On National Teacher Day, meet the 2024-25 Kenan Fellows
Eyewitness Memory For A Simulated Misdemeanor Crime
1. Eyewitness Memory For A Simulated Misdemeanor Crime
A review of
Eyewitness Memory for a Simulated Misdemeanor Crime: The Role of Age and Temperament in
Suggestibility
The reviewed article is about a study in which children of two different age groups, and a group of
adults were asked general–to–specific questions and misleading questions in an interview to see if
the timing of the misleading questions and temperament affected the quality of the witness's
testimony. The researchers hypothesized that the use of misleading questions by interviewer's causes
the witness to unwittingly incorporate false information into their testimony.
Method
Participants There were 90 middle–class participants, mostly Caucasian, in three different age
groups that participated in this study. The early elementary school group consisted of 16 boys and 14
girls age's six to seven. The late elementary school group consisted of 16 boys and 14 girls age's
nine to 10. The adult group consisted of six men and 24 women ranging from 17 to 29 years old, all
of which were currently attending a public Midwestern university. Three early elementary school
children, six late elementary school children, and six adults were disregarded from this study
because they did not complete the second interview. The children who participated were recruited
from university staff and from local preschools and elementary schools with parental consent. The
adults that were recruited were drawn from two undergraduate psychology classes and were given
either class or research
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2.
3. Smoke Complaint Response Paper
Tier 1 – Volunteer Staff
Project title: Smoke Complaint Response
Lead Agency: Kittitas County Public Health Department
Partner Agencies: Local Fire Departments
Goal: Reduce the number of households with high opacity smoke emissions and improve burning
related behaviors in response to complaints.
Description: When KCPHD receives a complaint about wood smoke, letters are sent to the entire
neighborhood. This provides an educational opportunity to advertise the benefits of certified
woodstoves, establish clean burning practices and distribute relevant information to wood–burning
hotspots.
Project Methods:
1. Complaints received by phone or email at KCPHD are logged into an internal complaint tracking
system, CAMAS, by the complaint recipient.
2. Complainants are asked whether they wish to remain anonymous and contact information for the
complainant is recorded if appropriate. The name ... Show more content on Helpwriting.net ...
The specialist consults a county parcel map and establishes a target area for response that
encompasses the most houses in the immediate vicinity of the complainant.
5. Letters are sent to all residences in the specified area with clean burning information and
suggestions to limit smoke emissions along with information about available wood stove change out
programs.
6. Local fire department staff may become involved in the cases of repeat offenders and are able to
issue fines for egregious outdoor and indoor burning violations.
7. Once a complaint has been closed, the closing date is recorded. A complaint is closed when the
appropriate level of compliance has been achieved or the complaint has been passed on to the
appropriate county or city code enforcement personnel. Currently the air quality program at the
Kittitas County Public Health Department does not have regulatory authority to impose fines
without working through city or county code enforcement. If the issue escalates, Washington State
Department of Ecology is made aware of the situation through their AQ
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4.
5. Improving Clinical Alarm Safety Care Delivery Systems
Improving Clinical Alarm Safety
The topic I have chosen for my Portfolio Project is "Improving clinical alarm safety in hospitals."
As a member my organization's Quality Improvement Team, I have been recently involved in an
initiative to establish "alarm safety" as a priority for leadership of our hospital. My interest in the
success of this initiative stems from a strong desire to be involved in the development of "safe"
patient care delivery systems. As I research this topic and "problem" further, I will be examining the
various published recommendations and best practices, proposed by various healthcare safety
organizations, to develop processes for safe alarm management in high risk areas of the hospital. I
will also propose ... Show more content on Helpwriting.net ...
Many of these alarms do not require that a medical intervention be performed, and nurses and other
patient care providers can become overwhelmed by the volume of alarms they must respond to.
Clinicians report being desensitized or immune to the signals over time, sometimes inappropriately
turning down the volume or adjusting the settings outside of "safe' limits. These situations can result
in serious consequences, including death. The Joint Commission Sentinel Event database contains
98 reports of alarm related events between January 2009 and June 2012 (TJC, 2013). Patient death
was the end result in 80 of these events. In addition, the Food and Drug Administration (FDA)
database contains 566 alarm related patient deaths in a four year period, between January 2005 and
June 2010 (ECRI, 2013). In a survey of hospital leaders conducted by The Joint Commission in
2012, fewer than 50 percent had an organization–wide process for alarm management.
