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Essay Nurses And Medication Errors

Essay Nurses and Medication Errors

by

Stephen Gilford

Each year, thousands of patients die in hospitals because of errors in medication. These deviations occur mostly because of the complex process of drug administration. Errors can arise from the complicated system of drug administration itself; from prescription to the actual administration to patients.

These mistakes in drug administration can be caused by many factors. Some of the reasons why these errors occur are the inadequate knowledge and skills both by the prescribing physician and the administering nurse, failure to comply with hospital policies and guidelines, lack or errors in communication within the health team, and several system issues within the hospital.

Since nurses actually administer the drugs themselves, they also assume the responsibility for such errors. In fact, they are considered to be the last chance by which the hospital can correct any errors in drug administration. Because of this, nurses are expected to intercept a large percent of medication errors. If nurses fail to administer rightfully the medications, sanctions and punishments are carried out. These sanctions differ among countries and are often specific in hospitals according to their known standards. Accordingly, all errors should be documented in an incident report to be submitted by the nurse who committed the mistake.

[youtube]http://www.youtube.com/watch?v=_t431MAUQlQ[/youtube]

This incident report will then be a subject for investigation for neglect or abuse. During investigation, a nurse is usually suspended from work until the result of the investigation is declared. Once an infringement is proven to have occurred, sanctions often include dismissal from employment, confiscation of license, and even imprisonment for criminal or civil cases.

For nurses to avoid errors in medication, it is vital that they follow the ten rights of medication administration; the first five of which are considered as the gold standard. These ten include the right drug, dose, route, patient, time, documentation, assessment, education, evaluation and the right to refuse.

These ten rights are actually not procedures, but the goal of right drug administration. What a nurse has to do is to make sure that these ten rights are achieved. For example, to be able to ensure that the right medication is given, the nurse should check three or more times the label of the drug against the doctor s order. Most medication errors also happen during emergencies, where some nurses tend to panic and commit medication orders. It is important that nurses are relaxed but vigilant during emergency procedures, and deal with it in a systematic manner.

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Quality, innovation and competitiveness centre-stage at Taipei Int’l Hardware & DIY Show

Friday, October 19, 2007

The 7th Taipei International Hardware & DIY Show, organized by Kaigo Taiwan (The representative of Koelnmesse in Taiwan) and Koelnmesse GmbH, started on October 18-20 at Taipei World Trade Center Exhibition Hall 3. This show has 183 participants using 300 booths to exhibit accessories and tools on esoteric fabricating, home-living applications, and security.

With people in Taiwan valuing on the quality of home-living, the organizer set a pre-show pavilion of “2008 Taipei Home & Lifestyle Fair” and invited B&Q & HomeBox holding DIY workshops for visitors.

This exhibition is conjuncted with industry and applications, and pursuing with three main topics of “Quality, Innovation and Competitiveness”. International factories such as Hitachi, Rexon, Ryobi participated this show for the export opportunity in the hardware industry.

After the “Product Certificates and Testing” pavilion in TAITRONICS Autumn, Bureau of Standards, Metrology & Inspection, M.O.E.A., R.O.C. (Taiwan) and DIY in Europe magazine were invited for speeches focused on certifications on hardware & DIY products and environment issues in EU.

Retrieved from “https://en.wikinews.org/w/index.php?title=Quality,_innovation_and_competitiveness_centre-stage_at_Taipei_Int%27l_Hardware_%26_DIY_Show&oldid=545815”

United Nations: More people with access to cell phones than toilets in India

Friday, April 16, 2010

According to a United Nations survey, more people in India, the second most populous country in the world, have access to mobile phones than to a proper toilet. Over half a billion cell phones are active in India, but only 366 million people there have access to a toilet.

“It is a tragic irony to think that in India, a country now wealthy enough that roughly half of the people own phones, about half cannot afford the basic necessity and dignity of a toilet,” commented Zafar Adeel, Director of United Nations University’s Institute for Water, Environment and Health (IWEH).

India’s 545 million cell phones serve about 45 per cent of the population of more than one billion. Only 31 per cent (366 million) have access to modern hygienic amenities as of 2008. The United Nations University (UNU) recommends achieving the Millennium Development Goal (MDG) which aims to cut in half the number of people lacking safe water and proper sanitary arrangements. According to the World Health Organization (WHO) and the United Nations Children’s Fund (UNICEF), there would be a deficit of one billion people from that target aimed for 2015.

“Anyone who shirks the topic as repugnant, minimises it as undignified, or considers unworthy those in need should let others take over for the sake of 1.5 million children and countless others killed each year by contaminated water and unhealthy sanitation,” Adeel added.

