Descriptive Essay - Original Writing - 1563 Words

Beep... Beep... Beep... Alright, alright. I m up now, I quietly say to my annoying alarm clock as I turn it off. My charm bracelet is on the beside table along with the clock, the zodiac charms jingle slightly as I slip it onto my wrist . I make my way over to the small dresser in my room and pick out my outfit for the day. The usual sweatshirt and jeans will do for today, I decide to myself. When I make my way over to the bathroom, I pull out my brush and start combing the knots of my bed head. I never bother putting my hair up, too much hassle. Finding my glasses on the other side of the table, I put on the wide frames to help cover up my face a little bit. Picking up the toothbrush, I then proceed to the the morning breath out of†¦show more content†¦I set my belongings down on the table and begin to take out a book I m in the middle of. I was so absorbed in the story, that I didn t see the person sneak up behind me. Hey! Watcha reading? A student with pink hair asked from behind my shoulder. O-oh! Sorry, you startled me. Umm, it s called A Hat Full of Sky, and uhh it s by Terry Pratchet, I said as I marked my page with a bookmark and turned to see the person more clearly. Cool! I m not much of a reader, but your book seemed interesting, he said, then gave a big toothy grin. Uhh yeah, it s pretty good, I replied, while slowly looking down and turning. Hopefully giving the signal that I wanted to continue reading the previously mentioned good book. Yo! Flamebrain! Another student with raven colored hair entered the classroom,that s where you disappeared to. Anyway, wait, who s- Oi! Ice pervert! What did you call me? The two boys go up to each other and start fighting while throwing weird insults to each other. Though I am glad pinky over there left me alone, because now I can continue my book. Soon enough, a petite blue haired girl walks into the room. Oh! Hey Lucy! One of my only friends, Levy McGarden, walks over and places her stuff on the desk beside mine. Hey Levy, what s up? I greet her while continuing to read. Well... I got this new book about a dystopian universe that you might like, annnd oh! Gajeel took me to this really nice restaurant for ourShow MoreRelatedDescriptive Essay - Original Writing1110 Words   |  5 PagesI don’t know how I got to where I am, but I’m here now, and I have to win if I want to live. I am in a game, and in order to live, I have to escape. That’s the thing, though: I don’t know how to escape. I was running for my life around this old house that looked like it came straight out of a horror movie. I doubled over and held my head in pain as I saw the static, which meant it was coming. I was being chased by what looked like a person but in no way acted like one. Just as it was about to appearRead MoreDescriptive Essay - Original Writing1102 Words   |  5 PagesIt is on days like this when we stop to think about our life. Small drops of rain begin to dapple the cobblestone pavement as people whip out their umbrellas for cover. I conti nue sauntering down the busy street, relishing the feeling of a light shower. Moving with the mass of pedestrians, I stop at a crosswalk where I wait for the stoplight to turn green. A flower shop employee across the street scurries to bring in the numerous bouquets and close the doors as rain starts rolling down the displayRead MoreDescriptive Essay - Original Writing914 Words   |  4 PagesDreamy I thought. Standing on the corner is a young guy with a smile. I see him here almost every day, so I linger for a while. He tells me his name, and I tell him mine. I m Ester, what s your name? I enquired. My names David .,He replied. We end up talking for a while and I asked him if he had ever left this city. He tells me of all these stories of the places where he s been, the distant lakes and mountains, and in valleys oh so green. I can see it in his eyes, he really has beenRead MoreDescriptive Essay - Original Writing974 Words   |  4 Pages I was used to moving round, having a mother who liked to travel more than making roots was something I had gotten used to. Still, I had never gotten used to the loneliness of an empty house when she was out exploring, or the feeling of leaving behind someone who could have meant something to me. Our most recent move was Oregon. It was pretty, and I didn’t mind it, but it was much different than Florida. Not only was it opposite sides of the country, it felt as if it were opposite worlds. InRead MoreDescriptive Essay - Original Writing1012 Words   |  5 Pageshave plenty of time in the next month to think about my feeling in regards to Kendrick. I needed to finish up the article and get it off to my editor. I should be able to get it done by tonight and send an email in the morning. I was thinking of writing my next article about the sea life around the Scottish coast. Since our salmon dinner last evening I thought I would do a piece about the commercial salmon farming that began in Scotland in 1969. In 2002 over 145,000 metric tons of farmed AtlanticRead MoreDescriptive Essay - Original