Sunday, February 23, 2020

Practicum Project Goals, Objectives, and Justification Term Paper

Practicum Project Goals, Objectives, and Justification - Term Paper Example My proposed practicum project is implementation of various best practices related to nursing operations: purposeful rounding, bedside reporting, and multidisciplinary rounding. Starting July of 2015, daily staff meetings will be conducted in my organization from 8am to 9am from Monday to Friday. The objectives of these daily meetings will be to equip staff with skills, knowledge, and competence necessary for the implementation of best practices. In these meetings, the rationale for purposeful rounding, bedside reporting, and multidisciplinary rounding as best practices will be established, a membership development committee comprising of nurse managers will be created to oversee implementation of best practices, and also recommendations for implementation will be established. Based on past surveys conducted in my organization and feedback from patients, management has inferred low levels of patient satisfaction. The current nursing processes or procedures characterized by unstructured rounds and poor reporting techniques have significantly reduced patients experiences in my organization. King and Gerald (2012) posits that purposeful rounding, bedside reporting, and multidisciplinary rounding are essential practices in managing patients expectations. For instance, King and Gerald (2012) notes that bedside reporting allows nurses to exhibit empathy and show concern to patients and could thus elevate levels of patient satisfaction. In nursing perspective, King and Gerald (2012) points out that multidisciplinary rounding helps nurses gain experience in working in a multidisciplinary environment and consequently gain skills and competencies in working with and managing a diverse population of staff, and also develop leadership abilities. Goal: In this project, the learner will create an implementation plan for purposeful rounding, bedside reporting, and multidisciplinary rounding in order to improve patients experiences and help staff develop their leadership

Friday, February 7, 2020

Cadmium in Shellfish Essay Example | Topics and Well Written Essays - 1500 words

Cadmium in Shellfish - Essay Example The figures for both types of shellfish was well within the tolerable limits at 7 g/kg body weight for adults as per WHO and Australian guidelines. Nevertheless, since there was observed high standard deviation among the scallop samples and there was also high deviation between the scallop and mussel cadmium/body-weight ratios it has been suggested that a future experiment be conducted during which the origin of the two types of shellfish be ascertained first to ensure that water contamination levels for both types of shellfish are the same. This shall ensure better conformation among the results. Correlation analysis was not conducted because of the small number of samples. This too should be rectified in future experiments to ascertain how each type of shellfish responds to the same level of cadmium contamination in the water. Thus, the report finds that it is highly essential to ascertain contamination in particular harvesting areas so that only those areas from where the bivalves have tolerable metal contents can be allowed harvestable. Other non-conforming areas should be declared out-of-limits. Only this can assure safety in supply. Cadmium is a heavy metal that is commonly found in many types of soil and rocks. At birth, primates like humans have no cadmium in their bodies but, with age, some humans induct the metal from their environment. The metal is a contaminant and classified as possibly carcinogenic under World Health Organisation (WHO) guidelines (CHEC, Cadmium, 2007). The metal is variously used in industrial applications and commonly found in everyday use objects like paints, plastics, some types of coatings, batteries and other electrical components (CHEC, Cadmium, 2007). The metal is also let out into the atmosphere from burning fuels, especially fossil fuels. It is present in rubber tires and is emitted when tires burn. Also, many industries let out the metal into the atmosphere trough flue gases (CHEC, Cadmium, 2007). Another significant source of cadmium contamination is tobacco smoke. Children are especially susceptible to the metal if they are near smokers (CHEC, Cadmium, 2007). Children also a re more prone to cadmium contamination because ration of the metal intake by body weight is much higher than in adults with larger body weight. Thus, more care has to be taken to preclude such contamination in children. Also, it is estimated that cadmium build-up in the body is faster in the early years than later if the individual is subjected to such contamination (WHO, Cadmium, Series 24, 1972). In this particular context it is noted that shellfish like mussels and scallops are bottom-dwellers and are non-mobile filter feeders (Moffett, 1993). In all likelihood, if the metal becomes evident in seawater, it settles down towards the bottom and the shellfish induct it into their systems. Since there is evidence that the metal is not easily evicted from organic tissues. Over time the metal may accrue in shellfish tissue and if these are ingested by humans poisoning may result if the metal levels in the tissue are