Nursing documentation Essay Example | Topics and Well Written Essays - 1250 words

Nursing documentation - Essay Example (Ammenwerth et al., 2003; Audit Commission, 2002) 'A nurse from Coventry was recently removed from the national register after failing to keep accurate records for patients in her care. She was found guilty of seven charges of misconduct. The committee heard that she failed to ensure care plans were prepared for several patients covering issues such as diabetes, pain management and dietary needs. On one occasion, she failed to notify staff of a patient's increased risk of hemorrhage following a drug error. The Nursing and Midwifery Council (NMC) found the nurse had systematically neglected a basic and crucial duty to keep proper records for the management of patient care.' (Griffin, 2004) And this is only one of the cases found in literature, in relation to the negligence, with which the nurses treat the importance of making records. Castledine (2005) reports about the failures to carry on proper documentation in the Freda House. Freda House is described by him as the establishment for treating blind people. Due to the improper records, which one of the nurses - Bob - was making, many patients and older people in the Freda House were mistreated and had health complications. As a result, 'The managers of Freda House decided to refer Bob to the Nursing and Midwifery Council (NMC) because of the poor explanations and excuses for his actions. He was charged by the NMC with: (1) Completing medication records when the drugs had not been administered; (2) Falsely completing nursing records relating to wound dressings which had not been changed; (3) Failing to change residents' dressings while indicating that he had done so in the patients' care plans; (4) Failing to report at handover to the nurse in charge that he had not administered drugs or changed patients' dressings; (5) Failing to clean the eyes of a resident.' (Castledine, 2005). Of course, this only proves how nurses have got accustomed to the thought that documentation is the skill second to nursing (Tingle, 2001), not understanding its importance for the patient's health. The similar cases are also described by Tingle (2001), British Journal of Nursing (October, 2000), Johnston (1998), Moody (2001). It was surprising to read the work of Bjorvell, Wredling and Thorell-Ekstrand (2003), in which they have come to conclusion that 'most participants, regardless of group, perceived nursing documentation to be beneficial to them in their daily practice and to increase patient safety'. Why then do we have so many reports of the health complications, which appear as a result of the misleading or false nursing records (Anderson, 2000; Charles et al, 2000; Tingle, 1998) Many articles describe the importance of carrying correct nursing records. (Wright, 2003; Scottish Executive, 1999; Nursing and Midwifery Council, 2002; Dion, 2001) For example, Owen (2005) writes in her article, that 'Documenting patient care is extremely important in the community setting as nurses usually visit patients alone, sometimes with long periods between each visit. The only way that the nurse can legally communicate the care that has been delivered is by writing effective records. Nursing records are usually held by the patient, enabling information to be shared easily between visiting practitioners.

International Trade Term Paper Example | Topics and Well Written Essays - 750 words

International Trade - Term Paper Example Therefore increasing economic activity and reducing unemployment and deflation are the ultimate production. The Keynesian theory indicates the critical actions at some micro-level of public sector and at individual level that restrict the cumulative macroeconomic upshots. Ultimately, the expansion and potential of the existing economy becomes lower and lower. IS-LM model of John Hicks, and the Phillips curve are the two basic theories of Keynesian macroeconomics which policy makers could use to grasp the business cycle in the country, however, both models are rejected by Post-Keynesians. IS-LM is an abbreviation of Investment Saving / Liquidity preference Money supply. This model has the same dominance as the Keynes actual analysis in formatting the actual policies both public and government sectors. The model correlates cumulative employment and demand to three vital capacities, i.e., government budget, money circulation, and the business prospects. During the great recession period of early 1930s, when numerous Neo-classical economists like Lionel Robbins, Edwin Cannan, Gustav Cassel and Arthur C. Pigou were using the further wage cuts policy to trim down the unemployment, Keynesian Theory was a revolutionary idea. IS-LM model and Phillips curve were widely used. For the prediction purpose, the economist used the IS-LM model. For instance, increment in the money would result higher productivity and employment and consequently Phillips curve was applied to predict an increase in inflation. The most appealing factor in the recognition of Keynesian Theory was that it provided theoretical guidance to policy-makers during the Great Depression era of 1930s. A lot of people considered that Keynesian Revolution was the outcome of rationale approach of government macroeconomic policy. The logical approach of Neo-classical economists looked like counterintuitive because

