Recent orders
Hot Work
Hot Work
Name:
Institution:
Index
Page Number
Allied 4, 5, 6, 7
Burner 5,
Canadian Center for Occupational Health and Safety (CCOHS)3, 4
Confined spaces 3, 7
Conformance4
Designated areas3, 4, 5, 6
EHS4, 5
Fire watch4
Fire4, 5, 6, 9
Flammable3, 4
Guarding8
Hazard3, 6
Higher risks 4, 7
Hot work permits 3, 4, 7, 10
Hot work 3, 4, 5, 6, 7, 8,9,10
HSW Act 8
Isolation,4, 6
Lower risk 7
Non-welding hot work risk 7
Occupational Safety and Health Administration OSHA 3, 6, 8, 9
Portable Electronic Devices (PED)6
Positive drop test 8
PPE8, 9
PUWER 8
Sources of ignition3, 6
Torch5, 7
Welding, soldering, brazing, and cutting, 3, 6,
Wetting down (reducing combustibility of materials) 4
Work places3, 8
Working surface 4
Hot Work
Hot work refers to any process or activity that can be a source of ignition or sparks that can produce fire when a flammable material is in close proximity or can be a source of fire hazard irrespective of whether a flammable material is present. Hot work is thus any activity that involves burning, flammable substances, welding and use of fire or spark producing devices. Examples of common hot work activities can include soldering, welding, brazing, and cutting. In the presence of flammable materials, processes such as drilling and grinding become hot work operations. It is important to observe caution when carrying out hot work to minimize occupational health and safety hazards such as burning, scorching, or explosions. In some countries, such as Canada and the UK, a hot work permit is a statutory requirement for all individuals or factories that carry out related operations (University of Maryland, 2013; CCOHS, 2012). In the US, Occupational Safety and Health (OSHA) (2014), maintains requirements for hot work operations in the marine industry by the use of specific regulations. In addition, it is important not to carry out any hot work operations in a confined space until an authorized person has tested the atmosphere and determined that it is safe, non-hazardous, and free from combustible or flammable materials. Potentially hazardous areas can include fuel tanks, tank batteries, mud tanks, gas separators, as well as confined spaces in which gases can accumulate (OSHA, 2014). Work places in which hot work process take place should have suitable fire extinguisher equipment readily available, for example a hose, sand buckets, water pails, or portable extinguishers (Fire Protection Association, 2013). Various types of hot work operations require the activities to be conducted in designated areas that have undergone expert assessment and passed.
Designate Hot Work Areas
Undertaking hot work operations requires the activities to be carried out in designated areas. A designated hot work area is a permanent location designed for hot work. These areas do not require a daily permit to perform hot work. After initial assessment, audits and verification exercises can be conducted to ascertain conformance to regulatory requirements and adherence to set safety procedures. Canadian Center for Occupational Health and Safety (CCOHS) (2012) observes that getting a hot work permit is only a step involved in managing a hot work program aims at reducing the risk of starting fires in work places. According to the Victorian Government Department of Education (2006), all hot work operations should “only be performed where strict controls are in place to prevent risks from occurring.” Consequently, it is necessary to institute various controls before undertaking any hot work processes. These include wetting down (reducing combustibility of materials), isolating work places, removing explosive or flammable materials or residues, using appropriate PPE, using suitable working tools, locating fire extinguishers within reach, and instituting emergency procedures (Fire Protection Association, 2013). A designated hot work area should be Inspected and approved by the facility management or EHS (Tanaka, 2007). In addition, it should be non-combustible, fire-resistive, and free from combustibles and flammables, suitably segregated from adjacent areas, and equipped with heat detectors (as opposed to smoke detectors). The working surface for soldering, grinding, brazing, and other hot work activities should be free from non-combustible materials. Tiled surfaces are encouraged. Fire Protection Association (2013) also advices it is necessary to have additional fire watch personnel to check against fire during hot work operations, especially in areas at higher risks of catching fire.
