Documentation And Informatics Essay Example

Documentation And Informatics Essay A factual record contains descriptive, objective Information about what a nurse sees, hears, feels, and smells. . An accurate record uses exact measurements, notations concise data, contains only approved abbreviations, uses correct spelling, and Identifies the date and caregiver. C. A complete record contains all appropriate and essential information. D. Current records contain timely entries with immediate documentation of information as it is collected from the patient. E. Organized records communicate information in a logical order. 3. Describe methods for multidisciplinary communication within the health care system Case management model of delivering care incorporates an interdisciplinary approach to documenting patient care and critical pathways are interdisciplinary are plans that include patient problems, key Interventions, and expected outcomes within an established time frame unexpected outcomes, unmet goals, and interventions not specified within the critical pathways time frame are called variances Ex: when a patient develops pulmonary complications after surgery, requiring oxygen therapy and monitoring with pulse geometry. A positive variance occurs when a patient progresses more rapidly than expected (use of Foley catheter is discontinued a day early) 4. Identify common record-keeping forms. (See Section Below: Page 8) Most charts will Include (Extra Notes): Patient Identification and demographic data Informed consent for treatment and procedure Admission data Nursing diagnosis or problems and nursing or interdisciplinary care plan Record of Medical history Medical diagnosis Therapeutic orders Medical and health discipline progress notes Physical assessment findings Diagnostic study results Patient education Summary of operative procedures Discharge plan and summary CHI. 6 Lecture Notes Documentation is anything written or printed on which you rely as record or proof of patient actions and activities Information in the patient record provides a detailed account of the level of quality of care delivered to patients. The quality of care, the standards of regulatory agencies and nursing practice, the reimbursement structure in the healthcare system, and legal guidelines make documentation and reporting extremely important responsibilities of a nurse. We will write a custom essay sample on Documentation And Informatics specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on Documentation And Informatics specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on Documentation And Informatics specifically for you FOR ONLY $16.38 $13.9/page Hire Writer Whether the transfer of a patient info occurs through verbal reports, written documents, or electronically, you need to follow basic principles to maintain confidentiality of information Confidentiality Nurses are legally and ethically obligated to keep information about patients influential Only staffs that are directly involved in a patients care have legitimate access to records. In most cases, patients are required to give written permission for release of medical information. HIPPO Governs all areas of patient info and management of that information. To eliminate barriers that can delay access to care: providers must notify patients of their privacy policy and make a reasonable effort to obtain written acknowledgement of this notification. Disclosure must be limited to the min necessary EX. If you need a patients home number to reschedule an appointment, access to the deiced record is limited solely to the telephone number. As a nursing student you must abide to the HIPPO standards of confidentiality and compliance and NEVER share information about patients with classmates or look into medical information about other patients. Standards Standards of documentations differ within a healthcare organization. Institutional standards or policies dictate the frequency of documentation. Ex. How often you record a nursing assessment or a patients level of pain. Patients records can be used as evidence in a court of law if standards of care are not met The National Committee of Quality Assurance and The Joint Commission maintain institutional accreditation and minimize liability. Current documentation standard require that all patients admitted to a health care facility have an assessment of physical, psychosocial, environmental, self-care, patient education, knowledge level, and discharge planning. Also, evidence of patient and family teaching and discharge planning. Interdisciplinary Communication within the Healthcare Team Patient care requires effective communication among members of the healthcare information relevant to his or her health care. Reports are given oral, written, or audiotape exchanges of information among caregivers. Common reports given by nurses: change-of-shift reports, telephone reports, hand off reports, and incident reports. Ex. Healthcare provider calls nurses to get a verbal report to receive patients conditions. Laboratory submits a written report for results of diagnostic test and verbally notifies nurse if results are critical. Forms of communication Discharge planning conference: involves all members of all disciplines who meet and discuss patient progress towards discharge goals. Consultations: one reflections caregiver gives formal advice about the care of a patient to another caregiver Ex: a nurse caring for a patent with a chronic wound consults with a wound care specialist Referrals: arrangement for services by another care provider. Purposes of Records Communication Patients records are useful for healthcare team members to communicate patients needs and progress, individual therapies, content of consultations, patient education, and discharge planning. They also allow healthcare team member to know a patient thoroughly, facilitating safe, effective and timely patient-centered decisions. Legal accumulation To limit nursing liability documentation must indicate clearly that a patient received individualized, goal-directed nursing care based on the nursing assessment. Common charting mistakes: writing illegibly or incomplete, failure to record pertinent health or drug information, failure to record nursing actions, failure to record that medications have been given, failure to document discontinued medications. Dress are classifications based on patients medical diagnosis Your documentation clarifies the type of treatment a patient receives and supports reimbursement to the health care agency Education Patients records includes many information