Identified Patient Risks
Nurses often compare their patient care environments to a casino or carnival; a cacophony of sounds
and little distinction of where these sirens originate and what they mean (Cadet, 2014). Clinicians
cope by turning alarms down or off to create a more tolerable environment for themselves and their
patients. Unfortunately, all too often this results in harm to the patient. In a recent survey by the
Health¬care Technology Foundation (2011), one in five respondent hospitals identified an avoidable
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6.
7. Detection And Prevention System For Cloud Infrastructure
Abstract– In this era of technology when everything is available at just one click; Security is a big
issue. Hackers and intruders are getting smarter. There are various methods to protect the network
infrastructure as well as communication over the internet, for example firewalls, encryption, and
virtual private networks. Intrusion detection is a comparatively new approach to such techniques. By
using intrusion detection, we can collect and use information from acknowledged attacks and figure
out if somebody is trying to attack the network/host. In this paper, we have classified different types
of IDS. Also we have proposed a hybrid model for intrusion detection and prevention system for
cloud infrastructure, which has improved the quality of detecting the unidentified attack via
anomaly–based detection along with a module which will try to diminish the number of false alarms
which are generated by the system. Our proposed system finds random attacks in network and
prevents these attacks automatically using the mechanism.
Keywords– Intrusion detection system, Security, K–learning algorithm, Snort tool, Prevention,
Network.
I. INTRODUCTION
Attacks on the nation's computer infrastructures are becoming gradually more severe problem.
Although the problem is ubiquitous, administrations are predominantly appealing objectives as well
as they are inclined to be more willing to disclose such events than business associations. Intrusions
are the actions which violate the security
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8.
9. Computer Science Department At George Washington University
Over the past few years, hackers have made numerous shadowy attacks to remain undetected
throughout companies crippled security in effort for them to build a stronger protection platform. In
2013, hackers breached and disabled multiple sections of the electric grid in the United States. This
mayhem unleashed was simulated but it warned the government to take action on the growing
threats of cyberattacks and they did so. Bryn Nelson (2014) confirms a problem as he uses experts
like president Obama who stated that cyberattacks were called one of the most serious economic and
national security challenges that the United States faces in today's world (p. 517). If different web
platforms don't take action, then it would be very catastrophic for ... Show more content on
Helpwriting.net ...
Externally, hackers gather information for their own personal gain and to pose a great threat from
outside of the business or person's home because they can find access into the system a lot easier
with new advanced technology. Over time, computer hacking has grown into something that is
essentially a worldwide problem in countries like North Korea, Russia, the United States, and China
that is. Overall, some of these countries are trying to eliminate and capture hackers and produce a
stronger, more secure–based program for all of the computer platforms. By taking these hackers off
the market it can control the large amount of hackers that are roaming around the internet looking
for an open system to invade and get information from. In other words, people throughout the world
can claim that hackers that hack people and businesses are doing the world justice by exploiting
what they are hiding from the public. That's false. The fact is, that people and businesses do it so
they can have a form of privacy outside of just printing and storing some documents that could end
up getting lost.
People and businesses aren't practicing safe habits by using unbreachable security systems. This is
one of many different reasons hackers have an upper hand when it comes to entering their systems.
No matter how safe they think they are, they really aren't with the lack of coding for different
platforms or just overall protection.
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10.
11. How do deaf people use telephones? What about doorbells...
How do deaf people use telephones? What about doorbells and alarm clocks?
There are many everyday devises that we hearing people take for granted, among these are
telephones, smoke alarms, doorbells, and alarm clocks. When we look at how members of the deaf
community use these everyday items we must consider that members within the community have
very different communication needs, abilities, and preferences. Hard–of–hearing people for example
can use a standard telephone with the addition of a headset or amplifier, while some hard–of–
hearing people may prefer a TTY deaf persons rely on it, or a relay service to communicate as we
(hearing people) would on a telephone.