Writing1561 Words   |  7 PagesThere’s something I need to say and what follows may not be something that you’d expect, it won’t be heartening or uplifting. If you remember today, I told you about going somewhere I wanted to go to†¦ I’m not sure if you believed and accepted what I now confess as untrue; it is partly. I needed to pull away emo tionally†¦ from you. You must have had fathomed that some degree of formality had seeped between us. Born of habit, formulaic greetings had become a routine. You presume that I’m a close friendRead MoreDescriptive Essay - Original Writing1387 Words   |  6 PagesI was wearing a beautiful blue dress with sapphire gems all around the chest area as I entered the ball with Ciel and Sebastian. I took a good look around here, the hallway was lined with gold. There was a servant ready to escort us to the ball room. Hello, come this way. He said, walking forward. Wow, this place is so fancy! I exclaimed, looking around. It s fake gold. Ciel bluntly replied, bringing my hopes down. I sighed. Ciel sounded like he wasn t in a very good mood. Ciel, lightenRead MoreDescriptive Essay - Original Writing1287 Words   |  6 Pages In the morning, Caireann woke me up. She stood above my bed, shaking my shoulder. I opened my eyes, looking at her. Then I looked across the room to her empty bed. Andy s empty bed sat in the corner. I swallowed, climbing out of bed. Sleep well? Caireann asked me, starting out the door. Yeah, I said, going over to our small dresser. I had the bottom two drawers. Andy had the middle two, and Caireann had the top. I pulled open the drawers, pulling on a colorful tank top and a grayRead MoreDescriptive Essay - Original Writing1345 Words   |  6 PagesLater that night, I was behind the wheel of my G-Wagon with Melissa in the passenger seat. She didn’t feel like driving since she was on the road all day and I understood so I didn’t mind when she asked me to. I had been tight-lipped. She kept eyeballing me as if she detected that something was bothering me but I just kept singing to my India Arie as if I was carefree. â€Å"So are you going to tell me what’s going on or no† Melissa said disrupting my own personal concert. I stopped singing and tookRead MoreDescriptive Essay - Original Writing1085 Words   |  5 PagesI WAS SITTING IN a taxi, wondering if I had overdressed for the evening, when I looked out the window and saw Mom rooting through a Dumpster. It was just after dark. A blustery March wind whipped the steam coming out of the manholes, and people hurried along the sidewalks with their collars turned up. I was stuck in traffic two blocks from the party where I was heading. Mom stood fifteen feet away. She had tied rags around her shoulders to keep out the spring chill and was picking through the trash

Weapons and Defense Systems of the American Civil War Essay

The Civil War, also called The War Between the States, was one of the bloodiest wars in American history. What made the Civil War such a massacre? The Civil War was such a bloodbath because the technological advances were so far superior to the tactics of the infantry, that the weapons virtually obliterated the soldiers. Soldiers would form lines known as a battalions. In these battalions, soldiers would basically march to their deaths. In addition to weapons doing so much damage, fortification on the battlefield was far more advanced than had ever been before. The Cheveau-de-frise was the main focus of armored fortification in the Civil War. This fortification consisted of 10 to 12 foot logs with large spiked-shaped, wooden stakes†¦show more content†¦The reason for this is ammunition. The ammunition for this weapon was so limited that the Southern forces would basically find it useless.4 Although the Model 1861 and the Spencer were the primary weapons for Union soldiers, t heir side arms were equally important. The Colt Army Model 1860 was the most popular sidearm among the Union army. The Colt Model 1860 was a .44 caliber six shot weapon which weighed 2 pounds 11 ounces. At $13.75, the Colt Army Revolver was much more expensive than those made by Remington or Starr. Production for the Colt Model 1860 ceased in November 1863. This pistol was the main weapon carried by upper class lieutenants, colonels, and generals throughout the war.5 Another side arm that was popular among the Union forces was the Starr Revolver. The .44 caliber six shot weighed almost three pounds and could be shot multiple ways. The Starr could use a combustible cartridge or could be fired by use of loose gun powder and ball. The government threatened the company (Starr) by saying they were going to move to a cheaper model of sidearm if the weapons price did not reside. Starr complied and began manufacturing the weapon for twelve dollars; the Union forces purchased 25,000 of these revolvers. Whereas the Model 1861 and the Colt Army Model 1860 were the premier weapons used on the battlefront, bladed weapons were still in use with deadly force. The most widely used of these weapons was the sword, but only cavalry used thisShow MoreRelatedEvolution Of