Bill of Quantity in Civil Engineering

Bill of Quantity in Civil Engineering INTRODUCTION As stated in the assignment brief, the objective of this assignment is to appreciate and disseminate the knowledge, techniques and skills of measurement into actual practice and to expose the students with the production of Bills of Quantity referring to the measurement work done as part of tender documentation requirements. Based on CESMM, measurements can be classified as coordination and planning of quantities and also to list the details of the work to ensure it is running with a consistent, systematic and new construction techniques were explained well. Bill of Quantities is prepared by Quantity Surveyor based on measurement from the construction drawings / building plans. This document has been used in the construction of buildings which has been detailed in the context of the quantity of each category of work performed. For an example, building works, mechanical, electrical works, civil, structural works and infrastructure works. The contractor will priced or estimate all the works associated in completing the buildings during pre-construction stage. The civil works measurement referred to a document called Civil Engineering Standard Method of Measurement (CESMM). Before this document is produced, the party who responsible for the working measurement refers to the method adopted in the United Kingdom named ‘CESMM 2nd Edition or 3rd Edition’. There are most of the benchmark method used in building works, they use their own measurement system. This leads to inconsistencies in the measurement procedure. As a result, contractors are having difficulty to appreciate the tender. Work on the actual measurement must take into account the complexity of the work undertaken. Work measurement for any item of work is also closely associated with the activities and construction methodology. TASK 1 Discuss the importance of Civil Engineering Standard Method of Measurement (CESMM) in the civil engineering works / projects taking-off. Civil Engineering Standard Method of Measurement (CESMM) is to be used in conjunction with the Conditions of Contract for Civil Engineering Works. CESMM does not deal with the preparation of Bills of Quantity for mechanical electrical engineering work, building work or work which is seldom encountered in civil engineering contracts. If any such work to be included in the contract, such work shall be measured in accordance with their respective Standard Method of Measurement and shall be stated in the Preambles to the Bills of Quantity. CESMM provides a standard format, either in the form of items components and how they should be measured. A multi-level classification introduced in CESMM or space for a description of the work that can be developed. In the other hand, CESMM is to understand the purpose of using a standardised method of measurement. CESMM measurement method using the concept of method-related charges to present the cost of construction at the site in more obvious, such as covering the cost of site preparation and building machinery operating costs, and labor force. The importance of CESMM are be able to prepare bill items and re-measure completed work in accordance in civil engineering works. Be aware of the structure and application of Method Related Charges, unique to CESMM and the benefits arising from this facility. Be aware and appreciate the relationship of the Method of Measurement and the Conditions of Contract in the civil engineering works. TASK 2 Identify and discuss the contents of the tender document to be prepared for the tendering stage. The tendering stage is the process of selecting and appointing the contractor for the main construction contract. The contents of the tender document to be prepared for the tendering stage are: Letter of Invitation to tender– The bidder produce a formal letter to the tenderer, stated the tender closing date and time. Introduction-The tenderer invites bidder to submit a detailed proposal on the provision of equipment/system/software/services/works are detailed in the Tender Document. Conditions of contract – A written agreement is intended to bind the contractor appointed by the employer based on the laws and conditions imposed and agreed. Contract Drawings – technical / detailed construction drawings for measurement / costing by Quantity Surveyor / engineers – prepared by architect / engineers. Specification / Preambles A brief description of the materials and workmanship, the standard or quality of workmanship .It must convey the architect and engineer’s requirements. Bill of Quantities – Prepared by the Quantity Surveyor/stint on the size of the construction drawing plan / building. This document has detailed all the quantities for each category of work used in the construction of buildings. For example, building works, mechanical, electrical, civil, structural works, infrastructure works and other contractors would cost / budget all work related to the completion of pre-construction building. Investigate the Tenderer Financial standing – Look back into the audited