dreams of his own to suit himself, his brother Happy is unable to do so. A clear example of the two as stated before, is at Willy’s funeral. Happy makes it clear that he is steadfast in continuing to chase his dream and goes as far as to say he’ll â€Å"pick up where his father left off. † Tying into the similarity of their dreams is the similarity of character that the two possess. Every characteristic Willy, has regarding self-confidence, expectations, jealousy and loneliness, Happy shares. It is clear that the way the two define their American dream is what shapes them into such similar characters. All in all, Happy Loman is almost a carbon copy of his father Willy, especially in the sense that they both think the same of the American dream. The Lomans aren’t the only characters in the play that represent some sort of American Dream. Willy’s next door neighbor, Charley and his son do so as well, through their own actions, but also through the way Willy receives their actions. Both Charley and Bernard both embody the traditional America dream, but more importantly, the one that Willy strives for. Willy feels jealousy towards Charley for more closely living the American dream as a reality, but also Bernard for being a more impressive individual than his sons. Willy’s relationship with Charley is incredibly important as an indirect characterization of Willy, as it’s really one of the only bonds that Willy is able to make with an outsider. Despite his intense jealousy towards him, Willy tells Charley that he’s his only true friend. Last but most certainly not least is the protagonist himself, Willy Loman. Willy is arguably the most complex character in the play, and this can be seen in examining the relationships he forms with the aforementioned characters. Willy’s biggest fault is that the men he surrounds himself with, Ben, Charley, Biff, Bernard and even to some extent, Happy, make him incredibly envious. It is clear what Willy’s definition of his American dream is—he believes the key to his dream is to be universally liked because of his peers, gaining credibility in the business and his own social world through charisma and personality than credentials and qualifications. (Jacobson) Willy Loman goes through Death of a Salesman in search of his American dream. Willy’s American dream is affected by the actions of the other characters in the plays, as well as their respective dreams. Willy chiefly feels jealousy towards the men he surrounds himself around, his sons, his neighbors, his brother and his father. Eventually, Willy’s dream drives him to death, Happy is left just as empty as his father was, and Biff Loman is the only character who is positively affected by his version of the American dream. To conclude, each character’s idea of the American dream is the driving force of their actions in the Death of a Salesman

Talent and Succession Management Strategy

Harlem Renisance essays

Harlem Renisance essays The Harlem Renaissance Or the New Negro Movement The dawn of the 1920s ushered in an African American artistic and cultural movement, the likes of which have never and will likely never be seen again. Beginning as a series of literary discussions in Greenwich Village and Harlem, the New Negro Movement (later dubbed the Harlem Renaissance by Alain Locke) came to exalt the unique culture of African Americans and redefine African American expression. The movement spread throughout all areas of the arts and humanities, gaining a wider audience as it went along. Soon it became more than just an artistic movement, it was at the same time a social ideal. The authors and artists of the era simultaneously struggled with and embraced their African heritage and American birth and lifestyle. The arts became a means of rebellion against the racism running rampant through the south, as well as a way for African Americans to finally prove they had their foot in the door of American (especially elitist) culture. The Beginning After years of unfair treatment and humiliation, black people from the South started a migration northwards. Large metropolitan cities such as Washington D.C., Chicago, and New York City became hubs of creativity and interaction for African Americans. This migration changed the Black image from rural to urban, from peasant to sophisticate, and introduced them to international ideas that they would most likely have had no contact with in the South. Locke described this movement in The New Negro as something like a spiritual emancipation. Now they were in a land where whites only signs were few and far between and speakin g ones mind was not only allowed, but also encouraged by peers. It was the time and place for freedom, freedom of speech, music, ideas, and life. So what started it all? The causes of this renaissance were financial and educational. Blacks participated in the...