“Popular education about the health dangers of poor sanitation is also needed. But this simple measure could do more to save lives, especially those of young people, improve health and help pull India and other countries in similar circumstances out of poverty than any alternative investment. It can also serve as a very significant boost to the local economy,” he said. “The world can expect, however, a return of between $3 and $34 for every dollar spent on sanitation, realized through reduced poverty and health costs and higher productivity — an economic and humanitarian opportunity of historic proportions.”

The nine recommendations made by the UNU include changing the MDG target from 50 per cent by 2015 to 100 per cent coverage by 2025. Another suggested reform was to assign 0.002 per cent of gross domestic product (GDP) to improving sanitation. Approximately 358 billion dollars would be required to achieve that MDG target, considering that a toilet costs 300 dollars.

Retrieved from “https://en.wikinews.org/w/index.php?title=United_Nations:_More_people_with_access_to_cell_phones_than_toilets_in_India&oldid=3422495”

Ontario Votes 2007: Interview with Family Coalition Party candidate Tad Brudzinski, Newmarket-Aurora

Tuesday, October 2, 2007

Tad Brudzinski is running for the Family Coalition Party in the Ontario provincial election, in the Newmarket-Aurora riding. Wikinews’ Nick Moreau interviewed him regarding his values, his experience, and his campaign.

He did not answer the question “Of the decisions made by Ontario’s 38th Legislative Assembly, which was the most beneficial to your electoral district? To the province as a whole? Which was least beneficial, or even harmful, to your riding? To the province as a whole?”

Stay tuned for further interviews; every candidate from every party is eligible, and will be contacted. Expect interviews from Liberals, Progressive Conservatives, New Democratic Party members, Ontario Greens, as well as members from the Family Coalition, Freedom, Communist, Libertarian, and Confederation of Regions parties, as well as independents.

Retrieved from “https://en.wikinews.org/w/index.php?title=Ontario_Votes_2007:_Interview_with_Family_Coalition_Party_candidate_Tad_Brudzinski,_Newmarket-Aurora&oldid=530179”
Strata Management

Military Flags: History And Myths

byAlma Abell

Flags have been an important device used throughout history as a means of identification. In many countries, the national flag flew first over the merchant and naval vessels before appearing outside government and political buildings. These custom outdoor flags have appeared in the hands of the military forces in every country during every era of recorded time. Flags have flown to denote loyalty to a country, a tribe, an individual, a culture or a social or religious entity.

Noted Flags and Their Myths

When it comes to easily-recognized symbols, some bolstered by their appearance in television shows and movies, three stand out as icons of the military and political powers of the time. These flags include:

* The Crusader Flag

* Confederacy Battle Flag

* Flag of the United States of America

The Crusaders Flag

The design of this device is simple. The flag features a simple cross. In many cases, the cross is red, however, in the 12th century, Flanders was supposed to carry a green cross while France had a red cross and England a white one. Yet, the countries party to this agreement did not seem to hold to it. As a result, red crosses on a white background were common for all the armies fighting in the Holy Crusades. The typical Hollywood image is of a white field sporting a red cross

Confederacy Battle Flag

This iconic image of a Southern or St. Andrew’s cross is indicative of the American Civil War (1861–1865). While the tendency is to think of a single flag, this is a fallacy. Each battle unit stars, this is the stereotype. Many battlefield flags, whether at sea or on land often feature modifications of or even inverted color schemes of the national flag.

In the case of the Battle Flags of the Confederate Armies, some had a blue Southern Cross containing 13 stars against a red field. Others posted the Southern Cross in the Hoist corner. Overall, there are approximately 31 different Battle Flags for the American Confederacy. Many soldiers marched under flags that reflected the preference of their commanding officer.

The confederate Naval forces also used a variation on the Southern Cross theme, but some did not actually feature the Southern Cross.

Flag of the United States of America

If ever a flag was a custom outdoor flag is it this one. Some closely resemble the National Flag of the time but others offer distinct variations. Compare the famous flag that flew over Fort Sumpter, analogous to the National Flag, with the very personal battle flags of the Irish Brigade or the 2nd Regiment of Kansas Volunteer Cavalry. The latter features a federal Eagle, stars and regimental banner against a blue background.

In this sense, the battle flags of the Union during the American Civil War, are as varied as those of the Southern States’ battle flags. It is a mistake to assume that solders from both the South and the North all marched under a single national flag representing their country.

Custom outdoor flags from around the world come in many different designs. Battle flags follow this pattern. While many perceive a certain flag as symbolic of a battle or major event, this is rarely the case. Battle flags were not singular. They were personal expressions of the individual leaders and/or regiments involved in this clash of military power and personal, ethical, religious and/or economic beliefs.

