Implementation of triage protocol for nurses Dissertation

Implementation of triage protocol for nurses - Dissertation Example Assigning degree of urgency to patients based on the health conditions and nature of the disease increases the effectiveness of the treatment, and reduces the time lag between the patient’s visit and treatment. Triage protocols useful in this regard are highly specialized and needs thorough training to the professionals especially, the nurses. For example, pediatric triage protocols include pediatric cough, pediatric vomiting and several other types. Triage services need to be reliable and cost effective for their application in hospitals or private nursing homes. The process starts from the visits of the patients or the calls received from the patients (telephone triage). Correct protocol needs to be identified based on the symptoms as explained by the patients. The patients are asked the relevant questions based on the check-list for confirmation to make the preliminary diagnostic procedure effective to provide the appropriate health care required. This will make the process simpler down the line for treatment and nursing. Nursing triage protocol system in an organization enhances the efficiency level and improves patient health care. The implementation of Triage Protocol in an organization involves establishment of infrastructure required for triage practice including the support services and training to the triage nurses in the triage policies of the organization and the triage procedures to be adopted on day-to-day work in triage practice. Initiating treatment in triage room calls for broader understanding and knowledge about the triage practices for efficiency in performance. Search strategy There are several permutations and combinations involved in deciding the appropriate course of treatment based on the analysis of symptoms. Triage protocols makes it easier since the diagnostic procedures are seamlessly integrated into the treatments required and the timeline. Inclusion and exclusion criteria in diagnostic process with reference to a particular treatment proposed are standardized. Search strategy mainly depends upon the Key Words. The search is conducted on the components for its causal link with the formal problem. This is followed by clinical trials. The validation of the proposed solution, the evidence of its usefulness, criteria for inclusion and exclusion are the important aspects of the search strategy development. For example, Stacey et al (2012) have found in a study â€Å"Acceptability and usability testing of the symptom populated template with 12 practicing oncology nurses revealed: high readability (n=12), just the right amount of information (n=10), appropriate terms (n=10), fit with clinical work flow (n=8), and self-evident for how to complete (n=5).† The important principles governing the template features in respect of clinical nursing protocol are given in Annexure - I. Review of the evidence based literature on triage protocol This paper seeks to provide evidence based literature review on triage protocol covering various aspects related to it. The guidelines issued by the international bodies, articles published in the medical journals and books have been used for the purpose the study. In the Literature Review Grid given under Appendix –III, the study/research type, method used or information available and the results and comments related to the source materials are given for highlighting the reliability of the materials used and its relevance to the study. There are various types of triage scales used in different countries. â€Å"Of note is the Manchester Triage System (MTS) used in the United Kingdom, the Emergency Severity Index (ESI) used in America and the Canadian Emergency Department Triage and Acuity Scale (CTAS).† (Monash Institute of Health Services Research, 2001) Triage decisions in respect of nursing are related to emergency care and normal patient care. In a study to assess the workability of triage system in community palliative care, it was found â€Å"

Through referenced literature and examples, examine the range of Essay

Through referenced literature and examples, examine the range of theories of what an entrepreneur is and how they contribute to the economy and society - Essay Example the term is applied, certain elements are constant: entrepreneurs are persons of certain psychological qualities and unique abilities who, through these qualities, contribute wealth and energy to an economy and social benefits beyond business. There are a whole range of theories as to what makes an entrepreneur. Regarding the assertion that entrepreneurs are born, not made...Shane (2010) asserts this may be only half true if one is speaking about genetic traits. One of the more modern empirical investigations was done by Collins and Moore and published in their exceptional analysis in The Enterprising Man. (delete words) Seeking to prove their theory that entrepreneurs represents certain psychological traits, they employed the Thematic Apperception Tests (TAT) test. The subject, presented with a set of cards with human figures in a variety of settings, creates a story including elements describing the event shown; what has led up to it; what the characters in the picture are feeling and thinking; and the outcome of the event. The test assumes certain results about the subject’s personality in relationship to entrepreneurship—workaholics rarely every satisfied; patronizing with subordinates; suspect and rejecting of authority—that within the Collins and Moore psychological profile theory represents early childhood relationships with adults in the entrepreneurs life. (Roberts, 1991: 50). Throughout other studies, however, while there appears to be a clear relationship between entrepreneurship and achievement motivation across a number of measurement instruments (Edwards Personal Preference Scale, the Mehrabian Scale, and the TAT (1) Sexton and Bowman (1986) found inconsistencies that challenge the blind acceptance of this theory, and that ‘students and nonstudents (entrepreneurs, potential entrepreneurs, and nonentrepreneurs) differ on a variety of characteristics which are supposed to be stable across time and situations according to personality

