Staffing Issues in Nursing Annotated Bibliography Essay

Gordon, S., Buchanan, J., Bretherton, T. (2008). Safety in Numbers: Nurse-to-Patient Ratios and the Future of Health Care (pp. 1-2). Ithaca, NY: Cornell University Press. This book is a comprehensive look at mandatory legislated ratios and how effective they are in the localities where they have been enacted. It takes into account the pro-ratio arguments, the anti-ratio arguments, discusses the events leading up to the enactment of this legislation, and discusses the results and the research used in evaluating ratio legislation. The strengths of this source are that it’s comprehensive and credible source (it was published by an academic publisher). One of the weaknesses of this source is that the book is very long, and some of the†¦show more content†¦This article is one I plan to use as an opposing viewpoint. It was written after the California ratio legislation went into effect, and it attempts to argue that legislated ratios don’t allow enough flexibility to adjust to changes in patient acuity. It advocates for a system enacted in Pennsylvania, which relies on committees to decide staffing levels. The committees have t o include at least 50 percent practicing nurses. The strengths of this source are that it is very detailed in discussing the alternatives it is advocating for, and presents convincing arguments. However, the weakness is that it doesn’t have any further info evaluating how effective this system is when compared to mandatory ratio legislation – when looking at patient outcomes. Hugonnet, S., Chevrolet, J., Pittet, D. (2007). The Effect of Workload on Infection Risk in Critically Ill Patients [Electronic version]. Critical Care Medicine, 35(1), 76-81. This article establishes that there are many differences in patient outcomes based on nurse-patient ratio in ICUs, looking at infection control in particular. One strength of this source is that the study has a lot of detail, and the methods are solid. It does back up my thesis that nurse-patient ratios are needed to save lives and reduce complications in hospital inpatients. However, a weakness of the source is that it was conducted in an ICU. Most patients in ICUs receive a high number of invasiveShow MoreRelatedAn Annotated Bibliography of Research Papers on Nursing547 Words   |  2 PagesAnnotated Bibliography Kalisch, B.J. Lee, K.H. (2011). Nurse staffing levels and teamwork: A cross-section study of patient care units in acute-care hospitals. Journal of Nursing Scholarship, 43(1): 82-88. The purpose of this study is to determine whether nurse staffing has an effect on teamwork. In order to make this determination, a cross-sectional study is used here. 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ACC 291 Final Exam Solutions Explanations Essay example

Question 207 On January 1, a machine with a useful life of five years and a residual value of $40,000 was purchased for $120,000. What is the depreciation expense for year 2 under the double-declining-balance method of depreciation? $28,800 Explanation: Use the standard double-declining-balance formula to solve. IFRS Multiple Choice Question 01 As a recent graduate of State University youre aware that IFRS requires component depreciation for plant assets. A friend has asked you to succinctly explain what component depreciation means. Which of the following correctly describes component depreciation? The method that requires that significant parts of a plant asset with different useful lives be depreciated separately.†¦show more content†¦$640,000. Explanation: 490,000 + 120,000 + 30,000 = 640,000 IFRS Multiple Choice Question 04 Each of the following items may be classified as operating or financing activities under IFRS except all of these answer choices may be classified as such. interest paid. dividends received. dividends paid. Explanation: Per IFRS â€Å"interest and dividends received and paid may be classified as operating, investing, or financing cash flows† Multiple Choice Question 165 The current assets of Orangatte Company are $227,500. The current liabilities are $130,000. The current ratio expressed as a proportion is 1.75:1. Multiple Choice Question 41 All of the following requirements about internal controls were enacted under the Sarbanes Oxley Act of 2002 except: independent outside auditors must eliminate redundant internal control. Explanation: Redundant controls are actually a good thing because they help close potential auditing loopholes. Multiple Choice Question 85 Which of the following is not an internal control activity for cash? The functions of record keeping and maintaining custody of cash should be combined. Explanation: This would be considered a bad practice in relation to internal controls. Multiple Choice Question 92 Before a check authorization is issued, the following documents must be in agreement, except for the receiving report. invoice. purchase order. remittance advice.Show MoreRelatedACC 290 new Final Exam Guide New1260 Words   |  6 Pagesï » ¿ACC 290 Final Exam Study Guide Let’s get started†¦ Q 8 – Under IFRS Comparative prior-period information must be presented and financial statements must be provided annually. Explanation: See IFRS financial reporting requirement here: http://www.iasplus.com/en/standards/ias/ias1 Q 10 - Similarities between International Financial Reporting Standards (IFRS) and U.S. GAAP include all of the following except: Both IFRS and U.S. GAAP allow revaluation of items such as land and buildings to fairRead MoreInternational Financial Accounting155754 Words   |  624 Pagesthe best strategies for studying for ACCA exams We highlight the most important elements in the syllabus and the key skills you will need We signpost how each chapter links to the syllabus and the study guide We provide lots of exam focus points demonstrating what the examiner will want you to do We emphasise key points in regular fast forward summaries We test your knowledge of what you ve studied in quick quizzes We examine your understanding in our exam question bank We reference all the important