Necessary Inspections before Undertaking Hot Work Processes
It is essential to inspect various parameters and observe certain essentials prior to using a designated area for conducting hot work processes and allied activities (Health and Safety Executive (HSE), 2013). All combustible materials, papers, notebooks, and chemicals should be removed from the surrounding environments, minimum 35 foot clearance (Manuele, 2012). It is necessary to inspect the oxy-acetylene hoses for holes, pinched points, cracks, or any other defects and ensure that the hoses fit securely on the gas valve and the burner or torch. In addition, it is vital to replace or repair hoses that present with defects before using. Loose clothing, long hairs, dangling jewelries, and other suspended wears should be knotted well at the time of using the burner (Manuele, 2012). It is also important to notify all lab or shop personnel that a particular burner or touch will be in use for a specific operation. Increasing personnel awareness about events and hot work activities helps to diversify the perspectives of observing caution or raising alarm in case an abnormal activity is noted. A burner or torch that is in use should never be left unattended while all gas supplies should be switched off after use to minimize fire risks. Tanner (2009) advises that in case oxy-acetylene is not going to be in use for an extended duration, it is precautious to remove the regulators and secure cylinders with protective cylinder caps if equipped.
Prohibited hot Work Areas
It is also important to recognize hot work areas where activities should not be undertaken. In addition, it is important to undertake any hot work operations under certain risk circumstances. For example, in areas unauthorized by the facility management or EHS, where the facilities fire systems are in poor condition, where the atmosphere contains excessive explosive vapors, gases, dusts, or exposed liquids (Tanaka, 2007). In addition, working in immediate areas that contain combustible materials should be discouraged completely.
Assessment of non-Designated areas for Hot Work Processes
In scenarios where operations may be necessary in non-designated areas, it is important to carry out a thorough assessment as an additional precautionary measure to minimize risks (Manuele, 2012). Before authorizing hot work in a non-designated area, the employer must visually inspect the area where hot work is to be performed, including adjacent spaces, to ensure the area is free of fire hazards, unless a Marine Chemist’s certificate or Shipyard Competent Person’s log is used for authorization (OSHA, 2014). An additional precaution is that employers should only authorize the conducting of hot work processes only in areas that are free from fire hazards, or those that have adequate controls, such as firewatchers, physical isolation, or other positive monitoring measures.
Types of Hot Work and Guidelines
It is important to note that hot work guidelines apply to all aspects, processes, or operations that involve hot work activities. For purposes of easier understanding, classification of hot work falls in the following categories: welding, burning, and associated grinding, and non-welding hot work (all other ignition sources). Many sources of ignition besides burning, welding, and associated grinding activities, are important sources allied to hot work process that can contribute to fires.
Increased presence of portable electronic devices (PEDs) has introduced many new sources of ignition into hot work operations. According to Tanaka (2007), many of these emerging sources of ignition have been identified, the associated risks analyzed, and precautions put in place to address them. Some sources may have bypassed individuals and experts. That notwithstanding, technological advances have higher chances of creating additional sources of ignitions as well as solutions for addressing the risks.
A hot work matrix is available for use during operations to ensure adequate precautions are available before, during, and after undertaking hot work and other allied processes (Tanaka, 2007). Moreover, a hot work permit also presents various requirements needed for hot work process operations. The matrix is based on risk of devices in use and the physical places in which the devices will be used. Higher risk materials include hot surfaces, sparking devices, open flames, or exposed liquids, among others. Lower risk devices can include, for example, battery-operated gadgets. In some scenarios, some devices may be exempt from the permit process by the use of a self-governed screening process, following several different criteria. The screening process can be undertaken singly, or as a group, for example, during tailgate meetings, safety discussions, or hot work reviews. In certain situations, groups may opt to elect or designate a representative to undertake the screening of proposed devices. It is important to note that all the criteria must be observed for the exemption to take effect.