such as diagnosis, signs and symptoms of a disease, successful and unsuccessful therapies, diagnostic finding, and patient behavior which is why all nurses should read their patients record. With this information and past experience you can learn to anticipate the type of care required for a patient. Research Nurse researchers often use patients records for research studies Also use to investigate nursing interventions or health problems. Ex. A nurse wants to compare a new method of pain control with a standard pain protocol using two groups of patients. Auditing and Monitoring ETC require quality improvement programs and set standards for the information located in a patients record. Guidelines for Quality Documentation and Reporting Factual Descriptive, objective information about what the nurse sees, hears, feels and smells. Ex: B/P 80/50, patient diaphragmatic, heart rate 102 and regular and the patients pulse rate is elevated 110 beats/min, and the patient reports increased restlessness. Accurate Use of exact measurements establishes accuracy to determine if a patients condition drainage, or edema All entries in medical records must be dated and end with the receivers name or initials and status (ex: J. Woods, RAN). Complete The information within recorded entry or report must be complete, containing appropriate and essential information Use flow sheets or graphic records when documenting routine activities such as daily hygiene care, vital signs, and patient assessment. Describe in greater detail when they are relevant such as when a change in functional ability or status occurs. Current Timely entries are essential ongoing care. Delays in documentation lead to unsafe patient care. Document the following activities or finding at the time of occurrence: ITIL signs, pain assessment, administration of medications and treatments, preps for diagnostic testing, admission, transfer, discharge or death of patient etc. USE MILITARY TIME Organized Communication information in a logical order. It is also effective when notes are concise, clear, and to the point. Ex: an organized entry describes the patients pain, your assessment and interventions, and the patients response. Methods of Documentation Paper and Electronic Health Records Paper records are episode oriented, with a separate record for each patient visit to a health care agency. EMMER (ELECTRONIC MEDICAL RECORD): contains patients data gathered in a healthcare setting at a specific time and place ERR (ELECTRONIC HEALTH RECORD): an electronic record of patient health information generated whenever a patient accesses medical care in any healthcare delivery setting It integrates all pertinent patient information into one record; regardless of the number of times a patient enters a healthcare system. In hospital setting it gathers data and performs checks to support regulatory and accreditation requirements and includes tools to guide and critique medication administration Key advantage for urging: provides a means to compare ongoing clinical data about a patient with original baseline information and maintaining ongoing record of a patients health education. Narrative Documentation (the traditional method) Use of a story like format to document information specific to patient conditions and nursing care. Disadvantages: tend to be repetitious and time consuming Problem Oriented Medical Records Method of documentation that emphasized patients problems. Data are organized by problem or diagnosis. SECTIONS INCLUDE: database, problem list, care plan and progress notes Database: notations all available assessment information pertaining to a patient The foundation for identifying patient problems and planning care Problem list After analysis of data, HECK identify problems and make a single problem list (physiological, psychological, social, cultural, spiritual, developmental, and environmental needs) List the problems in chronological order and when a problem is resolved, record the data and highlight it or draw line through the problem or its number. Care plan Disciplines involved in the patients care develop a care plan or plan of care for each Progress Notes: monitor and record the progress of patients problems. SOAP: Subjective Data (fertilization of the patient) Objective data (that which is measured and observed) Assessment (diagnosis based on the data) Plan (what the caregivers plan to do) or COPIES where Intervention and Evaluation. The nurse numbers each SOAP note and titles it according to the problem on the list Originated from medical records PIE: Problem Intervention Evaluation Nursing origin The narrative does not include assessment information (appears on the flow sheet) Notes are numbered of labeled according to the patients problems. Focus Charting: DARK: Data (problem) Action (intervention) Response (evaluation) Addresses patients concern: signs/symptoms, condition, nursing diagnosis, behavior, significant event or change in patients condition. Incorporates all aspects of the nursing process, highlights a patients concerns, and can be integrated into any clinical setting. Source Records or charts A place in a patients chart that has separate sections for each discipline (I. E. Nursing, medicine, social work, or respiratory data) to record data The method by which source records are organized does not show how information from the disciplines re related or how care is coordinated to meet all of the patients needs Charting by Exception Focuses on documenting deviations from established norms. Reduces documentation time and highlights trends or changes in a patients conditions. Nurses only document significant finding or exceptions to the predefined norms and writes a progress note only when the standardized statement on the form is not met Assumption: all standards are met unless otherwise documented. Case management plan and critical pathways (described above) Common Record Keeping Forms Admission Nursing History Forms: nurses complete a history form when a patient is admitted too nursing unit. Guides the Nurse through a complete assessment to identify relevant nursing diagnoses or problems Flow Sheets and Graphic Records: allow you to quickly and easily enter assessment data about a patient (including vitals signs, routine repetitive care such as hygiene measures, ambulation, meals, weights and safety and restraint checks. Provide current patient information that is accessible to all HECK Helps team members quickly see patient trends over time and decrease time spent on writing narrative notes. Patient Care Summary or Carded: computerized systems that