Quality Indicators for Safe Medication Preparation and Administration Essay Example for Free

Quality Indicators for Safe Medication Preparation and Administration Essay Being passionate about caring and helping others has influenced and inspired me to enter the medical field and has then encouraged me to become a registered nurse in the Philippines. I have worked in a public hospital located in Manila which caters health care services for people presenting infectious and tropical diseases. One day, I had an admission who was diagnosed with an Acute Gastroenteritis secondary to Acquired Immunodeficiency Syndrome. The doctor ordered a new antibiotic that should be given intravenously. When the antibiotic was already at hand, I administered the medication with the 100ml solution of normal saline to the patient. Afterward, because of a lot of toxicity in the area caused by a large number of patients, I forgot to reassess the patient whom I gave the antibiotic initially. I was surprised when I got back, the patient was already experiencing an allergic reaction to the antibiotic that the skin was flushed and generalized rashes were observed. I referred the patient immediately to the resident on duty and anti-histamine medications were given right away. Because of the incident happened, I felt overwhelmed with fear due to the possible consequences I had in my mind that the patient might suffer. I had been administering antibiotics many times in the past, but this situation made me feel guilty and uneasy. I even questioned myself if I am really that competent enough to do medical interventions to the patients. A nurse’s role is to render a high quality of care at all times. The reactions of the antibiotic would have been prevented if the proper assessment has been executed. Being knowledgeable in interventions especially medication administration is essential in my role, that I felt I didn’t accomplish fully. I documented all that happened to the patient and I made an internal incident report so that the other team members would be well-informed about the situation and also proper endorsements were done. Further errors and complications will be prevented through active management and effective reporting system would ensure patient’s safety. Administration of medicines to individuals who are ill is part of nurse’s responsibility to deliver holistic and optimal care (Veitch Christie 2007). In the Philippines, nurses are required to practice methodical approach that follows local polices. In regards to my own experience, nurses practice 10 rights of medication administration that are intended to protect patients from any misconduct in promoting health. Some of the key things I have learned include developing my time management, multi-tasking, and organizational habits. One of the ways I would change what I did then would be to assess before and after administering certain medication to the patient especially if it’s an initial dose. I am now more cautious and responsible for my actions when delivering holistic care. Although I should’ve reassessed the patient, the experience I have gained from this has made me more mindful of patient’s rights that safeguard patient’s well-being. In the future, I think I would try to deal with this by improving the level of my competence and not neglect the aspects of nursing as a caring profession. I will continue to provide genuine care to the patients through further developing my skills in performing the 10 rights of medication administration. I intend to become more careful and as well as confident when protecting the health of my patients from possible risks of any treatment and health practices. As a registered nurse, I aim to advance my knowledge and skills that will befit the needs of the clients. Therefore, even if this experience for me was a challenge, I took it as an advantage to help me understand the importance of values in nursing and will guide me in tackling different instances and situations in the future.

