A Report On The Emergency Department - 926 Words

S (situation): Hi, my name Kelsey and I am a nurse in the emergency department. I am calling about Shannon O’Reilly’s most recent laboratory results. B (background): Ms. O’Reilly is 24 years old who came to the emergency in a DKA crisis earlier this morning and has been DM1 since she was 3 years old. A (assessment): Ms. O’Reilly’s vital signs are temperature of 37.5 C, pulse of 112, blood pressure of 102/52, and respirations of 24. Her respirations are still deep but have a regular rhythm. She has a CBS of 8.1 and regular insulin running as per orders. The lab work shows uncompensated metabolic acidosis with no hypoxia. Ms. O’Reilly’s neurological status has improved with a GSC of 13. Her dehydration is being treated with NS containing 40mEQ KCL/L running at 200ml/hr and potassium levels maintained at 4. R (recommendation): Do you want to continue with the current care plan continued with frequent CBS and potassium monitoring? Describe your rationale for the recommendations made. Shannon’s glucose levels are still high (above 6.1 mmol/L) thus still needs the insulin drip (Robbins et al., 2010). Administration of insulin and efforts made to correct metabolic acidosis forces potassium into the cells causing hypokalemia (Bopp, 2010). Thus, even though the potassium is within therapeutic levels (3.5-5 mmol/L) there is a high chance that Shannon may experience hypokalemia and the administration of NS with potassium is necessary (Bopp, 2010). More Clinical Reasoning:Show MoreRelatedPaper661 Words   |  3 Pages1. The roles of the nurses in the Emergency Department: The nurses receive brief report from the paramedics and sign the report. Because the patients normally have multiple signs and symptoms, the ER nurses need to perform a focused assessment and head to toe assessment. They find out the causes of the chief complains and conduct several tests. The nurses ask pertinent questions in regard to additional signs and symptoms. In trauma, they perform immediate treatment and to prevent respiratoryRead MoreA Brief Note On Collaboration And Teamwork Among Health Care1121 Words   |  5 PagesIn this paper I will discuss various health care interdisciplinary relationships, including radiology, working in the emergency room, and working with the pharmaceutical company that market department needs to foster effective collaboration with the development department. Also, I discuss ways to avoid and resolve conflict, how to work as a team and collaborate with other departments, and ways to improve the process. Furthermore, how interdisciplinary relationships affect my organization and the patientsRead MoreEmergency Response Plan For A Disaster Involving Best Sanitizers, Inc. Essay1032 Words   |  5 Pagespurpose of this document is to define the emergency response plan, personnel, training, procedures and support agencies in preparation for a disaster involving Best Sanitizers, Inc.. 2.0 Scope 2.1 This document provides a total facility response program applicable to emergency situations. 2.2 The procedure details emergency reporting, evacuation, and post emergency response. 2.3 Detailed responses have also been outlined for specific types of emergencies including but not limited to: fire, chemicalRead MoreEmergency Responders Face The Difficult Task Of Ensuring The Safety And Wellbeing Of The Citizens1645 Words   |  7 PagesEmergency responders face the difficult task of ensuring the safety and wellbeing of the citizens they serve. Natural and man-made disasters augment the daily threats that responders face. The threat of disaster poses an especially large risk due to their massive sizes and therefore, additional susceptibility to hazards. The Kansas City government created an Emergency Operations Plan (EOP) to combat the most likely dangers they are likely to face based off of their Threats, Hazards IdentificationRead MoreCollaboration And Teamwork Among Health Care1514 Words   |  7 Pagessustaining human medicine and patient care overlap diverse fields. The reality of protecting, improving and providing care to patients in any the health ca re facility and or emergency room includes an effective relationship with an innovative radiology division (Columbia University Medical Center. (CUMC), (2015). Routinely, the emergency room works in direct partnership with the radiology, putting patient first in providing care. A patient admitted to the health care facility is typically under the careRead MoreViolence Against Nurses in the Emergency Department782 Words   |  4 PagesViolence Against Nurses in the Emergency Department Kimberly L. Kirk Professional Nursing Practice of the Baccalaureate Nurse August 8, 2014 Violence against Nurses in the Emergency Department According to the National Institute for Occupational Safety and Health, workplace