Pert Mustang - 2675 Words

Chapter 2 Homework Problem Solutions Chapter 2 Project Management Study Objectives: construct a network diagram for a project determine critical path and expected completion time of a project with deterministic task times (note: some of us also do calculations for probabilistic times, but not required) calculate slack times for a particular task know how to â€Å"crash† a project down to a certain completion time at the lowest cost (note: just the concept of crashing needs to be discussed and not the calculations; some of us do the calculations, others do not) Discussion Questions: 3. Most everyone should be able to describe some project they have been a part of. Common ones include preparing a high-school yearbook, planning a major†¦show more content†¦T = 47 days, TE = 43.17 days, and the sum of the variances for the critical activities is: (0.25 + 5.44 + 0.69 + 2.25) = 8.63. zï€ ½ T ï€ ­ TE ï€ ½ 47 ï€ ­ 43.17 8.63 ï€ ½ 3.83 ï€ ½ 1.30 2.94 ï  ³2 Assuming the normal distribution applies, we use the table for the normal probability distribution. Given z = 1.30, the probability that activities A–D–G–I can be completed in 47 days or less is 0.9032. 32 33 Problem 12 (page 82) Table 2.5 on page 82 contains information about an environmental clean-up project. Shorten the project three weeks by finding the minimum-cost schedule. Assume that project indirect costs and penalty consts are negligible. Identify activities to crash while minimizing the additional crash costs. Solution: AON Diagram for the environmental project: 7 7 C 7 14 14 ES ID EF LS DUR LF 0 0 A 7 7 7 14 14 F 1 15 15 15 15 H 3 18 18 Start 7 7 D 6 13 13 Finish 0 0 B 12 13 13 G 3 16 16 16 16 I 2 18Show MoreRelatedPert Mustang1009 Words   |  5 Pagesproject, including transporting the car to Detroit before the auto show begins. Your report should briefly discuss the aspects of the proposed new business, such as the competitive priorities that Roberts asked about. Roberts want to restore her Mustang to mint condition or as close to mint condition as possible, and use it in sales and advertising and take it to auto shows to attract new business within 45 working days. From the activities estimate of times and tasks that need to be done, we identifyRead MoreStandardized Testing At Mandarin High School1604 Words   |  7 Pagesrecently graduated from Mandarin High School have important insight on our topic. They have experienced through four years of high school. All now in college had a different outlook on testing. We interviewed four college students, all former Mandarin Mustangs. They all explained how testing in High School was not overwhelming compared to the testing they have in college. Though they do feel the testing is all crammed into a short amount of time. These college students however believe that one test doesRead MoreProject Mgmt296381 Words   |  1186 PagesChapter 7 Managing Risk Chapter 15 Chapter 16 International Projects Oversight 11.1 Risk management process [F.8] 11.2 Identifying risks 11.3.2.2 Impact matrix 11.4 Risk assessment 11.5 Risk responses (.2–.1.2) 11.6 Risk register 7.1.2.5 PERT analysis 7.1.2.6.3 Contingency reserves 7.3.3.4 Change control management G.7 Culture awareness 1.4.4 Project offices 8.1.2 Continuous improvement 5.1 Requirements vs. actual [5.3] Chapter 17 Agile PM 6.1.2.2 Rolling wave This pageRead MoreMarketing Mistakes and Successes175322 Words   |  702 Pages What We Can Learn †¢ 159 celebrities and the emblem of the purity and freshness of the West. In the cigarette industry, Marlboro rose to become the top seller from a somewhat similar advertising and image thrust: the Marlboro man. The Ford Mustang had a mystique at one time. Somehow the big bikes of Harley-Davidson developed a more enduring mystique as they appealed to two disparate customer segments: the HOGS and the Rubbies. Different they might be, but both were loyal to their Harleys

Self Reflection. Focus Of These Mood Changes Also Points

Self Reflection. Focus of these mood changes also points towards the new mother herself. She begins to become worried and concerned about being a good mother, now having less time for herself and changes of her body not only from pregnancy but from delivery as well. It is common for a mother or anyone for that matter to question their own ability to perform. Unfortunately, in this case, the new mother begins to aggressively obsess with her ability to take care of her new infant correctly. She may have feelings of inadequacy during this process. She becomes worried with things such as not providing well enough or even being good enough for her newborn. Also, a lot of times the new mother is either unable or simply doesn’t take time†¦show more content†¦During diagnosis and recognition of PPD, it is essential for the nurse to demonstrate an open and caring demeanor. The new mother and family should feel comfortable enough to express everything that she may be fee ling and going through during this time and in turn the nurse should always be an active alert listener (Lowdermilk, 2016). Since these new mothers are not forth coming with information, the nurse can ask some direct question such as, â€Å"How are things going for you now that the baby has arrived?