Consultant Review Essay Example | Topics and Well Written Essays - 750 words

Consultant Review - Essay Example When we talk of fairness during the selection of officers for a special training or course, we come through several aspects which are faced by the selector which binds him to step aside the path of righteousness and select candidates on the basis other than merit and required attributes. Greed: This is the most common reason of corruption. Cash or kind is generally offered to buy the selector. Money is important to all and everyone wants to be rich. But service is more important than riches. We should know where to draw the line. Power: Having power puts you in a position where doing both the right and the wrong is in your hand. You need to utilize the powers entrusted in your hand judiciously. Remember, power also brings with it responsibility. Favoritism: The selector can be biased about a certain applicant who is a personal favorite of his. But this is not the time to shower your appreciation. You might be steeping over the right candidate for the job. Political and Bureaucratic Patronage: Believe in your self and do what is only and only right and then no one can force you to do something which you know is wrong. Do not yield to pressure. It doesn’t pay in the long run. But, this is one reason where you might not be in a position to say in the negative. Find alternate ways. Obliging nature: Don’t say yes when you want to say no. Every now and then we are stuck in such a position that although we know what is right we are compelled to take the opposite road. Police force is not your personal entity so do not let your personal nature come in between the path of your duty. Now, the question that arises is what comes under the term ‘unfairness’. What we might not do with an intention of being unfair others may cry foul at it. Employee Survey is one of a number of instruments used to look at fairness in selection. Perception of fairness at times correlates with other workplace issues. First and foremost what is required is a

White plc report Essay Example | Topics and Well Written Essays - 2500 words

White plc report - Essay Example Projects with higher values than the weighted average cost of capital should be accepted. In the case of White plc, the case of this method will help the company since the company dealt with materials handling equipments which belongs to the medium risk industry. The company firstly dealt with just one type of business risk i.e. medium risk. Thus this method has been very useful for the company allowing the company to correctly and accurately use the weighted average cost of capital as the discount rate. b) Redeemable Debentures: In this type the face value of the debentures is repaid to the debentures holders at the end of a particular period. The interest is also paid over this period to the debenture holders (CBDD, 2008). ii) After Tax: It is essential to understand that an important difference between the equity and debt is the interest payment on the debt capital can be reduced from the profits as an expense before charging the tax. In this case the net after the tax will be lower due to the tax savings. It is essential to understand that the cost of redeemable debt and the irredeemable debt would normally remain the same in perfect capital markets for organizations with similar characteristics like the risk, size, earnings, etc. However these will differ in a few cases where the markets are imperfect, the securities offered are different, the business risk that has been anticipated is different and lastly the gearing of the company is higher due to reasons like bankruptcy and financial risks (Scribd, 2008). This method takes into account the risk of a project. The discount rate consists of a) the risk free rate and b) risk premium. The risk adjusted rate is used along with the net present value to obtain the risk adjusted NPV (RANPV) (Free Dictionary, 2008). The methods to calculate the project beta: a) direct estimate

Nursing Care Plan of Skin Essay Example | Topics and Well Written Essays - 750 words

Nursing Care Plan of Skin - Essay Example Benito was asked how long he has had the growth on his back. He responded by indicating that the swelling had been there for a period of about six months. The next assessment involved asking Mr. Benito some few questions to help in carrying out the characteristic assessment. The patient was asked if the growth had been bothering him in any way to which he responded that it did not. However it as noticed that the growth was releasing some kind of fluid. The patient further stated that the mole was dark in colour and oddly shaped. There was also an assessment of aggravating factors but none was found. The next course of action in the procedure was to carry out background check on the patient. This is normally done to find out the patients lifestyle or any other complication that he might have had so that this could be taken in to consideration when deciding on the treatment to be given to the patient. It was found out that the patient was a competitive athlete who spends a lot of hours of the day training. He also indicated that he does not wear any kind of skin protection because he believed that his dark skin cannot be hugely affected by the rays of the sun. In addition, he said that he usually goes to Hawaii for windsurfing and to relax in the each. After the above discussed assessments that were done, the next one was now the skin assessment test which involved physical examination of the growth that was on the patients back. The A B C D E method was used to check and examine the growth on Benito’s back. The A in the above method stands for asymmetry. This is used to check if half of a mole does not match the other half. It was found that the mole was irregular in shape. The B stands for Borders and it involves examining the borders of the mole with the finding being that it did not have any regular edge, but rather it had several notch areas. The C stands for Changes in colour. For the case of Melanoma, which Benito

