Health Care Interview Essays

Health Care Interview Essays Health Care Interview Essay Health Care Interview Essay Certified Nursing Assistant (CNAs) The Certified Nursing Assistant (CNAs) department at Arbor Springs Health and Rehab Center consist of nurses and nursing assistants providing direct, physical, and emotional care to the patients. The type work done in this department deals with one-on-one care from the nursing assistant to the patient. The interviewee has the responsibilities of helping patients with personal care tasks such as feeding, toileting and bathing, as well as transporting patients and providing support to both the patient and his or her family. Nursing assistants also monitor the patients condition, taking vital signs and maintaining or checking medical and personal equipment such as catheters. CNAs assist patients with wheelchairs or other assistive devices and may lead patients in therapeutic exercise or other activities to increase strength and range of motion. The interviewee which is a CNA at Arbor Springs Health and Rehab Center provides the same care to the patients that are under the care of the Rehab Center. The interviewee primary responsibility not only consist of helping the patient with his or her personal needs but is also responsible for general care of the patient, such as ensuring that his or her room is clean. In most facilities, it is the nursing assistants who change linens and assure that the patients immediate area is sanitary. Another very important duty of the CNAS being interviewed is to document all care that they give as a part of the medical record. For example, CNAs record vital signs or urine input/output levels. The interviewee career path for being a CNA at Arbor Springs Health and Rehab Center consist of required training programs which were offered at a technical college. The coursework for CNAs is primarily hands-on and includes training in basic patient care procedures, maintaining hygiene and sanitation, proper handling of bio-hazardous materials, patient safety and medical terminology. In order to be eligible for licensure as a CNA, students must successfully pass a professional board examination after completion of the training program. Training to become a medical assistant or CNA is offered by the Red Cross, community colleges, and online schools and through medical facilities. Some clinics will hire untrained and inexperienced workers and provide on-the-job training, but these opportunities may be hard to come by. Many schools offer training within medical facilities as part of their course programs as well. All CNAs must take an examination before they become qualified nursing assistants. To become a CNA you have to complete a training course which CNAs take anywhere from four to six weeks, and then get licensed in the state where you wish to work. After completing training, you’ll need to take a competency exam that tests both your book knowledge and practical skills that were taught during training. Practice tests and study guides are freely available online, so studying for the test should be a breeze. Moving into a new career after being a CNA will probably take at least two years of education, but the increased pay and benefits you’ll receive upon becoming a registered nurse or even an advanced practice registered nurse will easily make up for the time and money spent on education. There are a few positions that are much similar to CNAs. CNAs, orderlies, psychiatric aides, and medical assistants are often lumped into one large category, and though the positions share some similar duties. An orderly is a hospital attendant charged with non-medical patient care and general maintenance of systematic operations. Orderlies do not need a degree or certificate, and their interactions with patients are limited to non-treatment activities. Psychiatric Aides is similar to a CNA, except for the work environment. Mental health wards and psychiatric hospitals have different routines than regular hospitals, and psychiatric aides have to be familiar with the unique privacy concerns and treatment needs of mental health patients. A medical assistant does not need a degree or certificate, and their main responsibilities are to help doctors and nurses with routine tasks. Medical assistants have less authority to participate in patient treatment than CNAs. One important attribute for CNAs to be successful is to be professional. Nursing assistants often have to work with hospital patients or nursing home residents who are injured, handicapped or elderly, possibly resulting in feelings of loneliness, self-pity or depression. Its important for nurse assistants to remain professional and calm in the face of this behavior. Nursing assistants must have the ability to put their personal feelings in the background and focus on providing quality patient care under all circumstances, including differences of opinion, race, creed, color, nationality, sexual orientation and religious practices. Another key attribute to being successful as a nursing assistant is to be compassionate. Nurse assistants work daily with individuals unable to care for themselves; their patients are often suffering from an injury, disability or illness. Nurse assistants who treat their patients with compassion will deal with them gently, careful not to cause them additional pain. They will listen and speak to their charges with genuine respect and caring because they know heartfelt kindness CNAs be the first step on the road toward improved health. Although nurse assistants work mostly with patients, they must also have certain characteristics necessary for dealing with co-workers and colleagues. They should be adept at following written and verbal and instruction, they should be able to communicate both orally and in writing, they should feel comfortable working both independently and under supervision and they should consistently collaborate with fellow nurse assistants to provide patients with the best possible care. In conclusion, the interview has some very important role and responsibility as a CNA at Arbor Springs Health and Rehab Center. The CNA work to care for the needs of the patients whether it is direct, emotional, or physical care. The interviewee chosen department is unique because it allows them to meet and care for the needs of their patients. This would include feeding, bathing, or even monitoring and getting vital signs. It also allows the CNAs to build a relationship with his or her patient. As stated by the interviewee, it is not easy being a CNA but I love what I do and I love to see the smile on the face of the patients I care for.