† The nurse may also ask, â€Å"Do you feel like your life changed drastically lately? Do you spend a lot of time crying and if so, How much time?† It is important that the mother knows she is not the only one that goes through these changes and that she is not alone, this will can be accomplished by saying, â€Å"Many women feel depressed after having a baby, and some feel so badly that they thing about hurting themselves or the baby. Have you had these thoughts (Lowdermilk, 2016)?† Nurses should note that if there is a thought that the mother may cause harm to the new baby, special caution is needed. Knowledge is Key in Understanding Timing is key! It is outstanding to know that PPD is definitely treatable especially when caught early. Two well known assessments can be used when evaluating a client with potential for PPD; these two test are the Edinburgh Postnatal Depression Scale (EPDS) and the Postpartum Depression Screening ScaleShow MoreRelatedAn Effective Substance Abuse Counselor1268 Words   |  6 PagesTo become an effective substance abuse counselor, there are six key points which include: knowing the principles of MI, being able to help strengthen a client’s coping skills, being able to utilize OARS, understanding Thomas Gordon’s Twelve Roadblocks, being knowledgeable about drugs, and having knowledge of assessing and Individualizing Evidence Based Treatment Plans. An effective substance abuse counselor needs to utilize the OARS. The OARS acronym includes: open-ended questions, affirmationsRead MoreThe Film Crash, Directed By Paul Haggis974 Words   |  4 Pagesexperiences change their attitudes towards other races. Paul Haggis illustrates those change through the mood tone, setting, and even the music. By the end of the movie, the audience is left with a feeling of hope and an ambition to examine its own thought and actions towards others. 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Pharmacology in Nursing-Free-Samples for Students-Myassignmenthelp

Question: Discuss about the pharmacology in Nursing. Answer: Introduction The current assignment deals with the aspect of pharmacology in nursing. The study here focuses upon an actual clinical scenario where the medicine administration and safety and guidelines have been violated. The assignment further divides the drug into various schedules as based upon some of these specifications the drug needs to be administered to the patient. The medicine administration is further guided by a number of ethical principles and legislations. Medication errors The current study is based upon the case study of Mrs. T who was a 74 year old woman admitted to the psychogeriatric ward with psychotic stress or trauma. She was administered a number a wrong medication owing to the negligence of the nurse. This resulted in lethal health consequences within the patient. The patient had a past history of depression, cholecystectomy, ischaecmic heart along with recurrent urosepsis. The patient had also undergone aortic valve replacement in the year 2008 due to synocopal episodes. Since the surgery, the patient had also experienced deteriorating health conditions such as poor appetite, significant weight loss, reduced mobility and lethargy. The patient family had mentioned that much of her deteriorating health conditions could be attributed to the presence of depression in the patient and hence she required immediate intervention strategies. In the psychogeriatric ward Mrs. was commenced on mirtazapine which was increased to 15 mg after a week. The pat ient was to be transferred from the psychogeriatric unit to the psychiatric hospital for the treatment of her major depression. However, before the transfer the nursing professionals attending to Mrs. T had to ensure that she was provided with the required medication doses so that later she does not miss them during the transfer process. It was seen that instead of miratzapine the patient was provided with nitrazepam 15 mg, which was a sedative belonging to the benzodiazepine class of medications. The provision of the medications resulted in development of low pressure in the patient. The patient later died from septic shock and aspiration pneumonia on admission to the intensive care unit. The sedative effects of the drug caused the patient to aspirate gastric contents leading to septic shock. Hence, there was a clear negligence on the part of the nursing professionals, as they had put the medication on wrong medication. The high dosage of the sedative caused the patient to aspire h er gastric contents leading to septic shock, which further triggered multiorgan failure in the patient resulting in instant death (Hanson, 2016). The incident clearly pointed towards a gap in communication between the nursing professionals. The nurses responsible for looking after Mrs. T had administered her wrong medicine. The incident though followed by a fellow nurse, who thought it to be the other name for the same drug and failed to consult with her colleague. Therefore, both the nurses failed to check the procedure which was followed with the patient