Warfare : A Controversial Topic1264 Words   |  6 PagesEnglish III 16 March 2017 Evolution of Warfare War has been a controversial topic in all the years I have been alive. War has made so many positive impacts on technology, medicine and many other scientific advances. Although with more deadly technology comes more social and political repercussions. Some discoveries during wartime has been Penicillin which has been estimated to have saved two hundred million or more lives since its discovery. Because of war we have treatments for brain traumas such asRead More Weapons of the American Civil War Essay1654 Words   |  7 PagesWeapons of the American Civil War Amongst the most lasting of factors stemming from the Civil War are the weapons that were developed. Before the Civil War, the weapons used were highly unreliable, and were not advanced enough to provide the needed defense for a young nation such as our own. Innovative minds created many interesting ways to demolish their enemies without ever having to fire a shot or go into full combat through different types of bombs that were in disguise. Among the advancementsRead More3-4 ADAR History Essay1461 Words   |  6 PagesMany Air Defense units today have a long history that runs deep with accolades and awards. One of these units is 3-4-ADAR. Third Battalion (Bn.) Fourth Air Defense Artillery Regiment (3-4 ADAR) is the most decorated Air Defense unit in the world. The Air Defense Branch is a relatively young branch by comparison. The ADA Branch originates from the Field Artillery Branch. AD did not become a branch of its own until technology advances made it necessary for a cha nge. As plains started becomingRead MoreTechnology And Weapons During The Civil War Essay1446 Words   |  6 Pages Technology and weapons in wars since the Civil War have been progressing each and every day since then. There has been a number changes both good and not so good that has affected how our countries military forces react to the battle field. The advancements that has been made over the many years have killed millions and millions of people during time at war. Since the American Civil War there has been drastic changes to how war that have been fought. Why has technology in war been so importantRead MoreThe Constitution Of The United States1557 Words   |  7 Pagesfollow and abide to. The first written attempt was the Articles of Confederation, which failed because of some weaknesses that it possessed. Of these weaknesses included a weak central government, over powerful state governments, and no national court system, so instead of uniting the country, it just loosely kept them together. In order to write, or modify this into a better framework, the Continental Congress called for a convention of delegates to meet in May of 1787 in Philadelphia. After much arguingRead MoreThe Nuclear Arms Race : The Cold War Between The United States1621 Words   |  7 Pagesamass more advance weapons. During these four decades, the Nuclear Arms Race affected Americans socially through instilling a variety of emotions ranging from fear, to awe of the power of the nuclear weapons, economically through enlarging governmental role within the economy and mostly importantly, the political impacts were more involvement required by the U.S government in world affairs and as a force against Russia. Background: The Nuclear Arms race was part of the Cold War between the U.S. andRead MoreEcological Effects of Anti Communism Strategies by the United States1407 Words   |  6 PagesDuring the early stages of the Cold War (1945-1954), the United States became so dedicated to stopping the spread of communism that they completely ignored the potential ecological effects of their strategic decisions, signifying a complete disconnect from contemplative ecology. During this period under the Truman Administration, there was an overwhelming societal belief that national security concerns trump environmental safety. As a matter of fact, there was zero concern from the federal governmentRead MoreThe United States Army Breaks Down The Operational Variables1137 Words   |  5 Pagescountries are able to support a wide variety of military upgrades and expand the military budgets. Shortly with the combination of stagnated economy or decrease, economy could hinder the growth of the military to include the expansion of their national defense. With the possible collapse of the economy, Russia needs to have a strong and stable government to prevent disturbance within Europe to continue to export the natural resources that are the base of the economy. Russia formally the Soviet UnionRead MoreMilitarization Of The Police Is An Arising Public Concern1530 Words   |  7 Pagesthe past recent years. Society has tried to comprehend the concept of militarizing the police. The public is terrified of the idea of what militarizing the police can mean for America. According to US Senator Elizabeth Warren â€Å"This is America, not a war zone,† she felt the need to express her thoughts because of the outrage that were occurring in Ferguson. Citizens feels as though militarizing the police will cause more insecurities and less confidence that were already so little in the police forceRead MoreThe Battle Of The Confederate Forces1233 Words   |  5 PagesMeade graduated from the Military Academy at West Point. After graduation he pursued a civilian career as an engineer for the railroads. In1940 he married Margaretta Sergeant and they had seven children. Meade was a Brigadier General when the Civil War began (www.history.com, 2015). General Robert Edward Lee, born in Virginia in 1807. Born into a military family, he graduated 2nd in his class at West Point in 1829. He was originally assigned to an engineer unit, and then became the superintendent