Teletype or Teletypewriter, commonly ... Show more content on Helpwriting.net ...
The advance of the internet has had an effect on the use of TTYs with wide availability of e–mail,
and real time chat programs. An internet relay service is also available, and toll–free; it connects
internet 'callers' with voice telephone parties. With a relay service the operator types what is spoken
and also speaks what is types to the appropriate party. While there are members of the deaf
community that must rely on these devises in whole, others may prefer to use voice carryover, or
VCO. With VCO users read the message on their TTY but then speak their response to the other
party into a microphone. This is a time saving option for those members of the community that may
no be able to hear, but that can speak clearly. When it comes to alarm clocks, doorbells, phone calls,
and safety systems lighting is often key.
Flashing lights are used to alert users of a doorbell, phone call, or emergency. These flashing
systems cause a dedicated light to flash in response to the action. A whole house can be wired so that
one might be aware of such 'alerts' from any room; these systems can very from a relatively
inexpensive system that uses signal lights and lamp flashers, to a professionally installed system –
all and all it comes down to what is necessary and the price one is willing to pay. These signal
systems can be wired in such that specific lights
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12.
13. The Red Cross And Home Fire Prevention Campaign
The Red Cross in Hawaii responds to disasters every four days. More than 90 percent of them are
fire–related. The American Red Cross ' home fire prevention campaign aims to reduce the number of
fire deaths and injuries in the U.S. by 25 percent within five years. This is done by educating people
about the risk of home fires and by installing free smoke alarms in their homes.
"Since we are responding to fires after they happen, putting a lot of resources to respond to fires
before they happen is a much better use of resources, Preparedness Manager Disaster Services with
the Hawaii State Chapter Carole Kaapu said.
Smoke alarms cut the risk of death from fire in half.
"The fatalities are preventable. It 's just like 'why is it important to have seat belts in your car? ' Not
everybody is going to have an accident, but because they have seat belts, people 's lives are saved.
The smoke alarms are probably not gonna save your house. It 's not gonna save the belongings in
your house, but it will save the lives of the people in the house," Kaapu said.
Nationwide the program is for seniors (anyone older than 65), any home with children younger than
17, anybody who is from a low income area, a targeted area – meaning that there has been fires in
that neighborhood – and native population.
"Those five things are 95 percent of the state of Hawaii. So for us it 's easier to say seniors because
they are used to self identifying. It 's just an easy way to keep the inquiries coming in
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14.
15. Persistent Fatigue Lab Report
1. INTRODUCTION
1.1 Background Information
It was only after I found myself experiencing symptoms of persistent fatigue did I decide to go see a
doctor. Having provided details about my fatigue, hair loss, dizziness and loss of focus, the doctor
decided to order a blood test to determine the cause of these symptoms. After performing a complete
blood count test (CBC), which is often used to measure the number of blood cells in a sample of
blood (including red blood cells and hemoglobin, the iron–containing molecule in red blood cells
that carries oxygen), results were reviewed and I was diagnosed with anemia, which was caused by
an iron deficiency. This means that my stores of iron were too low to support red blood cell
production.
Beef, ... Show more content on Helpwriting.net ...
Additionally, concentrated sulfuric acid is very corrosive to eyes and skin.
Safety googles, gloves and an apron should be worn for this experiment. Preparation of iron (II)
solution: The mass of 5 iron tablets is measured by electronic balance. Using a mortar and pestle, the
weighted tablets are crushed manually and turned into homogeneous powder. Ground material is
transferred to a 250 cm3 glass beaker with 200cm3 of deionized water in it. The solution is stirred
with glass rod. This solution is transferred to a 250cm3 conical flask that had been previously
washed with deionized water. The solution is made up to the graduation mark with 50cm3 of 2.0M
H2SO4. The conical flask is stoppered and inverted 10 times to ensure sufficient mixing. Water is
sprayed around the glass surface to minimize chances of unwanted Fe residues.