Precautionary Measures during Hot Work Processes
The non-welding hot work risk matrix provides details for observing precautionary measures during operations. Several requirements are discussed here.
It is important to attend always to oxygen supply lines, torches, and fuel gas supplies. This also involves ensuring that they are not used within confined spaces for over fifteen minutes, and they are always attended (HSE, 2012). It is important to observe that unattended fuel gases, oxygen hoses, and torches, are not left in confined places. In addition, it is important to disconnect all oxygen hoses and fuel gas lines at the source of supply during the closure of every shift to minimize risks. After disconnection, the oxygen hose and fuel gas lines should be left open to air to disconnect the torch. It is also imperative not to reconnect supply unless a thorough assessment on the lines has taken place through a positive drop test to ascertain integrity of the oxygen and fuel gas burning system.
During hot work operations, it is imperative to use protective clothing and equipments that are in good working condition. The University of Melbourne (2013) indicates that observing the manufacturer’s guidelines and instructions on how to use the PPE will also be beneficial. All used equipments, such as knives, hammers, ladders, power presses, drilling machines, and circular saws should be stored properly. In scenarios where employees provide their own equipments, it is necessary to carry out checks to ensure that they conform to the required specifications. Provision and Use of Work Equipment Regulations (PUWER), 1998, provides guidelines for equipment management during operations (HSE, 2012). According to PUWER, equipment processes covered in the regulations include modifying, repairing, maintaining, modifying, cleaning, servicing, and transportation (HSE, 2012). The regulations are applicable to all individuals including those who bring along their own equipment, but not to equipment used by the public, such as compressed air devices in garages. Nevertheless, such circumstances have been addressed by the Health and Safety at Work Act 1974 (HSW Act) (HSE, 2012). Therefore, factories, offices, offshore installations, entertainment places, hospitals, and others should observe the HSW Act. PUWER regulations are also applicable to temporary work places, such as construction sites, and some parts of shared buildings. Therefore, it is imperative to ensure that all equipments used in hot work operations meet the PUWER regulatory requirements. It is necessary to ensure that all equipments are suitable for use, in good condition, well maintained, safe for use, adequately inspected, and that they should not introduce additional risks to the operator. OSHA (2014) provides guidelines for ensuring proper machine guarding systems are available to protect workers from direct exposure to sharp, hot, and very cold surfaces. It is also important to have training and awareness programs in place to remind employees of procedures and regulatory requirements pertaining to use of PPE and observance of safety precautions. In some instances, it may be prudent to integrate a combination of these measures.
It is also important to observe fire-extinguishing precautions, procedures, and equipments are available. It is the employer’s responsibility to develop, implement, monitor, and evaluate an effective fire protection program (Tanner, 2009). Management should also ensure that all employees conform to the set program, and follow the procedures laid down. According to OSHA (2014), management should provide the necessary fire-extinguishing equipment in conspicuous and readily accessible locations to fight fires when they arise during hot work operations. Fire Protection Association (2013) also observes that there should be no delay in providing the firefighting equipments. Moreover, management or the employers should institute a well-trained firefighting team that is fit, proactive, and follow instructions (OSHA, 2014). Consequently, it is important to institute random firefighting drills to assess the alertness of the firefighting team (University of Melbourne, 2013; Tanner, 2009). It is also a requirement that an external body, most preferably, the government firefighting departments to increase their knowledge and skills, while training the firefighting team. Management should also institute a system of scheduled audits to ensure that the firefighting team, procedures, equipments, and personnel conform to fire safety requirements.