Assignment 7 Research Paper Example | Topics and Well Written Essays - 1250 words

Assignment 7 - Research Paper Example This paper will also seek to come up with expected outcomes, how to implement these outcomes, and how to assess the changes after initial implementation of the expected findings. Data Collection and Measurement The research will utilize a demographic survey and focus groups in order to collect required data. The use of a short survey was made in obtaining self-reported information with regards to the perception of nurses to interpersonal relationships with their patients (Anderson, 2006). During and following each session, field notes and PI observations were made to complement analysis of voice data that is digitally recorded. Observation will also be used to study the nurses in the focus groups in order to compare, as well as validate, the information discussed in the sessions, as well as to observe the interpersonal interactions between patients and staff. An observation guide will give consistent items that each of the nurses will be observed for. The observed behavior of patient s and nurses will be recorded. For the survey questions under investigation, a comprehensive measurement summary will be given by the qualitative descriptive method. The interviews will be transcribed verbatim. Common themes, metaphors, and concepts will then be identified through a transcript review for subsequent identification of thematic trends (Anderson, 2006). Statistical measures will be done inferentially through predictions about the nursing population in the hospital on satisfaction and attitudes, as well as in the analysis of the studied sample. The results after analysis of the sample will be taken and generalized for a larger population of the nurses in the hospital, which will be possible since the selected sample is representative of the nursing population in the two units under study. The levels of measurement used for this research study are ordinal scales since is wishes to measure the satisfaction of a particular group, in this group the nurses, with bedside repor ting. The scale items for the questionnaires and survey will from most to least satisfied. Expected Outcomes of the Research This study is expected to show common differences and concerns about bedside reporting, particularly with regards to interpersonal relationships. The geriatric unit, which consistently carries out bedside reporting, will have a higher level of interpersonal relationships than the telemetry unit that dos not consistently carry out bedside reporting. It is also expected that there will be inconsistency in, as well as lack of, information from one shift to the next. This affects the ability of the nurses to deliver quality care and discuss meaningfully with the family members and the doctors (Laws & Amato, 2010). Therefore, interpersonal relationships between nurses, patients, patient families, and doctors will have to be improved in order to improve perceptions about bedside reporting among nurses. Improvement will be made through informing nursing staff on chan ges required and the importance of these changes. The staff will also be trained through role-play, video, and power point slides. The message in the training will involve the importance of bedside reporting to safety and quality of healthcare (Laws & Amato, 2010). Finally, bedside reporting should be made using a checklist to ensure that its key elements are covered. It is anticipated that the

Activity Based Costing Research Paper Example | Topics and Well Written Essays - 750 words

Activity Based Costing - Research Paper Example The total customer and distribution cost allocated to the various customers is as follows: Departmental stores=400+400+800=1600 Mid size specialty stores=3600+15600+19200=38400 Small gift shops=36000+64000+40000=140000 Total customer support and distribution cost =180000 Contribution margin less customer support and distribution cost will be as follows using the two approaches. Revenue approach Description Department store Specialty shops Gift shops Contribution margin 0.5*150000=75000 0.75*100000=75000 0.8*250000=200000 Less: Customer and distribution cost 54000 36000 90000 21000 39000 11000 ABC approach Description Department store Specialty shop Gift shop Contribution margin 75000 75000 200000 Less: Customer and distribution cost 1600 38400 140000 73400 36600 60000 The main core of a profit making company is to increase its returns and reduce costs. Management and cost accountants have to put up measures that reduce costs and ensure profit maximization (Bhimani, Horngren, Datar & Foster, 2008). In the above case, the customer who should be preferred is that whose contribution margin less Customer and distribution cost is high. It must be noted that fixed cost is not used in making decisions since the company has no control on the fixed cost. Considering the revenue approach of cost allocation, the company will prefer specialty shop because of the high return of 39000. The department’s stores with the return of 21000 and lastly the gift shop with a return of 11000 would then follow this. In the case of activity based costing allocation method, the department store will be more attractive compared to the other customers. The gift...Activity costing being one of the methods of cost allocation. There are four major steps in cost allocation using this method. First is the determination of the major activities of the business that result in cost increases. The cost centers of the activities are then determined. The third stage is the determination of the co st drivers i.e. the factors responsible for the increase in cost in the various cost centers (Horngren, 2009). The costs are then charged to the various cost centers considering the driving factors. The main core of a profit making company is to increase its returns and reduce costs. Management and cost accountants have to put up measures that reduce costs and ensure profit maximization. In the above case, the customer who should be preferred is that whose contribution margin less Customer and distribution cost is high. It must be noted that fixed cost is not used in making decisions since the company has no control on the fixed cost. Considering the revenue approach of cost allocation, the company will prefer specialty shop because of the high return of 39000. The department’s stores with the return of 21000 and lastly the gift shop with a return of 11000 would then follow this. In the case of activity based costing allocation method, the department store will be more attrac tive compared to the other customers. The gift shop will be second while the specialty shop will be the least attractive.

