Importance of the Documentation with Regards to Patient Care

The move by the state agency to fine a nursing care facility due to spelling and grammatical errors made by the staff with the charting of patient care was an appropriate measure. This is so because of the critical role that documentation plays in ensuring that quality health care is administered to patients. Advertising We will write a custom essay sample on Importance of the Documentation with Regards to Patient Care specifically for you for only $16.05 $11/page Learn More To begin with, the records of patients are legal documents. This means that the documents can be used in legal proceedings. Secondly, if an occurrence or observation is not charted, then it is considered not to have happened. Charting is also important in the health care industry. In this case, the basic standards of care dictate that any health practitioner should understand a chart that has been charted by another colleague. In this case, they should be able to interpret the condi tion of the patient and his/her care correctly. Another important aspect of documentation with regards to patient care is that the document is used in financial reimbursement. The document is evaluated by third parties to ascertain the viability of compensation. Another key factor to consider is the legality of patients’ records. They may be used as a basis for entering a law suit against malpractice. An expert in this case reviews the document and ascertains its quality and the appropriateness of care administered to the patient (Iyer, Levin, Shea and Ashton 16). Following the reasons highlighted above, it can be noted that the charting of patient care is very vital in health care provision. Therefore, it should be conducted in a systematic, organized, and coherent manner and should reflect the true state of the patient. Having a medical record that is accurate is the best defense that any nurse can have. Having records that are not grammatically correct or have spelling e rrors can have serious implications. Wrong documentation can endanger the life of the patient. It may lead to overdosing patients. This has been the case with a lot of diabetic patients who are often given overdoses of insulin due to wrong charting. Furthermore, the document may be misinterpreted by different people and may lead to confusion, and in case of any mishaps, the facility may be sued or the nurse responsible restricted from practicing (â€Å"Nursing Know-How: Charting Patient Care†, 4).Advertising Looking for essay on health medicine? Let's see if we can help you! Get your first paper with 15% OFF Learn More If I was the manager of a facility that has had problems with nurses charting wrongly, I would take precautions to ensure that charting is done correctly. In the case of nurses making spelling and grammatical errors, the nurses may be making these errors due to charting speedily. I would carry out a sensitization program where the nurses are se nsitized on the importance of taking their time to chart so as to avoid unnecessary errors. If some of the errors are due to the nurses failing to know the correct spelling or grammar to use, then the facility can organize a part time training for nurses with difficulties in grammar. This will help them improve their grammatical skills. They can also liaise with their colleagues to assist them in that area (â€Å"Nursing Know-How: Charting Patient Care†, 7). Proper documentation should be accurate and void of any vagueness. This will depict a clear picture of the patients’ condition. A good chart should include only information that is objective. This means that a nurse should write what he/she can smell, hear, feel and see among others. Charting should also be done in a legible manner where others are able to read what is written. In the case where an individual cannot read a chart done by another nurse, the individual should inquire from the person who wrote it inst ead of making assumptions that may endanger the patients’ life. Other things like ensuring the recording is done on the correct chart and charting immediately after each care is given are also important (Iyer, Levin, Shea and Ashton 18). Works Cited Iyer, Patricia W., Barbara J. Levin, Mary A. Shea, and Kathleen Ashton. Medical Legal Aspects of Medical Records. Tucson, AZ: Lawyers Judges Pub. Co, 2006. Print. Nursing Know-How: Charting Patient Care. Philadelphia: Wolters Kluwer Health/Lippincott Williams Wilkins, 2009. Print.Advertising We will write a custom essay sample on Importance of the Documentation with Regards to Patient Care specifically for you for only $16.05 $11/page Learn More This essay on Importance of the Documentation with Regards to Patient Care was written and submitted by user Jaydin Key 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.

