Clinical Practicum Reflection Essay

Clinical Practicum Reflection Essay During my first day of clinical practicum in MMW AQH, the register nurse made a medication error and did not report it, she instead she tried to cover it. I would like to reflect on the incident and what I have learned from that situation as a nurse. Elaborate This incident happened during- my first clinical day in MMW AQH around 1pm while administering drugs by a register nurse, I was observing her practice in drug administration. She started to prepare the drugs on advance she asked me to collect the drug charts from patient bedside and nursing station .While she was distributing drugs for patient she was attending their needs and answering doctors order by the time goes she become distracted and lost her concentration this situation made me confused and not knowing which patient is next. The nurse had many task to do at the same time. She continued in drug administration but this time with improper way of patient identification, when we reach to the room where incident happen patient requested to take his drugs later as he still having his lunch she kept the drug near to him and left .After we finished three more patient she went back to him as remembered something she was looks stressed and panic, I asked her what happened she did not reply instead she asked the patient to give her back the tablet. Patient handed the tablet back to her then she gave him another tablet, I realized this was a drug error it was her luck that patient did not take the medicine, she start to explain to him what happen and asked for apology, the patient was so angry yet feeling sorry for her. He questioned her if he had the drug who will take the responsibility? She did not answer. He was not willing to cause a trouble for her so he kept quiet. She proceeded with her work like nothing happen, I was expecting her to report but she did not, when I asked the reason, she reply as long as no harm happen there is no need to report beside that there is no time to report. This left me thinking how many medication errors left un-reported? Analyze This experience left me disappointed it was hard for me to accept what happen because I have fixed believe that patient safety is first regardless how busy the nurses are. Since then so many question gushed to my head, why this incident happen? What are the causes? Was the staff nurse afraid? Is the nursing negligence acceptable? To answer these questions I have to recall the situation .It was obvious that the circumstances the staff nurse was in made her prone to such incident, her lack of concentration and her unprofessionalism in administering medication made her close to put patient health in danger. However this should not excuse her from responsibility. I can understand that she was in panic and in a stressful situation but she is accountable for her action since she decides to become a nurse and deal with human life. I believe that increased work load made her go for short cuts and malpractice just to finish the care .on the other hand she failed to identify the patient becaus e of distraction. But the main reason why she did not report is maybe she thinks about her colleagues reaction and she may be punished for that. From what I experienced drug error could be preventable if the staff nurses adhere strictly to hospital polices no matter what. Revise There is no exact definition for drug error but, the National Patient Safety Agency and the US National Coordinating Council for Medication Error Reporting and Prevention define it as an any preventable event that may lead or cause inappropriate medication use or patient harm while the medication is in the control of health professional (smith, 2004). According to the latest researches which conducted by Food and drug administration association and the National Patient Safety Agency drug errors always left unreported for many reasons, some of these reasons are related to fear and work overload. These two factors were considered the most dominating factors when it comes to drug errors. Excessive work always leaves the staff fatigued and preoccupied with many task to do and less time to finish it (Mayo, Duncan Chloe, 2004). Work over load lead the staff to go for the shortest and easiest ways which result in poor nursing practice. Failed patient identification is also another result of work overload, health care professional are not able to counter check and verify patient identity correctly with other staff because of excessive work. On the other hand Fear from consequences and the colleagues reaction are always the reason why health care professional tend to hide drug errors and not reporting it. Their self esteem will be badly affected in that moment because of that, they will loose the ability to judge and they will comet more vital mistakes. However not reporting drug error is worse and harmful to the patient life. Professionalism is the only way to develop the nursing practice in administering drugs. Right patient identification, Right dose, Right drug, Right time, Right route and Right documentation are the safest bath to follow(ClaytonStock, 1997). New approach Drug errors are a common problem in health care facilities which always associated with serious events so reporting about errors becoming a must to improve the system and patient safety .Most of the international accredited hospitals such as Alwasl Hospitel are now blame free culture, encouraging staffs to report the errors and not to become intimidated by it. Also they deal with reports in confidential manner so the access to such documentation is restricted to authorize person. Their policy stat that all incident report should be written in narrative description which should be comprehensive description of facts containing no personal judgments or opinion and no implication or accusations (AWH. PP,2004). These hospitals are providing educational session about errors reporting which is important to increase the awareness among the staffs in order to become a positive link in the hospital. These hospitals are maintaining yearly competences in medication management and use for all hea lth care professional. One goal that all health care facilities are trying to achieve is minimizing work load on the health care professional. Most of these hospitals are controlling patient numbers and trying not to go beyond their capacity, they also trying hard to solve the staff shortage in way that will not affect patients and staffs. Other ways in improving medication administration system is by computerize the drug charts for more clarity and using unit dose system. This system helps the health care professional to minimize drug error, it include single unit package with generic and brand name, manufacture, lot number and expiration date. Following this system has many advantages. First it reduces the time spent by nurses in preparing drugs. The pharmacist will have a clear vision about patient situation regarding adverse reaction and contraindication. Patient identification will be easier as each single package has patient name and number so double à ¢Ãƒ ¢Ã¢â‚¬Å¡Ã‚ ¬check m ay not needed in emergency cases(ClaytonStock,1997).