If you are looking to know more information about custom outdoor flags, Visit the website Custommadeflags.com.

Wikinews investigates disappearance of Indonesian cargo ship Namse Bangdzod

Thursday, January 10, 2019

In late December, Indonesian cargo ship MV Namse Bangdzod vanished in local waters. The tanker, gross tonnage around 1,150 and loaded with crude palm oil, had over ten crewmembers. Wikinews examined data and contacted experts and local authorities in an effort to establish further details.

The exact date of disappearance is unclear, with industry publications reporting either December 27 or December 28. Crew totals are also unclear, with both eleven and twelve reported by industry sources while The Jakarta Post reports a captain and eleven other crew. Wikinews has contacted the Command and Control Centre of the Coast Guard seeking to clarify, among other things, the date of the disappearance and is awaiting a response.

Wikinews is also awaiting responses from both the Coast Guard and the National Search and Rescue Agency detailing the efforts being made to find the ship, which was last known to be in the Java Sea. MV Namse Bangdzod sailed with cargo from Sampit, a port town on a river in Borneo; it was last bound for Jakarta. It is owned and operated by Indonesian companies and also registered in Indonesia. The 75 m (250 ft) ship was built in 1993 in Japan.

Ships broadcast their position and other information via both the Automatic Identification System (AIS) and the Long Range Identification and Tracking (LRIT) system. AIS is a ship-to-ship safety system, but can also be detected from further afield by satellites. Marine Traffic’s AIS tracking database shows a reestablishment of AIS contact by MV Namse Bangdzod on January 6, with a pattern described by Marine Bulletin as “rather hectic and kind of confused”. In addition to asking local authorities, Wikinews sought expert input on the AIS data.

Dr. Tristan Smith of University College London, a shipping researcher with expert experience interpreting AIS results, explained to Wikinews that crews might turn their AIS transponders off on purpose for security reasons, such as “in certain sea areas where piracy is a risk” in order to “avoid attracting unwanted attention. This can involve them being turned off for several days at a time.” Doug Miller of Milltech Marine, a firm specialising in AIS, told our correspondent an AIS transponder will broadcast automatically provided it has power and antennae, even if the crew abandoned the vessel.

Baslan Damang, a security official from the port of departure, on Tuesday told The Jakarta Post radio broadcasts were being used to alert other traffic such as fishing vessels to look out for MV Namse Bangdzod. He added authorities “are still waiting for updates on the tanker’s condition, so please refrain from speculating that it had been hijacked”. As of yesterday, no oil slicks or other evidence of accidents have been found along the scheduled route the vessel was due to take. A major search continues.

Miller and Smith both acknowledged faults with the AIS system on-board as possible explanations, with Miller describing issues with the signal between the transponder and the satellite receiving it as one potential scenario for intermittent data reception. He too suggested a hypothetical scenario, in which “the AIS equipment has been tampered with or has been turned off for some of the time — either intentionally or accidentally or due to a power malfunction.” Smith called the disappearance an “interesting” case; Miller said “It is a little hard to definitively say what’s going on”. Miller explained that while transponders generally transmit every ten seconds “even if the transponder is transmitting there is no guarantee that other vessels or MarineTraffic can see it”. “It could also be a power supply issue or faulty transponder”, said Smith.

Smith told Wikinews “There are also some operations done on ships containing hazardous cargoes[…] where all risks of sparking/arcs need to be removed and radio transmitting equipment is sometimes turned off for this reason.” He said this applied to product tankers, but the long duration of AIS downtime would in this instance be unusual if this is the reason. Smith had one more theory: Namse Bangdzod could be the victim of identity theft, with a second vessel conducting manoeuvres it wished to conceal while falsely transmitting information identifying itself as Namse Bangdzod. Smith told Wikinews this might happen in cases of illegal fishing. He stated “In this scenario, it would normally be expected that both the legal and illegal transmission would be received but depending on how Marine Traffic handle this, it’s possible the two signals could be confused.”

Smith drew attention to LRIT as another method for search and rescue personnel to find the tanker. Unlike AIS, which is a safety and tracking system, LRIT is used for maritime security by seagoing nations. Created under the auspices of the International Maritime Organization, LRIT allows states to examine data about ships bearing their flag, visiting their ports, or in or near their waters.

Like all vessels exceeding 300 tons, Namse Bangdzod is required to transmit LRIT data. Search and rescue bodies can also access this information; Smith told Wikinews he believed this would include foreign navies with ships in the Java Sea. Singapore, India, and Australia have in the past conducted emergency searches of the Java Sea: All three nations offered military assistance after Indonesia AirAsia Flight 8501 vanished in December 2014.