Spinner Shark Facts (Carcharhinus brevipinna)

Spinner Shark Facts (Carcharhinus brevipinna) The spinner shark (Carcharhinus brevipinna) is a type of requiem shark. It is a live-bearing, migratory shark found in warm ocean waters. Spinner sharks get their name from their interesting feeding strategy, which involves spinning through a school of fish, snapping them up, and often leaping into the air. Fast Facts: Spinner Shark Scientific Name: Carcharhinus brevipinnaDistinguishing Features: Slender shark with long snout, black-tipped fins, and habit of spinning through water when feeding.Average Size: 2 m (6.6 ft) length; 56 kg (123 lb) weightDiet: CarnivorousLife Span: 15 to 20 yearsHabitat: Coastal waters of the Atlantic, Pacific, and Indian OceansConservation Status: Near ThreatenedKingdom: AnimaliaPhylum: ChordataClass: ChondrichthyesOrder: CarcharhiniformesFamily: CarcharhinidaeFun Fact: Spinner sharks dont eat humans, but will bite if they are excited by other food. Description The spinner shark has a long and pointed snout, slender body, and relatively small first dorsal fin. Adults have black-tipped fins that look as though they were dipped in ink. The upper body is gray or bronze, while the lower body is white. On average, adults are 2 m (6.6 ft) long and weigh 56 kg (123 lb). The largest recorded specimen was 3 m (9.8 ft) long and weighed 90 kg (200 lb). Spinner shark. Spinner sharks and blacktip sharks are commonly confused with each other. The spinner has a slightly more triangular dorsal fin that is further back on the body. An adult spinner shark also has a distinctive black tip on its anal fin. However, juveniles lack this marking and the two species share similar behaviors, so its difficult to tell them apart. Distribution Due to difficulty distinguishing between blacktip and spinner sharks, the spinners distribution is uncertain. It can be found in the Atlantic, Indian, and Pacific Oceans, with the exception of the eastern Pacific. The species prefers warm coastal water that is less than 30 m (98 ft) deep, but some subpopulations migrate into deeper water. Spinner shark distribution. Chris_huh Diet and Predators Bony fishes are the staple of the spinner sharks diet. The sharks also eat octopus, squid, cuttlefish, and stingrays. The sharks teeth are made for grabbing prey rather than cutting it. A group of spinner sharks chases a school of fish then charges it from below. A spinning shark snaps up fish whole, often carrying enough momentum to leap into the air. Blacktip sharks also employ this hunting technique, although it is less common. Humans are the spinner sharks primary predator, but spinner sharks are also eaten by larger sharks. Reproduction and Life Cycle Spinner sharks and other requiem sharks are viviparous. Mating occurs from spring to summer. The female has two uteri, which are divided into compartments for each embryo. Initially, each embryo lives off its yolk sac. The yolk sac forms a placental connection with the female, which then provides nutrients until the pups are born. Gestation lasts from 11 to 15 months. Mature females give birth to 3 to 20 pups every other year. Spinner sharks start reproducing between the ages of 12 and 14 and can live until they are 15 to 20 years old. Spinner Sharks and Humans Spinner sharks dont eat large mammals, so bites from this species are uncommon and not fatal. The fish will bite if provoked or excited during a feeding frenzy. As of 2008, a total of 16 unprovoked bites and one provoked attack were attributed to spinner sharks. The shark is valued in sport fishing for the challenge it presents as it leaps from the water. Commercial fishermen sell the fresh or salted meat for food, the fins for shark fin soup, the skin for leather, and the liver for its vitamin-rich oil. Conservation Status The IUCN classifies the spinner shark as near threatened worldwide and vulnerable along the southeastern United States. The number of sharks and the population trend is unknown, mainly because spinner sharks are so often confused with other requiem sharks. Because spinner sharks live along highly populated coasts, they are subject to pollution, habitat encroachment, and habit degradation. However, overfishing poses the most significant threat. The US National Marine Fisheries Service 1999 Fishery Management Plan for Atlantic Tunas, Swordfish, and Sharks sets bag limits for recreational fishing and quotas for commercial fishing. While sharks of the species grow quickly, the age at which they breed approximates their maximum lifespan. Sources Burgess, G.H. 2009. Carcharhinus brevipinna. The IUCN Red List of Threatened Species 2009: e.T39368A10182758. doi:10.2305/IUCN.UK.2009-2.RLTS.T39368A10182758.enCapape, C.; Hemida, F.; Seck, A.A.; Diatta, Y.; Guelorget, O. Zaouali, J. (2003). Distribution and reproductive biology of the spinner shark, Carcharhinus brevipinna (Muller and Henle, 1841) (Chondrichthyes: Carcharhinidae). Israel Journal of Zoology. 49 (4): 269–286. doi:10.1560/DHHM-A68M-VKQH-CY9FCompagno, L.J.V. (1984). Sharks of the World: An Annotated and Illustrated Catalogue of Shark Species Known to Date. Rome: Food and Agricultural Organization. pp. 466–468. ISBN 92-5-101384-5.Dosay-Akbulut, M. (2008). The phylogenetic relationship within the genus Carcharhinus. Comptes Rendus Biologies. 331 (7): 500–509. doi:10.1016/j.crvi.2008.04.001Fowler, S.L.; Cavanagh, R.D.; Camhi, M.; Burgess, G.H.; Cailliet, G.M.; Fordham, S.V.; Simpfendorfer, C.A. Musick, J.A. (2005). Sharks, Rays and Chimaeras: The Sta tus of the Chondrichthyan Fishes. International Union for Conservation of Nature and Natural Resources. pp. 106–109, 287–288. ISBN 2-8317-0700-5.