Experiment Essay Example for Free

Experiment Essay The primary focus of experiment 4 was to teach a student the basic solubility rules of salts in aqueous solutions. After developing and using a scheme for the qualitative analysis of three cations in an aqueous mixture, a student would use a centrifuge to identify, precipitate, and separate the three ions in the mixture. After becoming familiar with all three cations, the student would use the scheme again to identify at least two of the cations in an unknown solution. In order to begin the separation process, HCl is added to the mixture of cations to form the precipitates and separate the chlorides of Ag+, Pb2+, and HG22+. It is important not to add too much HCl because an excess would form the soluble complexes of AgCl and PbCl2. After the HCl is added, it is centrifuged to form a solid precipitate that contains all three cations and separate them from the supernatant liquid. Finally, another drop of HCl is added to test for completeness of precipitation and centrifuged again if the solution remains incomplete. To separate the lead (II) ion from the sample of solution, it must be separated from the insoluble Hg2Cl2 and AgCL salts by dissolving it in hot water. Once it has been dissolved from the other two cations, it is centrifuged and the liquid is decanted into another test tube. Once in the other test tube, a drop of 6.0 M acetic acid and two drops of 1.0 M K2CrO4 is added to the saved liquid. If the lead (II) cation is present, a yellow precipitate forms and ensures the presence of that cation. When testing my unknown solution, the lead (II) ion was not present in my solution. To further separate the cations, 1.0 mL of 6 M NH3 is added to the saved precipitate. After adding the ammonia, the mixture is centrifuged and the liquid is once again decanted into another test tube. If a gray or black precipitate forms, this proves the presence of Hg22+. The mercury (I) ion was present in my unknown. Finally, separating the silver ions from the sample solution mixture is accomplished in the prior step when the mercury ion is centrifuged. In order to test for the presence of silver ions, 1 mL of 6M HNO3 is added to the solution from the prior step. The silver precipitates in this acidic solution. If a white precipitate appears, silver is present in the solution. The presence of a white precipitate in the solution proves that there were silver ions in my unknown. By following the scheme for the qualitative analysis, it was simple to separate and test for the presence of the target cations. It was critical to correctly label every one of the liquids to ensure the correct reactions. No other difficulties prevented success in the experiment, but performing the experiment several times would further reinforce the outcome of the experiment.

Examining Bonnie And Clyde Film Studies Essay

Examining Bonnie And Clyde Film Studies Essay When someone speaks about a female criminal; without a doubt Bonnie Parkers name will be mention. She is one of the most famous women in the history of crime. Bonnie and her partner Clyde was the most dangerous pair during the Great Depression Era. The two of them went on a two year robbing and killing spree that ultimately ended in their deaths. The way the two constantly eluded the police and Bonnie Elizabeth Parker was born on October 1, 1910 to Charles and Emma Parker. Her father was a brick layer who died when she was only five and her mother was a house wife. She was the second child of three. Bonnie was a very bright and well educated girl. She was an excellent speller and was exceptionally good at writing poetry. This was a passion that she had and poetry helped her to express he feelings. Later in life she would write some poems while on her crime spree and they will become famous. When she was 16 she married a man name Roy Thornton. He eventually was arrested for his part in a robbery and was sentenced to prison. She left him but never divorced him because she felt it wouldnt be right to do so while he was in jail. Although she was a waiter