Appendix
Figure SEQ Figure * ARABIC 1: A hot work permit. Source: static.seton.com/media/catalog/product/Hot-Work-Permits-&-Signs-90188-ba.gif
References
Canadian Center for Occupational Health and Safety (CCOHS). (2012). Welding: Hot Work. Retrieved from: www.ccohs.ca/oshanswers/safety_haz/welding/hotwork.html
Fire Protection Association. (2013). Fire safety awareness: Hot work safety. shttps://www.thefpa.co.uk/fpa_home/training/find_a_course/fire_safety_awareness/hot_work/
Health and Safety Executive. (2012). WL – COSHH essentials for welding, hot work, and allied processes. Retrieved from: www.hse.gov.uk/pubns/guidance/wlseries.htm
Manuele, F. A. (2012). An Overview of the Occupational Health & Safety – Management Systems Standard. Retrieved from: www.asse.org/professionalsafety/?mobify=0
Occupational Safety and Health Administration (OSHA, 2014). General Safety and Health: Hot Work/ Welding. Retrieved from: https://www.osha.gov/SLTC/etools/oilandgas/general_safety/hot_work_welding.html
Tanaka, Masatoshi. (2007). Heat stress standard for hot work environments in Japan. Industrial health 45(1), 85-90.
Tanner, R. (2009). Occupational Health and Safety: Controlling Hot Work Fire Hazards. Retrieved from: ohsonline.com/Articles/2009/04/01/Controlling-Hot-Work-Fire-Hazards.aspx
The University of Melbourne. (2013). Policies and procedures: Hot Work Risk Management Procedure. Retrieved from: safety.unimelb.edu.au/publications/procedure/hot-work/
University of Maryland. (2013). Environmental Safety: Frequently Asked Questions about Hot Work Permits. Retrieved from: www.des.umd.edu/fire/hotworkfaq.html
Victorian Government Department of Education and Early Childhood Development. (2006). Health, Safety, and Work Safe: Hot Work and Welding. Retrieved from: www.education.vic.gov.au/hr/ohs/hazards/hotwork.htm
hospital waiting time
Introduction
Hospital waiting time is, no doubt portrayed as a national scourge in UAE. Absence of inpatient couches is viewed as a key reason. From the earliest starting point, UAE’s social insurance framework has been viewed as one of the best on the planet, yet we confront the test of diminishing waiting times in health care, subsequently influencing the medical services workforce. Some now are inclining at the private part of human services, suspecting that this is the answer for waiting time issues. Private healthcare services just worsens the issue, and stances more expenses upon the social insurance systems and additionally the health awareness workforce. In the event that there is now a lack of specialists and medical attendants in general society wellbeing segment, by all methods where do they think they’ll get social insurance laborers to supply for those in the private part? “The confirmation is clear – private revenue driven forethought is less reasonable, all the more excessive and represents a more serious danger to patients than not-revenue driven consideration” (Horwitz, Green & Bradley, 2010).
Issues with decreasing waiting time issues in medical services inside the emergency care influences the overall population furthermore focuses on the social insurance experts, directors and strategy creators. The individuals who look for restorative consideration in the emergency care are additionally at high hazard for it may take hours before they are seen.Bed and Patient Transfers
United Arab Emirates clinics are arriving at their most extreme limit in their emergency cares and also assets, hence creating the exchange of patients to an alternate clinic. Absence of bunk accessibility has made a long process among patient exchanges. Inside this process, the dread of patient bleakness additionally represents an issue. A study was made on the purposes behind patient exchange, 83.4% were limit related, and the staying 36.6% were exchanged for forte administrations. Among those moved because of absence of accessibility, were psychiatric and therapeutic related (Horwitz, Green & Bradley, 2010). Once touched base at the first healthcare facility the patient must experience a multi-step process. Initially is the appraisal in the healthcare office, after then the choice on whether to concede the patient, third was the flight time, fourth was the landing of the patient to the exchange doctor’s facility and last the entry to the assigned ward. Amid the steps of leaving the beginning clinic and touching base to the following, was viewed as a time of “transport danger” (Horwitz, Green & Bradley, 2010). The purpose behind this was because of the way that 8.1% of the patients exchanged were on pharmaceutical and had a missed a measurement amid the average hold up time of pre-transport in the emergency care of 6.7 hours. At the end of the day among those were patients obliging psychiatric and therapeutic consideration. The most exceedingly bad fear of all was the issue of the measure of time it obliged patient exchange and its connection to expanding mortality. Miao et al,. (2010) study found that out of the 272 limit transport patients, two had passed on inside 8 hours once being admitted to the doctor’s facility (p. 26). In synopsis, strength and limit transports do have a higher danger of missing medication measurements in which return can build their shot of mortality.