Robert Rays essay The Thematic Paradigm (from his book A Certain

Robert Rays The Thematic Paradigm (from his book A Certain Tendency of the Hollywood Cinema) - Essay Example The traits that Ferris is seen to depict are that of a hero who is not that much respectable. Even though Ray tries to be critic of the American people for being obsessed and liking Ferris, it is clear that Ferris is a true hero. One of the claims that Ray makes is that there are some American heroes such as George Washington who are revered in the American culture. George Washington is depicted as the a hero who has official traits. â€Å"The outlaw hero is someone like Davy Crockett† (Ray 279). The outlaw is seen as a reckless hero. The outlaw hero is depicted by Ferris Buleller. Ferris is a person that offers the kind of adventure that each person who was in high school once had. The depiction is a person with an attitude that is carefree and a person who has a pure sense of adventure. â€Å"Ferris is seen a someone who has values that are embodied in self determination and values that make someone to be free from entanglements† (Ray 279). The character goes out to do what is most desirable and yet is seen as someone who ha less care of the consequences of the actions that he takes. The fact that he takes a cut out of school and take a day in the city is enough to depict the character as an outlaw. He tries to avoid trouble by not meeting with any authoritative figure. The fact that Ferris gets stuck and sneaks behind his father is one trait that makes him be depicted as someone who could have lost the angelic image in an indefinite manner. From Ray’s perspe ctive, there are some traits that American people favour. One of the traits that American people favour is age. Ray can be seen as someone who sees Americans as people who sway towards the stance of younger individuals. The is something that is much attractive when it comes to the picture of childishness outlaw (Ray 279. A good be example will be in a film that is country old western which will equate

Gymnastic Techniques Essay Example | Topics and Well Written Essays - 1000 words

Gymnastic Techniques - Essay Example Many components work together to make a gymnastic composition successful. An element is the shortest gymnastic exercise that is complete ((Jastrjembskaia, Titov 1999 pg 4). Each element consists of different movements of some of the various body parts (movements may be with or without apparatus). A movement is change in the orientation or position of the whole body or one of its parts. In a competition, judges judge each element according to some characteristics. These characteristics include originality, degree of difficulty, virtuosity of performance and mastery Each element technique has its own basis which includes the movements of the exercise and which distinguish an element from other elements (Jastrjembskaia, Titov 1999 pg 4). The basis of an element technique develops from independent preparatory, main and finishing phases. In the preparatory phase, all the body movements of the technique are involved in preparing a way for the main phase. For instance, a gymnast needs a preparatory phase to attain good speed or rotary motion to throw an apparatus. The main phase of the element includes all the movements performed according to the objective of the element (Jastrjembskaia, Titov 1999 pg 6). For instance if a gymnast is about to perform jump or leap the main objective is the gymnast's flight. If a gymnast is about to throw an apparatus then the main objective is the apparatus's flight. In finishing phase, a gymnast completes the objective he started in the main phase. The gymnast also changes his direction or speed of motion in this ph ase. For instance, in order to land from a leap, a gymnast in finishing phase stops his momentum and speed that he needed to make the leap. Spondylolisthesis among GymnastsYoung female gymnasts engaged in training and practice all year round place excessive demand on their back all year round. In a study, on one hundred female gymnasts, incidence of pars intercularis defect was four times higher than the incidence of 2.3% reported in general female Caucasian population (Jackson, Wiltse and Cirincione, 1976, pg 68). In another study young female Caucasian volunteers participated that represented their different teams in gymnastic competition from national to international levels (Jackson, Wiltse and Cirincione, 1976, pg 68). In the study, a questionnaire answered by each girl listed her height, weight, hours of practice per week and years in competition. In this study, eleven of one hundred females evaluated had bilateral L5 intercularis defects (Jackson, Wiltse and Cirincione, 1976, pg 68) Six of these had first-degree spondylolisthesis of L5 on S1. Eighty-nine had no pars intercularis defect. Of these eighty-nine girls, nineteen had an episode of back pain signinificant enough to interfere with their training. In the group of girls with spondylolisthesis, six of the eleven had prior back pain (Jackson, Wiltse and Cirincione, 1976, pg 68) . The girls with pars defects described their pain as dull aching and cramping. It was persistent and usually not related to specific injury but was aggravated markedly by activities like hyperextension (Jackson, Wilt