accounts for past three years whether they have stable financial background. Get confidential report from firm’s bank. Instructions to Bidder – Purpose of Instructions. Tender Acknowledgement. Tender Document Preparation of Proposals. Submission of Proposals – (technical unpriced commercial proposals, priced commercial proposals, softcopy format) Acceptance of Bidder’s Proposal. Validity of Bidder’s Proposals. Queries Confidentially of Tender Document. Audit of Bidder’s Facilities. .Pre-award Meetings. Bidder Questionnaires Forms. Suspension and cancellation Award of Contract. Proposal Submission Guidelines. Scope of Works, Technical Specifications Requirements. Bill of Quantity (BQ) and Price Schedules. Bidder’s Compliances to Tenderer General’s Terms and Conditions. Tender Acknowledgement Form. One of the contents in the tender document is conditions of contract. What are the available conditions of contract, which are commonly used in the construction project? Contract Agreement. Letter of Acceptance. Tender and Appendix to Tender (as submitted by the Contractor in the Tender) Particular Conditions of Contract, Conditions Part 11(Part of Tender Document) General Conditions of Contract, Conditions Part 1(Example, as published by DM) Specifications(parts of Tender Documents) Drawings. Priced Bill of Quantities. What are the functions of the conditions of contract? The functions of Contract Conditions is to set out the principal legal relationship between the parties to a construction project, determining the allocation of risk and consequently, price. Conditions of contract must be read in conjunction with specification documents, drawings bills of quantities, activity schedules and special conditions. Standard form contracts often comprise suites of contracts with ‘back to back’ subcontracts, consultant appointments and collateral warranties. The formal conditions of contract in a tendering process is: Certification of free competition For the purpose of restricting competition to the price in the tender shall not be taken in consultation discretion. Restriction of publicity action Tenderers are not authorised to mention in their publicity that they have been invited to tender, are tendering or have tendered. Validity period of tender The tender shall specifically state a period of validity of 4 months from the closing date for the receipt of tenders, or such other period as may be provided for in the Special Conditions of Tender. Period for tender preparation The closing date for submission of tenders is stated in the cover letter. Extensions of this period, requested in writing, will only be considered by the Agency if operational requirements so permit, and if, in the case of competitive tendering, fair competition is not thereby impaired. Requests for extensions received less than two weeks before the closing date will,not be considered. Right to audit During its validity period, to request the tenderer to provide evidence of any element of his quotation and may call for additional detailed information irrespective of the type of price proposed. The Agency reserves the right to audit the quoted prices. Negotiation prior to contract award The Agency reserves the right to negotiate with one or more tenderers before taking a decision on the placing of a contract. The offer shall remain valid until changes are agreed in writing. The original offer, as modified shall constitute a binding revised offer. CONCLUSION Civil Engineering is a broad field containing many engineering sub-fields, such as transportation engineering, environmental engineering, geotechnical engineering and construction engineering. I understand the knowledge, techniques and skills of measurement with the production of Bills of Quantity referring to the measurement work according to the requirements of Tender Documents. In addition, I must also thanked to my group members and also my lecturer, Mr. Kumarason, as they helped me a lot in the measurement part in Task 2. It helps to create clear open channels of measurements and the procedures in tendering documents, improved my productivity in measurements skills and help keep morale high. In short, this assignments helps me to accept the idea of working in a construction site in future, following the rules and achieving correct Tendering Document. Therefore, this assignments helped me share ideas which ultimately lead me to innovation and better opportunity in my future under takings. REFERENCES Traditional Contract tender.info.[online] Available at : http://www.designingbuildings.co.uk/wiki/Traditional_contract:_tender  [Accessed on 8th July 2014] Construction Contract Conditions.info.[online] Available at : http://www.designingbuildings.co.uk/wiki/Construction_contract_conditions [Accessed on 8th July 2014] Bill of Quantity.info.[online] Available at: http://www.designingbuildings.co.uk/wiki/Bill_of_quantities [Accessed on 9th July 2014] Seeley I.H., Winfield R. – Building Quantities Explained, Fifth Edition, Macmillan (1999) Willis A.J., Willis C.J. – Elements of Quantity Surveying, Seventh Edition, Granada (1978)