The Doctor Shortage in UAE
In the 1980s the Federal and Provincial administration of UAE executed certain arrangements to help eliminate the doctor surplus. They eliminate the quantity of worldwide restorative graduate students entering UAE and additionally the quantity of passages into United Arab Emirates therapeutic schools. Tragically, accordingly we have come into a doctor lack in UAE. Despite the fact that there are likewise other helping variables in respect to why this is so. For one thing, in the early 1990s there was a gathering of doctor and wellbeing authorities who resigned, leaving UAE short in almost all claims to fame this is a component the elected and common administration of UAE did not consider when actualizing these arrangements. Likewise is the significant issue of doctor migration to the United States. Upon graduation, numerous United Arab Emirates doctors move to the United States in look for of higher pay, and lower charges. Somewhere around 1990 and 2004, UAE had a yearly net loss of United Arab Emirates-instructed doctors. As per Miao et al,. (2010) this was a stunning proportional to having normal estimated United Arab Emirates medical schools devoted to creating doctors for the United States” (p. 10). To help allay the deficiency, worldwide therapeutic graduates have helped 5.1% (Miao et al,. 2010). Numerous United Arab Emirates students finish their residency in UAE proceed with their work abroad and don’t return, however without precedent for 2004, the normal of the individuals who returned was higher than the individuals who had moved someplace else. To verify the deficiency of doctors in UAE does not extend the legislature of UAE and approach producers are considering executing new strategies in which debilitate to keep the graduates in UAE.
Case Study
It was until the 9th of September that one of the well-known hospitals in the UAE, Corniche Hospital was not able to accommodate more expectant mothers to give birth. For more than 12 hours this women had to wait for bed space in order to give birth, but were later dismissed later in the day. The CEO of the hospital Mrs. Linda Clark noted that the hospital has been operating beyond its expectations that needed placing pressure to staff hence differ the quality of medical services. It is clear that due to this pressure the waiting time was hire hence the organization opted to dismiss the women. She state that after their care to the patients all over that time, it lead to delay for the patients, both in getting appointment as well as clinics (http://www.thenational.ae/uae/health/abu-dhabi-maternity-hospital-has-no-room-for-more-mothers). Conclusion
Considering the different elements that helped long waiting time issues in the healthcare one thing is clear, that it is conceivable to accomplish an insignificant hold up time. As expressed prior, just seven percent of patients admitted to the healthcare center are viewed as wrong referrals. With new conventions and reconciliations of attendant experts in the emergency care I have confidence that this can help treat minor cases all the more effectively. The same strives for provincial groups, if the same measure of United Arab Emirates therapeutic graduate students had to the extent that as rehearsing in country ranges as they do in the United States, it is sure that the specialist lack will be assuaged (Horwitz, Green & Bradley, 2010).
References
Chen, B. L., Li, E. D., Yamawuchi, K., Kato, K., Naganawa, S., & Miao, W. J. (2010). Impact of adjustment measures on reducing outpatient waiting time in a community hospital: application of a computer simulation. Chinese Medical Journal (English Edition), 123(5), 1-574.