effectively. Hence, there clearly a breach of ethics on the part of the nurses, which further deteriorated the condition of the patient. The nurses had also disclosed the error and documented the same in the hospital record (Brown, Edwards, Seaton Buckley, 2017). The negligence depicted by the nurses resulted in the death of the patient. Hence, professional nursing standards and ethics had been violated over here. Ethical principles The clinical negligence could be further described based upon a number of ethical principles. Some of which had been enlisted over here such as veracity and non-maleficience. Both of these could be pondered upon over here in order to understand the gaps in the nursing care and support services delivered to Mrs. T. Veracity could be described as the condition of truth telling and is justified by the respect for persons and providing them with sufficient autonomy (Latimer, Hewitt, Stanbrough McAndrew, 2017). For the current assignment, focus needs to be shifted to the aspect of truth telling. As mentioned by Buckley, Stasa, Cashin, Stuart Dunn (2015), the principle of veracity is violated by omission or deliberate holding back of crucial information. This is particularly important within the healthcare context, as misleading of pivotal information can endanger the life of the patient. As supported by Birks et al. (2018), exchange of true to the fact information can prevent the occurrence of untoward incidences. As argued by Hewitt, Tower Latimer (2015), the veracity also refers to being honest in ones professional interactions. The veracity also refers to maintaining the standards of documentation, effective regulatory reporting and compliance monitoring (Martiniano et al., 2016). In this res pect, the nursing professionals had mismanaged the entire procedure to be followed with the patient. The lack in effective compliance monitoring further gave way to the untoward incident (Gammie, Lu Baba, 2015). There could be a number of causes behind the negligent behaviours depicted by the nurses. It could be due to lack of training or compassionate fatigue within the nurse. The other ethical principle which could be discussed over here is non-maleficience. The aspect of non-malefiecience in nursing means causing the least harm to the patient with a purpose of bringing out the best possible outcome (Christensen, Craft, Wirihana Gordon, 2015). The nursing professionals are supposed to work as per the principle of non-maleficience, where the treatments should be delivered in a way which minimizes the harm to the patient (Hayes, Jackson, Davidson Power, 2015). This could be discussed with respect to the current situation where both the nurses had shown negligence in taking the records and dealing with the patient. The patient here Mrs. T was suffering from acute form of depression and had to be admitted for following up her treatment. She was suggested a new medication were she was supposed to take mirtazapine instead of sertarline. However, nursing professionals who were following up the treatment of Mrs. T had put her under the wrong medication instead, where she was out on a strong sedative nitarzepam. The treatment was conducted in hasty manner which resulted in the death of the patient. Therefore, both the nursing ethical principles were clearly violated over here. The nursing principles were not at all followed in this case as both the nurses had shown negligence in following the medication pattern. The fellow nurse failed to discuss or report the error to her peer thinking that the same medication under different generic name had been provided the patient. Inefficiency was also shown in the documentation and the follow up process. Hence, there was a clear breach of the nursing ethics in the case study. Legislation The significance of drug legislation has been discussed over here. The drug legislations consist of the effective guidelines regarding the medication patterns and the exact doses based on which the medicines need to be administered to the patient. As mentioned by Hewitt, Tower Latimer (2015), under no circumstances unsupervised medication could be suggested to the patient. The storage, supply of medicines is governed by drug and medicines legislation (Birks et al., 2018). Some of the legislations which could be highlighted over here are -Poisons and therapeutic goods act, 1966, Poisons therapeutic goods regulation, 2002. With regards to the current scenario, some of the effective drugs regulations could be discussed over here which are health regulation, 1966, which sets out requirements for endorsements holders concerning storage, record keeping and sales of schedules drugs and poisons. As per the health regulation, the record keeping should be done effectively regarding the admini stration of the drugs. This helps in the prevention of administration of wrong medicines or wrong medication doses to the patient. In this respect, some of the regulations mentioned in the Australian schedule of medicines have been listed over here. Some of these are schedule 2, 3, 4, 8 and so on. The schedule 2 covers pharmacy medicine, under which psychological drugs with high