provide information in the form of a patient care marry that is often printed for each patient during each shift. Carded: a portable flip over file or notebook that is kept at the nurses station Includes an activity and treatment section and a nursing care plan section that organizes information for quick references. Eliminates the need for repeated referral to the chart for routine information A Carded is a written form that contains basic client information. A Carded contains an activity and treatment section and a nursing care plan section that organizes information for quick reference as nurses give change-of-shift report. It does not include a description of teaching that was provided to the client. Based on the institutional standards of nursing standards of nursing practice, are preprinted, established guidelines used to care for patients who have similar health problems. Useful when conducting quality improvement audits. Discharge Summary Form Interdisciplinary discharge planning ensures that a patient leaves the hospital in a timely manner with the necessary resources. Discharge documentation includes medications, diets, community resources, follow-up care, and who to contact in case of an emergency or for questions. Acuity records Not part of a patients medical record. They are used for determining the hours of care and the staff required for a given group of patients. Home care documentation Documentation in the home care system is different from other areas I nursing Home care documentation systems provide the entire HOC with information needed to enhance teamwork. Documentation is both the quality of control and the Justification for reimbursement from Medicare, Medicaid, or private insurance companies. Nurses must document all of their services for payment (ex. Direct skilled care, patient instructions, skilled observations, and evaluation visits) Long Term Health Care The Centers for Medicare and Medicaid Services guidelines requires careful documentation for appropriate reimbursement in long term care agencies. The Resident Assessment Instrument/Minimal Data Set provides standardized protocols for assessment and care planning and a min data set to promote quality improvement within facilities. Reporting Hand off Reporting Happens anytime one healthcare provider transfers care of a patient to another healthcare provider. Purpose is to provide better continuity and individualized care for patients. Ex. Change-of-shift and transfer reports Information during apt. Anodal can be given face to face, in writing, or verbally such as over the telephone or via audio-recording Report elements do not include: normal findings or routine information retrievable from other sources or derogatory or inappropriate comments about a apt. Or family. Telephone Reports and Order Telephone Reports: make a telephone report when significant events or changes in a apt. Condition have occurred. Needs to be clear, accurate, and concise information. Use SABA: Standardizes telephone communication of significant events or changes in patients and is a communication strategy designed to improve apt. Safety Document EVERY phone call you make to a health care provider and use the read back method when receiving information or critical test results. Telephone and Verbal Order Telephone Orders: occurs when a healthcare provider gives an order over the phone to a RAN Verbal Order: involves the healthcare provider giving orders to a nurse while they are standing near each other. Usually occur at night during emergencies (cause medical errors) Nurse: writes down the complete order or enters it into the computer as it is being given. Then reads back and waits for confirmation from the person who gave the order that it is correct Healthcare Provider: later verifies the TO or VOW by legally signing it within a set time. Incident or Occurrence Reports Any event that is not consistent with the routine operation of a health care unit or systems and unit operations that provide Justification for changes in policies and procedures or for in-services seminars. DO NOT mention the incidence report in patients medical record Instead you document an objective description of what happened, what you observed, and the follow-up actions taken in the patients deiced record. Health Informatics Application of computer and information science for managing health-related data Focused on the patient and the process of care and the goal is to enhance the quality and efficiency of care provided. Becoming a priority as health care facilities adopt EMMER/HER Nursing Informatics (See Slides 20-24 in Power point) Facilitates the integration of data, information, and knowledge to support patients, nurses, and other providers in decision-making in all roles and settings. Clinical Information Systems CICS: Include monitoring systems (devices that automatically monitor and record metric measurements (vital signs, oxygen saturation, cardiac index, and stroke volume)) order entry systems, and laboratory, radiology, and pharmacy systems in critical care and specialty areas. Electronically sends measurements directly to the nursing documentation system Computerized provider order entry A process by which a health care provider directly enters orders for patient care into the hospital information system Reduces transcription errors. Potentially speeds up the implementation of ordered diagnostic tests and treatments which improves staff productivity and saves money

Project Development and Implementation for Strategic Managers

Project Development and Implementation for Strategic Managers Executive Summary Project management is pivotal to business growth and development. In project management, project selection using a relevant tool is critical. Therefore, project managers should put emphasis on the best tool to use when selecting a project.Advertising We will write a custom report sample on Project Development and Implementation for Strategic Managers specifically for you for only $16.05 $11/page Learn More It is prudent to note that, project cycle should be followed appropriately to ensure the success of the project implemented in handled as stipulated. This paper takes a critical and succinct analysis of three projects and subsequent selection of one project for full implementation. Project 1 Productivity system analysis and management project Productivity system analysis and management project is an online human resource management tool that will be used to analyze and manage employees’ productivity in the company. Purpose and Scop e The purpose of this project is to install