violence is defined as â€Å"an act of aggression directed toward persons at work or on duty, ranging from offensive or threatening language to homicide† (Wolf, Delao Perhats, 2014, p.305). Workplace violenceRead MoreEmergency Management Plan Chemical Spill/Release1388 Words   |  6 PagesUniversity | Emergency Management Plan | Chemical Spill/Release | | Erik Gohl | 11/7/2011 | | Purpose Events which interfere with the normal operations of Hennepin Technical College (HTC) are unavoidable. The purpose of this document is to explain the actions, roles, and responsibilities that are to be taken by individuals and departments in the event of a spill or release of a hazardous chemical or waste. (Homeland Security, 2011) Emergency Management Team The Emergency ManagementRead MoreThe Us of Emergency Room as a Primary Care Provider1047 Words   |  5 PagesThe Use of Emergency Room as a Primary Care Provider There are Emergency rooms all over the United States that are being utilized as primary care provider., by patients covered by private insurance, Medicaid, Medicare as well as the uninsured.(Baker, August 13, 2008) Some patients call their primary care provider and are told, they cannot be worked in for several days or weeks. The option given is to go to the Emergency room for treatment. Other reasons are people who do not have a primaryRead MoreAn Article By Meaghan Craig From Global News1640 Words   |  7 PagesSaskatoon Health Region confirmed that â€Å"601 people left emergency departs in December without being seen† but I was unable to find any reports stating this number (Craig, 2015). Overall, this article from Global News contains trustworthy information about the concerns for challenges older adults are facing when it comes to receiving medical care in a timely matter. To fully understand the need to reduce wait times in emergency departments, we must first understand why wait times have been increasingRead MoreWhat Is Allegan County Health Department1057 Words   |  5 PagesThe Allegan County Health Department has adopted the model shown in Figure 2 as the definition of phases of awareness for All-Hazard emergencies except pandemic influenza. The ACHO or designee is responsible for establishing operations. Upon the designation of the Activate Phase, the ICS process goes into effect and the Time-Based Operational Phases will be applied. Figure 2. Alert, Standby, Activate Phases III-2.6 Continuity of Operations’ Initial Actions †¢ The Allegan County Health Officer

A Film On The Melting Ice Caps Essay - 1601 Words

Reina of Antarctica I propose a film on the melting ice caps, using the character Reina as the reason that they are melting. She will be the reason for melting the ice caps due to humans came to her home and drill for oil where she lives. I chose to have both Greek and Japanese mythology because I thought it would be a great idea to see how the two cultures will come together. Since both countries are known by many people all around the world and because they are surrounded by the sea these two countries would be the first to be swallowed by the sea that surrounds then due to the melted ice caps. The ending is supposed to represent the ice caps still melting now. The government that is going to sponsor the drilling company will be the English because the English are newer at drilling than the United States, since they are new at drilling they were exploited by the company. Antarctica, extremely cold and the home of penguins, and huge icebergs. The home of the princess of the cold, Reina. She wears what a normal teenager may wear during the summer. Yet, it is during the winter and she doesn’t mind it. It is during the third quarter of year, so it is extremely cold and -72 degrees Fahrenheit. She is friends with all the animals near her home. She is a beautiful young woman who transforms into a monster when she is upset. Reina is always confused with a Greek goddess due to how beautiful she is, yet she was made into a monster by Hera, wife of Zeus and the goddess of childShow MoreRelatedA Film On The Melting Ice Caps1588 Words   |  7 PagesI propose a film on the melting ice caps, using the character Reina as the reason that they are melting. She will be the reason for melting the ice caps due to humans came to her home and drill for oil where she lives. I chose to have both Greek and Japanese mythology because I thought it would be a great idea to see how the two cultures will come together. Since both countries are known by many people all around the world and because they are surrounded by the sea these two countries would be theRead MoreReflection On Al Gore s An Inconvenient Truth1470 Words   |  6 PagesTruth† Al Gore begins his film â€Å"An Inconvenient Truth† by defining global warming and how it affects our planet. He states that most people believe, â€Å"[t]he earth is so big that we can’t possibly have a lasting impact on the earths environment.