Medical ward objectives and staffing levels

Medical ward objectives and staffing levels This is a 34 bedded medical ward admitting male patients with different conditions.The specialties are as follows: Specialties Consultant Beds Gastro-Enterology Dr. Salim AL.Harthi 6 Neurology Dr. Jaber AL.Khaburi 5 Respiratory Dr. Nasser AL.Busaidi 5 Cardiology Dr. Abdullah AL.Riyami 4 Endocrinology Dr. Noor Al.Busaidi 4 Infectious Disease Dr. Saif AL.Abri 4 Rheumatology Dr. Ramnath Misra 4 Hematology Dr.Muhana AL.Maslahi 2 Ward Objectives:- To plan, organize, implement and evaluate the nursing services to ensure that a high standard patient care is delivered within the ward. To maintain optimum professional code of conduct, practice and good staff morale of professional nurse. To maintain effective communication with patient and their relatives concerning the nature and management of clinical conditions and their outcomes. To ensure all staff have been updating their knowledge by conducting some lectures within the ward level and training programs within CPE department. To facilitate the integration of newly qualified Omani nurse into their roles and responsibilities in the tertiary medical services consistent with the national policy on Omanization and fully aware administrative roles and regulation pertaining their employment. To conduct regular staff performance appraisals to assess competency, progress, strengths, weaknesses and identify further education and training needs. To schedule and deploy sufficient numbers of staff to provide 24hrs nursing care to ensure safe clinical practice. To ensure optimum utilization of the hospital resources towards the appropriate provision of nursing services throughout the ward. Staffing Levels:- Staff levels Omani Staff Expatriates Staff Senior Junior Senior Ward Nurse 1 Staff Nurse 1 13 3 Ward Coordinator Nil Medical Orderlies 1 3 Total staff 27staff (-1staff in Female Medical 1, plan for transfer. Ward Activities:- Termination, Omanization, Transferring, Resignation and New staff:- Sr. No Ward Activities No. Of Staff Nurse Remarks 1 Termination Nil Nil 2 Omanization 2 S/N Seena affected date 01/08/2009 S/N Smitha affected date 06/09/2009 3 Transferring 3+ 1 Temporary 1 S/N Wafa Harib affect date 02/05/09 to Royal Hospital OPD S/N Suganthi affect date 02/05/09 to MM1 S/N Enci affected date 06/06/09 to FM2 + S/N Faiza affected date 01/11/09 to FM1 (Temporary) M/O Said affected date 02/05/2009 to Royal Hospital X-Ray Department 4 Resignation 1 S/N Ajitha Affected date 06/12/2009 5 New Staff 2 S/N + 1 M/O S/N Idris Al-Farsi S/N Sangoor Al-Yusufi + M/O Turki Barghash New Equipment:- 1. Glide sheet for patient turning 6/7/09 2. Our old cardiac monitor has been replaced. Activities in Male Medical Two Within Each Month:- Male Medical Two is kept for conducting the MRCP exams four times per year which always take one week; each time of these exams went so smoothly and will give as chance for tarrow clean the ward. The ward is the Disaster ward in the medical unit, all staff in the ward have good knowledge of the step how to followed in any emergency situation (of each month 1st week there is discussion Disaster matter to upgrade staff knowledge) On 13/11/2009 there was a disaster drill which has prove to us that the objective of disaster action cards are met throughout the feedback we received verbally from Nursing Administration. 2nd Week in each month kept for upgrade staff knowledge about Professional Code of Conduct by given lecture with scenarios in one of the element. 3rd Week in each month kept for upgrade staff knowledge about Medication action side effect, by lecture given by assigned staff 10-15 minutes prior to hand over of morning shift. 4th Week in each month kept for upgrade staff knowledge about Firewast management by lecture given by assigned staff 10-15 minutes prior to hand over of morning shift. Ongoing monitoring is being done on:- Nursing Records Auditing which we are doing since July 2001. Daily patient Fall Assessment Score. Wound care assessment. Daily followed screening for any infection (MRSAMDRAB) Daily followed Nursing process which started on 2nd September 2002. Discharge planning started on October 2002 Monthly Environmental Audit. Six Month report. Education, Training and Quality Management for 2009 SR Courses 2009 No of S/N completed Remark 1 Ward Management 1 3 2 High Dependency 3 3 3 Pain Management 4 22 4 ECG interpretation 1 11 5 Preceptor ship 3 23 Upgrade their knowledge by refreshment preceptor workshop. 6 IV Therapy Drug Calculation 28(All staff) 7 IV Cannulation 7 We are following up with other 8 staff practice cannulation till they are competent. 8 Wound stoma care 3 4 They are helping to teach other staff in the ward level and follow up the care about wounds. 9 Post Kidney Transplant 1 1 10 Recertification BCLS 28(All staff) Every 2 years 11 Manual Handling 23 Other 5staff who are joining MM2 in last 3years they are learn more about it from senior staff during work. 12 Physical Assessment 3 6 Recertification of BCLS and management of Cardiac Arrest:- All of nurses certified more than 2 years ago have been recertified. Nurses within the ward has been assessed for their competency in management of cardiac arrest at the ward level in recognizing cardiopulmonary arrest, move rapidly towards Life saving. The plan for ward basic CPR within Ward level, which aim to check the staff competency with it. Strategic Plan for next year:- To continue the ward activities, upgrade the standard of care and services to the patient. To plan, organize, implement and evaluate the nursing services to ensure that a high quality patient care is delivered within the ward level. To maintain optimum Professional Code of conduct, practice and good staff morale of professional nurse. To ensure all staff has been updating their knowledge by conducting different courses in CPE and some lectures within the ward level regarding cases, medication and infection control. To finalize Endoscopy Procedure Brochure this is made by staff in Male Medical Two. To continue give first priority for CPE program courses to Omani staff to improve their competencies and skills. Plan to give 3 lecture within medical unit by our staff regarding (fall prevention, CVP care and medication calculation during emergence). Done by :- Saif AL.Ghuzaili

