Infection Control Essay Example | Topics and Well Written Essays - 4000 words

Infection Control - Essay Example These infections cause many deaths with thousand others suffering from poor health. Schneider, et al. (2009) observes that having sound measures for controlling infections help to significantly reduce the spread of both minor and major infections hence reducing suffering, mortality and morbidity rates. Maintaining proper hand hygiene is one of the world governments’ the simplest and single least-expensive way of reducing prevalence of many infections. According to WTO (2012), every individual must embrace behavioural change. The health fraternity should also join the board by encouraging the public to actively comply with the stipulated infection-control practices. Further, the government is also contributing through the provision of high quality, safe and reliable care. Hand hygiene according to Erasmus, et al. (2009), is a simple, but high-impact intervention that helps in prevention and control of some of the fore mentioned infections. Infection control, therefore, remains one of the world governments’ agenda for reducing morbidity and mortality rates. Various infections control management systems have been put in place to assess and control infections, maintain appropriate clean environment and educate individuals on how to avoid preventable diseases. Numerous studies have demonstrated that the practice of hand washing virtually eliminates the majority of infections through contact. Increased compliance in hand hygiene practice was found to considerably reduce infection rates.

Human Resource Management Term Paper Essay Example | Topics and Well Written Essays - 2250 words

Human Resource Management Term Paper - Essay Example While employees may be dismissed on the grounds of downsizing the organization mostly due to constant loss making, most instances incorporate employees being terminated due to poor performance as well as neglect of their duties (Bernardin 218). The correct termination procedure for a poorly performing employee would involve communication to ensure that the subject individual is well aware of the organization’s rules and what is expected of them. In the instance where the employee performs poorly and comes to work late, then the manager should inform them on that issue in a timely manner. This ensures that if it comes to the point that the employee is dismissed, then they do not argue that they were not aware of poor performance. Besides arriving to work late, if the employee does not fulfill the duties that have been entrusted on them by the organization without acceptable reasons such as not having been trained adequately to undertake those specific tasks, then the subject in dividual is eligible for termination. However, they should be warned regarding their wanting performance where if they do not improve, chances of dismissal increase. Some employees take unreasonably long breaks, which affects the performance of the organization. Such reasons may lead the manager to contemplate terminating the subject individual where they assess all required information for justified termination. The description of a bad employee in an organization that decided to terminate them meets the mentioned shortcomings ranging from arriving to work late and not fulfilling their duties to taking perversely long breaks. When the manager decided to terminate the individual, there were certain questions that they had to answer so as to be justified on pushing forward with the identified decision. First, the manager determined whether they had enough grounds to terminate the employee. Grounds may be given in

