Drawing Blood

Drawing blood is not as challenging as you may think. When I started my job at the hospital, I had no previous experience in drawing blood. They put me through a training that lasted about five days, eight hours per day. There are many simple steps to drawing someones blood. The three biggest steps are waiting for a requisition to print off, preparing all of your equipment, and finally draw the blood. Step one is to get the requisition and take it into the patients room, you use this to verify the patient. You first identify yourself and indicate the procedure that is about to take place. Check the date and order time on the requisition form. Verify their name, date of birth, and sex. You have to verify the patients allergies to make sure they are not allergic to latex or any of the antiseptics or adhesives that are to be used. If patient is unresponsive you are not allowed to draw the blood unless they have a patient sticker on their armband. You have to verify who the person is. You then check the requisition form for what tests are being requested so you will know what and how many of each tubes to draw blood into. Step two is to prepare your equipment that will be used in this process. The number one item would be gloves, you use these to not only protect yourself but also the patient. You will need to have a tourniquet, 70% isopropyl alcohol wipes, gauze sponge, to apply to site after needle is withdrawn, an adapter to use with the evacuated collection system, needles, adhesive bandage, to protect site after collection, and tubes to place the blood into. After getting all of this together properly you move on to the final step. Step three, this is the final process, the actual blood draw. First tie the tourniquet about 3 inches above the site you are wanting to withdraw blood from. Have the patient make a fist but do not have them pump their first. Then palpate and trace the path of the vein with the index finger. The vein should feel cord-like and it should roll easily. When you find the vein you are wanting to draw blood from you then prepare the site. Using an alcohol pad, clean the site in circular motion. Let the site air dry. Next, grasp the patients arm firmly. Place needle in a fifteen to thirty degree angle with the arm. Swiftly insert needle through the skin into the vein. Then fill the required tubes. In the meantime of you filling the last tube you will remove the tourniquet from the arm. You then swiftly remove the needle from the arm and safely lock the needle. Immediately following, apply the gauze to the site with addequette pressure to avoid a hematoma. After applying pressure for approximately fifteen seconds you bandage the site. Then dispose of the needle in a sharps container and throw contaminated materials in their proper containers. Mix blood in a shaking motion. Then label all tubes of blood in the patients room. Finally you are ready to deliver it to the lab.

Reflective Assessment Research Paper Example | Topics and Well Written Essays - 500 words

Reflective Assessment - Research Paper Example In 2oo4, IDEA has proclaimed that children with disabilities learn more efficiently with the assistance of technology and services (Dalton, 2006). AT has not only facilitated the special needs students, but it has also contributed positively in enhancing and developing the restrained abilities of children belonging from different regions and cultures. The change in the structure of teaching method and delivery of instructions by IDEA, further recommend to the educators to be aware of the significance of AT in Education. Teachers develop, monitor, generate and deliver instructions by keeping in regard the grasping ability of students and eventually engaging them into learning process. Thus, the resources (AT) becomes more comprehend able and accessible to those who do not posses any disability or their disability has not been identified yet. The difference between IT (Instructional Technology) and AT (Assistive Technology) is often misunderstood. The awareness of human learning process linked to the task of teaching and learning is known as Instructional Technology. To evaluate the purpose of IT, the probable outcomes like instructional usefulness, instructional appeal and instructional competence is taken into consideration. Therefore, the above mentioned tools are necessary for the planning required, for instructional interventions, and the requirement of AT devices and sources according to the subject or concept. Deficiency of reading can be taken into regard as a skill and as a mean to attain information. When children with special needs use special software, developed to assist them learn phonetic pronunciation, recognition and fluency, they come into the category of IT in education. On the other hand, if the software provides audio textual information to enhance the information specifically related to the subject then it is a part of AT (Parette & Peters, 2007). Experts have highlighted the need to assess the difference between