an efficient employee productivity analysis and management tool. The project will cover Golden Tools Ltd Company stores in Dubai. Project Executive Summary Productivity system analysis and management is an online human resource management tool used to analyze and manage employees’ productivity. This management tool comprises of software which takes a critical analysis of each employee performance and how to improve it. Project Objective Objective Targets To increase employee productivity in the company Excellent 80%-100% Good 69%-79% Accepted50%-68% To increase customer satisfaction in the company Excellent 80%-100% Good 69%-79% Accepted50%-68% To motivate employees for better performance Excellent 80%-100% Good 69%-79% Accepted50%-68% The project strives to ensure that productivity level is maintained high in the company so that the company continues to reap from the economies of scale associated with efficient and know ledgeable employee. Management Management is pivotal for the success of a project (Deegan 2009). This is because management streamlines the operation and goal of the company towards achieving the prescribed vision. It is prudent to note that, employees play a fundamental role in overall performance of a company.Advertising Looking for report on business economics? Let's see if we can help you! Get your first paper with 15% OFF Learn More Project Design Constraints Financial constrain features prominently in this project. Future Contingencies Future technological advancement poses a great challenge to the success of a project (Kotler and Keller 2009). This is because new technology will be required to maintain the desired success of the project. Points of Contact The points of points of contact will include the following Project Manager, System Proponent, User Organization, Quality Assurance (QA) Manager, Security Manager, and Configuration Manager. Project 2 Launch of a new product Project 2 is to launch a new washing detergent product in the market. The product is a house hold consumer product which will change washing forever. Purpose and Scope The purpose of this project is to plan for launching of a new product in the market. The project will cover Golden Tools Ltd Company stores in Dubai, (U.A.E.) before it is rolled to other places around the globe. Project Executive Summary A new washing product is necessary for household. This project will give consumer an opportunity to choose one the washing detergent. Project Objective Objective Targets To increase company profits Excellent 80%-100% Good 69%-79% Accepted50%-68% To increase customer satisfaction in the company Excellent 80%-100% Good 69%-79% Accepted50%-68% The project strives to ensure that the company sells high quality products for great customer satisfactionAdvertising We will write a custom report sample on Project Development and Implementation for Str ategic Managers specifically for you for only $16.05 $11/page Learn More Project Design Constraints Financial constrain features prominently in this project. Future Contingencies Stiff competition in the market is the future contingencies. Points of Contact The points of points of contact will include the following Project Manager, System Proponent, User Organization, Quality Assurance (QA) Manager, Security Manager, and Configuration Manager. Project 3 Customer Feedback Software Installation Customer feedback software installation project is managerial software which will monitor customer purchasing trend, reaction and feedback. The information collected is needed for strategic planning. Purpose and Scope The purpose of this project is to install an efficient Customer feedback software installation and management tool. The project will cover Golden Tools Ltd Company stores in Dubai. Project Executive Summary Customer feedback is very important in plan as well prod uct development. In this regard, this project strives to enhance customer data collection for adequate planning. Project Objective Objective targets To increase enhance customer satisfaction Excellent 80%-100% Good 69%-79% Accepted50%-68% To enhance planning in the company Excellent 80%-100% Good 69%-79% Accepted50%-68% Project Design Constraints Customer feedback software installation requires technical knowledge which will ensure that some of the employees are taken for specialized training. Another constrain is timeAdvertising Looking for report on business economics? Let's see if we can help you! Get your first paper with 15% OFF Learn More Future Contingencies Future technological innovation may render the current software obsolete. Therefore, continuous upgrade will be necessary. Points of Contact The points of points of contact will include the following Project Manager, System Proponent, User Organization, Quality Assurance (QA) Manager, Security Manager, and Configuration Manager. Project selection Project selection metrics Project 1 ID Project selection metric Supporting document Supporting document Weighted point Awarded points 1 Financial favourability The project measure of financial benefits Financial spreadsheet 15 10 2 Financial Cost The project innovative nature for enhance competition Business case 15 10 3 Organizational advantage Project ability to create new product which generate high profits to the company Visions document 15 12 4 Risk The level of risk the project has to the entire business Project charter 15 10 5 Internal efficiency The project ability to enhance internal operation Proj ect charter 15 10 Total 75 52 Project 2 ID Project selection metric Supporting document Supporting document Weighted point Awarded points 1 Financial favourability The project measure of financial benefits Financial spreadsheet 15 15 2 Financial Cost The project innovative nature for enhance competition Business case 15 14 3 Organizational advantage Project ability to create new product which generate high profits to the company Visions document 15 14 4 Risk The level of risk the project has to the entire business Project charter 15 11 5 Internal efficiency The project ability to enhance internal operation Project charter 15 15 Total 75 69 Project 3 ID Project selection metric Supporting document Supporting document Weighted point Awarded points 1 Financial favourability The project measure of financial benefits Financial spreadsheet 15 10 2 Financial Cost The project innovative nature for enhance competition Business case 15 10 3 Organizational advantage Project ability to create new product which generate high profits to the company Visions document 15 10 4 Risk The level of risk the project has to the entire business