Firefighter Paper Essay Example for Free

Firefighter Paper Essay In this cynical age, firefighting remains a heroic and noble profession. The images of fire professionals we see on television and in film are often romanticized versions of day-to-day life on the job. What is the life of a firefighter really like? The Job According to a 1993 survey, annual starting salaries for firefighters in major cities fall in the range of $28,000 to $46,000 with overtime pay. Firefighters receive health, disability and retirement benefits, and many consider the work schedule beneficial as well (rotating 24-hour shifts). No two days are alike, and the work is as varied as it is unpredictable. Responding to Calls Gender and Race in the Urban Fire Service reveals what its like to enter a burning building. those entering a building are often confronted with such intense heat and heavy smoke that it is impossible for them to walk upright or to make out their surroundings. They wear face masks and air tanks to allow them to breathe, but the tanks are heavy, the time limited and the breathing process awkward. The location is almost always completely unfamiliar, filled with obstacles and unknown hazards. While the engine crew works on the ground with water to put the fire out, a truck crew ventilates the building, opening a sufficiently large hole in the roof to allow heat, smoke and gasses to escape so that the ground crew can do its work. Roof work is not only dangerous, but generally requires a high level of strength, skill and coordination. If there are possible victims, either crew may become involved in search and rescue (or body recovery), which means working ones way through this foreign environment in darkness and heat, unsure what you may find, taking care not to become trapped or disoriented. In many municipal fire departments, an increasing emphasis is placed on emergency medical services (EMS). Currently at the Oakland Fire Department, 80 percent of calls are EMS calls. In many cases a fire crew is nearer to an emergency than an ambulance or paramedic unit. Most new firefighters are also trained as emergency medical technicians, and candidates with previous paramedic experience are desirable. Not all of a firefighters workday is spent responding to calls, however, and not all calls require significant activity. Many times calls involve false alarms or situations where no emergency exists. Firefighters spend a high proportion of their time taking care of nonemergency calls, including activities such as fire inspections, practice drills, physical training, housekeeping and maintenance chores station maintenance as well as shopping and cooking. Unless youre a firefighter, no one can really understand what we do. We have a special relationship. We have to live for 24 hours together. Its not like an eight-hour day where you can put on a fake thing for eight hours and then you go home. Here, this is our home. Firehouse as Home In most urban departments, firefighters work 24-hour shifts. The schedule involves a rotation of three shifts, so that two of every three days are free. Since firefighters literally live together for 24 hours, the firehouse becomes a combination of work and home, and coworkers constitute a sort of second family. Firefighters often spend more time with crew members than with their own families. The station is fashioned like home, placed in a work setting. There are officers quarters, a dormitory-type sleeping area, a communal bathroom with showers and toilets, a big kitchen and a lounge or TV room. In most stations, meals are eaten at a large table in the kitchen. Outdoor areas may also include a barbecue, a patio or a deck. Firefighters share personal living space and eat meals together while on duty. To make things work, crewmembers must be trustworthy and participate in household chores. a good firefighter is someone who can perform not only on the fireground or at a medical emergency, but also as a good roommate or family member. Challenges Although the life of a firefighter may seem exciting and glamorous, it has many challenges. Camaraderie and strong bonds between coworkers, along with respect from grateful members of the community is extremely rewarding. However, firefighting is a physically demanding and dangerous occupation. Meeting such hazards requires certain kinds of personal and social qualities, the physical capacity to do the work, the stamina to continue strenuous activity for hours with little rest. But the work requires firefighters to think on their feet, rapidly assess the problem at hand, plan a course of action and then quickly react when conditions change. Throughout an emergency, a firefighter must maintain a constant and heightened awareness, never losing sight of the broader picture while attending to a specific task. Other challenges include a work schedule that requires nights and weekends away from home, sleep deprivation due to work schedule and anxiety and a high level of stress due to exposure to trauma and tragedy. Adventure, challenge, variety, teamwork, service, skill and satisfaction are all aspects of a firefighters life. Most firefighters claim that its the best job in the world. YOU CAN DO ANYTHING IN LIFE YOU WANT TO DO YOU JUST NEED TO HAVE THE DETERMINATION AND DRIVE TO WANT TO DO IT!!! P.S. It is the best and most rewarding job I think anyone could have. All you need is a little heart and drive to be in shape and willingness to learn the ropes of fire fighting and you would do fine. Start applying at different locations and stay out of trouble with drugs and alcohol and you won’t have a problem. Good luck with your future!