Ontology, epistemology and methodology in information system Article

Ontology, epistemology and methodology in information system researches - Article Example 93), ontology was considered to be the â€Å"study of the categories of things that exist or may exist in some domain.† Moreover, he states that the product of an ontology is a â€Å"catalog of the types of things that are assumed to exist in a domain of interest D from the perspective of a person who uses a language L for the purpose of talking about D.† He adds that predicates, word senses, or concept and relation types of the language L are represented by the different types in the ontology in cases when these are used to provide a discussion of the topics in the domain D (Sowa, 1993). Viinikkala (2003) defined ontology as an aged branch of philosophy, the purpose of which is to establish the truth about reality by answering the persistent inquiry of what exists. Furthermore, she shares Sowa’s goal of ontology which is to provide an â€Å"objective description of reality and any domain of objects† (Viinikkala, 2003, p. 3). Table 1. Common elements in th e philosophical definition of ontology Gruber Sowa Viinikkala What is ontology? explicit specification of a conceptualization study of the categories of things that exist or may exist in some domain branch of philosophy that establishes truth about reality Goal provide specification for a representation of a world catalog of the types of things that are assumed to exist in a domain of interest provide an objective description of reality and any domain of objects 2.1.1 Objectivity philosophy In a philosophical sense, objectivity is believing in an issue on the basis of what can be said in favor of, and against, its truth, without putting any bearing on whether one would prefer to believe the truth or not (Yandell, 1999, p. 15). Objectivity does not require for one to have any amount of feeling for the belief to be true... This paper states that the increasing interest in the subject of ontology, epistemology, and methodology in information system researches is brought about by their extensive applicability in the domains of information systems analysis and design (ISAD). As information systems are practically representations of real-world phenomena and scenarios, it is considered an important thrust to accurately and appropriately identify the entities that need to be represented and, essentially, how these should be represented. Because of the extensive applicability of ontology and, consequently, those of epistemology and methodology, it would serve the field well if these concepts and other constructs pertaining to them are properly defined. Since different sources may provide a variety of different definitions for these terms, it will be wise to draw out the commonalities from these definitions. Moreover, it is wise to note that the definitions for these concepts are presented differently on a phi losophical level, as compared with those on a technical or practical level. These differences should be noted as well in order to better unify these philosophical and practical meanings. The concepts of ontology, epistemology, and methodology are gaining extensive applicability in the information systems. While there are, to an extent, some similarities between the definitions of these concepts in a philosophical sense and when used in information system, a closer look at how these concepts are applied in the information system reveals certain significant differences.

Consumer Law Coursework Case Study Example | Topics and Well Written Essays - 2500 words

Consumer Law Coursework - Case Study Example The driver who was an expert could detect the bad condition of the car but after the purchase and payment. The sales man also did not wash the car before delivery contrary to his promise. His liability arises for having sold a defective car fraudulently, for the damages arising out of the accident occurred after delivery and for not having valeted the car before delivery. Second hand goods including cars came under the purview of Consumer Protection Act 1987 through amendment by General Protection Act 2004. Hence second hand cars are subject to the same terms as they apply to new cars. Martha as a consumer can expect the quality to be satisfactory as per prescribed standards applicable to that good under section 14 of Sales of Goods Act 1979 as substituted by section 1 of Sale and Supply of Goods Act 1994.and also section 3 of Sale and Supply of Good to Consumers Regulations 2002. Accordingly, the car bought by Martha should be fit for the purpose, safe enough and durable as claimed by the seller at the time of sale. Martha can claim full refund of the value paid and she make an immediate complaint. No time should be lost since the seller can not say that the car might have been mishandled by the buyer after the purchase. But the witness of the driver who drove the car for delivery to Martha can always testify the condition at the time of delivery. I f Martha returns the car within a maximum allowed period of six months, she need not prove that car was faulty at the time of sale. If the seller is not wiling to take back, the burden is on him to prove that it was not defective at the time of sale. Martha should make sure to initiate legal proceedings immediately in case of the seller's refusal, though a claim can be lodged within six years. If the seller agrees for the repair and the repair still does not set right the defects, Martha can claim full refund though Martha can stick to demanding full refund since the seller has sold a rogue car fraudulently. In case of seller's non-cooperation, she can seek advice from local Citizens' Advice Bureau for legal action in small claims court and for further recovery action after the claim is allowed by the court. She can also approach Retail Motor Industry Federation, The Vehicle Builders and Repairers Federation or MVRA Ltd as 'A1' condition for the car may be a standard prescribed by t he trade for immaculate condition. Besides, section 14 of Trade Descriptions Act 1968 makes it an offence if false statement is made for the condition of the goods sold by the dealer. The local authority of trading standards department should also be approached for lodging her criminal complaint against the seller/dealer of the car. There is provision under section 75 of the Road Traffic Offences Act 1988 for making a complaint against the seller for selling an unsafe car.1 In Bartlett v Sidney Marcus (1952)2, Lord Denning had stated that in case of second hand cars, the buyer should be aware of the prospect of encountering defects any time after the purchase and hence should not buy without an express warranty as otherwise the buyer can not have any remedy in law. The consumer must apply the usability test by ensuring that car should be fit for the purpose that is to ride along the road. Earlier usability test to establish merchantable quality was being applied for second cars for their road worthiness rather than being wholly perfect for their use. In the

Online Application Ning - the Platform Allowing Users to Create and Cl Coursework