Horwitz, L. I., Green, J., & Bradley, E. H. (2010). US emergency department performance on wait time and length of visit. Annals of emergency medicine,55(2), 13-141.
http://www.thenational.ae/uae/health/abu-dhabi-maternity-hospital-has-no-room-for-more-mothers
Hospital Nursing
Hospital Nursing
Question 1
Nurses aids normally take care of the patients by bathing them, feeding them and toilet them. Every day the nursing staff ensures that they get the patients up and take them to the dining room. The nursing staff usually works alone because they have little or no assistance available. Despite the fact that the limit to nursing staff is 16 nurses’ aide, just about 13 perform direct care. The nursing staff, therefore, is often loaded with heavy duties and rarely completes their cores. Nursing entrepreneurs are the true change agents in nursing (Sullivan, 1999). Entrepreneurs have the virtue of persistence in work and they capture enthusiasm, imaginations and creativity necessary to adapt to new ventures. When nursing becomes a business, it means the nurses practice on a freelance basis and are self-employed. Nursing practice can be done in research, clinical or education as a business. For any healthcare business success, it must have quality services; it must be cost efficient and easily accessible.
Question 2
Nurse’s scope of study and practice is based on specific experiences, professionalism, educational qualifications. These subjects determine the level of autonomy practice. Strategies for enhancing are based on the provision of support for accelerating the professionalism in nursing and a clear expectation for the nursing decision.
Clarification of the expectation on the autonomy
When nurses clearly communicate and organize their work then they can enhance autonomy. This means they will have the freedom to decide on the clinical judgment. For a nurse to describe expected behavior, he has to understand the clinical patient and the art and science of nursing. This may involve, support of independent decision-making and expectation of the nursing action. The nurse’s decision involves interdependent and independent actions. Incorporating the expertise in nursing facilitates autonomous practice into the care of patients. For instance, the organization of patients care units to be judged by nurses based on the recommendation of the treatment plan. If nurses were given an opportunity to make their judgment in the clinical rounds, then this would maximize the contribution of their unique understanding of the care of patients. Investing in the nurse input means the care of patients will be improved, more solutions will be explored, communication improved to supplement the plans.
If autonomous practice is recognized, then this can enhance communicated expectations. Suppose you if you acknowledge excellent performance, you will provide a venue for displaying autonomous practice. Role modeling, rewarding and recognizing exemplary performance by nurses encourages the autonomous actions. Nurse leaders and specialists should also be involved in behaviors reflective of autonomy. They can also serve as role models and mentoring excellence in performance. A sample of coaching autonomy may include addressing an unexpected behavior. For example, coachers can compare the expected action and the actual action of nurses and illustrate how to make expected autonomy more explicit. There can always be feed back if nurses do not meet their expectations. In recent studies, it has been confirmed that favorable environment will facilitate excellent autonomy.
Enhance competitive practice.
A competitive nursing expertise will establish a sound clinical judgment. Nursing expertise constitutes skill, knowledge and extensive experience (Jasper, 1994). Autonomy can be foster by creating a learning environment and implementing strategies to enhance competence. If confidence and competence are enhanced, then autonomy will be fostered. In meetings, clinicians can share patient scenarios that can that challenged them. By doing this, they get feedback and advice on how to tackle such complicated patient scenarios. Nurses should be encouraged to participate in continuous examinations to reflect the degree of autonomy that they present in their judgment. Enhancement of autonomy can also be through establishment of an evidence based practice approach.
Strategies that enhance Control over the practice of nursing
Nurses, being employees, must work within the imposed regulations and rules of hospitals. This has profound effect in the work they practice. If nurses sincerely wanted to exercise their practice, they must posses the power to make decisions based on their profession.
Decision-making requires practice
Authorities in power have often dictated Participationory and empowerment management ( HYPERLINK “http://www.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol152010/No1Jan2010/Enhancing-Autonomy-and-Control-and-Practice.html” l “Wolf” Wolf, Triolo, & Ponte, 2008). Representatives in an organization are known and all nurses are expected to put some input. Staff nurses are responsible and accountable for solutions and issues discussed in the structure.