Privatization in India Essay

Ram Mohan Visiting Faculty, Finance and Accounting Area Indian Institute of Management Ahmedabad, India Abstract The proposed research is intended to survey the process of privatization in India and assess its impact on the Indian economy. The central issue we will address is the impact of privatization that has taken place so far on profitability and performance of PSUs. Going beyond this, we will attempt to understand what explains the impact of privatization on performance. Is it the use of market power by oligopolistic firms whose pricing power had been constrained under government ownership ? Is performance bought at the expense of labour through extensive layoffs so that what we see is essentially a transfer from workers to shareholders ? Or are we confusing the impact of privatization with the more generalised impact of deregulation in the economy, which in itself could spur efficiency ? The research output will comprise the following: 1. A survey of the literature on privatization, particularly with respect to less developed countries. 2. A review of the role of the public sector in the Indian economy, and the process of economic liberalization and privatization in India upto this point. 3. Impact of privatization on firm performance. 4. Explanation for the impact of privatization 5. Assessment of mechanisms of corporate governance in India. -2- I. Background: privatization in theory and practice A great wave of privatization has swept the world in the past two decades, embracing the industrial economies, the transition economies of East Europe and large parts of the less developed world, and it continues to roll on. It is interesting, however, that its basis in theory was somewhat shaky to start with. Moreover, a sizable enough body of empirical evidence, on which hypotheses about its impact could be tested, became available only several years down the road. So much of the initial impetus to privatization entailed a leap in faith, and, as happens all too often in the development of knowledge, attempts to explain its impact have followed on the heels of widespread existing practice.

Ap Chemistry †Gravimetric Lab Essay

By filtering and weighing the carbonate after it has precipitated, the mass and moles of CaCO3 could then be found; with these values, a molar mass of M2CO3 can be found. Using gravimetric analysis, it has been determined that the unknown Group 1 metal carbonate compound is K2CO3 (potassium carbonate). Experimental Sources of Error: A) The first source of error had to do with the precipitation section of the lab. Not only is possible, but it is almost guaranteed that the CaCO3 did not precipitate to its fullest extent. Attaining a precipitate that is 100% pure and is exactly of the composition represented by its chemical formula would be extremely difficult. A second source of error was in the filter paper. No filter paper can be perfect, and it is very likely that it did not filter all of the precipitate, which would then decrease not only the mass of CaCO3, but also the molar mass because only the majority of the correct mass of the precipitate was found; by lowering the mass of a compound, its molar mass will also fall. B) After the precipitate had been filtered and dried, the filer paper that contained the precipitate was mishandled and its contents was scattered all over our lab bench. The dried precipitate had to be then gathered and then put back onto the filter paper; this contributed a large portion of human error to this lab. Spilling the dried precipitate is a source of human because it is almost guaranteed that not all of the precipitate was collected that had been spilled. This would have then lowered the mass of all of the following data, and wholly, our end result (i.e. molar mass). C) Percent error = your result-accepted valueaccepted value x 100 Percent error = 128.79-138.21138.21 x 100 = 6.8157% Considering that any percent error that is under 5% is often times considered accurate, a percent error of 6.8% can be viewed as fairly accurate. It is not too far off to completely disregard, but it is also not close enough to use as fact.

Bachelor Business Management Degree Use a Degree from Kaplan University to Boost a Small Business Start-Up 2019