As a Private Investigator

As a Private Investigator, my work is basically on the aspect of uncovering the truths and primarily using any means just to discover everything that I needed to know. With the use of observation or any particular thing that can help me pursue my investigation, I then carry out the cases that are to be investigated.The nature of my work would probably include the irregular time of work and that includes any time of the day, may it be during early in the morning, late in the evening, or even in holidays. This kind of system is just normal for investigators like me because for one, the subjects of my investigation process might not be available during the normal hours that's why we must be able to adjust to the time whenever they are availbale.In obtaining the facts, there different methods that can be used. We can use cellular phones, video or still cameras, computers, and others to get hold of the facts there we're up to. We can also attain necessary information by interviewing peopl e, doing several researches, and reviewing public documents.But for whatever facts we may acquire, we must verify them first to be sure that it is genuine or accurate for that matter. Apparently, as Private Investigators, we should be accountable for the things that we are investigating in.   To sum it up, being a Private Investigator isn't that easy and a lot of hard work is really a necessary.For those who don't have any single idea on what being a Private Investigator is, I can somehow impart to them some important details on what this is all about.As for me, I strongly believe that this particular job is a kind of job wherein one can get innumerable satisfaction just by getting the information that are needed by our clients. This is a job wherein we help people with uncertainties who finds answers to the questions they badly need and want to know. Our duties, however, may always depend on our client's demand.In my work as a Private Investigator, I have my duties and responsibi lities to let the people, who don't have any clue on what it is to work as a Private Investigator but are interested to work in this kind of job, be aware of the necessary stuffs that come with this certain profession.They have to be mindful that in order to survive this work, they must be able to think on his or her feet which means he must be alert at all times whenever he or she's on his duty as a Private Investigator.An average working day for a person who has a profession like mine is normally spent scrutinizing things around me especially certain things which have something to do about the case that I'm working on.I usually deal with various environments and some of those are somehow dangerous in nature especially when a particular case involves confrontation. In cases such those, what I am just doing is just deal with that particular circumstance and the consequences that may arise.There is, however, a downside in this certain profession. Because at the end of the day, I some how felt weak for some reasons like not being able to be apreciated no matter how hard you worked for a certain case or simply just being tired because of the nature of the work itself.Yet no matter how hard or tiring my work may be, it is still overwhelming that after all my hard works and perseverance in the things I have done, I know for myself that I did my best to come up with a good job.A simple tap on my back from someone is such a big reward for me because it is just an evidence that I am being appreciated for the works I have done that entire day.Moreover, the most important thing about here is the respect I gain not only from my co-workers but entirely from the people who know the nature of my work as well.