Impact of transformational leadership on organizational learning Essay

Organizational Learning (OL) Literature reveals that OL improves the development by introducing new expertise, output or commercialism. Nonaka & Takuchi (1995) argued that learning is vital for product innovation which means that it is not limited to only acquisition and retention of knowledge but it is used to get the required outcomes. Knowledge oriented view of the organizations argue that knowledge and learning capacity influence the organizational performance and also direct the firm to achieve sustainable and continuous competitive advantage (Zhang, 2008). In last thirty years extensive research have been conducted on the OL and it has contributed a lot in the organizational development and change management, but still there is a little agreement on what is meant by the term OL and its nature. (Crossan, Lane & White, R.E, 1999; Huber, 1999 and Kim, 1993). The reason for this problem is that the OL has been studied by many disciplines and perspectives (Lopez, et al, 2006). According to (Argyris, 1995),† Learning occurs whenever errors are detected and corrected or when a match between intentions and consequences is produced for the first time.† (p.20). According to Huber (1991), when knowledge is acquired, information is spread, correctly analyzed, and recalled, organization learning eventually takes place. He further assumed that learning occurs in the organization if any of its unit acquires information useful to the organization. This is also supported by DeNisi & Griffin (2008) that â€Å"OL is the process by which the organization â€Å"learns† from past mistakes and adapts to its environment.† From these definitions, it is concluded that OL is a process whereby organization gets knowledge and removes the problem and adapts ... ...pply knowledge, then OL will be damaged, so organizations should have such compensation systems that motivate the employee to get, share, and apply knowledge in the organization (Wong, 2005). The findings of the study conducted by Dechawatanapaisal (2005) demonstrated that the pay for performance and recognition are the contributing factors in the organizational learning. Especially recognition that is easy to implement and does not require large investment, can increase the employee morale that support their learning. Khandekar & Sharma (2006) pointed out that improved reward system plays an important role in strengthening the learning capabilities of the organization which leads us to propose that the selective compensation and reward system that create a powerful motive for the employees to get, apply and share knowledge has a positive impact on OL.