New businesses have about a 50/50 chance of surviving over the course of 5 years, says Brian Head, economist with the Small Business Administration Office of Advocacy. According to BusinessKnow-How.com, poor management ranks second on a list of top 7 reasons why new businesses fail. Professionals who are serious about increasing their chances of success in the business world are building their management skills through the bachelor business management degree. Students Develop Business Skills for Success with a Bachelor Business Management Degree Proper management skills are essential to surviving the most vulnerable times of a new businesss evolution. Bachelor business management degree students learn tools such as: Critical thinking skills from bachelor business management degree professionals. Communications techniques from experienced bachelor business management degree workers. Technical competencies from bachelor business management degree professors. Efficient management practices from bachelor business management degree case studies. Bachelor Business Management Degree Specialties Allow Students to Personalize Their Educations The U.S. Census Bureau reports that over 17. million U.S. small businesses were in operation in 2017. No one bachelor business management degree curriculum could possibly cover the needs of such a large population. Consequently, some Universities offer 4 unique programs, including: Bachelor Business Management Degree with an E-Business Emphasis. Bachelor Business Management Degree with a Health Care Management Emphasis. Bachelor Business Management Degree with a Human Resource Management Emphasis. Bachelor Business Management Degree with a Sales and Marketing Emphasis. .u7073bcbd3b4d961bcf6392b788bd9164 { padding:0px; margin: 0; padding-top:1em!important; padding-bottom:1em!important; width:100%; display: block; font-weight:bold; background-color:#eaeaea; border:0!important; border-left:4px solid #34495E!important; box-shadow: 0 1px 2px rgba(0, 0, 0, 0.17); -moz-box-shadow: 0 1px 2px rgba(0, 0, 0, 0.17); -o-box-shadow: 0 1px 2px rgba(0, 0, 0, 0.17); -webkit-box-shadow: 0 1px 2px rgba(0, 0, 0, 0.17); text-decoration:none; } .u7073bcbd3b4d961bcf6392b788bd9164:active, .u7073bcbd3b4d961bcf6392b788bd9164:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; text-decoration:none; } .u7073bcbd3b4d961bcf6392b788bd9164 { transition: background-color 250ms; webkit-transition: background-color 250ms; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; } .u7073bcbd3b4d961bcf6392b788bd9164 .ctaText { font-weight:bold; color:inherit; text-decoration:none; font-size: 16px; } .u7073bcbd3b4d961bcf6392b788bd9164 .post Title { color:#000000; text-decoration: underline!important; font-size: 16px; } .u7073bcbd3b4d961bcf6392b788bd9164:hover .postTitle { text-decoration: underline!important; } READ Opening Doors to a Health Care Financial Management CareerStarting a small business often involves taking risks associated with personal money, security, and ideas. With a bachelor business management degree, entrepreneurs build a strong foundation that encourages business success. Related ArticlesBachelor Business Degree in Management of Information Systems Enter an IT Career in the Business EnvironmentAccredited Bachelor Degree Business Online Acquire Skills Necessary for Success as an EntrepreneurAssociate Degree Business Administration Salary Does an AA in Business PayBachelor Criminal Justice Degree Benefits and Rewards of a Crime Scene Investigation EmphasisBachelor of Science in Business Administration Learn What it Takes to Be a Chief Financial Officer (CFO)Fashion Design and Fashion Merchandising Two Potential Tracks for the Fashion-Minded Student