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Marine Traffic’s website’s most recently publicly available AIS result, as of Tuesday, showed the ship underway a few miles off Jakarta. VesselFinder listed no AIS results for the last month. Vessel Tracker’s database had no sighting of the ship within the last 59 days on Tuesday; the website noted the AIS signal received from Jakarta but declared the ship was not actually there. Maritime Connector has an entry for the ship in its database but has no location data available.

Local authorities, according to Maritime Bulletin, have noted other unusual AIS data. The website yesterday suggested piracy, perhaps to obtain the valuable cargo, is now the most prominent theory. The Indonesian Palm Oil Producers Association reports a value of US$473.60 per metric ton of crude palm oil as of November 2018, with the price decreasing that month. “Its plausible that an explanation [why] the AIS transponder is not transmitting is that it had been turned off by pirates who wanted to hamper the efforts of a rescue mission” Smith told Wikinews yesterday.

Yesterday the Search and Rescue Agency told The Jakarta Post it was intending to end its search on the basis of piracy, which is outside its remit; the paper also spoke to the Navy, who told it this was as-yet uncomfirmed and noted no ransom has been sought and the ship vanished from an area without previous piracy problems. Four Navy ships assisted by aircraft are searching. “We will continue searching until we find it,” 1st Fleet Command’s Navy Information Agency head Arba Agung told The Jakarta Post, which also today reported location data falsely showing the ship in Sunda Kelapa Port after its inaccurate position in Jakarta Bay was recorded.

Retrieved from “https://en.wikinews.org/w/index.php?title=Wikinews_investigates_disappearance_of_Indonesian_cargo_ship_Namse_Bangdzod&oldid=4490724”

Colleges offering admission to displaced New Orleans students/AL-KY

See the discussion page for instructions on adding schools to this list and for an alphabetically arranged listing of schools.

Due to the damage by Hurricane Katrina and subsequent flooding, a number of colleges and universities in the New Orleans metropolitan area will not be able to hold classes for the fall 2005 semester. It is estimated that 75,000 to 100,000 students have been displaced. [1]. In response, institutions across the United States and Canada are offering late registration for displaced students so that their academic progress is not unduly delayed. Some are offering free or reduced admission to displaced students. At some universities, especially state universities, this offer is limited to residents of the area.

Retrieved from “https://en.wikinews.org/w/index.php?title=Colleges_offering_admission_to_displaced_New_Orleans_students/AL-KY&oldid=527583”

Manitoba’s flood creating hazardous conditions

Tuesday, April 14, 2009

The Red River at Winnipeg is almost clear of ice blocks and ice jamming, however there are still dangers from the Red River flood.

Ice blocks which were as high as two storey buildings were ripping out trees, fences and railway ties. “You’ll see huge pans of ice standing vertical, up to 20 feet (6.1 m) high,” said Steve Topping, an official with the provincial Water Stewardship Department. “Ice was shoved up on the shore and took out trees with a very devastating effect. It has changed people’s view of the river.”

“It is incredible, the force. One piece of ice pushed out of the river about 20 feet. You watch the force push this up right in front of your eyes,” said Dean North, of the Selkirk Golf and Country Club.

Royal Canadian Mounted Police are ticketing sight seers who are driving through road closure signs and approaching excavators, cranes and crews breaking up the ice. Vehicles, people, boats, and kayaks are getting in the way.

An eight year old boy is in critical condition after slipping on a culvert Thursday. He was pulled underwater by the speed of the flowing water and remained under for about five to ten minutes until adults could rescue him. The air ambulance supplied by Alberta’s STARS (Shock Trauma Air Rescue Society) remains in the city of Winnipeg, Manitoba.

“This is not a spectator sport. It’s not about getting the best pictures for the family albums. I know floods are seen as a bit of an event, but some of the instances I’m hearing about, people should give their head a shake, they really should,” said Steve Ashton Manitoba Emergency Measures Minister, “Those who fall into the river or get into trouble in another way would be not only endangering themselves but the emergency response crews trying to rescue them. I don’t want to see a situation … where we’re trying our darndest to prevent flooding and save lives and somebody [who] decides to go have a white-water experience ends up killing themselves.”

Early Easter Sunday morning floodwater reached the rural municipalities of St. Andrews and St. Clements north of Winnipeg. Residents were sent an evacuation advisory Good Friday, however some residents remained. Rescue efforts commenced Saturday night to find those stranded and unable to leave as their vehicles cannot travel in the swollen overland floodwaters. Some people were rescued from roof tops as entire houses were swept off of their foundations by the large ice blocks hurtling down the river.