she eventually took a job as housekeeper and that is where she met Clyde Barrow. A couple of weeks after they met, Clyde was sentenced to prison of two years for past crimes that he had committed. Clyde then came up with a plan for Bonnie to help him escape. When she came to visit him she smuggled a pistol into jail and Clyde used it on the guard and he escaped. Soon after his escape; he was arrested again and was then sentenced to fourteen years in prison. On February 2, 1932, Clyde was released from prison. He soon met up with Bonnie in a stolen car and this is when their crime spree began. (about.com) Bonnie went with Clyde on his first robbery since his released from prison. The plan was for Clyde and his gang (Buck (Clydes bother), W.D. Jones, Frank Clause, Henry Methvin, Everett Milligan, and Ray Hamilton) to rob a hardware store. Bonnie was in the car while the robbery was going on. She was arrested by the police while sitting in the car. She was soon released because of lack of evidence. Soon after her release, Bonnie and Clyde continued their crime spree. Although Bonnie and Clyde were on the run they often made stops in Texas to see their mothers. Bonnie was very close to her mother and she made it mandatory to see her mother every 2-3 months. In March 1933 Bonnie and Clyde made another stop in Joplin, Missouri. Clydes brother Buck was released from prison, so the two decided to rent an apartment to spend time with Buck and his wife Blanche. In April they spotted two policemen and that is when a shootout began between the two groups. Bonnie, Clyde, Buck and Blanche all escaped. In the apartment they left pictures that showed Bonnie and Clyde posing with stolen cars, money, and guns. Bonnie also left one of her poems in the apartment also. These items that were left in the apartment made the couple very famous. In November 1933 W.D. Jones was captured and told the police about how Bonnie and Clyde visits their family. The police then set up an ambush that put Bonnie and Clydes family in danger. This angered Clyde and he decided to take revenge on the Eastman Prison. Bonnie and Clyde helped to free Raymond and Henry. Raymond and Clyde got into an argument and Raymond left but Henry stayed. Little did Bonnie and Clyde know; Henry and his family would help cause the death of them. Henry and his father Ivan were the two who help to set Bonnie and Clyde up. They did this for an exchange for Henry to be pardoned. Henry knew that Bonnie and Clyde didnt have anywhere to stay so he insisted that they stay at his fathers cabin. Ivan told the police the route where Bonnie and Clyde would be traveling. The police then set up an ambush and also made it look as if Ivan had a flat tire. As Bonnie and Clyde came down they seen Ivans car and slowed down. That is when the police men came out and demand for them to stop. Bonnie and Clyde attempted to getaway but the police men fired approximately 167 rounds. Bonnie and Clyde died instantly because of the gunshots. They were buried separately at their families burial sites/ They knew Bonnie and Ckyde would stop to help and that is when they would capture them. As Bonnie and Clyde approached the car they In April of 1934 Clyde and Henry Melthvin killed two policemen. It was this incident that would help to lead the police to them. Ivan Melthvin( Henrys father) was took into custody after authorities found out that he often hid the gang. He them Bonnie and Clyde had many co conspirators. Some of their Coconspirators were by the of Buck (Clydes bother), W.D. Jones, Frank Clause, Henry Methvin, Everett Milligan, and Ray Hamilton. Bonnie went with Clyde on his first robbery when he was released from prison. The plan was for Clyde and his gang to They often helped Bonnie and Clyde with their robberies and the murders. They would mainly rob grocery stores and gas stations. The money they stole from these places was the money they lived on. They would sometime banks but would not make off with too much money. They enjoyed stealing cars; mainly for the thrill of riding in a different car.