Protection Against Cyber Attacks

Protection Against Cyber Attacks Joshua Smeal Heres something to think about. It is reported that roughly 80 million to 90 million cyber-attacks occur each year, which breaks down to about 400 new attacks every single minute. The sad part of that statistic? Over 70% of these recurring attacks go unnoticed! People dont quite understand the risks that come along with using a computer in their daily lives. There are a lot of people that do use security measures to safely browse the internet, download files from the internet, etc. Although many people are safe, there are the few that do not use any precautions or countermeasures and inevitably fall into a trap and end up losing personal information, money, or worst case even their identity. It is important to know what Cyber Security is in a general perspective, the different kinds of attacks that are out there, and the best ways to secure yourself as well as others from the risks they encounter daily when using computers. To elaborate on the meaning of Cyber Security, It is in broad terms the security of the cyberspace. Cyberspace and its underlying infrastructure are vulnerable to a wide range of risk stemming from both physical cyber threats and hazards. Cyberspace is particularly difficult to secure due to a number of factions including the ability for malicious operators to operate anywhere in the world. What exactly is a cyber-attack? A cyber-attack is a deliberate exploitation of computer systems, technology-dependent enterprises or networks. Cyber-attacks use malicious code to change the code, resulting in disruptive actions that may compromise information and allow for a crime to begin. This oftentimes happens when a person will be downloading what looks to be an anti-virus program to get rid of a virus or malware he/she thinks they may have because their computer is very slow. Once that program is running it may allow for all the data on the computer to be compromised. Once that data is comp romised it will allow for a crime to be committed and it turns into a cyber-attack. To go into more detail about a cyber-attack, there are many, many different types of cyber attacks. One of the most common cyber-attacks is malware, which can be explained as malicious code that has a malicious intent which is often used to destroy something or used to steal personal information such as a persons credit card information or social security number. Another type of attack is a virus, which is used to make a PC sick which then hides within the computer file system. They can replicate themselves by attaching to other programs and or files. Theyre usually used to slow down computers to the point of no recovery and the user can no longer use the computer properly anymore. Spyware is another type of attack and is used to spy on its victim. These types of attacks usually hide, as a spy would do in real life. They can log a victims actions, and are capable of recording keystrokes, which means they can see passwords that the victim types into the computer through the keyboard. Similar to a virus, is a worm. It replicates itself but unlike a virus doesnt need to attach to a file and or program. Worms can live by themselves and can replicate across different computers or networks, such as a school network, computer to computer. On the other hand, there are password attacks focused on a different goal, to gain access to a secured system such as a database or admin account. The first method and most commonly used is a brute-force. This method is used to crack a password. Brute force is using all possible combos of letters, numbers, and symbols to enter a correct password. Another type of password attack is a dictionary attack, which is when an attacker uses a dictionary to crack a password. The most essentials words in the dictionary are used to guess the password of a users account. The last type of attack is to deny the service someone is using or currently owns. It is most commonly known as a DOS attack, or a denial of service attack. This is a special for m of attack to interrupt a network service which is able to be achieved by sending high volumes of packets, or traffic through the target until slowed down or stopped completely. There are much more that are not listed, but these are the most commonly known and used types of attacks used by cyber criminals. Additionally, everyone should know how to protect themselves from the different types of attacks listed above and know how to be safe when using computers in their everyday lives. People should not click unknown links in their emails, if it were to be legit you should be able to go to a website that it came from and verify that it is legit. Another safety tip includes not downloading attachments in emails received from retailers. Typically retailers do not include attachments, and if there is any doubt that it is not real you should call the company first. A big safety tip is Do not give out personal information over phone or computer. Social Engineering is a process used to trick people into doing something they would not normally do such as updating their password on a website or giving a security professional their passwords to make sure theyre account is not in harms way. Some basic safety guidelines are as follows: Set secure passwords, keep everything up to date, pay close atte ntions to URLs, be suspicious of any clickable links, and verify everything possible. Now for the more technical part, this would include having a great antivirus program. Antivirus programs usually well take care of virus quickly and efficiently. Although people can get antivirus programs, there are new viruss made daily and are not updated within the system instantly which are defined as rogue viruses which even the best scanners cant find them. A rogue virus is defined as an infection where it displays itself on the PC screen, pretending to be a virus cleaner, registry cleaner, or hard drive optimization tool. They can scare you into purchasing something to remove fake viruses or say your computer is in poor condition.