Determining the concentration of iron Prior to the titration, all glassware is to be washed with
deionised water. Burette and pippete respectively are rinsed with the solution they will contain to
minimise error. Using a funnel, the burette is filled up with 0.1 M Potassium permanganate. Ensure
that the part below the tap is filled prior to adjusting to
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16.
17. Alarm Fatigue : A Critical Patient Safety Alert
Today's healthcare community is increasingly concerned about a critical patient safety hazard known
as "alarm fatigue". Alarm fatigue occurs when caregivers are desensitized by the frequent sounding
of competing alarms from medical equipment, and other sources in a healthcare setting. Clinical
alarms can be unintentionally overlooked as background noise, and drown out actionable warning
signs that require vital clinical interventions. These alarm safety issues have led to unfavorable and,
at times, even fatal patient outcomes.
Alarm fatigue is a complex and multi–faceted issue that healthcare organizations continue to
struggle with on a daily basis. Although there is a wealth of information regarding recommended
clinical alarm management ... Show more content on Helpwriting.net ...
Multidisciplinary collaboration and continuous quality improvement among key stakeholders in the
healthcare community is essential to effectively improve alarm management strategies that focus on
optimizing patient safety and enhancing clinical care.
With the proliferation of technology in the today's healthcare environment, the healthcare
community is increasingly concerned about the patient safety risks associated to clinical alarm
hazards. In 2012, 2013, and 2014, the Emergency Care Research Institute (ECRI) identified clinical
alarm hazards as a high priority potential danger area in hospitals and health systems (ECRI, 2014).
The Joint Commission, the American Association of Critical–Care Nurses (AACN), the Food and
Drug Administration (FDA), ECRI, and the Association for the Advancement of Medical
Instrumentation (AAMI) have all identified the need to address alarm management and alarm
fatigue as a priority patient safety concern (Horkan, 2014). In response to these concerns, federal
regulatory mandates are increasingly coupled with recommended alarm management practices and
protocols. Despite these focused efforts, alarm fatigue and alarm management continue to be priority
national patient safety concerns.
To understand more about the problems associated with alarm fatigue, in 2012 Assistant Nursing
Director Maria Cvach, MS, RN, CCRN, at The Johns Hopkins Hospital in Baltimore, MD,
published research studies in Biomedical Instrumentation & Technology.
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18.
19. Electromagnetic Tracking Research Paper
The implementation of electromagnetic tracking (EM) to verify nasogastric tube placement is a new
concept that can provide better and safer patient care. Many people die of improper placement of
nasogastric tube each year. The misplacement of these tubes, if not verified correctly, can cause
severe injury to the patient or even death. Fundamentals of Nursing, believe that X–ray is the best
way to verify placement (Potter, Perry, Stockert, & Hall, 2013). In the Journal of Human Nutrition
and Dietetics and the British Journal of Nursing they both find that Electromagnetic tracking is the
safest way. It is important to check for verification because this type of harm is preventable. New
evidence–based practice states that the use of electromagnetic tracking is safer versus the use of pH,
X–ray, and CT scanning (Taylor S. et al., 2014). Another benefit to using this method is that ... Show
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It is so crucial to confirm the tube placement because of possible harm that can be done to the
patient. About 1.9% of feeding tubes are misplaced every year. This can lead to pneumothorax in 1
in every 5 patients and dead in 1 in 39 patients (Taylor S. et al., 2014). Using X–ray to confirm
placement would be too late to prevent lung trauma. PH is done also but is not always accurate and
should not be used solely as proof to confirm placement. Waiting on the confirmation of placement
can delay the administration of treatment or nutrition. Using the EM tracking system the patient is
less likely to have the tube enter the lungs. While a patient is unconscious their gag reflex is often
impaired (Potter et al., 2013). This increases the patient's risk for aspiration. When inserting the tube
in an unconscious patient there is a greater risk for harm. Potter suggests that X–ray is the better
option for confirmation of placement but X–ray exposure can also be harmful to the patient (Windle
E. et al.,
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20.