Event Essay Example | Topics and Well Written Essays - 500 words - 1

Event - Essay Example The event began with a salutation from our group leader followed by a few welcoming remarks and an introduction of the speaker as well as the members present and the purpose of the events. Just from this introduction I learnt the importance having an organisation of order of doing things and pulling the attention of participants in ensuring the success of any event. The speaker of the day took up from the introductions and went straight to the main objective. He described to us his life from childhood, what he has been thorough and the candid sacrifices and steps he has had to make while eyes remained set on the object of achieving success. According to the speaker ownership is a critical factor of success be in general life, academics or entrepreneurship. He emphasised the importance of persons taking the full responsibility of their life. I learnt that everything we do must be done for a purpose and in order to succeed we must always be willing to pay the price of our dreams. Staying focussed and becoming a subject matter expert in the field of interest are two other essential elements of success. The speaker also spoke about having a game plan for attaining personal or organisational goals, never giving up and being timely as crucial elements of success. In my reflection on the event therefore I think success is largely out of personal efforts and not the support of others. Even to be supported one must put an effort in winning this support. There will always be challenges in everything we do but the secret is to stay focussed and objective. This calls an understanding our purposes and goals as well as the effects of our actions to others. Being decisive and ethical in our decisions can really help us win the support of others both in life, business and as leaders and once there is the support then people share common visions and goals of success. This I think will be

The BAd Effects Of Alcohol Essay Example for Free

The BAd Effects Of Alcohol Essay Alcohol is harmless when not drinking in mass quantities, even it helps body in some cases, for example wine protects people from heart attacks. However, if you get used to drink alcohol, you can easily abuse. Alcoholism happens when someone engages in frequent alcohol abuse. As time goes on, alcohol starts to alter chemical makeup of brain, resulting in user to depend on alcohol so as to feel good. In the end, their body starts to crave alcohol in order to function properly and alcoholism comes to person with many damages. An addiction to alcohol can have destructive and irreversible effects on a persons health which we can classify as physical, psychological and economic. The initial effects of alcoholism are the physical ones. These are the most important, because these can bring about your death. For instance, alcohol abuse affects the nervous system and then lead to permanent brain illnesses which are dementia and Alzheimer. Furthermore, an abuse of alcohol over a number of years has been linked to developing cancers such as liver, colon, throat and breast cancer. Besides, alcohol is a toxin which affects all body cells and tissues. According to the Jerry Kennard from Mens Health, uncontrollable drinking gives rise to crucial health difficulties (1996). Also Jerry Kennard stated that â€Å"Each year more than 100. 000 Americans die of alcohol-related causes. † (1996). All these physical effects make your life expectancy decrease and cause your premature death. The second results caused by alcoholism are psychological. At first alcohol makes you feel relaxed, but if you keep drinking more and more times, it increases anxiety and causes Oner, Page 2 depression. It also changes your behaviors and you may have some complications with your family and social circle. For example, a drunk man may use violence to even his wife or daughter due to have a blackout which is caused from alcohol. In short, just for pleasure which lasts for a short time, you may lose your family and your good friends forever. The last consequences of alcoholism are economic. Alcohol is not cheap and when people are drunk, they do not care about money which is paid for alcohol or another things. As a result, they do not have enough money for their major necessities. According to Shane Hall, eHow contributor, overindulgence drinking and alcoholism cost community billions each year and this includes the cure payments, prices to get rid of illegal situations and becoming unable to work which results from alcohol-related ailments and in the end untimely death. Thus, alcoholism not only causes your death, but also may result in lost all your wealth which you can leave an inheritance to new generations. In conclusion, the effects of alcoholism which are physical, psychological and economic can bring about many problems that influence your life in all aspects. Alcohol alters your brain, muscles, cardiovasculer system, sexual conditions, digestion process and other disorders that affect your health. In addition it can cause your suicide owing to the depression and other brain damages. Besides, it will leave you in pennilessness, because it costs a lot. Finally, there is no reason to drink alcohol in excess, we can drink just a glass of wine and enjoy it!