† Gore then briefly explains the science behind global warming. Next, he brings in examples of people and places that are being affected by global warming. The most striking affect is that 40% of the world population relies on melting glaciers for water thatRead MoreGlobal Warming Reflection Paper1510 Words   |  7 Pagesprovide a summary of the film. Additionally, it will describe feelings toward environmental and social implications regarding climate changes. It will answer questions regarding the global warming. Plus, it will recommend survival strategies for the here and now, and the future. Furthermore, it will give a summary of the whole global warming subject. Summary of movie and what it is about The Inconvenient Truth is a documentary film about global warming on planet earth. The film is directed by DavisRead MoreHumans Are Causing Global Warming Essay1669 Words   |  7 Pagesprevalently known effects of global warming is the melting of glaciers, ice caps, and permafrost. Ice and snow reflect a majority of the sun’s rays due to their bright white color which keeps them from immediately melting when the rays touch down; but this is not the case for the surrounding water. The water absorbs many of the rays and heats up, melting the ice from the underside and outer sides. In the last thirty years, as many as one million square miles of ice from the sea has disappeared. There are manyRead MoreThe Day After Tomorrow : Good And Bad Science929 Words   |  4 Pagesfuels. While one degree may not seem all that significant the fact is that such an increase has had an impact on global sea levels due to the melting of Arctic, Antarctic and Greenland Ice. The Antarctic Larse n Ice Sheet has collapsed. Ironically the collapse of the Larsen Ice Shelf actually occurred after it had been written into the movie. Greenland s ice sheet is predicted to melt if global temperatures rise by 5.4 ° Fahrenheit (3 ° Celsius), resulting in a sea level rise of 23 feet (7 meters).Read MoreTaking a Look at Global Warming1562 Words   |  6 Pagesreported in multiple countries. This is a major blow to people who rely on the snowfall water to survive. There are way more dangers than just the ones that were named above. Another threat to humans is the coastline damage. Ice out in the middle of the sea is melting at a much more accelerated pace than it has in the past. That causes the tide to come up higher then it normally does. That does not sound too bad until one realizes the tide comes up to where there are recreational facilitiesRead MoreThe Historical Timeline Of Air Quality Improvement Essay1416 Words   |  6 Pagessure to follow. Along with ozone depletion came the theory of global warming and the hypothesis that GHG emissions induced effects that accelerated the collapse of polar ice sheets that would cause sea levels to rise. Elevated sea levels and increased surface temperatures would induce the melting of large amounts of glacial ice that would drop sea water temperatures and interfere with the oceanic conveyor belt currents that control water temperature, photosynthesis, salinity and mixing of chemicalRead MoreJ ohn Luther Adams Essay833 Words   |  4 Pagesthe impact of human beings on the environment and the sounds that are produced. John Luther Adams piece, Inuksuit is a great example of his opinion of the impact humans are having on the world. In this piece, he references the melting of the polar ice caps and the melting oceans. †¢ John Luther Adams wanted to make an impact with his pieces. He wanted to share what he was experiencing in Alaskan environment and show others the changes may affect everyone in the future. I believe that John LutherRead MoreMercury And Its Effects On The Earth1138 Words   |  5 PagesAs humans continue to live on Earth the climate is changing which is melting the Polar Ice Caps along with rising sea levels. Due to these changes to Earths Climate over the next millennia Earths lands may disappear and be taken over completely by the ocean. The human population is also constantly increasing and we need more space to survive. What can we do to survive? Where can we go? This film Deadliest Planets on YouTube will help us to explore our options. This video looks at 6 other PlanetsRead MoreAnthropogenic Global Warming1356 Words   |  6 Pagessurvey. Al Gore would later state that this was the foundation for all of his work. Mr. Gore would then go on to win the noble peace prize in 2007 for his work on a documentary called the inconvenient truth. The film would also win the prestigious academy award for best documentary film (2007). Mr. Al Gore was also the winner of the Roger Reveille Award 03/06/09. The United Nations also plays a significant role for supporting the belief that manmade global warming is the greatest threat that