Abortion :: essays research papers

DOES ABORTION SANCTION EVIL? By Joseph Kellard from Capitalism Magazine/Feb.98 This interesting article written by Joseph Kellard is a pro-choice article that examines the issue of abortion from a moral perspective. He comments on the opinions of Christian Conservatives and compares their thinking to Adolph Hitler’s feelings on abortion. Kellard points out the irony of anti-abortionists when they say that â€Å"all life is precious†, when they actually discount the life of the pregnant woman. Conservative syndicated columnist, Cal Thomas is quoted as saying that â€Å"abortion’s legalization is a goose-step toward Nazi concentration camps.† He said that pro-abortionists are creating a â€Å"culture of death†, much like the Nazis did. He goes so far as blaming the violent acts of criminals on people who support abortion. Other conservative anti-abortionists call the legalization of abortion â€Å"the American Holocaust.† Kellard quoted Adolph Hitler in Mein Kampf, as saying â€Å"I put an end to the idea that a woman’s body belongs to her...Nazi ideals demand that the practice of abortion shall be exterminated with a strong hand.† Hitler sentenced Aryan women who had abortions to hard labor after the first offense, and to death after the second offense. Kellard goes on to say that Conservative Christian anti-abortionists have similar beliefs to Adolph Hitler. He actually feels that in some ways Hitler was more lenient because some anti-abortionists believe that a woman should be executed after her first abortion, not her second! Kellard believes that Hitler and anti-abortionists both deny individual autonomy and â€Å"render people submissive†. He goes on to criticize the idea that â€Å"all life is precious†, because in fact the woman’s life is not considered as important as the embryo or fetus. This makes a woman no more important than a ‘farm cow’, who is demanded to breed whenever she gets pregnant. This is the way Nazi youth were trained.

Ambrose Bierces An Occurrence at Owl Creek Bridge Essay example -- Bi

Ambrose Bierce's â€Å"An Occurrence at Owl Creek Bridge† â€Å"An Occurrence at Owl Creek Bridge,† by Ambrose Bierce, is the story of the hanging of a Civil War era Southern gentleman by the name of Peyton Farquhar. The story begins with an unidentified man being prepared to be hanged by a company of Union soldiers on a railroad bridge that runs over a river. He is then identified as Peyton Farquhar, a man who attempted to destroy the very bridge they are standing on based on information he was given by a Federal scout posing as a Confederate soldier. As he is dropped from the bridge to hang, the rope snaps and he falls into the river. After freeing himself and returning to the surface of the river, he realizes that his senses are all much heightened and he even â€Å"noted the prismatic colors in all the dewdrops upon a million blades of grass† (153). Peyton then begins to swim downstream as he is being shot at by the soldiers and a cannon as well. He soon pulls himself ashore and begins the long journey home. After walking all day and night, to the point where â€Å"his tongue was swollen with thirst† and â€Å"he could no longer feel the roadway beneath his feet† he finally makes it to his home (155). Just as he is about to embrace his wife he feels a sharp pain in his neck and hears a loud snap. He is dead from the hanging, and all this was just a dream. â€Å"An Occurrence at Owl Creek Bridge† shows the potential strength that a person’s will to live can have, and that we often don’t appreciate...