Project charter 15 10 5 Internal efficiency The project ability to enhance internal operation Project charter 15 10 Total 75 50 Based on the above project selection metric, project 2 is more viable that the rest since it has high aggregate points on selection metrics. Time Value of Money Time Value of Money play a major role in the analysis of the concept of capital budgeting. The theory of Time Value of Money states that â€Å"having a dollar today is worth having a dollar a tomorrow† (Drury 1996, p. 61). Time factor is significant in the analysis of current and future returns in a business world which surrounded with several risks. WACC The Weighted Average Cost of Capital (WACC) is a critical element of capital budgeting. According to Drury (1996), â€Å"the Weighted Average Cost of C apital is a measure of how much a business needs to gain on its investments annually to maintain its current overall value†(71). Towards this, entities that offer loans or buy shares will expect a certain amount of return on their investment (Deegan 2009). Internal Rate of Return Internal Rate of Return (IRR) is a process used to find out the return percentage in a new business project that offers future cash flows. In the calculation of IRR, the application of annual projected payments and the initial investment is critical. Capital Budgeting Issues While carrying out capital budgeting, the calculation of the WACC should be done for the business and the calculation of IRR for the project to be undertaken (Reiss 2007). In a situation where the IRR is greater than the WACC, then it is a viable business project and should be pursued. It is prudent to note that, financial theory would recommend pursuing all projects that have an IRR in excess of WACC, but this should be done caut iously. In addition, increasing of a company debt or selling more shares normally alters WACC since the expected return on debt and equity rise. This depicts that some projects that were profitable due to a higher IRR will no longer be viable. Demski (1994) explains that, â€Å"firms should consider the WACC not only on the basis of current return rates, but also on more debt or owners shares† (23). A critical and succinct analysis of Wheel Industries case study reveals a number of financial situations which forms the basis of the recommendation made. Planning for product launch project Research will be carried out to determine the market segment through the use of questionnaires. Purpose This oral tool of data collection gives a deeper insight to the issue in question in certain ways, for example, by giving the participants a channel to voice their challenges and their various ways of dealing with them. Strategy for implementing the project The project will be implemented th rough proper planning and execution of tasks. The use of media and social network sites will be some of the calculated strategies for implementation. Fierce marketing strategies will be implemented prior to product launch to enhance awareness. Innovative TV adverts concerning the new product will be run on several leading TV channels in Dubai. In addition, marketing will also be done on social networks. Media publicity Golden Tools Ltd will invest resources in media publicity and technology as marketing strategy. Advertisements on the Audio visual medium are significant as it gives company an opportunity to flaunt its products. Social media Social networking sites as marketing tools provide a unique experience and feature that can only be taped by exploring the existing diversity. An innovative firm such as Toyota must tap in millions social network users globally. Kotler and Amstrong (2007) highlight that, â€Å"For resources to be in tune with the emerging opportunities there is need for dynamic marketing strategies† (38). Public Involvement Employees and public are quite important in implementation process. In this regard, they will form part of the implementation strategy. Intermediaries Globalization in the retail industry has yielded results due to the platform it has created in consolidation of the worldwide supply base. In the past, a number of international corporations either have shipped parts to their offshore affiliates or have relied on the local supply bases. Segmentation Market segmentation is critical as a paradigm shift in marketing strategy in global retail industry. In this regard, The Company will concentrate in area where it has a great competitive advantage while at the same time penetrating new markets. Target Table Class Social status Occupation Population size(million) % population A Upper Middle CEO, Business owners, Top Professional 5 5 B Middle Professional 30 30 C Lower Middle Clerical, Supervisors 35 35 D Skille d working Semi-skilled 20 20 E Working Casual, low grade 10 10 Project Costing Particulars Cost($000) Marketing 100 VIP product launch 50 Planning 5 Road show promotion 15 Labour 5 Total 175 Timescales for the implementation of the project Product Launch Promotion and selling Road shows TV marketing Online marketing Packaging Product design Planning 1 day 3 days 60days 1 day 10days 2 days 15 days 40 days Period Activity Preceded by Elapsed Planning 1 Product design A 3 Packaging B 60 Online Marketing 1 TV Marketing 10 Road shows CD 2 Product launch F 15 Promotions and selling EG 40 Critical Path Conclusion Project management is a critical process which requires serious planning and implementation of activities. Therefore, it is prudent to carry out a proper project selection using the best method. Similarly, tasks should be carried out on time to ensure that costs are incurred as budgeted. This is because when tasks are carried outside the stipulated time there are cost implications which are incurred. In this regard, the above implementation of the product launch project will strictly follow the time frame for successful implementation. Reference List Deegan, C 2009, Financial accounting theory, 3rd edn, London, McGraw-Hill. Demski, SJ 1994, Managerial uses of accounting information, New York, NY, Springer. Drury, C 1996, Management and Cost Accounting, 4th edn, New York, NY, McGraw Hill/Irwin. Guthrie, J Parker, L 1990, ‘Corporate social disclosure practice’: A comparative international analysis’, Advances in Public Interest Accounting, vol.3, pp. 162. Kotlar, P 2003, ‘Marketing insights from A to Z’, 80 concepts every manager needs to know. New York, NY, John Wiley and Sons. Kotler, P Keller, K 2009, A framework for marketing management. Philadelphia, Pearson International Edition. Ko tler, P Amstrong, P 2007. Principles of Marketing. New York, NY,John Wiley and Sons Reiss, G., 2007, Project management demystified. New York, NY,Routledge,

