Emergency Department Essay Example for Free

Emergency Department Essay I am a senior staff nurse working in the Emergency Department in an Acute General Hospital in Singapore. I have been assigned by my senior nurse manage to mentor Susan, a third year student nurse. As Susan was observed to be underachieving, I aim to use the Gibbs reflective cycle (1988) to guide me to identify the issues that have arisen during the placement and plan strategies to help Susan achieve her expected competencies at this stage of her clinical placement. Upon completion of the reflective cycle, mentor should be able to come up with methods that can help to resolve the student’s identified problems. It is important that windows of learning opportunities are created for reflection to be done and thus help both the mentor and mentee for future progression. Stage 1: Description Susan, a third year student nurse, is in her penultimate clinical placement of her three years training course. She had just reached the end of her second week of placement and has another four weeks to completion. The ward staff had observed that she was not entering patient’s vital signs, at times, into the system. The hospital uses the electronic system of entering patients’ charts. In addition, it appears that Susan did not inform any staff when there were abnormal readings, for example: there were two occasions where a raised temperature in a patient receiving blood transfusion and a head injury patient with an altered level of consciousness. Whilst having a weekly debriefing session as agreed during the first day of Susan’s clinical posting, the mentor was aware that Susan did fail to achieve the basic competency, which was required of her. The mentor had to stress to Susan on the importance of recording vital signs as it determines the patient’s prognosis. Thus, the mentor decided to develop an action plan (SMART) template (Kerry, 2012, Appendix 3), to aid Susan’s progression. Stage 2: Feelings Given a mentor’s role, it was a concern to me that I did not pick up Susan’s problem until my colleagues’ feedback. As Susan was proceeding to her third week of posting, it was crucial to speak to Susan and find out more in depth what might have led her to the behavior seen. I felt that Susan may not have the theoretical knowledge regarding what were the implications if fever occurs during

Comparing Kafkas Metamorphosis and The Stranger (The Outsider) :: comparison compare contrast essays

The Metamorphosis and The Stranger (The Outsider)  Ã‚   Existentialism is defined as a philosophical movement that human beings are completely free and responsible for their own actions.   Existentialists will try not to cause waves and remain completely uninvolved with anyone because they do not want to hurt anybody.  Ã‚   There is absolutely no such thing as an existentialist because he would have to be so uninvolved to the point where he would not be able to live at all.   Although the two stories: The Metamorphosis by Franz Kafka and The Stranger by Albert Camus are very different in approach, their endings are similar in that they both support the basics of existentialism.     Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   The biggest difference between the two characters: Gregor and Mersault is their physical form.   One has changed physically into a giant insect while the other remains a normal human being.   Another difference is the situation between the characters and their mothers.   Gregor wants to have a relationship with his mother but cannot because of his physical form.   Mersault’s mother is alive and well for part of the novel, but he does not want to take care of her or have anything to do with her.   The two characters are similar in the way that they do not believe in God and will both die lonely and abandoned.  Ã‚     Kafka creates a very lonely and abandoned world for Gregor Samsa in his short novel Metamorphosis.   Gregor is an existentialist character who mutates into a giant bug without reason and no longer has any control over his life.   He becomes completely uninvolved in the way that he does not talk or have any interaction with anyone inside or outside of the family.   He is dehumanized.   Gregor’s mother is disgusted by the looks of him and refuses to see or talk to him.   Gregor is now lonely and abandoned by his family, does not eat and eventually dies.  Ã‚     Ã‚     Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   In the short novel The Stranger, Mersault is also an existentialistic character.   He does not wish to become involved with anyone, including God and his own mother and does not have any emotion what so-ever when she dies.   Although Mersault does not want to become involved with anyone, he also does not want to create waves, thus he cannot help but to say yes to a friend when he asks him for help.