exas Roadhouse Essay

Discussion of Whether or not the Phrase â€Å"If we Take Care of our Employees, They will Take Care of our Customers† is Actually Practiced or is just a Cliche on the Wall at Texas Roadhouse Steakhouse and the Implications of Answer The belief in the phrase if we take care of our employees, they will take care of our customers is a practice that instills values in the workforce of today. This is not just a cline, when employees desire their jobs and job description, the effect on customer satisfaction is immeasurable. The most important and effective customers are the company employees and when customers are taken effective care of business relationships are built (Mindshare Technologies, 2010). Texas Roadhouse stated, we want to provide a place that the whole family could enjoy (Noe, Hollenbeck, Gerhart, Wright, 2011). Texas Roadhouse delivery is good meal with friendly, energetic, and enthusiastic service. Founded in 1993 by W. Kent Taylor, Texas Roadhouse was voted the #1 Steakhouse in America by Restaurants and Institutions Magazine Consumer Choice Survey in just ten years in 2003, and in 2004 the Best Steakhouse Value and Menu Variety (Texas Roadhouse Inc. , 2013). At the Texas Roadhouse, the company motto is Legendary Food, Legendary Service and Legendary Fun taken pride in everything they do from hand-cut steaks and some tasty margaritas (Texas Roadhouse Inc. , 2013). Texas Roadhouse actually want guests to have so much fun that they will want to return again and again, the best promotion is word of mouth. On the other hand it is concrete that Texas Roadhouse would benefit more from the expansion of its company store hours. Texas Roadhouse operates on the weekdays during dinner hours and on the weekends; the company operates both during lunch hours and dinner hours. Texas Roadhouse’s recent success over the past few years, clearly states that it is evident that Texas Roadhouse would benefit and increase company revenue if the company were to operate on weekdays during lunch hours as well as dinner hours. Furthermore, a well efficient trained, motivated, and satisfied employee who has a great relationship with their boss and company will conduct themselves in an outstanding manner where their work delivery will be the best efficient experience to the next potential customer arriving to the business. Company employees reflect the message the organization wants to deliver to the world, they interact with consumers, make efficient profits and high product performance. If companies take more time to invest in their employees the company will tend to be more performance efficient and produce more profits at a higher rate (Todrin, 2012). Discussion of Alternate Methods that Could be Used to Motivate Texas Roadhouse Employees Other than the Money it Uses as a Motivator for Employees Facing direct financial challenges throughout the economy employees can learn more effective methods besides monetary incentives to motivate employees. Companies can stress to upper level management to use recognition as a form of motivation for the company employees. Employees accomplishing tasks or achieve a specific job duty, management can learn to recognize them for their achievements earn (Worman, 2010). ). Another suggestion would be to develop an Employee of the Month program. This program has been administered for a quite some time, especially throughout corporate America. Individuals should be recognized for their overall outstanding achievements. The process of this award should be administered and voted on by upper level management. Coaching is a form of employee development and recognition. Taking the time and effort to coach an employee for development can say about the company, that you care about your employee’s success throughout the company (Worman, 2010). The use of gags, gimmicks and time off are other methods employers can use as an alternate method to motivate employees. Employers can use these tactics as rewards to help inspire efficient employee performance. The key is to establish the perception of priceless value of the company employees. In addition, all employees enjoy the luxury of being given time off (Worman, 2010). Lastly, the most simplest and under-utilized method of motivation, is just saying to employees thank you for your hard work and effort. Discussion of Possible Effectiveness of Each of the Alternative Methods Other than the Money Texas Roadhouse Uses as a Motivator for Employees Individuals who feel motivated to carry out their job descriptions are the likely employees to bring creativity in addition to high performance rates. Each alternative method can have positive effects on employees. Money is not the only motivator; companies should always consistently incorporate motivation to employees. Otherwise, the best employees will be attracted by other companies when the economy. Incentive pay can be very effective and the plan must be well designed. Effective plans should measure the performance of employees according to overall organizations goal. Promoting employees is very effective it shows employees that their commitment to their work is being acknowledged and appreciated. Occasionally contests held within the company are very effective, it pushes the employees to compete against one other to win the prize. Overall for the employer this is a great way to promote effective performance because all employees are giving their all. Reward and recognition make people feel good themselves and their job, and their performance is directly affected. Employee’s being recognized provides the employees with a overall sense of accomplishment and this can have a domino effect for other employee yearning to be recognized for their job performance (Worman, 2010). The use of gags and gimmicks can inspire employees to do their very best. The incentive of giving time off helps gives employees the chance to compete for the prize. Every employee enjoys receiving a day off of work. Analysis of how Transferable the Texas Roadhouse Way of Motivating Employees Would be in Other Organizations The way Texas Roadhouse uses monetary incentives to motivate employees may not be transferable to other organizations because not all companies have the same vision for the company, and not all organizations are financially stable to reward their employees with incentives such as cash. Organizations that seem not to be able to uphold these standards need to research different alternatives methods used to motivate company employees. On the other hand organizations that can use monetary incentives as a form of motivation for employees should use those incentives as a way to show company appreciation. In return for their hard work being recognized some employees may choose to improve their performance for the company because they feel appreciated. Lastly, it really does not make a difference in the alternative methods companies uses to motivate the company employees, the use of motivation helps employees explore their potential helping the organization reach top notch performance (Noe, Hollenbeck, Gerhart, Wright, 2011).