The accountability and responsibility of nurses for nurses cannot be stressed adequately. CONP structure is one in which the responsibility for nursing care of patients is placed with staff nurses. This is where many shared governments get awry. In such situations, although a hospital structure is established and nurses are permitted to provide input into key decisions, the ultimate authority for the decision-making continues to reside with managers and administrators.
Question 3
Growth of Knowledge
The growth of knowledge in nursing is centered in creation of a culture and systems whereby nurses collaborate with other healthcare professionals, increasing nursing education and supporting nurses in practicing to the extent of their training and education. In a report, Steven Wartman, the chief executive officer of the Association of Academic Health Centre, said that the future of nursing recommendations is “not surprising”. In that boardroom, Wartman’s speech brought a wider perspective to the discussion. For example, it is advisable to increase the percentage of baccalaureate degree to 80 percent in the next 10 years. In the United States, only 50 percent of nurses meet this target. Wartman suggests that while it is important to increase nurses’ education, it has always been considered as a fractured career. The fracture is known to take place between baccalaureate and the two-year programs.
One of the issues in the report is the consensus model about certification and education requirements. “The nursing organizations have signed to it” Haller, the vice president of Patient care and Nursing services. The report also suggested doubling the number of nurses with doctorate degree by in the next 10 years.
Fulfilling individual Potential
If the nurses can fully utilize their knowledge in the profession, then increased education would be useful. However, nurses usually confront the institutional policies and government regulations that prevent them from performing to the best of the ability.
The laws that are for or against practice of advanced nursing to examine patients independently, prescribe drugs, and interpret lab tests vary from state to state. How then can we move to a national framework?
In the near future, the need for implementation of consistent practice of advanced nursing laws will be higher. Hill mentioned that they would need qualified professionals to lead in that sector.
Not everyone is with the agreement that advanced practice nurses should take the role of primary care providers. The Dean of the School of medicine, Edward Miller, said that if the reports recommendation were taken to the ultimate level, the nurses would practice independently.
Working with Our ColleaguesThese are changes that penetrate across various disciplines and affect the entire healthcare team. They need an enormous amount of collaboration, communication, and respect. Wartman pointed out challenge. “Healthcare professions should practice within guided the framework, and this mentality prohibits the kind of changes that we’d like to see take place. Perhaps there are Hopkins’s steps that can be taken within the environment to reduce that.”
According to Hill, Hopkins is well on the path. “The guild is gone in research. It has become very collegial, very collaborative. I think faculty move that way because they understand that’s going to be the best science,” she said.
The question involves moving that interdisciplinary environment from the research lab and to the classroom and hospital. What would be the major obstacle? “We have schools for medicine, nursing and public health with three calendars,” Hill said. Planning joint classes, interdisciplinary lectures, and or student organizations while on various schedules “presents a huge problem and that is what challenges us.”Jim Yager, PhD, said, “I think we are comfortable working together between the schools of nursing public and health,” Senior Associate Dean for Academic Affairs at the Bloomberg School of Public Health added “Perhaps we could share
Recommendations
Scope-of-practice obstacles should be removed.
Highly accomplished practice registered nurses ought to capable of practicing to the full degree of their learning and schooling. To attain this objective, the following actions are proposed. The congress must expand the Medicare course to take in coverage of the services of highly accomplished practice registered nurse, which are inside the range of practice under appropriate state decree, just like the way physician services are presently covered. The congress should adjust the Medicare plan to sanction highly accomplished practice registered nurses to carry out admission evaluations, in addition to, official recognition of residence Health Care Services (HCS) patients and for admittance to hospital and trained nursing facilities. There should be expansion of chances for nurses to direct and circulate collaborative development endeavors. Private as well as public funders, health care associations, nursing education courses, and nursing organizations should increase chances for nurses to direct and deal with collaborative endeavors with general practitioners and the extra associates of the health care panel to carry out research and to revamp and develop practice surroundings as well as health systems. These units should as well provide opportunities chances. The Center for Medicare along with Medicaid Innovation ought to sustain the growth and valuation of payment models and care delivery, which utilizes nurses in an extended and leadership capability to develop health results and decrease costs. Performance measures are supposed to be expanded and executed speedily where top practices are apparent to mirror the nurses’ contributions as well as guarantee better-quality care.