Qualifying Saunt’s “Great Transformation” with a Broader Perspective of Indigenous History :: Essays Papers

Qualifying Saunt’s â€Å"Great Transformation† with a Broader Perspective of Indigenous History As the new American nation emerged in 1783, freshly baptized in the blood of war and swollen with patriotic pride, the transformative ideology of materialistic monism slipped soundly into the heart of the Creek Nation in the Deep South and never let go. Saunt tells us this was a novel cultural metamorphosis. Subverted indigenous ethnocide, over 50 years in the making, now found with the advent of the war sweeping economic accommodations in capitalistic competition. Western vehicles of individualistic profit and cultural prestige freely flourished among the southern Indians; the African slave trade boomed among the Creeks, young warriors bartered for rum instead of sustainable grain, and mestizos acquired valuable connections through war efforts and bribes. Yet while this change pervaded Creek society with unprecedented vigor, what evidence exists to prove this shift the most noteworthy in Indian life and memory? While the cultural wounds of these few notable decades are carefully and proudly recorded, and are indeed transformative times, they exist as a mere moment over the course of four centuries in the living testimony of Western cultures transforming and shaping Native American History. However, I contend that Saunt’s â€Å"great transformation† of Creek materialism in Revolutionary America is undeniably significant, especially in his claims linking prestigious mestizos, like Colbert and McGiverlly, to dual forces of ethnocide and environmental destruction in their co-optation with European authorities. Tumultuous and aggressive, colonialism in the late 18 th century promoted a new ideology within the very heart of Deep South. The vital inner structures of clan ties and community tasks were essentially eradicated with the â€Å"great transformation† of Creek culture. Ancient traditions of clan and the martial ties that once â€Å"created a dense network of interrelationships throughout the deep South† were lost in the Revolutionary war politics (Saunt 21). Factionalized and dissident peoples stumbled along in the absence of common compassion. Where trade and marriage were once â€Å"indissoluble† and essential to establishing formidable allies and friends, individualistic pursuits of material gain and power assumed the helm. Even existing agreements with European colonies which previously â€Å"demanded that allies exchange gifts rather than commodities† became secreted, deceptive exchanges of poor quality skins for rum (43). Saunt is correct is assessing the broad ripple effect of this possession plague: European trade monopoly forcibly ripped apart the fabric of Indian society. Rum was more tempting than household goods required by women in caring for their clan, and when young warriors exchanged heaps of ill-prepared skins for an intoxicating drink, they had to resort to plundering necessary clan goods from surrounding communities.