The music business has changed radically. Can an employee whos been an Essay

The music business has changed radically. Can an employee whos been an Industry Legend Keep Up - Essay Example Helping business managers make rational decisions when faced with an ethical dilemma calls for determination and sophistication (McCullough and Faught, 2005). In the case study of Powerful Entertainment, the major ethical dilemma facing Noel Klein, the company’s CEO is on whether to lay Bob off or keep him. Noel argues that Bob has been in the company for so long as the sales managers although at present he is not selling anything. Despite the great changes in the industry within which Bob operates over the past 20 years, Bob has not changed at all (Guterman, 2010). He does not know anything about digital marketing although technology is moving towards this. Moreover he does not add to the sales of the company although he is the highest paid employee in the company. The CEO argues that Bob is taking up a vacancy for another sales person who would be able to achieve the targets. On the other hand, Bob has so much to offer to the company. Noel concedes that he has valuable inter personal skills. Bob is an icon in the company linking it to the past. Furthermore, he is the one responsible of keeping Mark Sender in the company. Mark Sender is an important figure in the company since he helps make almost 30 percent more revenues than other performers (Guterman, 2010). The other reason that makes it had for the CEO to decide on the way to handle Bob is given the fact that he is loved by most employees and therefore his exit may lead to loss of other critical employees or affect their effectiveness. He motivates other employees to work although this cannot be quantified. He is imaginative and adored by other workers and young employees have a lot to learn from him. Rita who has called upon by the CEO is expected to give her decision on the case of Bob Antice.... This research is the best example of comparison of the utilitarian, libertarian, deontological and virtue ethics perspective on the ethical dilemma facing Powerful Company. From an evaluation of the different ethical perspectives, the researcher proposes that Noel should adopt a combination of utilitarian and libertarian perspective to demystify the ethical dilemma facing the company. By employing the utilitarian perspective, the CEO would take time to evaluate the impacts of his actions. Utilitarian perspective like a social cost benefit analysis carries out any evaluation of the impacts of an action before it is implemented to help avoid costly mistakes in the process of making decisions. As such the CEO would be able to quantify the impacts of sacking Bob for not achieving the sales targets in relation to his benefits to the company. Since the perspective views the good of an individual as independent from their rights, it would be easy to conclude on whether to replace Bob or ret ain him in the organization. If his value in the organization does not match the pay, he should be replaced. From a libertarian perspective, Noel’s decision should be geared towards ensuring that maximum benefits to the shareholders of the company. In light of this statement, the decision adopted must ensure there will be maximum returns to the shareholders. From this perspective, it would be critical to evaluate the value of Bob to the company, does he actually motivate staff? Or does he help young guys to the company learn and how the two add value to company.

Database Design and data security breeches Essay - 1

Database Design and data security breeches - Essay Example The information with de-identified status can be given to the researcher. This is the information that gives details about a particular group off patients but cannot be narrowed to a specific patient. Such information is exempted from the HIPAA regulations since it is in a general format (Wilson, 2010). Such information do not have any hint of that links the information to a particular patient, such as contacts, names, job number, geographical information, official documents, account number, e-mail and medical record number. The current rules and regulation governing health information is HIPAA. This stands for health insurance portability and accountability act. The laws were put in place in the year 1996 by the congress. The rules are meant to give the mandate to transfer and link health insurance coverage and reduce heath information abuse and fraud. It also give rules on the confidentiality and protection of health information. Giving access to the restricted areas has to involve some consultations first with the senior administrators. Later the researcher is given access using MySQL 5.1 version which can access different databases. The privileges to be accorded to the academic researcher include being allowed to be a member of the data reader so that he or she can access the data easily. The database system should only avail the information needed by the researcher. Other information should be kept private. The SQL statement used should be able to sort the data according to the limited privileges. Such statements include GRANT PRIVILEGE_NAME option. Creation of restricted views of the data are to be created using SQL. The statement retrieves the information that can be accessed by any user. The user name specifies the type of information that is being given. For this case, the user can read and modify (Andrews, 2012). The department of health of Utah had their system accessed and personal information stolen. This is where a hacker made the figures

Year of Impossible Goodbyes by Sook Nyul Choi Book Review Essay Example for Free