Professional Accountability and Patient Safety for Nursing

Question: Discuss about theProfessional Accountability and Patient Safety for Nursing. Answer: Introduction The nursing workload is a professional nursing issue that needs a throughput understanding. Nursing workload refers to the magnitude of work and professional setting that practicing nursing professionals are subjected to given the professional standards of practice (Alghamdi 2016, pp 449-57). Throughput definition of nursing workloads encompasses five dimensions that include the amount of time, nursing competency, work setting, nursing intensity, and professional development. Firstly, the amount of time is the nursing professionals spend offering both direct and indirect care to patients. The nursing setting is characterized by a huge amount of time that is stressful and this affects the health safety. Secondly, nursing competency is another aspect of nursing practice that clearly describes or explains the nursing workloads (Abbas Hassan 2017, pp 37-47). Nursing competency can be used to describe the skill, knowledge, and behavior that nursing professional has and use for to care for patients. The nursing workplace requires high professional competency yet nursing practitioners have limited competency that does not match the current complex healthcare situation. Thirdly, nursing intensity also defines nursing workloads since it touches on the amount of care offered to the patient within healthcare. Nursing practitioners offer a wide variety of patient care that is really demanding and this has left many nursing professionals struggling to care beyond their ability. Fourthly, the professional development includes physical activities, mental and emotional developments that help the nurse to be fully developed in the line of the profession (Hunter Giardino 2007, Issue 13). Significant of nursing workload to nursing Nursing workloads are highly significant in the nursing practice and play role in the nursing profession. Firstly, nursing workloads have a high impact on nursing profession since the workload determines the quality of nursing care. Nursing workloads reduce the quality of care the nursing professional offers to the patient since nursing workload makes the profession stressful. High nursing workload makes number of nursing professionals few as compared to the number of patients (Carayon Gurses 2005, pp 284301). Secondly, the nursing workload is a professional issue since the nursing workload highly affects the nursing profession. Nursing workloads are seen as making many nursing professionals consider leaving the profession for other jobs. This is due to the high workload that makes the whole profession very stressful and uncalled for. In addition, the nursing workload is lowering the quality of the practice offered by nursing practitioners. As a professional issue nursing workload has an effect on the ethical standards that are applied on the practice. For instance, nursing workload makes the quality of healthcare services lower that contradict the ethical requirement of nursing practice (Mellor 2014). Nursing workload has an impact on individual nurse since the issue is making the nursing workplace unsafe for the individual nurse. Nursing workload reduces an individual nurse competency due to the low quality of care offered to the patient. The high amount of time that nurse practitioner spent caring for the patient has a huge impact on the individual nurse and the nursing profession as a whole. The magnitude of nursing workload has an impact on the physical, emotional and mental development of an individual nurse hence increasing exhaustion. Several activities a nurse does at the healthcare increase the fatigue and reducing the performance of individual nurse. Furthermore, workload makes nurse work under intense pressure that is so compelling and this increases the number of nursing practitioner leaving the nursing profession for other jobs. Nursing workloads also make the healthcare environment worse and unattractive for new entrants. Another impact of the negative nursing worklo ad is the negative nursing outcome that so much affects an individual nursing practitioner. The negative nursing care that results from huge nursing workload has a negative impact on the competency of the nursing practitioner (Stanton Rutherford 2004). There are statistics and figures that