potential for abuse have been reported such as hydromoprohone, nethadone, meperidine etc. The schedule 4 covers prescription only medicine such as diazepam, mizadolam etc and has low potential for abuse compared to schedule 3 drugs which include Ephedrine, Apomorphine etc. The schedule 8 covers controlled drug which have high potential for abuse and addiction. Some of the examples are Buprenorphine, Alprazolam, Amfetamine etc. The schedule 3 covers the highly addictive medicines and could only be prescribed under the consent of a pharmacist only. The nursing professional attending to the care concern of Mrs. T needed to ensure that proper doses of the right medication were provided to the patient. As mentioned by Gammie, Lu Babar (201 5), following the six right of nursing can prevent the occurrence of the untoward accidents in an acute clinical setup. The six rights could be mentioned as follows- right medication, right dose, right time, right patient, and right route. Additionally, the nursing ethics had not been followed over here which led to a further worsening of the situation. The patient Mrs, T was also provided with a number of medicines such as panadol osteo and enbdone. Endone consist of the generic name oxycodone and was listed under schedule 8 of the drugs and medicines. Panadol osteo contained the generic name osteovan and belonged to schedule 2 as per the Australian drugs and medicine. The patient Mrs. T was provided nitrezepam which belonged to schedule 4 of the Australian medicines and drugs and was a prescription drug only. Therefore, unsupervised doses of the medication could lead to further heath risks in the patient. The mitrazapine belonged to the schedule 1 of the Australian medicines and drugs and is considered to be low risk drugs (Hibbert Sutton, 2017). They belong to the paracetamol class of drugs and could be stored under normal conditions. On the other hand, before administration of a schedule 2 drug the nurse should have checked the proper disclaimers alongside consulting a physician attending to the patient, as it would have helped in the prevention of untoward health risk to the patient. Conclusion Therefore, focusing upon the clinical scenario and the nursing ethics one could say that effective documentation along with provision of sufficient training to the nursing professionals could have helped in the occurrence of such untoward incident. Additionally, the provision of nursing continuing education can also help in ensuring that the nursing standards and ethics are maintained in right place. References Birks, M., Ralph, N., Cant, R., Tie, Y. C., Hillman, E. (2018). Science knowledge needed for nursing practice: A cross-sectional survey of Australian Registered Nurses.Collegian,25(2), 209-215. Brown, D., Edwards, H., Seaton, L., Buckley, T. (2017).Lewis's Medical-Surgical Nursing: Assessment and Management of Clinical Problems. Elsevier Health Sciences. Buckley, T., Stasa, H., Cashin, A., Stuart, M., Dunn, S. V. (2015). Sources of information used to support quality use of medicines: findings from a national survey of nurse practitioners in Australia.Journal of the American Association of Nurse Practitioners,27(2), 87-94. Christensen, M., Craft, J. A., Wirihana, L., Gordon, C. J. (2015). Pathophysiology team teaching: bioscientist contribution to knowledge integration in a nursing subject.Journal of clinical nursing,24(23-24), 3739-3741. Gammie, T., Lu, C. Y., Babar, Z. U. D. (2015). Access to orphan drugs: a comprehensive review of legislations, regulations and policies in 35 countries.PloS one,10(10), e0140002. Hanson, J. (2016). Surveying the experiences and perceptions of undergraduate nursing students of a flipped classroom approach to increase understanding of drug science and its application to clinical practice.Nurse education in practice,16(1), 79-85. Hayes, C., Jackson, D., Davidson, P. M., Power, T. (2015). Medication errors in hospitals: a literature review of disruptions to nursing practice during medication administration.Journal of clinical nursing,24(21-22), 3063-3076. Hewitt, J., Tower, M., Latimer, S. (2015). An education intervention to improve nursing students' understanding of medication safety.Nurse education in practice,15(1), 17-21. Hibbert, D. B., Sutton, J. (2017). A chemical view of analogue drug laws in Australia: what is structural similarity?.Australian journal of forensic sciences,49(6), 605-625.a Latimer, S., Hewitt, J., Stanbrough, R., McAndrew, R. (2017). Reducing medication errors: Teaching strategies that increase nursing students' awareness of medication errors and their prevention.Nurse education today,52, 7-9. Martiniano, C. S., de Castro Marcolino, E., de Souza, M. B., Coelho, A. A., Arcncio, R. A., Fronteira, I., da Costa Ucha, S. A. (2016). The gap between training and practice of prescribing of drugs by nurses in the primary health care: a case study in Brazil.Nurse education today,36, 304-309. Pauly, N. J., Slavova, S., Delcher, C., Freeman, P. R., Talbert, J. (2018). Features of prescription drug monitoring programs associated with reduced rates of prescription opioid-related poisonings.Drug and Alcohol Dependence