The Effects of the Immigration Justice System Essay Example for Free

The Effects of the Immigration Justice System Essay Illegal Immigration in America is at an all time high, but what the government is failing to see is the after affects this has on family and children of illegal immigrants. After September 2011 government has started enforcing immigration laws in staggering numbers, when in fact some of these illegal immigrants have been in this country for many years living a productive life with their families. After years of immigration laws being looked over now everyone in the illegal immigrants’ life is affected due to stiffer immigration laws. Immigration is a topic on a lot of people’s minds these days. Many illegal immigrants are being pulled over due to racial profiling. According to Hughes (2012), â€Å"Nearly half of the suspected illegal immigrants picked up for deportation under Frederick County’s enforcement program last year were arrested for a traffic violation or driving without a license, according to county records. † Subsequently they are deported leaving their families behind here in America to make a tough decision as to stay or go be with family. These families most of the time are mixed citizenship families as to where one or both parents are illegal to this country. As for the children they too sometimes are of mixed citizenship. Most people say â€Å"send them back they broke the law† but why should the children have to pay for their parents mistakes. The government and the justice system need to come up with an immigration reform that is fair to all but still penalize them for breaking the law. If you have a criminal history you should be deported but if the biggest crime you have committed is driving without a license you should not be deported. Not only does the Immigration justice system affect the illegal immigrant it also affect the families and children of the illegal immigrant. â€Å"U. S. Immigration and Customs Enforcement (ICE) have adopted common sense policies that ensure our immigration laws are enforced in a way that best enhances public safety, border security and the integrity of the immigration system (ICE, 2012). † This is how the immigration system is run since September 2011. Before this illegal immigrants who lived in this country only feared deportation if they ommitted a major crime. For that reason most whom where here illegally lived a very productive life without committing any crimes. They started families here in America if they did not already have a family. â€Å"As part of this approach, ICE has adopted clear priorities that call for the agencys enforcement resources to be focused on the identification and removals of those that have broken criminal laws, recently crossed our border, repeatedly violated immigration law or are fugitives from immigration court (ICE, 2012). With this being said does it make you wonder, what happens to the families and children that are also entangled in the Immigration justice system web? The Immigration justice system is breaking up families everyday in America. Morel (2012, p. 1) states, â€Å"There are 4. 5 million U. S. citizen children who have an undocumented parent, according to First Focus, a national children and families advocate group. † So what happens to these children when their parent or parents are deported? Well the answer is a lot of these children are now orphaned in this country and are put into the foster care system. Some are at an age where they will not get to be adopted into a home; they will live for years going from foster home to foster home. As for the children who still has a parent here in America they will be faced with many difficulties. Their parent that was deported was more than likely the â€Å"bread winner† of the family so now the family has to struggle just to survive. The family has to decide whether to stay in their home country or to pack up and move to an unknown foreign country were the children possibly will not even speak the language. The deleterious impact of these public efforts has been most profound on immigrant children, many of whom may be U. S. citizens living with undocumented families. † (Androff et al. , 2011) Therefore the children are affected in every way from physical to mental due to the stress a child is put under at the time of deportation. May the child be a citizen or not of this country they did not chose to live this life and go through the suffering many are enduring. Some people say that it is the illegal immigrant who has been selfish and caused these problems for their children by entering the country illegally. As a result the government should find a fair way to reform immigration for the productive illegal immigrants. Immigration reform has been a topic for several years and still there is no reform. According to an article by Kim, (2012) â€Å"One state lawmaker wants to give illegal immigrants permission to work legally in the country if they dont have a criminal background. † If the illegal immigrant has lived in this country for a number of years without any major crime committed and they have a family, they should be penalize or fined not deported. Illegal immigrants who commit crimes other than simple driving violation should not be granted amnesty. There has to be reform in order to keep these families together or American citizen kids from being moved to an unknown country. This country needs some kind of immigration reform to keep children from suffering. With all this information you can clearly see the negative affects the immigration justice system is having on the family and children of illegal immigrants. Fathers and mothers are being ripped away from their children. When in all reality all they want is to give their children a better life and a fighting chance that they would not have in their own country. America is known as â€Å"the land of dreams and opportunity† and this is what most illegal immigrants want is an opportunity to fulfill their dreams in this country with their family. Therefore the government of our country should find away to reform immigration laws so the family and children of illegal immigrants are not affected in such a negative way.