Management of Patient with Chest Pain

Question: Discuss about the Management of Patient with Chest Pain. Answer: Introduction: When a patient complaining of chest pain is brought into the healthcare system, the very first task that the health care professional present at the emergency room at that particular time requires to perfume is to conduct an evaluation of the patients condition. Initially the evaluation of the patient should be conducted by observation and by the inspection of his or her vital statistics (Parsonage, Cullen Younger, 2013). In case the patient is found to be stable, the triage process (as indicated in the ACEM guidelines) should be conducted, so as to estimate the severity of his or healthcare condition. The 12 LEAD electro cardiogram process (also known as ECG or EKG) should be performed next, besides making oxygen saturation available to the patient. In case the patient still complains of a persisting chest pain, he or she should be treated with Aspirin ( 300 mg 325 mg, depending on the age, gender and weight of the patient). Along with these, the blood pressure of the patient woul d be monitored, besides conducting blood tests like that of Full Blood Count (FBP), Urea and electrolytes (for measuring the kidney function of the patient), blood sugar level tests (BSL), along with the measurement of the troponin level for estimating the damage that has occurred to the heart. More often than not, a chest radiograph accompanies these tests (Than et al. 2014). In case it is found that the patient is not in a stable condition, the triage procedure should not be conducted: instead the patient should be immediately provided with oxygen saturation, following which the 12 LEAD EKG procedure would be conducted (Kong et al. 2012). The observation of the patients blood pressure should be conducted simultaneously with conducting the blood tests mentioned in the section above. However, as soon as the results of the EKG arrive, the same should be checked for determining any anomaly present in the ST elevation ( as anomalies in the ST elevation reflect infarction or myocardial ischaemia). The health practitioner should also check for the presence of any Left bundle branch block or LBBB, if present, in the EKG report (Haaf et al. 2013). The STEMI protocol should be referred to for finding the further interpretations of the same. In the next step, the clinical history of the patient should be documented, so as to collect information about all other ailments or physical conditions that the patient has (Backus et al. 2013). It is worth mentioning that the selection of the drugs to be prescribed to the patient varies largely with the other ailments and allergies that the patient suffers from, thus making the documentation of the clinical history of the patient one of the key processes of the entire process of treatment. The results of the troponin test conducted in the very first stage of the treatment process should have reached the health practitioner by this time. Bedside this, efforts are also directed towards the identification of the ACS risk features of the patient, along with the calculation off the EDAC scores of the same (Six et al. 2013) It is worth mentioning that the 12 LEAD electro cardiogram process is repeated in every 20 minutes and the reports are noted (with special emphasis on any changes in comparison with the test results observed previously) in case the patient complains of persisting chest pain (Than et al. 2014). Once the results of the troponin test and the ACS risks factors are available, decisions regarding the next phase of treatment are taken based on the following logic: Initial level of troponin is negative, ACS risks is low: The effective dosage of the medicine to be provided to the patient to be made after the results of the 2nd round of EKG and tropinin test arrive (Parsonage, Cullen Younger, 2013). Initial level of troponin is negative, ACS risks is not low: Cardiological review of the patient has to be conducted (Kong et al. 2012). Slightly raised level of troponin, undifferentiated level of risk group: The health practitioner should go ahead with further treatment of the patient (Haaf et al. 2013). Raised level of troponin, High risk group: The patient should be admitted in the medical assessment unit on an emergency basis (Kong et al. 2012). References Backus, B. E., Six, A. J., Kelder, J. C., Bosschaert, M. A. R., Mast, E. G., Mosterd, A., ... Monnink, S. H. J. (2013). A prospective validation of the HEART score for chest pain patients at the emergency department.International journal of cardiology,168(3), 2153-2158. Haaf, P., Reichlin, T., Twerenbold, R., Hoeller, R., Gimenez, M. R., Zellweger, C., ... Freese, M. (2013). Risk stratification in patients with acute chest pain using three high-sensitivity cardiac troponin assays.European heart journal, eht218. Kong, G., Xu, D. L., Body, R., Yang, J. B., Mackway-Jones, K., Carley, S. (2012). A belief rule-based decision support system for clinical risk assessment of cardiac chest pain.European Journal of Operational Research,219(3), 564-573. Parsonage, W. A., Cullen, L., Younger, J. F. (2013). The approach to patients with possible cardiac chest pain.Med J Aust,199(1), 30-4. Six, A. J., Cullen, L., Backus, B. E., Greenslade, J., Parsonage, W., Aldous, S., ... Than, M. (2013). The HEART score for the assessment of patients with chest pain in the emergency department: a multinational validation study.Critical pathways in cardiology,12(3), 121-126. Than, M., Aldous, S., Lord, S. J., Goodacre, S., Frampton, C. M., Troughton, R., ... Jardine, D. L. (2014). A 2-hour diagnostic protocol for possible cardiac chest pain in the emergency department: a randomized clinical trial

Debut Albums and Greatest Achievement free essay sample

To be the best and stay there sweat is necessary. Im older. Of course Im older. We will write a custom essay sample on Debut Albums and Greatest Achievement or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Thats the beauty of it. Sixteen years plus deferent level of wisdom. Different level of understanding. Different level of punishment. Want to live long after my records have fallen, long after my rings have tarnished. Whatever you got to do to make sure you chase your legacy. Every second of your life. How will you be remembered? How will you be remembered?Why wouldnt you fight for the greatest achievement ever? Leave your mark to endure forever. Sixteen years plus different level of wisdom. Different level of understanding. Different level of punishment. I want to live long after my records have fallen, long To be the best and stay there sweat Is necessary. Why wouldnt you fight for the greatest achievement ever? Im older. Of course Im older. Thats the beauty of It. Why wouldnt you fight for the greatest achievement ever?