A Root Cause Analysis Essay

Healthcare facilities that are accredited by Joint Commission are required after a sentinel event to conduct a root cause analysis (RCA). A root cause analysis is conducted to determine the cause or factors that contributed to the sentinel event. A few things must be asked in the RCA such as who, what, where, why and how in order to identify the cause. After the cause of the sentinel event is determined and a corrective action plan has been put in place a failure mode and effects analysis (FMEA) could be conducted to reduce the likelihood that it should happen again. The scenario A 67 year old male (Mr. B) was brought into the emergency room for pain to left leg and left hip. The injury occurred when the patient had a fall due to him losing his balance after tripping over his dog. The hospital is a 60 bed rural hospital located in Mr. B’s hometown. Mr. B was brought in by his son and neighbor. Upon triage Mr. B was complaining of pain 10/10 on the numerical pain scale and his vitals were found to be stable. Mr. B has a history of impaired glucose tolerance, prostate cancer, and chronic pain which he is on oxycodone. The Patient states he had no known allergies or previous falls. Upon the nursing assessment Nurse J. has noticed that the patient has limited range in motion, his left leg has swelling and appears shortened in comparison to the right. Nurse J. has informed the ED physician which he came to his bedside for evaluation. Upon evaluation the physician decided that Mr. B needed to have a reduction of his left hip, due to the dislocation and will require a conscious sedation. Mr. B requires multiple doses of medication to achieve the desired sedation affect for the reduction. Once the reduction was successful Mr. B is left with son in the room where a full set of vitals were not continuously monitored and goes into respiratory failure which lead to the death of Mr. B. Staffing on this day is the day of the event consisted of a secretary, emergency department physician (Dr. T), and two nurses (one RN and one LPN). A respiratory therapist is in house and available as needed in this six bed ED and sixty bed hospital. Events At 3:30pm- Mr. B was taken to ED for left leg and left hip pain from a fall. Pain is a 10/10 vitals include 120/80 blood pressure (BP), 88 heart rate (HR) and regular, 98.6 temperature, (T), 32 respirations (R), 175 lbs.. At 4:05pm- Mr. B was given Diazepam 5mg IVP which had no affect after 5min. At 4:10pm- Dr. T orders 2mg of hydromorphone to be given to Mr. B. At 4:15pm- Mr. B was given 2mg of hydromorphone IVP. At 4:20pm- Dr. T is not satisfied with level of sedation and orders Mr. B to be given 2mg of hydromorphone, and diazepam 5mg IVP. At 4:25pm- Mr. B appears to be sedated and reduction of his (L) hip takes place. The patient remains sedated and appears to have tolerated the procedure. The procedures concludes at 4:30pm. No distress is noted, patient is placed on monitor for blood pressure to be taken every 5 minutes along with pulse oximeter but no supplemental oxygen or ECG leads (monitors cardiac rhythm and respirations) was placed on patient at this time. At 4:30pm- Nurse J allows Mr. B’s son to remain in the room with him as he is being monitor by blood pressure machine only. Nurse J leaves the room. At 4:35pm- Mr. B vitals are BP 110/62, O2 sat is 92% still no oxygen or ECG leads are on patient at this time. EMS is transporting a patient in respiratory distress, lobby is beginning to get congested. LPN and Nurse J. in the process of discharging 2 patients and are checking in the patient that EMS has transported in. LPN enters Mr. B’s room and resets his alarming monitor that was showing a sat of 85% and restarts the B/P to recycle. LPN does not supply oxygen and does not alert Nurse J at this time. Management is not notified that patient acuity and patient load is increasing. Nurse J is now fully engaged with the emergency care of the respiratory distress patient. At 4:43pm- Mr. B’s son comes out of room and informs the nurse that the monitor is alarming with vitas of B/P 58/80 O2 of 79%. The patient has no palpable pulse and is not breathing. A STAT code is called and the son is taken to the waiting room. The code teams arrives places Mr. B on cardiac monitor where he is in ventricular fibrillation and the team begins resuscitative efforts. CPR is started and the patient is intubated. Mr. B is defibrillated and reversal  agents, vasopressors and IV were started. At 5:13pm- After 30 min of interventions the ECG returns to a normal sinus rhythm with Mr. B’s B/P being 110/70. The patient is completely dependent on the ventilator, his pupils are fixed and dilated and there is no spontaneous movements. The family as asked for the patient to be transferred out to a tertiary facility for further advanced care. Outcome Seven Days later Mr. B has died. The family had requested that life-support be removed after brain death had been determined by EEG’s. This is a sentinel event. Investigation of sentinel event should begin with a Team and method of investigation. Interdisciplinary team included in the RCA should include the Director of Nurses, Nursing Supervisor, Risk management, Nursing Coordinator, and Manager of the department. Once the team is put together the RCA should be started. The team should set up interviews with all staff that was involved and present in the department the day the sentinel event happened. A complete chart review should be conducted by team. The policies on conscious sedation, staffing of department, and standardized work should be reviewed. When the cause is identified a corrective action plan should be