Short Story Playing With Fire English Literature Essay

Short Story Playing With Fire English Literature Essay Mental disorders I performed excellently in school, had relatively close connections with my family and kept a well-mannered group of friends; however, all of my thoughts, actions and emotions could be thrown into disarray with the sight of a single flame. Pyromania, it was called. It was also the reason why I was forced by my mother to come to this stupid group rehab centre. Everywhere I went, there was a thick atmosphere of tension between everyone that seemed impossible to break. Despite this environment, for the past month, I had been able to keep my composure each day with the company of one girl. From the very first day, she was the only person in the room who wore a smile the entire time. With long, brown hair, contrasting her fair skin, and a look of confidence on her face, I thought of no reason why she should be here. Until I saw something which deeply intrigued me: Her emerald green eyes, unlike the rest of her appearance, did not reflect the same warmth and zeal. Rather, they possessed a continuous melancholic gaze that would always give away her true emotions, so I had a tendency to avoid looking her in the eyes whenever I talked to her. Today, as I sat down along the curb of the sidewalk, from my back pocket, I took out a plastic container and flicked the small wheel, igniting a small, but strongly burning flame. You shouldnt be smoking at your age. It will only end with a long and painful death. I dont smoke, I said as I turned around to face the voice, pyromania is different from a nicotine addiction. Casey, I swear I explained this to you the other day. She sat down beside me, leaning in towards the flame. Ah, but its still based on the same principle isnt it? Fire, destruction, and death. She had a slightly pained expression on her face before she added, How you can find the flames beautiful? They only remind me of pain and misfortune. Dont play with fire, Parker. Youre only going to get burned. I think about that sometimes as well, I replied. What had caused this unhealthy affinity towards the flames? This powerful reliance towards fire? At first, it was just a fascination as a child, but there was a point in time where it completely took over my actions. The events of that night lingered with me even now. Every detail was inscribed deep into my memories; from the heat of the fire, to the very lighter I used to set the house ablazeà ¢Ã¢â€š ¬Ã‚ ¦ Stand aside kid, came the gruff voice of a police officer. Go find your parents. Its not safe to be here. I was roughly pushed behind the yellow police tape as the officer hurried back to his car, and the sound of sirens grew louder. From a safe distance, I stood still, mesmerized by the violent orange blaze that continued to engulf the house in front of me. Beads of sweat began forming above my brow from the searing heat emitted by the burning house. Twenty minutes: that was all it took for the house to be completely devoured by the burning flames, and for the entire structure to begin falling apart. Thick billows of smoke collected, making it more and more difficult to breathe as the fire consumed the oxygen close by. The crackling of the wooden beams grew louder, with the house on the edge of collapse. Without warning, a girl parted from the crowd and ran towards the flames, only to be held back by the same officer as before. My parents are still in there! Please! Someone, anyone, help them! I-I dont want them toà ¢Ã¢â€š ¬Ã‚ ¦ but her last words were cut off as the last of the supporting beams collapsed. Tears overflowed from her eyes as she fell to the ground, completely helpless and traumatized. Conversely, from amidst the panic of the crowd of onlookers, I remained completely calm, never breaking eye contact with the blaze for a single second. It was too beautiful a sight to look away from, as the flames continued their dance in the wind. It was like a giant bonfire, sending sparks flying everywhere. The night sky was illuminated with its bright orange glow, making it as bright as day. I reached forward, feeling the heat of the fire grow stronger against my palm, and for just a few moments, time seemed to stopà ¢Ã¢â€š ¬Ã‚ ¦ This was more than eight years ago; I was only ten years old. I remember hearing the following morning that the residents of the house did not survive the blaze from that night, but at that age, I couldnt distinguish between life and death, nor did I realize the severity of my actions. To this day, I still cannot recall the exact reason for starting the fire. All I could remember was the sight of the glowing flames in the night, regretting nothing. But for these eight years, I had been harbouring this memory to myself, refusing to tell a soul. Earlier on, I thought about telling Casey, but after seeing her pained expression towards the smallest flicker of a flame, I couldnt bring myself to do so. For the month that Ive known you, Ive noticed that you space out a lot, said Casey, demonstrating her point by waving her hand in front of my face. Smiling, she continued, the smell of the lighter fluid must be affecting your brain somehow. I returned to reality. Realizing she was right, I retorted, I can cure this problem just fine without your input. Anyways, why dont you ever talk about your problems for once? Its been a month, and I still know nothing about you. I dont even know why you checked into rehab in the first place. I mean, as far as I can tell, theres nothing wrong with you. It was my decision to make, Casey replied, watching the passing cars on the road. Still, why dont you do yourself a favour? Check out of this boring place and spend the remaining days of summer back home with your family. What do you know? Have you ever