Lead Essays - Chemical Elements, Native Element Minerals

Lead Essays - Chemical Elements, Native Element Minerals Lead subject = Chemistry title = Lead Lead is a lustrous, silvery metal that tarnishes in the presence of air and becomes a dull bluish gray. Soft and flexible, it has a low melting point (327 C). Its chemical symbol, Pb, is from plumbum, the Latin word for waterworks, because of lead's extensive use in ancient water pipes. Itsatomic number is 82; its atomic weight is 207.19. Lead and lead compounds can be highly toxic when eaten or inhaled. Although lead is absorbed very slowly into the body, its rate of excretion is even slower. Thus, with constant exposure, lead accumulates gradually in the body. It is absorbed by the red blood cells and circulated through the body where it becomes concentrated in the soft tissues, especially the liver and kidneys. Lead can cause damage in the central nervous system and apparently can damage the cells making up the blood-brain barrier that protects the brain from many harmful chemicals. Symptoms of lead poisoning include loss of appetite, weakness, anemia, vomiting, and convulsions, sometimes leading to permanent brain damage or death. Children who ingest chips of old, lead-containing paint or are exposed to dust from the deterioration of such paint may exhibit symptoms. Levels of environmental lead considered nontoxic may also be involved in increased hypertension in a significant number of persons, according to studies released in the mid-1980s. As a result, the U.S. Centers for Disease Control in recent years have been revising downward the levels of environmental lead that it would consider safe. At one time, lead poisoning was common among those who worked with lead, but such workplace hazards have been largely curtailed. Lead has been used by humans since ancient times. It was used in ancient Egypt in coins, weights, ornaments, utensils, ceramic glazes, and solder. Lead is mentioned in the Old Testament. The Romans conveyed drinking water in lead pipes, some of which are still in operation. Roman slaves extracted and prepared the lead, describes a disease among the slaves that was clearly lead poisoning. Because of their potential toxicity, lead water pipes are no longer being installed. The greatest single use of lead metal today is in the plates of storage batteries for automobiles. The protective oxidation layer formed by lead in contact with such substances as air, sulfuric acid, and fluorine makes it highly resistant to corrosion. For this reason, lead has been used to make drainage pipes and lead chambers in sulfuric acid factories. It is also used as a roofing material. The softness and malleability of lead make it useful for sheathing telephone and television cables. Lead is used in solder because of its low melting point. When combined with tin, lead forms solder alloys that are stronger than lead alone, with melting points lower than those of either original metal. Lead has the highest density of all metals in common use, which, for example, makes it useful as a counterweight in the keels of ships. Because of their high density, lead bullets and shot encounter little air resistance and thus achieve excellent striking power. Shot is produced by allowing molten lead to drip down from heights up to 38.10 m (125 ft). The drops become spherical and are condensed by the cooling action of the air before being collected in a tank filled with water or oil. Lead's density and softness also make it highly suitable for damping sound and vibrations. To isolate them from vibration, heavy machinery and even whole buildings are placed on lead blocks. Because the effectiveness of shielding against gamma and X rays depends largely on the density of the shield, lead is used in the protective shielding of X-ray machines and nuclear reactors. Tetraethyl lead or tetramethyl lead (PbEt4) has often been added to gasoline to improve engine efficiency and reduce gasoline consumption in automobiles. Because of the toxic effect of lead on the environment, however, plans call for phasing out this use. Lead azide is sensitive to striking and is highly explosive; it is frequently used as a detonator of explosives. Lead iodide is a light yellow substance that is used as a dye in such processes as coloring bronze. It has light-sensitive properties comparable to those of silver salts. More Uses the metal and the dioxide are used in storage batteries, cable covering, plumbing, ammunition manufacture of PbEt4 - an antiknock compound in petrol. environmental concern with lead poisoning, (and cheaper unleaded petrol prices) is slowly resulting in less use of lead in petrol the metal is very effective as a sound absorber, a radiation shield around X-ray equipment and nuclear reactors used extensively in paints, although recently the use of lead in paints has been drastically curtailed to eliminate or reduce health hazards the oxide is used in producing fine