Women-and Minority-Owned Businesses Adapt to New Economy Essay

â€Å"Women-and Minority-Owned Businesses Adapt to New Economy†   Ã‚  Ã‚  Ã‚  Ã‚   â€Å"Women-and Minority-Owned Businesses Adapt to New Economy† written by Yvette Armendariz was an article that I found in the archives of the Arizona Republic (October 6, 2002) via the internet. This article dealt with the readings from class over the past couple of weeks, especially dealing with women and Global Economy. As the title reads, women-owned businesses are adapting to the new economy, the economy after the New York September 11th attacks. This article is a year old, but I thought that it still had merit and was worth writing about. In this article there are 4 companies mentioned. Two are owned by Caucasian women and the other two, by men of ethic backgrounds. The companies owned by the wo...

Review - Revolting Librarians Redux: Radical Librarians Speak Out :: Essays Papers

Review - Revolting Librarians Redux: Radical Librarians Speak Out Who can resist a book with a chapter titled, "Labia Lumps, Chunky Discharge, and Other Things They Never Taught Me in Library School"? Released this past summer, Revolting Librarians Redux: Radical Librarians Speak Out takes no prisoners as its contributors ponder everything from the backtracking of '60s values by ALA's baby boomers to librarian imagery in erotica. This edited volume is a sequel to a 1972 self-published book titled Revolting Librarians. The original is worth checking out for its historical value alone. The editors of the 2003 volume, Katia Roberto and Jessamyn West gathered essays from ten of the original writers from the 1972 book for this version and it is interesting to see what thirty years has done to these radical librarians. The book contains some of what you would expect in a book by revolting librarians. There are the requisite essays on the suppression of civil liberties through the Patriot Act along with essays detailing the problem of cultural representation in the Library of Congress Subject Headings. And of course, there's something both by and about Sandy Berman, a living legend among progressive librarians. But there are also quite a few surprises. Ever curious about the astrological breakdown of librarians? You'll find an extensive article complete with enough statistics to make you break out your notes from IRLS 506. [Leos dominate the field, with Aquarians an astrological minority.] Another notable essay concerns what services librarians can offer to day laborers. From my perspective as a library graduate student, however, my attention was drawn to the section titled "Library School is Revolting." This collection of essays explores questions such as "Are we really learning the practical skills necessary to be librarians, such as public relations and professional writing?" and "Is accreditation really a big deal?" While I felt fortunate that some of the not-so-subtle digs at library schools didn't really apply too heavily to SIRLS, some of it is familiar enough to make you laugh (or cry). I also felt myself drawn to essays that dealt with the everyday work lives of these revolting librarians. I have not been in the library world my whole life. In fact, I applied to library school less than one month after the idea of becoming a librarian occurred to me for the very first time. Any writings that describe the "real world" of librarianship, therefore, pique my interest.