thought to consider that Im here for a reason? I cant return to my family even if I want to. She stood up abruptly, and started walking back towards the rehab centre. Out of impulse, I stood up as well, making eye contact. For the first time, I saw her grimace, but what was far more intimidating was the hostility in her gaze; even from a fair distance, I could sense it. My comment definitely hit a nerve. Before reaching the doorway, she looked back one last time and said, Its going to rain. You should head inside the facility soon, and she slammed the door behind her. Aggravated, I took out my lighter, trying to light a small flame to ease my tension, but it was no use. Out of lighter fluid, I sighed, so in the end, you got what you wanted, somewhat. Ill need to get a new one tomorrow. I sat back down along the curb of the sidewalk, when moments later, I felt a light shower of rain against my skin. What a perceptive person. For the rest of the week, I avoided Casey, until I saw her knitting something blue in the lobby. I decided not to start a conversation with her. Instead, I sat down in a chair across from her, staring intently at the repetitive motions she made as the fabric grew longer. After a while, she sighed and finally spoke to me. Im knitting a scarf to put on a teddy bear. Its for my baby brothers birthday. I havent seen him in a while thoughà ¢Ã¢â€š ¬Ã‚ ¦ Her voice was depressed, yet she continued, but I have a permit to go visit him and my family tomorrow. This is an awkward question, but do you mind coming with me? Ill understand if you cant, but youre one of the few people that I trust here. After a while of thinking, I managed to give a nod and everything was planned out for tomorrow. As she left the lobby, her smile had returned. Little did I know that there was so much more that she hid from me behind that smile. At exactly 10 AM, I returned to the same spot that I sat in yesterday, and I noticed how empty the entire lobby seemed without Casey there. At any rate, I was sure the mood would change when she arrived. Five minutes passed; fifteen minutes passed; forty five minutes passed, and I became unexpectedly worried. I contemplated going outside to light a flame with my lighter, but it would be terrible for her to see me like that. Instead, I decided to go find her. However, this was easier said than done, because the rehab centre had many rooms, and I had no idea where she was staying. Nevertheless, I ran around the building looking for her, searching through every corridor, checking the courtyard, knocking on doors to ask if anyone knew where she was staying, but to no avail. Out of breath, I paused and passed by the girls washroom, when I heard hushed crying coming from behind the door. Could that possibly be her? Pulling up closer, I called her name, but there was no answer. As awkward a s it was to enter, my concern for whoever was in there outweighed my embarrassment. However, I was horrified at what I found. It was Casey, but not how I expected. She was sitting on the floor, sobbing, her right arm covering her eyes, but not the tears from her face. From a distance, I could see the glint from the scarlet tinted blade on the tiled floor. Her left arm was filled with scars, with three fresh slashes running across them. A steady stream of blood flowed from them, enough to form a small puddle of crimson beside her. Impulsively, I ran towards her, took off my sweater to soak up the blood and I held her in my arms. Her crying just grew louder, but as she laid her head on my shoulder, I felt helpless, knowing this was all I could do for her. For what seemed like eternity, we stayed like that, her sobs eventually dying down to a slight whimper as I whispered Its okay over and over. Her voice shaky and in hushed tones, she said, My baby brother and my parents arent actually alive. They passed away eight years ago. There was a horrible fire that burned my house to the ground. I managed to escape safely, but my parents, they thought I was still inside. They went back inside for me, and they never came back out. They sacrificed themselves for nothing, and it was my fault! I wish I had died instead of them. Every day, I wish that Sometimes, I would even try to make that wish come true. Her voice started breaking into sobs again, and I came to a horrifying conclusion. Could it be? Eight years ago, from the fire I started, I killed her family and was the reason why harmed herself like this. The guilt I failed to feel from years ago rushed through me, as if it had been collecting for years. It was horrifying to make this connection, but it felt even worse to realize that I enjoyed every moment of the burning fire. Why did fire have to be so destructive? I wished I woul d never see another flame. I never wanted to see Casey suffer like this again. That evening, under an orange painted sky, Casey and I visited the cemetery, where I saw the gravestones of her parents and her little brother. She placed her birthday gift onto her brothers tombstone, and she closed her eyes in a short prayer. The whole time, I remained silent; I didnt feel like I had the right to speak. As we started to leave, I turned around and whispered a pathetic apology, even though it was useless. To this day, I havent told her that I was the one who started the fire; Im afraid of what her reaction might be if I do. But the guilt I feel each day is overwhelming, as I recall the image of Casey as a young girl, standing in front of her burning house, knowing her parents were burned alive in that fire and Casey covered in scars, cutting herself. These are the thoughts that come to mind whenever I re-ignite my lighter, and see the flickering flame, hoping that the guilt I feel from the memory of that night will one day miraculously cure this pyromania.