The Doctrine of Double Effect - 2090 Words

There are times when doing the right thing can lead to bad consequences. For example, if your family is about to be killed by a criminal and the only thing you can do to protect your family from being murdered is to kill the person who is threatening them, you would feel it necessary to commit an evil in order to prevent a greater misfortune. On the other hand, the actor in cases such as this faces a moral dilemma of having to kill someone. This is where the Doctrine of Double Effect comes into play. The Doctrine of Double Effect (DDE) is a principal which aims to provide specific guidelines for determining when it is morally permissible to perform an action in the pursuit of a positive outcome with the full knowledge that the action will also bring about an evil consequence. (Solomon, 2014). Although the Doctrine of Double Effect is viewed as a positive theory by man, it is unjust in that it gives people a justification to commit heinous acts if they merely claim that they intended some sort of good outcome to result from their actions. The Doctrine of Double Effect was first created by Thomas Aquinas. Aquinas believed that if you killed someone who was attacking you, you were justified in this action because the individual who was being attacked didn’t have an intent to kill the attacker from the beginning. Aquinas observes that â€Å"nothing hinders one act from having two effects, only one of which is intended, while the other is beside the intention. †¦ Accordingly, the actShow MoreRelatedThe Doctrine Of Double Effect1163 Words   |  5 PagesIntroduction to Ethics in the Healthcare Setting Doctrine of Double Effect The Doctrine of Double Effect (DDE) is utilized in the explanation of the permissibility of dealings and actions that result in impairment for example, death of a person, as a result of achieving some good at the end. This explains that it is sometimes acceptable to harm someone if the action will evoke some good at the end (Mclntyre 42). This reasoning was introduced by Thomas Aquinas but has developed and many versions ofRead MoreThe Doctrine Of Double Effect877 Words   |  4 Pagessuppression of respirations. However, the Doctrine of Double Effect helps to determine if the act is permissible. With this particular case, Nicolas is faced with the situation of either facing unbearable pain or taking morphine to ease the pain in his last months of life. Before this case can be analyzed according to the Doctrine of Double Effect, one must first consider the act, good effect, and bad effect. In this case, the act is the use of morphine. The good effect that comes from the act is the reliefRead MoreThe Doctrine Of Double Effect2007 Words   |  9 PagesThe doctrine (or principle) of double effect is often invoked to explain the permissibility of an action that causes a serious harm, such as the death of a human being, as a side effect of promoting some good end (McIntyre, 2004) . According to the principle of double effect (DDE), there are times where it is permissible to cause harm – as a side effect of bringing about a good result, even though it would not be acceptable to cause such harm as a means to providing the same good end. I will nowRead MoreEssay on The Doc trine of Double Effect1307 Words   |  6 PagesCase Assignment: The doctrine of double effect says that the pursuit of good is not as acceptable if the harm that results is intended rather than merely foreseen (Lippert-Rasmussen, 2010). To some it is a nonabsolutist moral principle in which as long as significant good resulted from the action, it is allowable (Lippert-Ramussen, 2010). Scanlon believed that an act that leads to the death of an innocent person can never be justified by the good that results (Lippert-Ramussen, 2010). ScanlonsRead MoreProblems With The Doctrine Of Double Effect1904 Words   |  8 PagesJessie Buckler Term Paper Philosophy 3300 April 25, 2016 PROBLEMS WITH THE DOCTRINE OF DOUBLE EFFECT Defenders of the Doctrine of Double Effect argue that there is a morally significant distinction, which bears on the rightness of actions, between those consequences of our actions that are intended and those that are foreseen. Utilitarians often use this doctrine to describe their stance on the topic of harming others. This paper will look at three situations that are commonly used to defendRead MoreDoctrine of Double Effect Essay1464 Words   |  6 PagesAlecia Rhines Doctrine of Double Effect Trident University What is the Doctrine of Double Effect? The doctrine of double effect if often invoked to explain the permissibility of an action that causes a serious harm, such as the death of a human being, as a side effect of promoting good ends. It is claimed that sometimes it is permissible to cause such harm as a side effect of bringing about a good result even though it would not be permissible to cause such harm as a means to bringing aboutRead MoreThe Doctrine Of Double Effect : Writing Assignment1176 Words   |  5 PagesEvan Bakker Professor Cole Honors Ethics 6 February 2015 The Doctrine of Double Effect: Writing Assignment 1 The method of reflective equilibrium is a method that is a state in which our moral principles are in accord with our intuitive moral judgements. There are two different kinds of reflective equilibrium: narrow reflective equilibrium, which is when one’s intuitive judgements concerning a rather restricted set of cases is rendered consistent with a set of general moral principles, where asRead MoreThe Problem Of Abortion And The Doctrine Of Double Effect1775 Words   |  8 PagesIn The Problem of Abortion and the Doctrine of Double Effect , Phillipa Foot takes into account what is called the Doctrine of Double Effect (henceforth DDE), which appeals to two effects that an action causes - one intended at and desired, the other foreseen as a consequence of the action but undesired. She uses this doctrine to critically examine its application and thereby assert that My conclusion is that the distinction between direct and oblique intention (the DDE) plays only a quiteRead MoreT he Doctrine Of The Separate Legal Entity1386 Words   |  6 Pagesact is the doctrine of the separate legal entity. Section 1.5.1 of the act outlines the separate legal entity theory, legislated as a company being distinct from its owners, managers, operators, employees and agents. Though, the doctrine of separate legal entity has been argued as a double edged sword. A ‘double edged sword’ is defined by Oxford as ‘a situation or course of action having both positive and negative effects.’ The separate legal entity doctrine is evident of being a ‘double edged sword’Read MoreThe Debate Over Physician Assisted Suicide951 Words   |  4 Pagesdetermined by the doctrine of double effect. The doctrine of double effect states that an action is morally permissible if the bad effect is not intended but may be foreseen; if the act is not intrinsically wrong; and if good effect is the result of the action, not the bad effect. This doctrine can be used to determine whether or not providing the diamorphine is morally permissible. With the doctor committing to giving the diamorphine, he is satisfying all the requirements for the double effect. The intent