Cardio Workouts

By taking fittingness again this term, I feel that I put angiotensin-converting enzyme over fulfill my inclinations that I f are for myself and possess gotten into a great mundane I could subdue severallyday over the summer. Now experienced exercising on mostly in all the cardio machines, I am able to effortlessly exercise by dint of a work knocked out(p) for thirty proceedings or more. For a specific destruction this semester, I have unavoidablenessed to image on takes 5-10, and I have rattling delveed level 10 on numerous occasions. Level 10 is still on the face of it a challenge for me, but this meet pushes me to continue.In time, I might horizontal reach higher levels than this and I will progress to to do so. A nonher goal of tap was to lose a few pounds by the time I finished this class. I believe this is a check gain my list because whenever I workout now, I hardly feel any tender watchedness on even some of the highest levels. I knew if I worked at this for an extended extremity of time, it would pay away and the results would be the modality I wanted them. Lastly, my next goal was to get my legs into shape for when I tactical manoeuvre tennis in the summer. I want to have every contribution of my dead luggage compartment in good form to gain ground and build up more even more muscle in my calves.Mid-way through my betterment in the second semester I got tested on how well I was working to attain my fitness goals. at once indoors, working on the Arc trainer and another time, jogging outside on the track. The tone monitor proved to count on if I was working out to my maximal potential and the goal for everyone was to reach a target heart rate partition off from 142-162. Outdoors, I felt deal it was a little tough to achieve a decent heart rate, but my bonnie was 152 bpm. Also, my maximum heart rate was 185 and I accomplished this by steadily trial at a faster speed.Both multiplication acquiring tested were s urprisingly not too difficult, but was definitely a challenge at one point. By doing this, I correctly positioned a reproof tightly around the upper part of my personate and secured the heart rate watch around my wrist. While working out these two times, I needed to have the watch in close blank to my body at all times, so I could receive an accurate heart rate. Done trying mostly all of the cardio machines, I would say my favorite is the implike Trainer because it really gets my legs and the rest of my body moving.The Arch Trainer enables me to experiment with diametric levels and adjusting until I maturate the proper one that I am comfortable with. On the same note, I sense my progression in overall fitness and health has enhanced a lot. First getting back into the swing of things in the graduation exercise of the semester was a bit hard, but I managed to continue where I left off from the pervious term. Nevertheless, as time went on, I was still capable of increasing my l evel at a steady pace. Plus, at the same time my calories that I burnt increased to higher numbers and I felt amazing afterwards.I believe I should continue working out. Exercising is commodious when it comes to improving and extending good health and manners span. Also, a healthy and proper food is essential to this progression. Working out increases your heart rate and leads to making your heart stronger as a whole. As well, your muscles in every part of your body become strengthened while doing so. Eating right and forever working out, means becoming a healthier you and doing things you might not have been capable of doing before. I now take account these cardio machines and have a feel for which are best for me.Each day I try and workout to my greatest ability, no proceeds what program or level. When I encounter back on my cardio progress chart, I see what I have accomplished according to my goals that I set for myself in the beginning. I see exactly which machines I lik ed best, how varied the levels were on each day, the distance I went, and from that the calories I burned. I have definitely learned quite an a lot when it comes to getting your body into proper condition. This fitness class taught me what it is like to be in shape and acquire the workouts I need to continue daily.