Nurse Ratched vs. McMurphy… David vs. Goliath Essay

One powerful, one small, this is the base of the biblical story David and Goliath. The story, in which a not so strong hero takes down a strong and powerful leader, is much like McMurphy and Nurse Ratched in One Flew Over the Cuckoo’s Nest. The match up between McMurphy and Nurse Ratched is a raging and intense one. Through out the novel, One Flew Over the Cuckoo’s Nest, McMurphy and Nurse Ratched have always had conflict, as well as a sense of never-ending hatred and disagreement towards each other; which as the novel continues, grows stronger and stronger. Undoubtedly, despite the chaos and tension between them, McMurphy gets the better of the match up, thanks to his ability to manipulate people, his bravery, and his popularity. McMurphy’s strong ability of manipulation helps him overcome conflict and in many occasions over power Nurse Ratched. McMurphy’s ability to get others to agree with him and manipulate them gives him the extra advantage against Nurse Ratched. In the novel McMurphy attempts to manipulate the other patients about watching the World Series game. He states, â€Å"This is where you get the edge, don’t you see that? We have to do this – or we’re whipped† (126) to try to convince and encourage the patients to vote against the Nurse Ratched to watch the game, but it was a failed attempt because the voting came out even (20-20). This event shows how McMurphy has a sense of control over the patients, as if he were their president or leader, and how McMurphy having all this power, usually leads him to manipulate for personal gain. Another case that shows McMurphy’s great ability of manipulation is when McMurphy manipulates Chief Bromden to lift the control panel, â€Å"And that arm! That’s the arm of an ex-football-playing Indian if I ever saw one. You know what I think? I think you oughta give this here panel a leetlle heft, just to test how you’re comin’.†(225). After this McMurphy takes bets from the Acutes that it can’t be done. McMurphy, of course, had already hedged his bet by having Chief display his ability to lift the panel previously. This event shows how McMurphy tricks and influences people and patients wheatear it is for the good of the whole or for personal gain. McMurphy’s power to effect people’s decisions and manipulate them gives him a special ability that allows him to, many times, control the people around Nurse Ratched, and consequentially have more power over her. McMurphy, as well as being manipulative, also has another special quality that helps him have the upper hand against Nurse Ratched. This quality is his bravery. McMurphy’s deep bravery allows him to do what others wont, as a result leading to change, whether good or bad. When McMurphy is denied a companion pass with Candy (prostitute) he responds by putting his hand through the glass of the nurses’ station, which he knows is not allowed. This shows how McMurphy is daring and brave enough to so directly challenge and disobey Nurse Ratched. As the plot continues McMurphy starts to â€Å"attack† Nurse Ratched by breaking Washington’s nose, disobeying the rules, and flirting with the student nurses. His frequent â€Å"hits† towards Nurse Ratched is an indirect implementation of McMurphy showing Nurse Ratched that he is not scared nor is he going to give in. Another example of McMurphy’s bravery is when Billy dies and Nurse Ratched blames him for his death, â€Å"First Charles Cheswick and now William Bibbit! I hope you’re finally satisfied. Playing with human lives-gambling with human lives-as if you though yourself to be a God!† In retaliation for her lies and Billy’s death, he tears open her uniform, exposing her breasts to all the ptients. Her sexuality, which is her one weak point, has been exposed; as a result, she is rendered defenseless in front of all the patients. This exposing of her weakness has helped in completing the path that McMurphy has forged, loosening her hold on the patients. She is no longer in complete control of them. This, â€Å"last act of bravery†, demonstrates McMurphy’s ability to face and deal with danger (nurse’s punishments). His bravery encouraged many of the other patients to step up as well. McMurphy’s bravery makes Nurse Ratched’s ultimate power, fear, negligible; thus giving McMurphy an advantage. bibliography: * Kesey, Ken. One Flew Over the Cuckoo’s Nest. published 1962: Signet edition 1986, New York.

Encountering Conflict - 901 Words

Encountering conflict My main intention is to persuade the audience on the topic that those who cannot learn from history are doomed to repeat it and to pass year 12. The violent encounters of the past contain valuable lessons about resolving conflict. This writing is to be directed at the people reading it, which will be the general audience that doesn’t really understand the lessons of past and present conflict. Based on real world examples, and examples from the crucible. The style of writing is an expository. Conflict can bring out the best and worst qualities in individuals, and also in communities. Arthur Miller explores this in his play The Crucible. When witchcraft is declared in Salem, the reactions of the members of this†¦show more content†¦Suspicions were often given credence despite inconclusive or questionable evidence, and the level of threat posed by a persons real or supposed leftist associations or beliefs was often greatly exaggerated. Many people suffered loss of employment, destruction of their careers, and even imprisonment. Most of these punishments came about through trial verdicts later overturned, laws that would be declared unconstitutional, dismissals for reasons later declared illegal or actionable, or extra-legal procedures that would come into general disrepute Getting away from the crucible, conflict tests the character of a sporting a club or team, just look at Brendan Fevola the former Carlton and Brisbane Player the conflict he caused for both clubs really test the character of the football club and when it came to whether he had to be sacked or not, showed there strength as football club and how they won’t stand for such nonsense with a player of their football club. 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