Online Application Ning - the Platform Allowing Users to Create and Close Their Own Social Network - Coursework Example This critical analysis functions to examine the role of social networking with a variety of diverse populations, arguing that the widespread social adoption of this technology has not simply been a tool to achieve greater efficiency, but is in actuality reshaping and formatting the nature of human culture and consciousness.A television program recently had a comedic skit where the internet went out in a home and the residents had to resort to a box-labeled ‘pre-internet’ – inside the box were a rubber duck, a barbell, and a fake plastic tree. While most of us recognize that there was a lot more going on in pre-internet times than a box full of trinkets, the absurdity of the skit draws one's attention to the fact that one of the great divides of culture, arguably on the scale of the Protestant Reformation, the Industrial Revolution, or even the Renaissance, is the contemporary occurrence of what has been deemed the Digital Age. Having died in 1980 Marshall McLuhan had only glimpsed its genesis when he proclaimed, â€Å"In this electronic age we see ourselves being translated more and more into the form of information, moving toward the technological extension of consciousness (McLuhan 1967).†With the explosion of Web 2.0 software and the use of social networking sites (SNS), it was certain that professional environments would begin to incorporate the technology. While previous conceptions of computer-mediated communication – video gaming, Facebook use, YouTube – have been characterized as detrimental, the technology is now being reconsidered for its functional value. Many varied corporations have implemented collaborative technology, including Google whose employees hold daily meetings with associates spread throughout the world. One of the most widespread uses of collaborative technology has occurred in education environments. Indeed, certain researchers even argue that this technology is expanding the very nature of the classroom room outside institutional walls.     

Analysis culture difference Essay Example | Topics and Well Written Essays - 1750 words

Analysis culture difference - Essay Example There are several cultural dimensions theories like the one developed by Geert Hofstede which presents a framework for communication which is cuts across cultures. This theory describes how the culture of a society affects the values of its members and in turn how they affect people’s behavior making use of a structure obtained from the factor analysis method. This theory is especially important in various fields as a research paradigm (Stone, 2007). These fields include international management, cross-cultural psychology, as well as cross-cultural communication. Dimensions of national cultures are very important in expatriate management and their preparedness to interact with a different culture. These dimensions include uncertainty avoidance index, individualism as opposed to collectivism, power distance index, indulgence or restraint, long-term orientation, and masculinity as opposed to femininity. It is of great importance for the person going to work in another country to be aware of the cultural differences that exist among various destinations. Cultural differences are considered in most instances as a means of conflict rather than synergy. Hofstede’s cultural dimensions theory looks at the increasing diversity and the way in which an expatriate can gain an understanding of the other culture by knowing what they can expect from them and the manner in which they can behave when faced with people of other countries. Hofstede’s model of five dimensions is used widely in various domains of the social life of human beings with most application in the area of business. In the area of business, cultural sensitivity should be promoted in order to enable people to be more effective when working with and interacting with people of other countries in order to ensure success of transactions. In business, communication is taken as one of the most basic concerns. Therefore, this model is important in taking peaks into other cultures. This is espec ially so because the professionals who work on an international level are bound to interact on a daily basis with others from different countries in their company or with other companies which are abroad. This awareness of the differences in culture will help the expatriate to differentiate between the acceptable and unacceptable as such parameters differ from one country to another. Expatriates might be faced with the challenge in communication which is affected by cultural dimensions such as verbal communication, non-verbal communication, written communication or even etiquette which involves the do’s and don’ts. Despite Hofstede’s model being generally acknowledged as the framework of national values and cultures that is the most comprehensive, by the people who study culture of businesses, it has also been extensively criticized. Another model of cultural dimensions is the one developed by Fons Trompenaars whose experience with cultural differences was quite firsthand as he grew up speaking both Dutch and French and has worked in nine different countries with Shell (Stone, 2007). Through this, he was able to study how people resolved cross-cultural dilemmas in specific countries. It is after his analysis that he made notice of seven basic cultural dimensions. The first scale was universalism as opposed to particularism. The second scale entailed individualism versus collectivism. The