Execution of Nurse Citizenship Programs
Nursing State boards, certifying entities, the federal administration, as well as health care associations must implement methods to support nurses’ achievement of a transition-to-practice course (nurse citizenship). This is after their completion of a pre licensure or highly accomplished and superior practice degree course in the event they are changing into new medical practice areas. The following deed ought to be taken to execute and support nurse citizenship courses: Nursing State boards, in partnership with certifying bodies, for instance, the Joint Commission ought to support nurses’ attainment of a citizenship program subsequent to their completion of a pre licensure or highly accomplished practice degree course or in the events of changing into new medical practice areas.
Increasing the Nurses’ Percentage having a Baccalaureate Degree
Academic nurse directors across all nursing institutions should work jointly to boost the percentage of nurses having a baccalaureate degree. This figure should be improved from 50 to above 80 percent by the year 2020. These directors should collaborate with education certifying bodies, private along with public funders, as well as employers to guarantee funding, check growth, and amplify the diversity of scholars to produce a personnel set to meet the stipulations of various populations across the existence of people.
Doubling the Figure of Nurses Who Have Attained a Doctorate by the Year 2020
Nursing Schools, with the support of private along with civic funders, educational officers with university trustees, and certifying bodies, are supposed to double the nurses having a doctorate degree by the year 2020. This is for the intention of adding to the nurse staff cadre and investigators, with concentration to heightening diversity.
Ensuring that Nurses Participate in Lifelong Learning
Certifying institutions, nursing institutions, health care associations, and long-lasting proficiency educators from manifold health professions are supposed to work together to guarantee that nurses as well as nursing scholars and faculty carry on their edification and participate in lifelong learning for the reason of gaining the knowledge required to give care for varied peoples across the existence of people.
Exemplar of a Nursing Leader
This paper reviews Jamie Ellis who is a RN Category I Personnel Nurse in 8 South.
Have you ever found yourself wishing there were just a few more hours left in the day? Maybe to exercise, read a book or even just unwind from an emotional day at
work? It seems there is barely enough time to do what you have to do,
never mind what you want to do. This may sound familiar if you are a
nurse. Assessments, vital signs, emesis and tears seem to take up the
majority of a nurse’s day. In the eyes of a nurse practicing in pediatric
cardiology, the reality is that life is not always fair. Every day children
are born with various congenital anomalies who deserve a chance at
life. In collaboration with a team of experts, nurses absolutely make
differences in the lives of children and families less fortunate. From
atrial or ventricular septal defects to transposition or hypoplastic left
heart syndrome, nurses have a responsibility to advocate for quality of
life. We educate, facilitate and promote healthy living. No other
profession requires such trust and unselfishness. Every nurse carries
a story or memory of a child that emotionally, spiritually and
professionally has affected their own life.
References
Helton, J., Langabeer, J., DelliFraine, J., & Chiehwen, H. (2012). do EHR investments lead to
lower staffing levels?. Hfm (Healthcare Financial Management), 66(2), 54-60. Retrieved
June 9, 2012
Massachusetts Nurse Advocate. (2007, October). A Special Message For ED Nurses Why
H.2059, The Patient Safety Act, Will Improve both Patient Care and your Working Conditions. Massachusetts Nurse Advocate, pp. 6-7. Retrieved June 9, 2012
Fricano, J. E. (2011). Skilled Healthcare: The Impact of Statutory Nursing Staffing Standards.
(Cover story). Health Law Litigation, 9(1), 1-19.