pets 911 :: essays research papers

Facts: Pets 911 knows that every community has pets in need. We offer a free network of animal rescue organizations and services across the country. Pets 911 is becoming an answer for not only the public, but also the pet animal welfare group community on how we in this country can all take part in saving those 5 million animals every year. Pet adoptions, animal shelters, help to find lost dogs and services to find lost cats - Pets 911 for all your pet adoption information - Thousands of homeless dogs, abandoned cats and other animals available for adoption. Have you lost or found a pet? Animal Charity information is one of the fine things we offer at Pets911.com. We also provide information on cat charity events, pet charity promotions, and dog charity walks. The Pets911 fights for animal welfare in the UK and throughout the world – campaigning on a variety of issues. Every year more than 4,000 dogs are used in experiments in the UK. In most cases they are used in the development and safety testing of new pharmaceuticals (medicines and vaccines), for both humans and dogs. Humans have a special relationship with dogs and a responsibility to safeguard their welfare in every situation. The PETS911 is committed to campaigning for humane alternatives and challenging the need for the use of dogs in research and testing. However, while dogs continue to be used in research we believe every possible effort must be made to reduce the numbers used and prevent suffering throughout their short lives. Our particular concerns are : †¢ the distress, pain and suffering caused by procedures, e.g. the chemicals can make the dogs sick and surgery can cause pain. †¢ the unsuitable conditions in which the dogs live, e.g. lack of space, stimulation, and socialization with other dogs and people. †¢ the loss of life – the dogs are eventually killed either to alleviate suffering, or for post-mortem analysis of their tissues and organs. What is the PETS911 doing? †¢ Challenging dog use: The PETS911 believes there is nowhere near enough commitment to challenging the need to use dogs or to developing alternative approaches to safety testing. We work with other organizations such as the Fund for the Replacement of Animals in Medical Experiments (FRAME) and support the work of the European Centre for the Validation of Alternative Methods (ECVAM) to encourage the development and use of alternatives. †¢ Reducing the number of dogs used in pharmaceutical safety testing: More dogs are used in pharmaceutical safety testing than for any other purpose, so it is essential to find ways of replacing dogs and reducing their use. pets 911 :: essays research papers Facts: Pets 911 knows that every community has pets in need. We offer a free network of animal rescue organizations and services across the country. Pets 911 is becoming an answer for not only the public, but also the pet animal welfare group community on how we in this country can all take part in saving those 5 million animals every year. Pet adoptions, animal shelters, help to find lost dogs and services to find lost cats - Pets 911 for all your pet adoption information - Thousands of homeless dogs, abandoned cats and other animals available for adoption. Have you lost or found a pet? Animal Charity information is one of the fine things we offer at Pets911.com. We also provide information on cat charity events, pet charity promotions, and dog charity walks. The Pets911 fights for animal welfare in the UK and throughout the world – campaigning on a variety of issues. Every year more than 4,000 dogs are used in experiments in the UK. In most cases they are used in the development and safety testing of new pharmaceuticals (medicines and vaccines), for both humans and dogs. Humans have a special relationship with dogs and a responsibility to safeguard their welfare in every situation. The PETS911 is committed to campaigning for humane alternatives and challenging the need for the use of dogs in research and testing. However, while dogs continue to be used in research we believe every possible effort must be made to reduce the numbers used and prevent suffering throughout their short lives. Our particular concerns are : †¢ the distress, pain and suffering caused by procedures, e.g. the chemicals can make the dogs sick and surgery can cause pain. †¢ the unsuitable conditions in which the dogs live, e.g. lack of space, stimulation, and socialization with other dogs and people. †¢ the loss of life – the dogs are eventually killed either to alleviate suffering, or for post-mortem analysis of their tissues and organs. What is the PETS911 doing? †¢ Challenging dog use: The PETS911 believes there is nowhere near enough commitment to challenging the need to use dogs or to developing alternative approaches to safety testing. We work with other organizations such as the Fund for the Replacement of Animals in Medical Experiments (FRAME) and support the work of the European Centre for the Validation of Alternative Methods (ECVAM) to encourage the development and use of alternatives. †¢ Reducing the number of dogs used in pharmaceutical safety testing: More dogs are used in pharmaceutical safety testing than for any other purpose, so it is essential to find ways of replacing dogs and reducing their use.