Year of Impossible Goodbyes by Sook Nyul Choi Book Review Essay Sook Nyul Choi has written a heart-breaking book about love, brutal, loss, and the agonized life of a little girl, named Sookan, and her family. She has titled it Year of Impossible Goodbyes. The story has a lot of sacrifices and decisions that were hard to make, like this one, â€Å"Please, I beg of you, let’s not waste time talking about my [Aunt Tiger] coming along anymore† (Choi 125). It is a true story based on her experience under the dictatorship of the Japanese Imperial Government during World War II. After the war ended and the Japanese lost, Russia sent troops into Northern Korea to accept the surrender of the Japanese. As the Russian Communists occupy North Korea and threaten Korean civilians, Sookan, the narrator, faces the Japanese, the Russians, and her fight into South Korea. After I read this marvelous novel it reminded me of my family; I assure you it is one of my favorite books, and while I read this book, I learned that I could have different emotions! The novel reminded me of my family because they are always with me while Sookan’s parents, from time to time, were apart from her. Her Grandfather had always reminded them â€Å"Harmony will prevail, after darkness there will be light, yet we cannot have the light without the dark. Better days are bound to come now† as Cabuco 2 some of the family members were away (Choi 46). When I used to be alone at home with my grandfather, he used to tell me something similar to this about always sticking together, but when alone do not lose hope. Inchun reminds me of myself when I was small, because I used to follow my brothers everywhere, and I used to annoy them by whining and crying. This novel became one of my favorite novels because it taught me about pain, sacrifices, and loss. I could feel the pain Sookan went through as I read â€Å"I eard the dogs drawing closer and I thrust my body under the wire. The barbs dug into me. My hair was caught, my clothes ripped, and I could feel the blood pooling in the cuts on my back† (Choi 164). Therefore, they had a lot of sacrifices of leaving their homeland, friends, and the precious things of grandfather. They even lost Kisa, Aunt Tiger, the sock girls, and Unhi. As Sookan says herself â€Å"I wouldnt have lost so much if it werent for the Japanese† (F. , Anna). This statement is actually true because without the sacrifices and losses, they would not have made it for freedom. I also like this book because I think not many books are written about wars whose author has experienced it, but this book was. As I read this novel, I learned that I could have different emotions. At first, I thought it was boring since it had a lot of details and the first chapter was long, but as this story gets to its plot, I got interested as Sookan’s feelings are being expressed. â€Å"Can you blame them? How are they to know there’s anything better? Your Americans aren’t here. I [Aunt Tiger] heard they’re in Japan helping the Japanese! They’re nearby now, but they just don’t care about us,† I felt helpless, annoyed, and disappointed about the situation for being abandoned as I read this quote (Choi 106). I was getting irritated by how brutal the Japanese and Cabuco 3 Russians were treating the Koreans. I felt really annoyed by Inchun’s whining, crying, and complaining. As Sookan and Inchun arrived at their home in South Korea, I felt really lugubrious that they did not find their mother there, as they hoped they would. I felt really happy that they finally reached the South. I also like how the author’s choice of words, as they can really give the reader, like myself, vivid imageries and different emotions. I have no words to explain what I think about this novel, but I can assure that it has become one of my favorite books. As I was reading this novel till the very end, I found myself with different emotions. It reminded me of my parents and I felt so blessed that they were always with me. It is really easy to have a favorite book, but it is hard to know what it has really taught me. This book has really inspired me, that is why it has become one of my favorite books. The author has great choice of words that filled me with different emotions. Above all, I would rate it nine point five out of ten, because ten is reserved for the best book and I was quite bored to it until the novel got to its plot. I really like the part about understanding the life at war from someone, like the author, who has experienced it. I would recommend this book to everyone, especially to the little ones as they know very little about life at war. After reading this novel, the reader will feel really inspired by this wonderful novel from the author who has experienced it all.

Pigments Essay examples -- History, Prehistoric Painters

Pigments From prehistoric times, humans had discovered that pigments could be used to colour a surface and they have left their mark on their environment in the form of painted images [7]. Prehistoric painters used the pigments available in the vicinity of their homes. These pigments were the so-called earth pigments, soot from burning animal fat and charcoal from the fire. The colours available were yellow ochre, red ochre, and black [7], but with time, more colours were being discovered. In general, pigments are coloured material which is insoluble in a medium where they are incorporated [8]. Pigments will tend to absorb certain wavelength of light and reflect the others [9]. Wavelength reflected will represent the colour of the pigment. Dyes are coloured material which will dissolve in the medium and lose their crystal or particulate structure during the process [9]. Pigments can be classified into synthetic pigments and natural pigments [8]. The examples of natural pigments founded in animals and vegetables are carotenoids, chlorophyll, melanins, flavins, quinones, and anthocyanins [5, 6, 10]. In the industry, pigments are widely used as colouring agents in dyeing of cottons, silks and wool sample [11]. 2.1.1 Synthetic Pigments The first chemically synthesised pigments were made in Germany in 1704 by Diesbach who manufactured red lake pigments using potash and alkali as substrate [7]. Synthetic pigments can be divided into inorganic and organic pigments. Synthetic inorganic pigments usually composed by metal oxide or compound which from by the host of metal oxides. Moreover, the inorganic pigments possess thermal and chemical stabilities at high temperature. Most of the inorganic pigments are derived from toxic meta... ...-degradable. The increase of the packaging wastes caused serious global environmental problem [36]. Therefore, the development of biodegradable packaging materials from renewable natural resources has received widespread government support in EU countries and many national or international organisations [35]. The term ‘‘biodegradable’’ materials is used to describe those materials which can be degraded by the enzymatic action of living organisms, such as bacteria, yeasts, fungi and the ultimate end-products of the degradation process [37]. Biodegradable packaging materials may be broadly classified into biodegradable polymers and biopolymers based on whether the dominating ingredient is synthetic oil-based polymer or a biologically derived polymer. Biopolymers are naturally occurring long-chain molecules such as cellulose, polysaccharides, proteins and DNA [35].