conducted. The corrective action plan will allow a series of projects can be put in place to help create or change polices if needed. The new or changed polices should be put into education models to teach to current and new staff as needed. The Root Cause Analysis Causative factors- (why it happened) determined cause Individual’s cause factors Nurse J did not follow procedure for conscious sedation. The patient was not placed on continuous B/P, ECG, and pulse oximeter throughout the procedure. Respiratory Therapist was not informed of the conscious sedation. LPN did not address low o2 saturation of 85% between the 4:35pm-4:43pm. Dr. T did not take in account of the patient’s weight and chronic pain medication use. Nurse J did not question the medication that Dr. T ordered. Team’s cause factors Management was not called and informed of staffing needs and acuity of patients. Back up staff was not called in to help when acuity and patient load had increased. Commination between Nurses and Dr. T were not present when the patient began to decompensate. Management /Organizational cause factors Unsafe Staffing at ED. There was not enough staff present to safely manage emergencies in the ED. RCA Findings: Errors and/or Hazards 1. Per protocol the patient was not hooked up to the proper monitoring equipment at the bedside. The facility procedure police called for continuous B/P ECG, and pulse oximetry during and after procedure until patient meet the discharge criteria. The nurse should have remained with patient during the recovery period. Crash cart with defibrillator was not present during the procedure nor was the proper reversal agents that could reverse the medication given for sedation. 2. Nursing staff communication was very poor. LPN did not notify Nurse J or ED physician when the patient’s o2 saturation dropped down to 85%. Oxygen was not placed on patient when O2 saturation dropped which led to respiratory failure causing the patient to code and eventually led to Mr. B’s death. 3. Communication between ED staff and management lacked when staffing needs increased. Patient safety was put at risk when the patient load and acuity increased in the ED and the staffing did not increase. Staffing shortage caused the nurse and nursing support staff to attend to other patients and leave Mr. B unmonitored which led to respiratory distress due to the patient being over medicated for sedation which led to respiratory failure and eventually led to Mr. B’s death. 4. The ED physician did not request the patient be transferred to the nearest trauma center due to lack of recourse’s in the emergency department. Recommended Corrective Action Plan/Change Theory/Improvement Plan 1. Improved patient safety during conscious sedation: Effective immediately all conscious sedation procedures will be conducted per protocol. Within 10 days the conscious sedation procedure should be evaluated by a committee to ensure the best practices are being used. Within 30 days of this RCA all  staff should be educated on conscious sedation protocol. All nursing staff should use review protocols for conscious sedation before a conscious sedation procedure is to take place. 2. Communication within the department should be evaluated immediately by a group of staff members to find out where the miscommunication failure lies. This could be that the nursing support staff is unaware of the parameters that should be reported to nurse or physician. With 10 days of this RCA a policy on documentation of communication should be put in place to ensure that all nursing staff are documenting the communication of a patients change in status has be reported to physician. Effective immediately all nursing support staff should be educated on parameters that should be reported to nursing staff and physicians. This should be put into a policy along with documentation of communication. 3. Improved patient to nurse ratios: Management should put in place a safe nurse to patient ratio for the emergency room. Communication policy between department and management should be put in place effective immediately to ensure that no other patient should be placed in harm’s way due to staffing shortage. The emergency department should be put on diversion if the patient load and acuity places patients at risk for harm in any manner. A copy of the RCA should be given to management and leadership. Management should share the finding with all emergency department staff. Feedback should be done 30 days after corrective action plan or change theory have been put in place to ensure that everything that has been put in place is effective for the department to improve patient safety. Constant reevaluation of patient safety should be conducted and feedback given to improve patient safety by all providers involved. Management will continue to ensure that all staff follow all protocols to ensure that patient care and safety are not compromised. At a 90 days bench mark after the corrective action plan has been put in place management should revisit the any changes made to protocols and polices to ensure compliance and effectiveness is still in place and reevaluate the process to ensure patient safety. Failure Mode and Effects Analysis (FMEA) A Failure Mode and Effects Analysis is proactive versus the RCA which is reactive. A FMEA assesses a process for risks of failures or adverse effects of a process and prevents them by correcting what is wrong proactively  (Institute for Heathcare Improvement, 2004). A Healthcare facility may use FMEA tools on the Institute for Healthcare Improvement website to evaluate a process in the facility. This tool will calculate a risk priority number (RNP) of a process, evaluate the impact of the process and the changes that are being considered, and tract the improvement over time (Institute for Heathcare Improvement, 2004). PRE-FMEA 1. Step one: Select a process to be evaluated with FMEA. The FMEA for this paper will focus on the conscious sedation protocol. 