Author: Joyce

Write and discuss an essay related to OSHA.

You are assigned to review your school’s school climate survey data results from students, staff and teachers to identify appropriate strategies for improving student learning.

To review your school climate survey data you are to locate and select or design strategies for improvement. Provide the results of your analysis including the appropriate strategies to improve student learning.

Explain parental styles and how they effect a child growing up

Smart clothes are an emerging market. Smart clothes can be defined as where electronics merge with textiles to create fashionable, functional, comfortable solutions to meet your everyday needs. Sometimes smart clothes connect us with our technology, such as backpacks with slots for ear buds. Sometimes smart clothes are the technology, such as shirts that can read biometric data. The smart clothes market is a perfect one to analyze and apply some things we’ve learned in operations management so far, such as customer requirements, translating those requirements into measurable operational goals, and creating flow charts. In this case study, you will write a paper that addresses the following questions.

Questions:

Make a list of smart clothes attributes that are important to you as a customer. Think like a customer and brainstorm a list of attributes that are important when it comes to smart clothes. Briefly discuss each attribute.
Categorize your list of attributes under a series of major headings. In other words, how would you group your list of attributes in order to start incorporating them into your process design? Provide the reasoning for your groupings.
Make a list of smart clothes manufacturing process design requirements. Associate with each requirement a measure that would ensure that the process meets the requirement. Refer back to the House of Quality example on page 51. You do not need to create a house of quality, but you need specific, quantitative measures such as the target values in the house of quality example.
Design a process that meets your requirements. Describe it by using a flowchart similar to that show in Exhibit 9.5.

National initiatives driven by the American Nurses Association have determined nursing-quality outcome indicators that are intended to focus plans and programs to increase quality and safety in patient care. The following outcomes are commonly used nursing-quality indicators:
• complications such as urinary tract infections, pressure ulcers, hospital-acquired pneumonia, and DVT
• patient falls
• surgical patient complications, including infection, pulmonary failure, and metabolic derangement
• length of patient hospital stay
• restraint prevalence
• incidence of failure to rescue, which could potentially result in increased morbidity or mortality
• patient satisfaction
• nurse satisfaction and staffing

Scenario:
Mr. J is a 72-year-old retired rabbi with a diagnosis of mild dementia. He was admitted for treatment of a fractured right hip after falling in his home. He has received pain medication and is drowsy, but he answers simple questions appropriately.

A week after Mr. J was admitted to the hospital, his daughter, who lives eight hours away, came to visit. She found him restrained in bed. While Mr. J was slightly sleepy, he recognized his daughter and was able to ask her to remove the restraints so he could be helped to the bathroom. His daughter went to get a certified nursing assistant (CNA) to remove the restraints and help her father to the bathroom. When the CNA was in the process of helping Mr. J sit up in bed, his daughter noticed a red, depressed area over Mr. J’s lower spine, similar to a severe sunburn. She reported the incident to the CNA who replied, “Oh, that is not anything to worry about. It will go away as soon as he gets up.” The CNA helped Mr. J to the bathroom and then returned him to bed where she had him lie on his back so she could reapply the restraints.

The diet order for Mr. J was “regular, kosher, chopped meat.” The day after his daughter arrived, Mr. J was alone in his room when his meal tray was delivered. The nurse entered the room 30 minutes later and observed that Mr. J had eaten approximately 75% of the meal. The meal served was labeled, “regular, chopped meat.” The tray contained the remains of a chopped pork cutlet.

The nurse notified the supervisor, who said, “Just keep it quiet. It will be okay.” The nursing supervisor then notified the kitchen supervisor of the error. The kitchen supervisor told the staff on duty what had happened.

When the patient’s daughter visited later that night, she was not told of the incident.

The next night, the daughter was present at suppertime when the tray was delivered by a dietary worker. The worker said to the patient’s daughter, “I’m so sorry about the pork cutlet last night.” The daughter asked what had happened and was told that there had been “a mix up in the order.” The daughter then asked the nurse about the incident. The nurse, while confirming the incident, told the daughter, “Half a pork cutlet never killed anyone.”

The daughter then called the physician, who called the hospital administrator. The physician, who is also Jewish, told the administrator that he has had several complaints over the past six months from his hospitalized Jewish patients who felt that their dietary requests were not taken seriously by the hospital employees.

The hospital is a 65-bed rural hospital in a town of few Jewish residents. The town’s few Jewish members usually receive care from a Jewish hospital 20 miles away in a larger city.

A. Discuss how the application of nursing-quality indicators could assist the nurses in this case in identifying issues that may interfere with patient care.
B. Analyze how hospital data of specific nursing-quality indicators (such as incidence of pressure ulcers and prevalence of restraints) could advance quality patient care throughout the hospital.
C. Analyze the specific system resources, referrals, or colleagues that you, as the nursing shift supervisor, could use to resolve an ethical issue in this scenario.