Highways in the area remain closed. Neil Gobelle, of Manitoba Infrastructure and Transportation said to “definitely continue to watch the Red River Valley and north of the city up in the Selkirk area. Things are changing quite a bit, quite quickly, so we’ll keep an eye on those areas.”

As of Easter Sunday, Winnipeg is expected to be ice free on the Red River. The River rose 4 feet (1.2 m) in the course of 24 hours. Rain is in the forecast and the higher temperatures of 17 °C (62.6 °F) will cause melting of snow and ice.

A weather system caused by La Niña is being watched by the United States National Weather Service and its potential effects between April 16-18 for residents along the Red River Valley. “We want people to be aware there is a very real possibility of the river going higher than what is out there,” said Mark Ewens, data manager at the NWS, “To have spring floods like this back-to-back is just an unfortunate series of events that have come along to plague us this spring. We’re wanting people to understand that this is a potentially serious problem.”

Retrieved from “https://en.wikinews.org/w/index.php?title=Manitoba%27s_flood_creating_hazardous_conditions&oldid=808237”
Real Estate

Pets In Rental Properties: Things To Consider

Pets in Rental Properties: Things to Consider

by

Alan Kappauf

Making an investment in real estate property has been a rising pattern amongst informed investors for a long time. Despite the current slowdown in the marketplace, a lot of folks continue to make investments in property. The dream of having many properties, renting them out, and allowing tenants cover the accumulated equity is a particularly ambitious plan.

[youtube]http://www.youtube.com/watch?v=2WmlupWTxEQ[/youtube]

If you can do this appropriately, you will enjoy the fruits of your labor when conducting this type of investing activity. However, investing in rental properties requires you to become a landlord. This means that you will need to actively seek out and screen tenants, and then continually follow up with them regarding their monthly rent payments and any damages done to the property. Historically, one of the toughest queries any property manager must ponder is whether or not they should let their renters keep pets in the apartment. Allowing pets has many pros and cons. The largest con is likely the probability that the pet will somehow damage parts of the property or home. This is disconcerting as some pet owners simply don’t understand how to adequately care for their pet, and waste stains can literally ruin the carpet. Also, some pets emit a bodily odor that might be unpleasant, and a lot of them like to chew on things found throughout the property. An additional downside to welcoming pets is that they might disturb the neighboring residents (especially dogs). This is not a chief concern on a daily basis because the landlord obviously does not live in the home; But the quality of your renters, especially the degree to which they have pets, might affect the valuation of the house when you are ready to sell. If the behavior of the surrounding residents goes down hill because the good ones move elsewhere due to the presence of an unruly pet, your property’s valuation will certainly take a hit. Finally, another negative effect of allowing people to own pets within a rental property is the fact that they will be more likely to let other areas of the house decline. For example, if a pet owner spends all of his time focusing on taking care of the pet, then he might not notice that a drain has clogged. This could cause the landlord to be stuck with significant costs in terms of repairing the property. With all that being said, there are indeed a few pros to welcoming pet owners into your rental units, not the least of which is that the apartment will be coveted by a larger pool of people. The reason is that many landlords do not allow pets, and thus allowing this would give you an advantage which in turn would help the house rent faster. Another positive is that you can charge more in rent if you allow pets. Many landlords will require an initial deposit for a pet, and then also charge a higher monthly fee. Lastly, plenty of pet lovers that are also financially responsible tend to provide excellent pat care and will stay with you for longer on average. A pet owner who is happy in their surroundings will not want to leave, which may result in your property having a much lower turnover compared to a property that does not allow pets.

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Google launches Google Spreadsheets

Tuesday, June 6, 2006

Google has launched an online spreadsheet site, in a private beta.

The site will allow spreadsheets to be shared between up to 10 users, which is aimed to be useful to teams and small businesses. “Many people already organise information into spreadsheets. Where they are struggling is to share it” said the product manager, Jonathan Rochelle.

Google recently bought the online word-processor Writely, launched a calendar product, as well as a desktop search tool. Many see this as them straying into Microsoft‘s markets.

Google Spreadsheets uses very advanced AJAX (Asynchronous Javascript And Xml) and Client Side Scripting to mimic very effectively it’s desktop counterparts’ functions.

It is surprisingly fast, has very good formatting and advanced formula support, but best of all it has complete support for Microsoft Excel .xls files, and very good collaboration: just enter the e-mail address and you can share easily.

Retrieved from “https://en.wikinews.org/w/index.php?title=Google_launches_Google_Spreadsheets&oldid=565814”