Death And Gothic Romanticism In The Cask Of Amontillado - Free Essay Example

Sample details Pages: 3 Words: 997 Downloads: 7 Date added: 2019/06/13 Category Literature Essay Level High school Tags: The Cask of Amontillado Essay Did you like this example? The Cask of Amontillado is a short literary work wrote in 1846. From the same author that brought us The Fall of the House of Usher, Edgar Allan Poe. This short story also has a Gothic nature. Don’t waste time! Our writers will create an original "Death And Gothic Romanticism In The Cask Of Amontillado" essay for you Create order Edgar Allan Poe, was born in the early eighteen-hundreds. His accomplishments as a poet and author are wide and numerous. He is highly regarded as a central attributed to the American romanticism period. Since Poe was born in 1809, he had the perfect stage to become a Romantic period figure, as Romanticism was at its height from 1800-1850 after having originated in Europe and moving to the young United States. The Romantic period of literature was solidified by an emphasis on strong emotions with a connection to nature. Romanticism examined all parts of nature, including death. Thus, came the motivation for the below analysis of The Cask of Amontilado. Many historians agree that the potential shift toward romanticism was a direct result of the industrial revolution in which many felt we were straying away from traditional values of working land with our hands. Whatever the cause, it is no doubt Edgar Allan Poe became a truly predominant American figure. His works of literature are still extremely well respected to this date. The story, in summary, is a story about revenge and death. Even the title of the work foreshadows the dark events that will unfold. In archaic form, a cask equates to a modern day casket, or resting place. Therefore, the reader immediately knows death is a part of the story. In the introduction of the story, the narrator discovers a character, Fortunato (Fortunato translates to English as fourtainte, this literary irony truly adds to the story), has been insulting him. The narrator preys on Fortunators weakness to consume alcohol (wine). The narrator lures Fortunato into a wine cellar, which also doubles as a catacomb (In ancient Europe it was common for wine cellars to also contain crypts for family members dating back centuries in the same home.). It is important to again note that the character, Fortunato, has a name which translates to lucky or fortunate. Nothing about his experience with the narrator will become fortunate or lucky, again creating a sense of irony. The Cask of Amontilado has several aspects of irony, all of which strongly support the penultimate progression of the story; the authorrs use of irony strongly supports the storyrs theme and plot development. (It is my personal belief that Fortunatos craving for alcohol represents mans addiction to unworldly things, just as the cellar symbolizes a form of purgatory.) Additionally, the way in which the two main characters are dressed gives the reader a prediction on what is to come. The narrator is dressed in dark clothing, which symbolizes death. Fortunato, ironically, is dressed as a clown, in bright colors. This is possibly the most ironic point in the story. This shows the reader that he is completely unaware of the events that are about to unfold, eventually resulting in his death. Fortunato had been attending a carnival, which accounts for his bright clothing. The light mood Fortunato carried with him into the cellar serves as a further indication of his unawareness of the coming events. Perhaps Fortunato is unaware the narrator knows he has been talking bad about him, which is the whole premise for his revenge. The story also has several ironic quotes, not just ronic actions or instances. One important quote occurs when Fortunato begins to cough: Enough, he said; the cough is a mere nothing; it will not kill me. I shall not die of a cough. True†true, The narrator knows very well why Fortunato is coughing. The cause of his respiratory distress is from sulfur deposits within the cellar. That combined with the poor circulation of air is causing his breathing problems. Instead of heeding the warning from his coughing, Fortunato agrees that a sip of wine that will soothe his throat. Ironically yet again, that which he craves to be a connoisseur of so badly will end his life. Fortunato lays claim that he is an expert in good tasting wine, a claim that will ultimately aid in his death. This too serves as a foreshadowing detail of what is about to unfold. The reader knows the intentions the narrator has planned for Fortunato, death. He shall indeed die of a cough. One additional ironic quote occurs as they enter the cellar. I continued, as was my wont, to smile in his face, and he did not perceive that my smile now was at the thought of his immolation. The narrator identifies to us very plainly his plans to immolate Fortunato. Obviously the narrator has a charming appeal to him. Who else could connive face to face with someone, only to kill them seconds later. Still, as Fortunato begins to struggle to breath, due to the sulfur, he remains oblivious to his fate just a few mere moments away. He now sits in an intoxicated state, struggling to breath, still clearly unaware of his fate to be. In conclusion, this story is another classical work by Edgar Allan Poe, and reflects his ongoing theme of death and Gothic romanticism. Poe displayed his ability to master all types of literary irony within this particular work; Edgar Allen Poe is an expert at the literary use of irony to convey the plot throughout the majority of his stories. The several aforementioned accounts of irony serve as a way to convey Poers theme of death and revenge. Had the story not used this literary element/tool, it would have not been as effective in conveying its overall theme and message. The use of irony truly does progress the story. It is therefore, due the culmination of his expert literary approach, his use of irony, word choice, and other literary elements, we are left with a story that truly conveys artistic ability. Furthermore, this story truly does reflect the sentiments of the Romantic literature period.