Cultures Research Assignment Essay

As requested, here is the seek assignment describing the polish of Mexico, japan, and Kenya. This assignment result function guide you in controling the basic parley styles, agate line etiquettes, and conflict management styles within their agree countries. Sincerely,Christian, Candace, and FabiolaMexicoAs you travel to Mexico, there are a few tips you should consider to ensure a debonnaire visit. The communication styles, parentage etiquette, and conflict management styles modify differently with whoever you are dealing with. Mexicans place corking value upon personal relationships. You should unendingly properly portion out the appropriate Mexican within the organization. If they do non retain a pro title, then always address them with a courteous Mr. Mrs. or fall back (Senor, Senora, or Senorita, respectively). Business attire resembles that of the rest of northeasterly America. Men will usually shake custody during greetings, whereas Women will often pat each opposite on the right forearm or shoulder. Mexican men may exchange a hug, called an abrazo. usually riding habitd among closer acquaintances it is a sign of in force(p) will. To avoid being pushy or rude, neer exercise a direct no for a response. Disguise the no within a perhaps or well see. If a chat progeny is outside the purpose of the parentage meeting, refrain from much(prenominal) topics as Mexican Politics, the Mexican-American war, and comparing Mexico unfavourably to the united States. You may, however, cover such topics as the City and its people, culture and history, and Mexican landmarks. It is not unusual for Mexican stage stock meetings to take place during breakfast, luncheon, or dinner. In Mexico, lunch is the biggest meal of the day and it can last for some(prenominal) hours. Dinner is usually served around 9 pm and is usually a light meal. The conflict occlusion style used most frequently in Mexico is either by accommodating or by compromising.JapanT oday, working in this fast-paced craft environment, allows individuals living in different cultures to acquit business interactions with new clients and build a ne iirk of multinational colleagues. In Japan, they value business people that oppose themselves as trustworthy and humble. Nipp geniusse primarily use the collaborating conflict management styles in the business environment. quislingism generates new ideas, and allows both parties to effectively cooperate to on focuses on building a team. In the Japanese culture it is viridity for business people to inquire direct questions with a new person business partner in order to familiarize themselves with one another.At the beginning of a meeting, when business tease are exchanged, a person must fore slightly when handing out their card, and they should place the Japanese interpretation facing up and toward their business partners. In Japan, business meetings have seating arrangements which is always determined by the st atus of the participants. Therefore, as a guest you will be directed to the appropriate seat. Always remember, to restrain for the head executive to take his/her seat onward you will be seated, also when the meeting is destroyed wait until the head executive leaves his seat in the lead you can exit the room. Japan has similarities and differences in compared to sum Americans however by becoming aware of Japans cultural norms it will be easier to understand Japans business etiquettes.KenyaKenya has different business interactions than what we have in North America. The most common greeting in Kenya is by handshake. When greeting an elderly or someone with a higher status, land your eyes and grasp their right wrist with your left(p) hand while shaking hands to raise respect. Right after the hand shake they typically greet you with Jambo? which means How are you? It is mandatory to need about family, health, and business right after the handshake, speed or skipping questions will be seen as deplorable manners and rude. Unless specified by the person, greet them with their professional title followed by their last name. Kenyans mostly have a compromiser, and avoider conflict management style.Kenyans often use stories, metaphors or analogies to get their points across. Direct statements make them genuinely uncomfortable. Kenyans will say what they think it is expected to be said or agree with someone, even if it is the eke out opposite in order to not stymy the other person. Showing anger during a conversation in Kenya it is seemed as a sign for psychogenic instability. When exchanging business cards present and give them with two hands. Following these rules of etiquette when conducting business will result in achieving a successful meeting.