Linear Technology Essay

1. Describe Linear Technologies payout policy. Linear Technology announced its first dividend on October 13, 1992 in order to portray Linear Technology as a less risky firm than other technology companies that did not pay dividends and to gain access to new investors interested in earning income in addition to investing in growth. Linear Technology initially planned to begin with a relatively low dividend of $0.05 per share which amounted to a 15% earnings payout ratio – mindful of the fact that investors abhorred firms that reduced or stopped their dividend payment schedule. Beginning more conservatively than their original estimates, Linear Technology began with a $0.00625 dividend per share. Linear Technology has steadily increased it’s dividend per share increasing the payout approximately every four quarters by $0.00125. This pattern was maintained from Q2 1993 to Q3 2000. Beginning in Q4 2000, Linear Technology began increasing its dividend per share by a new pattern of $0.01 increases per four quarters. The current dividend per share is $0.05 during Q3 2003. Its current dividend yield of 1% is relatively higher than the average dividend yield rate for Information Technology firms in the S&P 500, around 0.3%. 2. What are Linear’s financing needs? Should Linear return cash to tis shareholders? What are the tax consequences of keeping cash inside the firm? Linear Technology’s financing needs are to optimize its cash flow, investments, and cash balances in order to maximize its shareholder values. Linear’s cash balance in March 2003 stood at around $1.5 billion, which was being conservatively invested in short-term debt securities. The cash flow from these investments, the interest income, was around $52 million. Due to the tax cuts implemented by the Bush administration, the tax rate on dividends and capital gains were greatly reduced. The dividend tax rate dropped from an approximate 38% and the capital gains tax dropped from an approximate 20%. More important that the magnitude of the tax cuts, however, is that the capital gains tax was equalized with the dividends tax. When the dividends tax is higher than the capital gains tax, the optimal dividend  policy is to pay no dividends. In this situation, the firm will use share repurchases instead in order to take advantage of tax savings. Before the tax cuts, the firm has less incentive to raise funds for dividend payouts due to the higher tax rate on dividends and the negative effect on shareholders. However, with the equalized tax rate of 15%, the firm is no longer discouraged from raising dividends. 3. IF Linear were to pay out its entire cash balance as a special dividend, what would be the effect on value? On the share price? On earnings? On earnings per share? What if Linear repurchased shares instead? Assume a 3% rate of interest. 4. Why do firms pay dividends? Why has the rate of dividend initiations changed over time? Firms pay dividends for several reasons despite the MM proposition that characterizes dividend policy as irrelevant. One main reason for dividend policy is based on the manager’s belief that investors prefer stable dividends with sustained growth. This kind of dividend signals to the investor the firm has reached a steady state growth i.e. a mature market position. A company usually only begins to consider releasing dividends once it has established regular and predictable operations cash flows. However, dividends can also act as a negative signal telling investors that the firm’s growth rate is slowing. Increasing the dividend can, on one hand, signal the manager’s perspective for future growth and optimism over future cash flows; on the other hand, increasing the dividend can also signal a lack of investment opportunities. The use of dividend payouts has steadily decreased over the last 30 years. This trend is in part related to the changes in dividend tax rate , however, I believe the majority of this trend or trends can be attributed to changes in investor preferences. The dividend payout decision is ultimately chosen by a manager, whose main objective is to satisfy shareholder preferences.

“Telecommunications vs. Information Services” - 2358 Words

Table of Contents Introduction †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦3 Background†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦..4 Recommendations†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦..7 †¢ User and ISP Cooperative (Option 1)†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.7 †¢ Website Accessibility Certification (Option 2)†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦7 †¢ Top-Level Domain Classification (Option 3)†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.8 Legal,†¦show more content†¦The primary piece of legislation used to regulate telecom providers is the Telecommunication Act of 1996. This paper will examine the characteristics, and point out similarities, of telecommunications providers and information services such as the internet. Additionally, regulation of telecommunications and the lack of regulation for information services will be addressed. Finally, recommendations for potential ways to regulate information services, the potential legal ramifications of such regulation, and the technical considerations regarding the recommendations will be identified. Background The Telecommunications Act of 1996 was the first major overhaul of United States telecommunications law in nearly 62 years, amending the Communications Act of 1934. This Act was a major stepping stone towards the future of telecommunications, since this was the first time that the Internet was included in broadcasting and spectrum allotment. One of the primary goals of the law (Title III specifically) was to let anyone enter any communications business â€Å"to let any communications businesses compete in any market against any other. Also, the new Telecommunications Act allowed the FCC, and Congress, to update the old - and outdated - Telecommunications Act of 1934. For purposes of regulation by the Federal Communications Commission under the U.S.Show MoreRelatedA Report On The Teletech Corporation954 Words   |  4 Pageshurdle rate for their two different segments, which are, telecommunications services and products and systems divisions. Based on the estimate of corporation’s WACC, the hurdle rate is the cost of capital. Using the data in Exhibit 1, we have calculated the WACC for the telecommunications services segment and the products and systems segment of Teletech. The WACC for Telecommunications Services is 8.47%, while it is 11.30% for Products and Services. 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