The Three Paradigms In Society Essay -- essays papers Sociology

â€Å"The Three Paradigms in Society† Functionalist paradigm, conflict paradigm, and symbolic interaction paradigm are the three major paradigms that function in today’s society. Functionalist, and conflict paradigms are macro-sociological paradigms. Symbolic interaction is a micro-sociological paradigm. Functionalist paradigm focuses on the integration of society, while social conflict focuses on the issue of division among society. Symbolic interaction works on communication and social change as a consequence. The three paradigms are completely different from each other in a social point of view. The macro-sociological paradigms view America as an inequality state. The social conflict paradigm fits today’s society. The functionalist paradigm focuses on the integration of society, and how society how its own groups which has their own functions to help improve the peoples lives. Functionalist paradigm fits in the category of macro-sociology, because it focuses on the patterns that shape an entire society. Functionalists believe that society is maintained through the thought of trust and consensus on moral values for ideal behavior. Working together will result in a stable social environment that will create equality. Conflicts or dysfunctions will be view as a disease in the social system. Social conflict paradigm believes that society is divided into many groups that have their own goals, and that certain parts of the world have the luck of benefiting economic dominan...

Anti-families on T.V. :: essays research papers

In TV’s Anti-Families: Married . . . with Malaise, Josh Ozersky talks about the repackaging of American TV families from Ozzie and Harriet into Rosanne. From the point of view that the corporate world has manipulated television viewers into watching TV he shows the exaggerations of current day dysfunctional TV families. He goes on to discuss what the effects of these shows are on family values. Ozersky mentions the idea that a boundless discontent exists in our culture and its beginnings are found with the family, â€Å"where social patterns are first internalized.† Ozersky furthers this notion by saying that boundless discontent means there are boundless needs. An understanding of the origins of these boundless needs in American culture can be understood from the context of The More Factor, by Laurence Shames. â€Å"An endlessly fertile continent whose boundaries never need be reached, a domain that could expand in perpetuity, a gigantic playing field that would never run out of room and on which the game would get forever bigger and more filled with action.† The corporate world knows this all too well as they exploit the needs of consumers and manipulate them into buying their product. In Ozersky’s words, â€Å"Given TV’s entirely corporate nature, it is unreasonable to assume that the channels are referenda.† Ozersky reminds us that many of these corporate executives are independent in the market and have not experienced a rich family life. What kind of effects on viewers do these dysfunctional families have? Ozersky points out that in mocking traditional family values on TV real families are sabotaged. He explains how this happens by saying that problems within the family are trivialized preventing any healing and only causing discontent. While TV is criticized on TV and even by us, we somehow become flattered and keep watching anyway. Why do we do this? â€Å" . . . To feel superior to TV and yet keep watching it,† as Ozersky writes. It delivers the dream of having our cake and eating it too. By criticizing TV we put ourselves above it, yet we deem it harmless and continue to watch it anyway. Ozersky says that we have no power of our own to reject this â€Å"

Organizational Systems and Quality Leadership Essay

A. Understanding Nursing Sensitive Indicators Nursing sensitive indicators include the configuration, process and outcomes of nursing care. The configuration of nursing care concludes the nursing staff, their nursing skills, and the level of education that each nurse holds. The process of nursing care concludes the nursing assessments, intervention and implimentation. The outcome of nursing care either positive or negative depends on the quantity and quality of the care provided to the patients by the nursing staff (â€Å"Nursing world,† 2013) Each nurse should hold proper information and knowledge of nursing care such as knowledge of pressure ulcers. In this scenario every nursing personnel should provide the ultimate nursing care in dealing with pressure ulcers. In order to prevent any pressure ulcer each nursing personnel should be aware of the pressure ulcer concept, their prevention and the correct technique of reducing any other complication related to pressure ulcers. In this case the nurse and the CNA should use their knowledge of preventing any pressure ulcer. The first action is to assess completely the patient for any sign of pressure ulcer such as any erythema or bruising. It is essential that the nursing staff know to reposition the patient and reasses the out of sight sites parts of the body for any sign and symptoms of bruising and shearing. Also it is important for nursing staff to know that, the patients with restraint order, are at higher risk of getting pressure ulcer so the nurse is responsible for proper and effective way of using restraints and on the other hand is supposed to know at what time the restrains are not proper to be used. In the nursing sensitive indicator category also it is included,the patient satisfaction, which was missing out in this scenario; due to the fact that the nurse did not consider the patient satisfaction fact, and she dismissed the incorrect diet, which was being so easily delivered for the patient.if the nurse had the patient satisfaction category in her mind, She also would have report the daughter about the increct diet incident, and  also the nurse would also avoid commenting inappropriate words to the daughter. How Hospital Data Could Advance Quality Care In this scenario the hospital in order to advance the quality of care, could have shared the information about the incident with the nursing personnel. The hospital could provide the best quality of care to the patients and achieve the patients’ satisfaction, by sharing the data. Advancing the quality of care would have positive effect on both patient satisfaction and nursing care. Knowledge of nursing care empowers the nursing staff in such cases. In this scenario the knowledge of pressure ulcers, restraints and patient care is significant. On the other hand the nursing care in this scenario could have been better and the family/patient could have been cared better if the nursing staff had gotten the best patient care knowledge. Resources Available Several resources exist in the hospital in order to address the nursing sensitive indicators. In this scenario as a nurse I could partner with dietician in order to address the tray issue and deliver the correct tray to the correct patient. To resolve any misunderstandings I would apologize to the daughter of the patient for the incident. I would speak to the nurse who commented inapprotely to the daughter of the patient. I would discuss the situation and possible solutions with the doctor/nurse in charge. I would educate the CNA the proper information about noticing the signs of any pressure ulcers and proper techniques in avoiding them. I also would ask a wound care consultant to provide proper information to the nursing staff about pressure ulcers. To fully provide the best patient care I also would refer the patient and family to any social worker in dealing with any ethical issue that may interfere in the quality of care. References http://www.nursingquality.org http://www.nursingworld.org/MainMenuCategories/ThePracticeofProfessionalNursing/PatientSafetyQuality/Research-Measurement/The-National-Database/Nursing-Sensitive-Indicators_1 Nursing world. (2013)