My First Classical Musical Concert At Brooklyn College

On April 13, 2016 I attended my first classical musical concert at Brooklyn College called â€Å"The Music for Strings 1†. The concert had various well known artists and amazing pieces which made it a hard decision to choose between. The music piece I chose is â€Å"Partita for Violin No. 2 in D minor, BWV1004, Verse Chaconne†, composed by Johann Sebastian Bach. The student who performed this piece, Sainatee Suarez, did an amazing job and kept me listening the whole time! Not much is known about Bach’s private life however, they were able to gather information and put it together based on official documents (Marshall, 99). Johann Sebastian Bach was born on March 21, 1685 in Eisenach into a musical family. Bach learned to play the organ, harpsichord, and violin from an early age. He was given a very religious education at St. Michael School in Germany. Therefore, as a composer, he saw everything as an act of prayer. Bach composed â€Å"Passions† which were sacred works based on the bible. In 1703, he worked as a court musician, which allowed him to compose various church cantatas. During his time there he wrote one of his famous pieces the â€Å"Toccata and Fugue in D Minor†. It became very popular and was featured in the Disney’s animated film â€Å"Fantasia†. Bach was appointed the director of music for the four main churches in Leipzig, Germany. His music was so great that he performed for various different kings and royal people. By 1740, Bach was having problems with his eyesight, but stillShow MoreRelatedMusic History : Influences From Different Cultures Gave The Basis Of How Music Essay1360 Words   |  6 Pagesperformed. In the two fieldworks, I conducted at Brooklyn Museum and Brooklyn College convey the idea that music no matter where it is performed can reach others and tell stories. Whether the music is new or old, all music has a beginning. The two genres of music I studied were classical/romantic and Latin-pop/neo-soul. Those in the classical genre is rooted or produced in the western traditions in religious or secular music. The music scene during the classical period was in reflection to the changes happeningRead MoreThe Concert Of The Conservatory Orchestra Concert Conducted By George Rothman1200 Words   |  5 PagesConcept Report On Friday, November 06, 2015 at 7:30 pm, I attended the conservatory orchestra concert conducted by George Rothman that was held in the Whitman Theatre of the Conservatory of Music of Brooklyn College. There were four pieces of music during this concert. The first piece of music was â€Å"Belshazzar’s Gastabud† (Belshazzar’s Feast), op.51 by Jean Sibelius. The second piece of music was â€Å"Le Tombeau de Couperin† by Maurice Ravel. The third piece of music was â€Å"Le Festin De L’Araignee† (TheRead MoreLangston Hughes Research Paper25309 Words   |  102 Pagesdescent, was nineteen in 1855 when men tried to kidnap her and sell her as a slave. Her first husband, Lewis Leary, was killed in 1859 at Harpers Ferry, West Virginia, during John Browns raid on the federal arsenal. Throughout Mary Langstons life, she treasured Lewiss bullet-riddled shawl, an emblem of his martyrdom. She often covered young Langston with it as he slept on her daybed. Mary Langstons first husband, Lewis Leary, had participated in John Browns raid against the U.S. arsenal at