Small and Medium Enterprises free essay sample

Granularity: This refers to a situation where the risk grading system at banks does not have the requisite capability to discriminate between good and bad risks. The consequence is tightening of Y. Srinivas (The author is Manager, Compliance Group at ICICI Bank. He can be reached at srinivas. [emailprotected] com) Small and Medium Enterprises (SMEs) play a very significant role in the economy in terms of balanced and sustainable growth, employment generation, development of entrepreneurial skills and contribution to export earnings.However, despite their importance to the economy, most SMEs are not able to stand up to the challenges of globalisation, mainly because of difficulties in the area of financing. With the opening up of the Indian economy, it has become necessary to consider measures for smoothening the flow of credit to this sector. The article provides a crosscountry perspective in this regard and highlights the Indian scenario with reference to SME lending. We will write a custom essay sample on Small and Medium Enterprises or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page rs or managers know more about the prospects for, and risks facing their business than their lenders) exists, lenders may respond by increasing lending margins to levels in excess of that which the inherent risks would require. However, the sheer ticket size of SME lending makes it inviable for banks to invest in development of information systems about SME borrowers. In such situations, banks may also curtail the extent of lending even when SMEs are willing to pay a fair riskadjusted cost of capital. The credit terms, or an increase in prices, or both.From the borrower’s perspective, this leads to an outcome where the bank is over-pricing good risks and under-pricing bad risks. The fact that most banks in India have not developed adequate expertise in SME lending risk assessment exercises leads to the problem of granularity when it comes to SME lending. (c) Pecking Order Theory: Pecking order theory ? ows from the above two issues, which makes SME lending highly dif? cult fo r banks. Un- der this hypothesis, SMEs, which face a cost of lending that is above the true risk-adjusted cost, will have incentives to seek out alternative sources of funding.Evidence suggests that in such situations SMEs prefer to utilise retained earnings instead of raising loans from banks. (d) Moral Hazard: Even when loans are made to SMEs, it may so happen that the owners of these SMEs take higher risks than they otherwise would without lending support from the banks. One reason for this situation is that the owner of the ? rm bene? ts fully from any additional returns but does not suffer disproportionately if the ? rm is liquidated. This is referred to as the moral hazard problem, which can be viewed as creating a situation of over-investment.The moral hazard problem may, thus, result in SME lending turning bad in a short period of time, a situation that all banks would like to avoid. (e) Switching Costs: SMEs may ? nd it harder to switch banks, when countered with any issue. It is a known fact that the smaller the business, the more signi? cant the switching costs are likely to be and, therefore, it is less likely that the bene? ts of switching outweigh the costs involved. This situation results in SME lending becoming a sellers market, which may not be attractive to SME borrowers. Steps for Smooth SME Lending In order to ensure that the 36 The Chartered Accountant September 2005 above issues do not stand between SMEs and Bank Finance, the following steps could be taken as remedial measures: Collateral: Existence of collateral that can be offered to banks by SMEs could be one effective way of mitigating risk. Banks could, therefore, look at collateral when pursuing the question of SME lending. It can also be stated that a borrower’s willingness to accept a collateralised loan contract offering lower interest (relative to unsecured loans) will be inversely related to its default risk. However, not all SMEs would be able to offer collateral to bank s.Hence, Reserve Bank of India (RBI) allows banks, with a good track record and ? nancial position on SSI units, to dispense with collateral requirements for loans up to Rs. 25 lakhs. (a) Relationships: The length of the relationship between a bank and its SME customers is also an important factor in reducing information asymmetry, as an established relationship helps to create economies of scale in information production. A relationship between a SME and a bank of considerable duration allows the bank to build up a good picture of the SME, the industry within which it operates and the calibre of the people running the business.