My Heroes Essay

â€Å"My Heroes† was written by Elizabeth Berg, who has published many popular books since 1993. In the article, Berg told us that real heroes were ordinary people around us. Because Berg’s daughter chose her friend as a hero who saved her from drowning in a creek, Berg realized a hero wouldn’t have to be a famous person. When Mrs. Zinz, an eighth-grade English teacher, was harassed by Berg and her friend, she wasn’t angry. Mrs. Zinz didn’t lower herself and become mean. Another hero in Berg’s mind was her grandfather who was kind, warm and friendly. He liked to make his grandchild laugh. Sylvia, Berg’s mother-in-law, could enjoy her retirement life but instead, she went back to school to get a college diploma. Berg admired her because of her love of learning. Moreover, there were the people that Berg admired because of their jobs, such as mail carriers, nurses, stay-at-home mothers, and working mothers. Many people are around us every day, but you may not realize that they are heroes. However, Berg believes that if you look at them in a different way, you would know that they are heroes. After I read Berg’s essay, I think she was right. Heroes are not only the greatest people in history but also the ordinary people in our lives. They teach us small lessons and touch us in a quiet way. My heroes are people who inspire confidence in me since I was a child, who are brave enough to fight for things which are unfair and unconscionable, and who help and protect the weak groups in our community. My mother is one of my heroes, who always tells me I must be a self-confident person. Worrying about unknown things, fearing failures, and having a negative attitude were part of my character when I was a child. One day, my mother took me to the ice-skating center. She wanted me to build up my confidence during the process of learning ice-skating. When we were ready to skate, she said, â€Å"I won’t hold your hand. You should learn it by yourself. † At that moment, I thought my mother was a devil. I buttressed the handrail and moved slowly. I looked like a baby who was learning to walk. After I got used to it, I took off my hand from the handrail. Within a minute, I slid on the ice, lost my balance, and fell down. I asked for help by informing my mother with eye contact. â€Å"Get up! I know you can do it,† she encouraged me with supportive words. Finally, I got up but fell down again a few minutes later. I cried and yelled madly, â€Å"I don’t want to skate anymore. It’s so painful. I want to leave! † â€Å"Don’t give up, my sweetheart. Take out your confidence. After you learn it by yourself, you will realize all the pain that you overcome is worth it. † My mother said it tenderly. I saw a devil that became an angel. These words have been engraved in my heart deeply. I should not have doubted and looked down on my ability. After countless failures, I could fly on the ice. The happiness of success was the best feeling that I have ever had. My mother let me understand learning from failure was a way to build up confidence. My aunt, Jodie Li, who is a normal housewife in China, is also a hero of mine. I admire her because she is brave enough to fight for any unfair and unconscionable acts. When Jodie was on the bus, she saw a man who was taking advantage of a teenage girl who was too afraid to yell. Jodie stopped and grabbed the pervert, pulled the girls to hide behind her, and called the police. She did not think too much. At that time, she just wanted the pervert to get caught. If I were her, I wouldn’t have had enough courage to rescue the girl. In addition, Jodie fought with a company because they charged her extra money on her bill. The company didn’t notify Jodie that they had charged her many unknown fees. Jodie was furious. She kept investigating the reason. Finally, the company made a compromise and apologized to her. Besides that, Jodie found out that someone cheated while she was taking the paper driving test. She thought it was really unfair because she studied hard on the test. She told the examiner immediately. Sometimes, we would overlook something since it’s not related to us. However, Jodie couldn’t pretend that didn’t happen. Her attitude affected me. I cannot stay quiet when some unfair and unconscionable things happen to me. I have to fight for myself. Beyond that, there are people who are my heroes because they help and protect the weak groups in our community. Social workers work with people who are homeless, sick or have family problems and try their best to help people overcome problems and make people lives better. Police officers who have responsibility of protecting the residents risk their lives to arrest criminals. Ambulance staff who stand-by, rushes to the scene of the ccident, and rescues many people. Volunteers with animals who defend the animals selflessly look after the stray dogs or cats as pets. Heroes are everywhere. It depends on how you look at them. Have you ever thought about who were your heroes around you? Berg figured out her heroes, and so did I. My heroes are people who give confidence to me since I was a child, who are courageous enough to fight against unfair and unconscionable actions, and who help and shield the weak groups in our community. These people inspired me in a different way, in a different city, and in a different moment.