2. Step Two: Recruit a multidisciplinary team and include a member from every department that may be involved or affected. This team for the conscious sedation protocol should will include. Registered Nurse Physician Management Pharmacist Respiratory therapist A member from Legal Laboratory Tech Emergency Department Tech 3. Step Three: Information needs to be gathered by the team. A list of steps in the process being evaluated should be put together or even an outline of steps would be helpful to the team. All internal and external data, clinical practice guidelines, current policies and procedures, current literature and any other information that may pertain to the process that is being evaluated. For the purpose of this paper we would use data on outcomes of conscious sedation protocols, RCA’s on bad outcomes, clinical practice guidelines and any research documentation that would aid in best practices for conscious sedation. Team meetings should be structured with an agenda. A leader or primary person with extensive knowledge of the FMEA knowledge (Department of Defense Patient Safety Center, 2004) 4. Step Four: The Team should list the failure modes and causes. In each process all failure modes should be listed, and then for each failure mode a list of possible causes should be listed as well. In this scenario we will use this as an example Preparing medication Wrong medication prepared Wrong dose prepared 5. Step Five: A Risk Priority Number (RPN) will be assigned to each failure mode for the likelihood of occurrence, for the likelihood of detection, and for the severity. This step is also known as the three steps FMEA. The RPN is a numerical rating. For this scenario here is an example Likelihood of Occurrence: This will measure the likelihood a failure mode is to occur. The score range will be 1-10 with 1 meaning it is very unlikely to occur and 10 meaning very likely to occur. Example- Wrong medication prepared = 5 Likelihood of Detection: This will measure the likelihood a failure mode is to be detected if it should occur. The score range will be 1-10 with 1 meaning it is very likely to be detected and 10 meaning very unlikely to be detected. Example- Wrong medication prepared = 6 Severity of occurrence: This will measure the severity of the failure mode should it occur. The score range will be 1-10 with 1 meaning no effect and 10 will be death should a failure mode occur. Example- Wrong medication prepared= 9 6. Step Six: The team will evaluate the results. For each failure mode the three scores are multiplied with each other. The failure mode with the highest RPN will be the one that will be evaluated by the team to ensure patient safety. The higher the RPN a failure mode has the higher the potential for harm it may cause. The RPN score can be as high as 1,000 and as low at 3. Example- Wrong Medication Prepared Occurrence- 5 Detection- 6 Severity- 9 5x6x9= overall score =270 7. Step Seven: An improvement plan will be made based on the RPN. Likely to Occur. Have a triple check put in place. Have team attempt to eliminate all possible causes. Example-Have medication scanned when pulled from Pyxis to check providers order. Have patient scanned before medication may be prepared to check providers order. Have patient and medication scanned to ensure correct patient with the correct medication and proper providers order. Unlikely to be detected. Look for warning signs that the error may not be detected. Use data from any previous or prior errors. Severity. Use any data available to determine severity of error. Make available any and all resources to prevent further errors and severity of errors. Final Step- The final step in the FMEA is to plan an observation or test. A plan should be clear of its objections and should have some sort of predictions or outcomes. During the test all data should be documented. In this data collection phase all observations including problems or unexpected issues should be documented and later evaluated. After the test is complete and all data collected the team should meet for analysis of the data. A summary of the analysis should be documented. All changes or modifications to the process will be based on the test and analysis of data conducted. Any and all changes should be communicated to all staff members. These changes may or may not show improvement to the process, this is why constant reevaluation of all process should be conducted and any feedback should be given to leadership for the reevaluation of the process. Nurses play a vital role in health care. Nurses have the most contact with a patient. Nurses carry out any orders and or processes. A nurse is the patient advocate, they are the ones who will advocate for patient safety. Nurses are the advocates who will be looking for evidence base practices to improve patient care and patient safety. Improving quality of care for each patient will improve the outcomes for each patient. References Department of Defense Patient Safety Center. (2004, 12 26). Failure Mode and Effects Analysis. Retrieved from FMEA Info Centre: http://www.fmeainfocentre.com/handbooks/FMEA_Guide_V1.pdf Institute for Heathcare Improvement. (2004). Failure Modes and Effects Analysis (FMEA). Retrieved from Institute for Heathcare Improvement: http://www.ihi.org/resources/Pages/Tools/FailureModesandEffectsAnalysisTool.aspx