Finaince for mangers Essay Example | Topics and Well Written Essays - 5000 words

Finaince for mangers - Essay Example They are considerably relevant and helpful to properly and fully assess the divisional financial and economic performance. After the critical evaluation, the relevant improvements are recommended accordingly. Quality Products Division The quality products division deals in furniture items made by hand and the raw natural materials are made part of it. Due to its quality products, this division has significantly contributed into the exports, especially in the Middle East. However, to critically understand the actual financial position of this division, the financial position and the audit comments are taken into account. Financial position 2007 2008 2009 Gearing (TL/TL+SC) 100% 53.98% 52.65% 52.32% Return on investment [PBIT / (TA – L)] x100% (Loss) 16.24% 18.96% Gross profit (gross profit/turnover) 100% 38.89% 40.43% 41.36% Profit before interest (profit before interest/turnover) 100% (loss) 5.70% 6.37% Profit after interest (PAI/Turnover)100% (Loss) 1.97% 3.34% Overseas Turno ver (overseas turnover/turnover) 100% 53.79% 44.51% 36.59% These are fundamental indicators of financial position of any corporate entity. ... Gross profit and profit before interest, profit after interest figures are slightly improving and on yearly basis, they provide 2 to 3% growth in these figures. With so much potential in the markets, local and foreign markets, this division’s gross profit and profit before tax are not increasing as they should be. In addition, this division has been more stable and in demand in the markets of Middle East, however, its recent decreasing overseas turnover highlights some of worrying signs for this division. This is negatively affecting the gross profit and profit before tax figures as well. Additionally, there are no positive audit comments for this division; the audit management letter clearly highlights that some quality control problems with a new range of adjustable chairs for senior citizens. As this industry considerably depends on the quality, such kind of quality control problems may reduce the number of customers. Additionally, the audit management letter points out tha t in every month 20 boxes of flat-packed chairs and desks are disappearing from the one of the division’s outlets. Improvements Profits can be improved by entering into the contract segment of the industry. This segment accounts for 29% of the entire furniture industry. For achieving that aim, the division is required to more concentrate on quality issues which are recently highlighted in the audit management letter. In addition, the disappearance of chairs and desks must be reduced by introducing some physical controls such as only authorized persons should be allowed to enter into the internal parts of the outlets and each incoming and outgoing shipment of desks

Community Policing Assignment Example | Topics and Well Written Essays - 500 words

Community Policing - Assignment Example By community partnerships, expected participation and collaboration by law enforcement agencies with other members of the community are seen to be instrumental in contributing to the peace and order of local communities. Organizational transformation, on the other hand, means â€Å"the alignment of organizational management, structure, personnel, and information systems to support community partnerships and proactive problem solving† (Community Oriented Policing Services (COPS), n.d., par. 3). And, finally, the problem solving process includes relevant elements such as scanning, analyzing, providing immediate response, and evaluating the effectiveness and success of response programs and initiatives. The benefits of community policing programs (or foot patrol) were revealed by Trojanowicz and Pollard (1986) as follows: increased contact on a one-on-one basis between law enforcement officers and citizens; fostering of increased trust; enabling law enforcements to focus on eminent problems in the community; by being actively seen, this approach gives greater public support, and immediate availability to address emergency situations (pars. 16 & 17). As revealed in Pearson Education (2010), there are five distinct core police operation strategies that assist law enforcement agencies to meet their goals. These core strategies are as follows: preventive patrol, routine incident response, emergency response, criminal investigation, problem solving, and support services (an ancillary operational strategy). These were validated by Scott (2000) in his published work entitled â€Å"Problem-Oriented Policing: Reflections on the First 20 Years†. A vivid example was clearly indicated by Trojanowicz and Pollard (1986) as follows: â€Å"one neighborhood may suffer a particularly large number of problems with juveniles, therefore the officer there devotes a greater share of his time to such concerns, perhaps

