A Sentinel Event Related To Nurse Fatigue Nursing Essay

A Sentinel Event Related To Nurse Fatigue Nursing Essay 12 hour shifts, extended work periods, voluntary and mandatory overtime, and excessive workloads are all factors that dangerously contribute to nurse fatigue, which has led to a number of medication errors and sentinel events (Rogers, Hwang, Scott, Aiken, & Dinges, 2004). In the 2004 study by Rogers, Hwang, Scott, Aiken, & Dinges, it was found that the longer the shift, the risks for errors increases. Also, when working longer than 17 hours without sleep, nurse fatigue has been shown to demonstrate the equivalence of being under the influence with a blood alcohol concentration of 0.05% (Garrett, 2008). The effects of fatigue on nurses includes problems such as: compromised problem-solving skills, decreased attention span, delayed reaction time, memory lapses, impaired communication, and inability to focus, which are all important for nurses to be aware of in order to provide quality and safe patient care (Warren & Tart, 2008). The evidences and dangers of nurse fatigue linked to adv erse events from the long work hours and cumulative days of extended work hours has been greatly recognized by The Joint Commission (TJC) issuing a sentinel event alert on December 14, 2011, regarding health care worker fatigue and patient safety (The Joint Commission, 2011). So, I will be discussing the following in the paper that includes: explanation of reviewable sentinel events, a specific sentinel event related to nurse fatigue, and its root cause analysis. Explanation of Reviewable Sentinel Events As defined by TJC, a sentinel event is an unexpected occurrence involving either death, serious physical or psychological harm, or the risk thereof that prompts the need for immediate investigation and response (Sentinel Events Policy and Procedures, 2012). But, for a sentinel event to be considered reviewable, it must meet any of the following criteria: the event resulting in an unanticipated death, coma, permanent loss of function, unrelated to the natural course of the patientâ⠂¬â„¢s illness or underlying condition, or the event is one of the following, but not limited to: suicide within 72 hours of being discharged from a 24 hour care setting rape, sexual abuse/assault elopement abduction (Sentinel Events Policy and Procedures, 2012). A Specific Sentinel Event Related to Nurse Fatigue On July 5, 2006, Jasmine Gant, a pregnant 16 year old high school student, arrived with her mother at St. Mary’s Hospital in Madison, Wisconsin at 9:30 A.M. for her scheduled induction (Smetzer, Baker, Byrne, & Cohen, 2010). The Labor and Delivery (L&D) nurse assigned to care for Ms. Gant that day was Julie Thao, 41 years old. Mrs. Thao had been working at St. Mary’s Hospital since 1993, and worked in the L&D department for 15 years. The day before July 5, 2006, Mrs. Thao had voluntarily worked a double shift for a total of 16 hours or more to cover for the unit’s short staff. Mrs. Thao was extremely fatigued by the end of her shift that ended at midnig ht. She spent the night at the hospital to avoid her hour long commute home and because she was due for her next shift at 7 A.M. So on the morning of July, 5, 2006, the very fatigued nurse Mrs. Thao started her shift caring for one expectant mother. When Ms. Gant presented at the L&D unit later that morning, Mrs. Thao spent time with her and her mother completing the admission process that is done with every admitting patient. However, Mrs. Thao did not apply a bar-coded identification band to Ms. Gant’s arm at this time (Smetzer, Baker, Byrne, & Cohen, 2010). When discussing pain management, Ms. Gant expressed the possibility of wanting to use epidural, which Mrs. Thao would relay the message to the obstetrician.

Critically assess Marxist theories of fascism Essay

Critically assess Marxist theories of fascism - Essay Example One of these reasons is timing, in that it took several generations for the Left to realize that fascism was a not a clever manipulation of the populace by the reactionary Right, but was, rather, authentically popular to the masses. Another reason is because many states, during fascism’s heyday, tried to mimic the fascist governments, even though these states were not functionally fascist, essentially trying to identify themselves as fascists by their plumage or clothing. A third reason why fascism is difficult to define is because there is such a wide disparity between regimes due to space and time, as each fascist country derived their own fascist elements from their own community identity. For instance, religion would play a greater role in any kind of United States incarnation of fascism than it would in Europe, where the fascists were pagan. A fourth difficulty in defining fascism is that there is a tenuous relationship between its ideology and fascism as put into action (Paxton, 1998, pp. 1-4). While fascism is a concept that has eluded definition, there is some comfort in knowing that Marxist definitions and critiques generally differ from non-Marxist ones, in a number of different ways. In this way, fascism has a better theoretical ground when studied in light of fascist theories of the ideology, and these Marxist theories are the focus of this paper. That said, there are a number of fundamental differences between Marxist theories of fascism and non-Marxist theories. Marxist theories of fascism differed from the non-Marxist theories of fascism, in that non-Marxist theories do not study the class and social policies of Germany and Italy under fascism, doing little to explain how these regimes dealt with taxes, social services, business and labor conditions, as well as not asking for who benefited from fascism and for whom fascism was a detriment, while these questions are at the core of the Marxist critique of fascism (Pizzo, 1998, p. 97). This i s because the Marxist ideology sees class as central to government in general, whereas non-Marxists see state governments as being above class structures (Pizzo, 1998, p. 97). In other words, to Marxists, â€Å"fascism was a mass movement that acted independent of capitalist support† (Renton, 1997, p. 2). Another major difference between Marxist critiques of fascism from non-Marxist critiques is that the latter is concerned with fascism as a mature form of governing, focusing on the essence of fascism; non-Marxists concentrate on fascism as a movement. Thus, the non-Marxist critiques of fascism concentrate ideological themes and organizational principles of fascism than do Marxist critiques (Vanaik, 1994, p. 1730). Another major difference between Marxist theories and non-Marxist theories is that Marxist theories tend to view fascism strictly in economic terms, while non-Marxist theories see fascism in psychological and personality terms (Thomas, 1991, p. 1). According to the se non-Marxist theories, fascism is a product of a diseased society in crisis, or the consequence of moral failure and these theories revolve around the concept of a sick society and a world gone mad (Davies & Lynch, 2002, p. 4). These theories try to get into the psyche of leaders who embrace the fascist ideology, such as Hitler and Mussolini, as well as the psyches of those who were ardent followers of

5 Steps To meeting Someone New Essay Example | Topics and Well Written Essays - 500 words

5 Steps To meeting Someone New - Essay Example If your date enjoys music, perhaps the obvious choice would be attending a music concert. Instead, however, consider going on step further and take a portable CD player, a picnic basket and your date out for a quiet lunch under the sun. If your date is a film fanatic, avoid a crowded theater and opt for a projector and find the perfect place to host your own private showing of a comedy movie that's sure to bring a smile to your date's face. By being creative, you will show that you have put thought into the evening.The second step is making your First Impression. First impression plays an important role when you're meeting up with a woman, because your first impression can either make it or break it. A lot of guys don't take this seriously, but it's a fact that if you're able to make a GOOD first impression, then chances of you getting with that girl will be around 90%. But if you fail to do so, then your chances are reduced dramatically to 20%. Just think about this, you just went o n a blind date and it turns out to be that the girl doesn't smell nice, her hair looks awful and she didn't put too much effort dressing up. Would you want to meet up with her again I don't think so!! So here are some simple things you need to remember, in order to make a good first impression. Always look your best and smell good.