Bipolar Disorder The Most Serious Mood Disorders

â€Å"When you are mad, mad like this, you don t know it. Reality is what you see. When what you see shifts, departing from anyone else s reality, it s still reality to you† (Hornbacher, 2008). The purpose of this paper is to educate viewers on bipolar disorder. Bipolar disorder is one of the most serious mood disorders around because of the severe affects it has on a person’s mind, behavior, family and basic daily functioning. â€Å"Approximately 5.7 million† Americans have bipolar disorder (Bipolar Disorder Statistics - Depression and Bipolar Support Alliance, 2013). Bipolar disorder is a manic-depressive illness that causes shifts in behaviors, mood, and energy which in turn then affect one’s social functioning. The term â€Å"ups and downs† is just a glimpse of what someone with bipolar disorder experiences. Basically, people with bipolar disorder experience tsunamis of emotions that bring them down so low they can become suicidal or bring them so high, they can act like the Tasmanian devil from looney tunes (to an extent). Bipolar disorder is divided into two categories – bipolar I and bipolar II. Bipolar I is a more severe than bipolar II. People with bipolar I experience mania accompanied with irritable mood. This type of mania or manic episode involves delusional thinking. The manic episode can only be diagnosed if it is accompanied with three or more symptoms on a daily basis for a minimum of one week. Usually, hospitalization is a necessary if the individual isn’t takingShow MoreRelatedBipolar Disorder ( Bipolar )847 Words   |  4 Pagesâ€Å"Bipolar Disorder† Bipolar Disorder is a mental illness, which involves hypomanic episodes, which are changes in someone’s usual mood. 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Bipolar disorder is a disease that affects approximately 2.6% Americans in the United States in a given year. There is limited data on the rate of bipolar in adolescents, although, it does tend to affect older teens more often and may be related to substance abuse. A lotRead MoreBipolar Disorder : A Serious Mental Illness980 Words   |  4 PagesBipolar Disorder I decided to do my research paper on Bipolar Disorder. The reason I chose to do my paper on Bipolar disorder is because it is a serious mental illness. Those with bipolar disorder often describe their experience as an emotional roller coaster. Going up and down between strong emotions can keep a person from having anything approaching a normal life. The emotions of a persons’ behavior with bipolar disorder experience as beyond ones control. This condition is exhausting not only forRead MoreAlcoholism : A Common Co Occurring Disorder1628 Words   |  7 PagesAlcoholism Alcohol is the most commonly abused drug in the United States. Alcohol abuse is defined as a pattern of drinking that results in failure to fulfill responsibilities at work, school, or home; drinking in dangerous situations; having recurring alcohol-related legal problems; and continued use despite having medical, social, family, or interpersonal problems caused by or worsened by drinking (APA, 1994). Approximately fourteen percent of people experience alcohol dependence at some pointRead MoreBipolar Disorder And Mental Health1691 Words   |  7 Pagesaffected by bipolar disorder. Bipolar disorder is an illness that occurs with the brain and causes abnormal shifts in mood and energy. An individual with bipolar disorder will experience many ups and downs. These ups and downs are way different from the ups and downs an individual without the disorder will experience. Bipolar disorder is a lifelong condition and if not noticed, or treated properly, the ups and downs can become severe. Many individuals in United States, who have the bipolar disorder, don’tRead MoreSymptoms And Symptoms Of Early Onset Bipolar Disorder1742 Words   |  7 Pages Early-onset bipolar disorder is a chronic mood disturbance that causes dramatic shifts in one’s mood that is uncharacteristic of their normal mood and behavior. This hereditary behavioral disorder causes mood swings from extreme lows, depression, to extreme highs, mania. It usually occurs in mid- to late-adolescence but can appear as early as elementary school. The unique symptoms of this age group are angry and aggressive outbursts followed by periods of remorse and guilt, declining academic performanceRead MoreMental Illness, Schizophrenia, And Eating Disorders1380 Words   |  6 Pagesstatistic most often quoted is that one in four adults and one in five children will have a mental health disorder at some point in their lives. (What is Mental Illness? n.d.). The overall stigma that comes along with a mental disorder is still one of the biggest barriers that prevents those from obtaining treatment or retaining their treatment. â€Å"While there are over 200 classified for ms of mental illness, the five (5) major categories of mental illness are: Anxiety Disorders, Mood Disorders, Schizophrenia/PsychoticRead MoreBipolar Disorder And Major Depression1358 Words   |  6 PagesMood disorders are characterized by unstable emotions, which are not always completely within the individual s control. Mood disorders are one of the most common categories of psychological disorders, and the two most common disorders within this category are bipolar disorder and major depression (also known as clinical depression). These disorders often require a patient to take medications to regulate their mood, which is often paired with psychotherapy or â€Å"talk therapy.† While they are common