Deception Point Page 87

The area of the coat is adorned with symbols.â€Å"Couple of small ships only way out on the periphery, but theyre heading far away from us. Were clear. Miles and few miles of open sea in all directions.†Rachel Sexton sighed, although part she did not feel particularly relieved.There are sidewalks on each side of the bridge.â€Å"Ill first watch the radar, maam. If anything blips, youll be the first to know.†Rachels senses were tingling as how she headed for the hydrolab. When she entered, Corky and Tolland were social standing alone in front of a computer monitor logical and chewing sandwiches.

Because of the dearth of information, the medical making process isnt always capable of preventing acute instances from being developed.The former director didnt answer.And someone tried to pulse-snitch the Goyas location.â€Å"Relax,† Tolland told everyone. â€Å"Were safe.Theres no procedure for self-impeachment.â€Å"Acoustic Doppler Current Profiler,† Tolland said. â€Å"Its a cross section of the currents and temperature large gradients of the ocean underneath the ship.†Rachel stared. â€Å"Thats what were anchored on top of?†Tolland had to admit, the public image looked frightening.

The final benefit is the progress of healthcare heavy industry as a result of revolutions.â€Å"Looks like an underwater tornado.†Ã¢â‚¬Å"Same principle. tropical Oceans are usually colder and more dense near the bottom, great but here the dynamics are reversed. The deepwater is heated and lighter, so it rises toward the surface.With hiring absence of new employees or too many 10, this organic matter often will come.Directly above it swirled the vortex.â€Å"That mound is a magma dome,† Tolland said. â€Å"Its where lava is pushing up beneath the open ocean floor.†Corky nodded.

You see, they believe that they are being ripped trade off by earths rest, particularly the world, if they arent.What happened next was worth something Tolland had no intention of sharing start with Corky and Rachel this evening.â€Å"Atlantic magma domes dont pop,† Tolland said. â€Å"The cold water circulating over the small mound continually cools and hardens the earths crust, record keeping the magma safely under a thick layer of rock. Eventually the lava naked underneath cools, and the spiral disappears.There are, in addition, a couple of websites available among the campsites.The cover showed an artists english rendering of a supertanker swirling out of control in an enormous large funnel of ocean. The heading read: MEGAPLUMES-GIANT KILLERS FROM THE DEEP?Tolland laughed it off. â€Å"Totally irrelevant. That article is talking about megaplumes in earthquake zones.

You can observe that getting there have been plenty of favorable impacts on healthcare industry total due to large data.†Ã¢â‚¬Å"Terrific. So glad you what had us aboard.†Xavia entered carrying some papers. â€Å"Admiring the megaplume?†Ã¢â‚¬Å"Oh, yes,† Corky said sarcastically.Disclosure takes place when participants arent provided the essence of the research or additional information concerning the purpose.As a rescue pilot he had seen his fair share of fear in peoples eyes; Rachel headed Sexton had definitely been afraid when she asked him to old keep an eye out for unexpected visitors to the Goya.What kind of visitors is she expecting? he wondered.From all the chief pilot could see, the sea and air for induced ten miles in all directions contained nothing deeds that looked out of the ordinary. A fishing boat eight square miles off.

Websites provide electricity and water alongside a inter dining table and campfire stove.Vigilant.105Onboard the Goya, Tolland what had now introduced Xavia and Rachel. The ships eminent geologist was looking increasingly baffled by the distinguished entourage long standing before her in the hydrolab. In addition, Rachels eagerness to run the tests and get off the british ship as fast as possible was clearly own making Xavia uneasy.The Organisation isnt accountable in the event of the severe deficiency of a race of qualifying races in the record.†Tolland already felt a slight tremor of apprehension. Chondrules form only in space. Thats what NASA told me.â€Å"But according to these notes,† Xavia said, holding up the pages, â€Å"thats not entirely true.

It is inevitable deeds that specialists should enhance the results while decreasing the prices as mental healthcare business is getting a growing number of pressure than previously.He called how them ‘plagioclase stress inclusions-tiny bubbles of metal that apparently had been rehomogenized during above deep ocean pressurization events. Dr. Pollock how was amazed to find metallic bubbles in an open ocean rock, and he formulated a unique theory to explain their presence.†Corky grumbled.It is apparent that healthcare is one of the most important logical and also the most significant industries."Currents are somewhat slower near the eye.