show the effects of nursing workload on the quality of nursing care, patient outcome, and nursing job dissatisfaction. Firstly, one of the issues of concern is the nursing job dissatisfaction that shows more nurses are not satisfied with their nursing profession due to poor working conditions. These poor working conditions is a resultant from high nursing workloads experience at healthcare. Many nurses are on the verge of leaving the nursing profession and the number is worrying. For instance, according to Mellor (2014), 23 % of nurses and midwives were likely to leave the nursing profession in Australia. In addition, more than 33 % of nursing practitioners frequently thought about leaving the profession in Australia (Rogers, Hwang Scott et al, 2004, pp 202-12). Impact of nursing workloads on patient safety The impact of the nursing workload on the nursing profession is directly related to patient safety. Nursing workload reduces the patient length of stay since the workload increases the number of nurses required at a particular time. A high number of the patient cannot match the minimal number of nursing practitioners. This has reduced the number of hours spend with patients, a low number of caregivers and inability to rescue patients from complications (Hunter Giardino 2007, Issue 13). Low staffing ration between nursing practitioners and patients corresponds to a high number of patients stay in the healthcare. Violation of policies, protocols, and standards is another impact of workload on the patient's safety. Nursing workloads bring more pressure on nurse leading to the low observance of general standards of practice thereby risking the life of patients under their care. For instance, compliance with a clinical protocol or violation of clinical protocol has an immense impact on t he clinical patient's outcome. Violation of clinical protocol is associated with worse clinical outcome and this can be attributed to nursing workload. Most protocol violations are due to the workload pressures experienced during emergency situations that are normally demanding for nursing practitioners (Baethge Rigotti, 2013, pp 4363). There are statistics that are showing the adverse effect of nursing workloads on patients safety. Firstly, a study conducted in Australia on causing factor for death due to cancer include the nursing workload that has a direct effect on patient care hence death due low nursing care. According to the study, 73% nursing practitioners felt they had inadequate time to incorporate strategies into their existing nursing workload (Carayon Gurses 2005, pp 284301). Another study suggests that an increase of 1 hour worked by practicing nurse (PNs) per patient day is directly related to an 8.9 percent chronic decrease outcomes. A retrospective cohort study within neonatal ICU indicates that the incidence of E cloacae infection within the unit was at least higher when there was limited number of nurses. Another example includes a study that used 168 patients and revealed that there is 7% increase in death within 30 days of medication due understaffing of nursing practitioners (Baernholdt et al 2010, pp229-34). The nursing workloads as an issue of patient safety concern have an adverse consequence on the patient. Firstly, the nursing workload affects the patient outcome and particularly results in the negative patient's outcomes. The negative patient outcome results in the lower quality of nursing care offered due to huge nursing workloads (Cho et al 2003, pp 719). Secondly, another adverse effect of nursing workload on a patient includes high mortality rate that is part of the limited time spent on patient care by nursing professional. Studies show that more mortality results from failure to rescue a patient who develops complications due to a limited number of nursing practitioners within high workloads. In addition, using health data obtained from 799 hospitals within 11 States indicates that a higher number of hours of Registered Nursing practitioners care daily were related to lower failure to rescue rates (Aiken, Clarke Sloane et al. 2002, pp 198793). Strategies that can be utilized to minimize the impact of nursing workloads on nursing practice and patient safety There are various strategies that can be used to minimize the impact of nursing workloads on nursing practice and patients safety. Firstly, interdisciplinary approach to patient cares in one of the strategies to minimize the impact of workload. The interdisciplinary approach reduces the impact of huge workload that nursing practitioners experience while working. Moreover, the interdisciplinary approach increases the staffing capacity to deal with the patient care. The interdisciplinary approach also helps reduce the amount of time that is required for the nursing office to work in patient care (Gurses 2005). Secondly, nursing staffing is another strategy that can assist to minimize the impact of workload on nursing practice. Statistics indicate that there are few nursing practitioners in Australia that take care of patients as compared to the number of