Capitalism and Freedom Book Review

Warren Bryan 3/5/12 Book Review: Capitalism & Freedom Author: Milton Friedman Milton Friedman’s Capitalism & Freedom is one of the most important books regarding economics of the 20th century. His thoughts laid the groundwork for the emerging modern conservative movement, which was an evolution of the 19th century beliefs surrounding liberalism.Friedman’s major themes of his most famous work consist of the roles of competitive capitalism, as well as the role that government should play in a society â€Å"dedicated to freedom and relying primarily on the market to organize economic activity. † The book touches on a multitude of other economic issues; however, his first two chapters regarding the major themes of the book are most relevant in today’s study of economics. Most of Friedman’s viewpoints I agree with in terms of promoting freedom and its necessity to promoting prosperity and growth.Friedman, however, lacks a certain level of clarity regardi ng the specificity of his definition of â€Å"economic freedom† and the other variants of â€Å"freedom. † Friedman argues that a free market economic policy is by definition part of freedom, or in his words, â€Å"†¦freedom in economic arrangement is itself a component of freedom broadly understood, so economic freedom is an end in itself. † This is one of his prime arguments supporting his claim that free market economic policies are critical for a free society.The implications surrounding this statement are that anyone who is against a free market economic policy is also against the American values of liberty and the liberal tradition, or as Friedman puts it, â€Å"Underlying most arguments against the free market is a lack of belief in freedom itself. † What he lacks in his explanation concerning the connection between freedom and economic freedom is his disregard to define the concept of freedom, whether concerning its origins, how it developed, or what it means specifically relative to all the different economic issues it applies to.For example he lists several present day scenarios that violate one’s economic freedom: having to pay 10% of income to social security, not being able to follow an occupation of your own choice without professional licensure, being forbidden to exchange certain items because of quotas that prevent such exchanges, being thrown in jail for setting prices lower than the manufacture specified (fair trade laws), and the farmer who cannot grow the amount he desires because of price supports.Under complete economic freedom, the government should not be able to tell us how or where to spend our money, dispose of our goods, or how we should labor because it’s in violation of our individual freedom, or our entitlement to property and labor, according to Friedman. Surely these are all characteristics of being free, however his explanation is certainly not the end all-be all. It is more rela tive to examine what is exactly entitled to the elements of freedom.A famous example comes from a Supreme Court Justice who said, â€Å"My freedom to move my fist must be limited by the proximity of your chin. † This coincides with John Locke’s paradoxical claim that one must give up certain rights to achieve freedom. An absolute interpretation of â€Å"freedom† is just not plausible because of the endless amounts of extenuating circumstances that would, and should, interfere with ones freedom. The very nature of society and law places these restrictions on absolute freedom because your actions are limited by the protection of another’s entitlements.Friedman acknowledges this impossibility and admits that there is still an important role for the government to make the rules and act as â€Å"umpire† toward them. He concludes on this thought stating, â€Å"What the market does is to reduce greatly the range of issues that must be decided through pol itical means, and thereby minimize the extent to which government need participate directly in the game. † Friedman more narrowly believed the government should intervene with â€Å"indivisible matters. † A problem with this claim regarding indivisible matters is he never clarifies what constitutes an indivisible matter.The example he gives is in relation to national defense, â€Å"I cannot get the amount of national defense I want and you a different amount. With respect to such indivisible matters we can discuss, argue, and vote. But having decided we must conform. † Thus, we shall let the government deal with indivisible matters where we must meet a consensus on basic things such as defense. How do we know that a flat tax, a tax reform mentioned by Friedman, counts as a matter that government should control whereas a tax for social security does not?The criteria must be explained for the difference between the two. Friedman believed that the market allows bett er proportional representation than the democratic process. â€Å"The market allows the voluntary exchange of goods between individuals without coercion. † â€Å"Exchange can therefore bring about co-ordination without coercion†¦no exchange will take place unless both parties do benefit from it. Cooperation is thereby achieved without coercion. † This implies that the free market system gives people what they want instead of what some group thinks they â€Å"ought to want. This is a basis for his belief in laissez-faire. Friedman believed that government intervention enforces conformity. Policies are implemented based on a majority vote, or at best a 2/3rd vote, thus imposing a view from the majority onto the minority. A valid point that Friedman fails to comprehend that government is necessary for exchange even to begin. What he fails to comprehend is that the market only exists by being founded on laws that the government has already defined.The perceived freed om of the market and tolerance of diversity is not the product of free markets, yet the benefit and consequence of agreements that makes the market possible to begin with. The possibility that people can exchange goods in the market place pre-supposed that there are contracts, notions of property, enforcement systems for violations and so on. The most crucial part in regards to what makes freedom possible in the market is directly related to the government, the very thing he believed enforced conformity.I argue that Friedman fails to recognize both types of freedoms, the first being the freedom to participate in the market but not the freedom in regards to the agreement undertaken to participate within the market in the first place, or the rules of the game. An analogy I found clarifies this concept. The analogy compares the games of checkers and chess. Chess has a more complex rule set than checkers does relative to the extent of moves allowable, however most people would probably choose to play chess for this very reason.Thus, a reduction in rules with the government doesn’t necessarily mean we are more economically free, but yet that we choose to â€Å"play† a different game. Surely I agree with Friedman that the more economic freedom the better, but it is ultimately the government’s job for how we settle the â€Å"rules of the game. † As Friedman’s book proves, as well as my arguments against some of his claims, it is very hard to establish a fine line between governments and markets. The degree of freedom will always be in question within a free society.However, there are many different degrees within these free markets and there can be multiple ways to draw the line between government and the market and still be classified as a â€Å"free market. † ——————————————– [ 1 ]. Milton Friedman, Capitalism And Freedom (Chicago: University of Chicago Press, 1962, 1982, 2002), 4. [ 2 ]. Milton Friedman, Capitalism And Freedom (Chicago: University of Chicago Press, 1962, 1982, 2002), 6 [ 3 ]. Milton Friedman, Capitalism And Freedom (Chicago: University of Chicago Press, 1962, 1982, 2002), 9 [ 4 ].Howard Schwartz, â€Å"What Color Tie Do you Vote For? † Jan. 2007, 5 March 2012 [ 5 ]. Milton Friedman, Capitalism And Freedom (Chicago: University of Chicago Press, 1962, 1982, 2002), 24 [ 6 ]. Milton Friedman, Capitalism And Freedom (Chicago: University of Chicago Press, 1962, 1982, 2002), 33 [ 7 ]. Milton Friedman, Capitalism And Freedom (Chicago: University of Chicago Press, 1962, 1982, 2002), 35 [ 8 ]. Milton Friedman, Capitalism And Freedom (Chicago: University of Chicago Press, 1962, 1982, 2002), 35