Outbreak of War in Europe in 1914

Introduction The World War I began when Austria-Hungary declared war against Serbia. However, it later spread all over Europe, especially in Germany, Russia, The Great Britain, and France due to the fact that these countries had formed alliances to defend each other in times of war. Over eight million people died in this Great War.Advertising We will write a custom term paper sample on Outbreak of War in Europe in 1914 specifically for you for only $16.05 $11/page Learn More Factors that led to World War I Assassination of Archduke Franz Ferdinand The assassination of Archduke Franz Ferdinand was the main cause of the outbreak of the war. Ferdinand was assassinated together with his wife by a Serbian nationalist in Sajarevo. He is believed to have been assassinated because Serbia wanted to take control of Bosnia and Herzegovina, however, Austria-Hungary had already taken control of the region. The assassination led to the war between Serbia and Austria-H ungary and with Russia trying to defend Serbia, Germany declared war on Russia and it spread all over with the formation of alliances. Militarism Tension between the European nations in the late 19th and early 20th centuries resulted into an arms race. Germany and The Great Britain had a large military buildup by having a large number of navies which had a great influence on the public. The increase in militarism between the states pushed the countries into war. Imperialism The development of intricate alliances and counter alliances among European nations ignited war among them. The European nations increased their wealth by acquiring additional territories. These European nations were interested in Africa and some parts of Asia due to the availability of raw materials. The increased competition and the aspiration of greater emperors led to confrontations which later led to World War I. Nations like the United Kingdom and France amassed great wealth in the 19th century through thei r command of trade in foreign resources, colonies and slaves. Since Germany, Austria-Hungary, Italy, and Russia wanted to achieve the same growth as France and the UK, an Anglo-German rivalry developed as each nation sought more territories, especially in Africa. Rivalry also occurred in trade routes. Nationalism Nationalism among different countries all through Europe led not only to the start of the war but also to the extension of the war all over Europe. Each nation was convinced that their country was the most superior and this resulted into hostilities among them. For instance, France turned against Germany while Russian turned against Austrian.Advertising Looking for term paper on history? Let's see if we can help you! Get your first paper with 15% OFF Learn More Strong feelings of nationalism created hatred and hostilities among the European nations. The hostilities were mainly felt in the Balkans after Archduke Frank Ferdinand’s assassination. The tensi on seemed to have been resolved but one month later Germany supported Austria to cut off relations with Serbia whereas Russia defended Serbia. Mutual defense Alliances All countries throughout Europe had mutual defense agreements that were intended to bring protection. When Austria- Hungary declared war on Serbia, Russia came in to defend Serbia and this move irked Germany which later declared war on Russia. France joined the war to fight against Germany and Austria-Hungary. Consequently, France was attacked by Germany through Belgium and this dragged Britain into the war. The war continued spreading and soon, Japan joined the war followed by Italy and the United States. U.S. involvement in the War The US had remained neutral in the war until April 1917 when it declared war on Germany. The introduction of unrestricted submarine warfare by the Germans made President Wilson to ask congress to join the war against Germany. Prior to this request, shipd belonging to the US had been attac ked in the Atlantic Ocean by German forces. The sinking of the Lusitania resulted in the death of 128 Americans on board and this pushed the US on the wall, ultimately, they decided to wage war on Germany. Alfred Zimmerman’s attempt to provoke Mexico and Japan to attack the US with A promise of help from Germans also made the U.S. into joining the world war because they had to intercept the Germans’ proposal to Mexico. The United States’ entry into the war was inevitable because they had to support their allies. Besides, it had to protect its economy and also to keep peace in Europe. Conclusion Despite the assassination of Archduke Franz Ferdinand of Austria, successor to the Austro-Hungarian throne, and his wife being the main reason for the war in Europe, there are other reasons that led to WW1. These include nationalism, materialism, imperialism and defense alliances and so on. These factors led to hostilities between the European nations and ultimately led t o the world’s deadliest war in history. The US was not initially involved in the war, but in the latter stages, it got involved to protect its allies and interests. Bibliography Bass, Herbert, America’s Entry into World War I. New York: Holt Rinehart and Winston, 1964. Cipriano, Anne, The United States in the First World War. New York: Garland Publishing, Inc., 1995.Advertising We will write a custom term paper sample on Outbreak of War in Europe in 1914 specifically for you for only $16.05 $11/page Learn More Pope, Steven, and Elizabeth-Anne Wheal, The Dictionary of The First World War. New York: St. Martin’s Press, 1995. This term paper on Outbreak of War in Europe in 1914 was written and submitted by user Jefferson U. to help you with your own studies. You are free to use it for research and reference purposes in order to write your own paper; however, you must cite it accordingly. You can donate your paper here.