Business plan Essay Example | Topics and Well Written Essays - 1750 words - 3

Business plan - Essay Example a leading bank in the United Kingdom which offers start-up loans to the tune of  £ 25000.00 for young self-employed people who intend to start a business. We have applied for the same and are eligible for the loan. We shall be using these funds for initial start-up expense as well as carrying out day-to-day expenses. This loan will be for the period of 1 year after which we intend to request the bank for an overdraft facility1 (HSBC.co.uk, 2013) I like to believe that I’ve reached a stage where I can’t let ANYTHING outside my own self responsible for my negative states. Nothing in the external environment is 100% negative. Every situation, however bad, has it’s lessons n gifts. It’s up to me to make use of any circumstance in a beneficial way We are under negotiations for the purchase of a commercial property located at 12, Regent Street, Leeds, LS6 (RIGHTMOVE.co.uk, 2013). This property will cost us  £ 4,50,000. We intend to carry out further renovation and interiors to the tune of  £ 2,50,000. The property is located is front-facing to the main road leading to Headingley Stadium and has immense potential for a restaurant business. Ensure the building is classified under class A3 category which involves use of sale of food or drink for consumption on the premises (UK Statutory Instrument 1987 No. 764, Town & Country Planning Order 1987). Agusto’s is planned to be a casual restaurant-cum-lounge targeting the varied class of people staying in Leeds. Leeds also happens to be a student city; From our research we found that people aged between 17 to 25 visits a restaurant every weekend. One of our main objectives is to provide nutritiously high-value meal at a comparatively low cost. Marketing Budget: We intend to allocate about 2 % of the start-up cost for the purpose of marketing. We mostly intend to depend on word-of-mouth publicity. We will be spending most of our budget on print media and discount coupons. We intend to do our advertising in the

Day Care Paper Research Example | Topics and Well Written Essays - 1750 words

Day Care - Research Paper Example A child is far healthier when he is brought up in home rather than day care. Despite so many negatives the best advantage that day care provides a child with is the ability to socialize better and accept diversity. Placing your children in day care gives both the parents a free reign to earn money and hence they can do over times and work longer hours without any hassle. DAY CARE Day care centers are a new breed of facilities that are now available to single parents. They provide child care facility to single parents or parents who work and need someone to care for their child. Since the economic crisis, there has been a dramatic increase in the working parents and thus the requirements for day care centers are on the rise. According to the recent statistics there are around 70 % children who are under the care of Daycares. This has all been due to the increase in the working mothers. Earlier there were many families which had the father and mother both juggling their work hours with the time they spend with the taking care of the child. It was an easy job, but the current economic crisis has made employers more demanding as they are aware that there are many more talented and hardworking candidates who are willing to replace any time. Although many people look for low cost care for their children so as to save unnecessary expenses, but this is declining as such help is not much readily available with the rise of cost of living standards. Also, the need for economical day care centers is high on demand as the number of parents requiring the need for day care is increasing (NICHD, 2005). Earlier the day cares were more of a babysitting service that was available to parents, but since the increase in the working hours of parents which proportionally increases the time the child spends at day care, day cares have become grounds where the early development of child takes place and hence they have gained a lot of importance psychologically in the life of a child. Th e day cares now play a very important and prominent part in the child development. A modern daycare today teaches the child about things and skills that he will require as he grows up. In short, they equip the child to face the world as he steps out to walk to his first school. The main reason because of which the day cares have evolved such is that parents today have started demanding quality care and skill development in their child. The care requirement and need for skill development varies with the age of the child. A child with age two or younger needs special attention with respect to his/her health requirement, the food he will consume and the extent to which he needs exposure to the environment in general. Compared to this an older child needs necessary tools to develop his cognitive, spatial and verbal skills. He will need to learn to communicate with different people and will also learn as to how to socialize (Martin & Fabes & Fabes, 2006). Since the demand for the day car e is so high that there are many day care centers that re running today are unregulated ones and hence they hire anybody and everybody who applies to the vacancies. Many a times it has been observed that the nannies that work in such day cares have a past criminal record and thus it becomes a reason for parents to be very