patients that need the nursing care. This magnitude of work has raised the amount of work left in the hand of these nursing practitioners. Increasing the number of nursing staffs in various health care throughout Australia would reduce the nursing workload and reduce the impact of nursing workload on patients safety (Kondro 2004, p2059). Nursing education framework is another important strategy as it seeks to improve the nursing skills and knowledge. Nursing education has been an issue of concern particularly when it comes to the nursing workloads. One of the aspects of nursing workload includes lack of skills and knowledge that can match the current health care requirement. This can be rectified through the development of nursing education framework that provides an avenue for nursing practitioners to further their education with updates on development in the nursing profession. Nursing education moreover, has the capability of changing current nursing challenges that are contributing to nursing workloads (Duffield 2006, Pp 16-22). Application of modern information technology is another strategy that can be used to reduce the impact of nursing workload on patient safety and nursing practice. According to Ferguson-Pare and Bandurchin (2010, pp20-32), patient records can be computerized as a way to maintain the amount of work nursing practitioners required to perform. This also helps in monitoring the patient's progress and outcomes from any place through electronic means. The current information technologies make monitoring of patient care easy provided that all the information is registered into the system. For instance, the Royal Australian College of General Practitioners indicates that the use of Practicing Nurse system to monitor health records projecting to have an impact on the nursing workload (The Royal Australian College of General Practitioners, 2018). Conclusion In conclusion, the nursing workload is an important nursing professional issue that affects many nursing practitioners and healthcare facilities in Australia. The nursing workload can be defined in terms of intensity of nursing, amount of time spent on patient care and physical, emotional and mental development. Understaffing which is part of nursing workload is correlated to patient safety concerns as it results in low patient care. In addition, the nursing workload has an adverse effect on both nursing profession and patient safety. References Aiken, LJ, Clarke, SP, Sloane, DM, et al. 2002, Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction. JAMA, Vol.288, no.16, pp 198793. Alghamdi, MG, 2016, Nursing workload: a concept analysis. Journal of Nursing Management, vol.24, no.4, pp 449-57. Abbas H, Hassan, S, 2017, The workload of nursing: A concept analysis using a walker and avant approach. Journal of Clinical Nursing and Midwifery, Vol.4, no.3, pp 37-47 Baethge, A.; Rigotti, T. 2013, Interruptions to workflow: Their relationship with irritation and satisfaction with performance, and the mediating roles of time pressure and mental demands. Work Stress, vol.27, pp 4363. Baernholdt, M, et al 2010, Using Clinical Data to Capture Nurse Workload. CIN: July/Aug, Vol 28, no4; pp229-34. Carayon P, Gurses A, 2005, Nursing workload and patient safety in intensive care units: a human factors engineering evaluation of the literature. Intensive Crit Care Nurs, vol.21, pp 284301. Cho SH, et al. 2003, The effects of nurse staffing on adverse events, morbidity, mortality, and medical costs. Nurs Res. Vol.52, no.2, pp 719. Duffield, C, 2006, Methods of measuring nursing workload in Australia. Collegian, Vol.13, Issue 1, Pp 16-22 Ferguson-Pare, M, Bandurchin, A, 2010, The Ontario Nursing Workload Demonstration Projects: Rethinking How We Measure, Cost and Plan the Work of Nurses. Nursing Leadership, Vol 23, special issue, pp20-32. Gurses AP, 2005, ICU nursing workload: causes and consequencesfinal report. Rockville, MD: Agency for Healthcare Research and Quality. Available at: https://hfrp?.umaryland?.edu/People/gurses_AHRQ?_final_report-06-15-05.pdf. Hunter, K, Giardino, I 2007, A Question of Patient Safety. Health Canada Health Policy Research Bulletin, Issue 13. Kondro, W, 2004, Canadian report quantifies cost of medical errors. Lancet, vol.363 no.9426, p2059. Mellor, L, 2014, Nurse workloads a key factor in rising patient deaths. Available at: https://www.abc.net.au/news/2014-12-03/nurse-workloads-a-critical-factor-in-patient-survival-rates/5937224 Rogers, A, Hwang, W, Scott, L et al, 2004, The working hours of hospital staff nurses and patient safety. Health Affairs, vol.23, no.4, pp 202-12. Stanton, MW, Rutherford, MK, 2004, Hospital nurse staffing and quality of care. Rockville, MD: Agency for Healthcare Research and Quality;. AHRQ Pub No 040029. The Royal Australian College of General Practitioners, 2018, Practice nurses: Putting prevention into practice (Green Book). Accessible at: https://www.racgp.org.au/your-practice/guidelines/greenbook/a-framework-for-prevention-in-general-practice/key-strategies-for-improved-prevention-performance/practice-nurses/