Ethical Implications of Cloning and Stem Cell Research Essay Example for Free

Ethical Implications of Cloning and Stem Cell Research Essay Bio-medical breakthroughs in the fields of genetic and tissue engineering hold great promise. However, as modern medicine advances, it often poses major ethical issues on which people are seriously divided. The argument in favor of proceeding with research at unrestrained pace is mainly advocated by scientists and medical experts who would like to see some fantastic therapeutic benefits that science promises in the form of stem cell technologies. Scientists are absolutely thrilled by the possibilities looming on the horizon (Thompson, Harrub 2001c). On the other side of the debate are people, sometimes led by religious groups, who are concerned we may going too far too fast, using unacceptable means and in unknown directions. Stem cell research has the greatest potential for saving lives, but is controversial for its research based on embryos and fetuses (Rickard 2002). Stem cells are immature and unspecialized cells that that possess both the capacity to renew themselves indefinitely as well as the capability to differentiate themselves into specialized and mature cells. Mature cells, such as the heart’s myocytes or the liver’s hepatocytes, stop dividing after several dozen divisions, while stem cells can keep on dividing indefinitely, either renewing themselves or bringing out specialized cells. There are four types of stem cells in the human body 1) adult stem cells, 2) fetal stem cells 3) embryonic stem cells, and 4) nuclear transplant stem cells. For the first three months of pregnancy, a fertilized cell, or zygote, divides and grows in the mothers womb and is referred to as an embryo. The embryo’s stem cells are the precursors of the development of a complete human baby. They produce all of the bodys various 100 trillion cells. It should become possible to use embryonic stem cells to regenerate any type of cell that the body needs. When the embryo assumes an apparent human body form, it becomes a fetus. Because the fetus is growing rapidly, all tissues and organs, including the brain, contain stem cells. It is for this reason that stem cell researchers are interested in studying fetal tissues. Studies suggest that human embryonic stem cells have immense potential in terms of developing into multiple tissue types and long-term self-renewal. Therefore, stem cell research entails the intentional creation of human embryos in the highly artificial context of an IVF clinic, using cloning techniques, and discarding them after their use for research is exhausted (Thompson, Harrub 2001a). The question to be resolved is whether research on embryonic stem cells constitutes a violation of fundamental human rights, in particular the principle of respect for human dignity and the right of life. However, many believe that conception/fertilization is not a moment but a process, and the early development does not indicate true individuality in any sense of the word, and therefore there is violation of human rights. The promise of embryo research, liberal-minded people tend to think, is too real to ignore any longer by sticking to conservative attitudes that stand in the face of pragmatism. And yet, even they would flinch at the possibilities of reproductive cloning. The difference between therapeutic cloning using embryonic stem cells (stem cell research) and reproductive cloning is the distinction between creating cloned body tissue or organs for therapeutic purposes and creating cloned human beings. Reproductive cloning is generally viewed as morally abhorrent because it is seen as unnatural and a commodification of human life, and it captures public fears about the power of science to pursue a eugenic agenda. When governmental organizations of today debate ban on human cloning, the main issue in such debates would be whether to ban outright all forms of embryo cloning, which a number of countries seem to support, or to permit the cloning of embryos for research purposes (therapeutic cloning/ stem cell research) while outlawing human reproductive cloning. Besides reproductive cloning, there is another untoward ramification to therapeutic cloning, which is cloning for enhancement. The issue of using advances in stem cell research for the purposes of enhancement, as against solely therapeutic purposes, opens up a Pandora’s box of all kinds of complications, ethical, social, psychological, philosophical and practical. For instance, stem cell approaches might help to cure Parkinsons patients, but, in the not too distant future, they could also be used to improve brain functions. Rich people would be able to afford this therapy and poor people would not. This could create a most undesirable stratification of the society. But where does therapeutic cloning end, and enhancement cloning begin — even if cloning was advanced for purely therapeutic purposes, it would soon spread into the domain of enhancement. This is the argument of â€Å"slippery slope† commonly advanced against all biomedical research involving genetic and cellular manipulation. Last but not least, thanks to the promise that genetic engineering and human cloning research hold, the prospects of achieving capabilities for indefinite life extension even within the next twenty to thirty years are very high (Thompson, Harrub 2001b). The consequences of physical immortality for whole populations are simply inconceivable. But today, the possibility of human race becoming permanently deathless looms uncomfortably close to us. Therefore it becomes imperative that something be done to stem the advances of genetic and cloning research before the situation goes out of hand. A number of states have already enacted specific cloning-ban legislation, either banning the cloning of humans or imposing a moratorium on cloning within the state. Other states have taken action at least to consider formally similar legislation. At federal level, the Human Cloning Prohibition Act of 2003, which bans the process of human cloning for any purpose and the importation of any product derived from an embryo created via cloning, was passed by the U. S. House of Representatives on 27 February 2003. It was not ratified by the senate though. The Human Cloning Prohibition Act of 2005 bans only reproductive cloning while allowing therapeutic cloning. To date, federal regulations only prohibit federal funding for research into human cloning (Cash 2005). Though the science of bio-medical engineering is making rapid strides, and offers the promise of unveiling radical new therapies, simply the fact that a technology exists does not imply that anyone who can pay for it can be automatically allowed to use it. This is because the emerging genetic and cellular techniques and technologies raise all kinds of issues, ethical, philosophical, social, psychological and so on. They carry with them implications very difficult even to comprehend.