21. Atlanta Alarm Research Paper
Atlanta Alarms refers customers and clients to Alarm systems security providers in the Atlanta area
that will not let you down because security is something to be taken with deadly seriousness. Atlanta
Alarms strives to bring you services that detect, protect, and prevent the criminal activity you would
like to deter from entering your safe space. We detect with a wide range of IP Cameras, either
immobile or panning cameras that can be customized to our customers liking. Preventing crimes for
some homes and businesses is as easy as employing an automated gate, opening and closing the
flick of your wrist you'll be taken with all of our preventative services done through the best security
companies in Atlanta. The automated security services ... Show more content on Helpwriting.net ...
Digital images and other data are far easier to store using one of these systems. Surveillance systems
that our providers' offer means that they are monitoring their own homes without being seen use one
of the spy cameras offeredin tandem with our DVR recorders for video monitoring.Themonitor
allows you to view the output from several cameras at the same time.The connectivity of these
services provides the customer the added security benefit.
Remote Home security services offered through Atlanta Alarms security providers' offers a solution
for residents to quickly and easily arm their home security alarm system by simply pushing a button
no matter what the distance.. Remote home monitoring can be triggered by a phone call made
directly to your cell phone that alerts that alerts when something has gone wrong in the home.
Professional remote automation services ensure you will receive messages and alerts while the
authorities are
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22.
23. Security Systems And Monitoring Fees
Safety in any home is a very serious subject.All options should be taken in to consideration. Here
are but three security systems to consider, with varied options to suit your personal needs.
Skylink SC–100 Security System Deluxe Kit
It is the answer to contractual monitoring companies and associated monitoring fees when it comes
to home security. It is a 4 zone system with house around 3000 sq. ft. in mind. Apartments, condos,
businesses and offices would do well with this system. Rolling or hopping code eliminates false
alarms and restricts access from unwanted listeners that can capture and use your personal security
code by recognizing radio waves on from its sensors. The front door can be covered with included
sensors. Also it includes a handy key for remote with 100 foot range so you can sensor. The 110dB
siren pierces the night when it is activated, scaring off intruders. Chime, Instant, and Delay modes
are options in the programmable Lighted keypad so it helps cut the time of set up. Customers rave
over the loudness of the product. It is a clear piercing siren sure to paralyze intruders in their tracks,
and ward off repeat visits. With it being tamper resistant the safety of wireless connections diverts a
line being cut by intruders.
Fees can get overwhelming when adding features to a monitoring contract. This is a onetime cost
and well worth the price with no monthly fee to contend with. It has Easy mounting with install
screws, and double–sided adhesive for
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24.
25. Advantages Of Living Alone
In case you're not used to being home alone independent from anyone else, you may discover it
nerve–wracking to live alone. Each and every odd commotion or squeak may even reason you to
end up noticeably nervous. Regardless of whether you've moved out into your own place or you're
going solo for the night, the beneath arrangements will enable you to feel more secure.
Make Friends with Your Neighbors
Securing your very own position as a first–time property holder can be an energizing prospect.
Notwithstanding the new staying, you may likewise get the opportunity to make some astonishing
companions from inside your group. Regardless of in the event that you welcome the general
population on your square to party at a nearby bar or cook a supper for them, investing energy
becoming more acquainted with your neighbors can demonstrate important. This same gathering of
individuals can likewise be useful in watching out for you and your property.
On the off chance that there are any potential issues, your neighbors can caution you or the police
quickly of any wrongdoing. In case you're new to an area, take a stab at facilitating a private social
occasion for the homes inside your nearby circle. At the celebrations, become more acquainted with
each other by trading telephone numbers and other germane data that can end ... Show more content
on Helpwriting.net ...
The Nortek Security and Control frameworks are pioneers in remote security for your private,
business or individual frameworks. With the present mechanical advances, you'll have the capacity
to do things, for example, look at who's ringing your doorbell while you're positioned at work or
secure your entryway locks abide away out of town. Security caution frameworks are likewise
prepared to recognize smoke and carbon monoxide or send a crisis reaction group to a home site
when alarmed through a wearable individual wellbeing
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26.
27. Sample Resume : Master Service Agreement
We are aware of two documents (Quote No. Q–00609204 & No. Q–00609205 for Store 340) that
predate the three–3/25/15 agreements executed by our CFO. Any documents/agreements executed
prior to 3/25/15 are superseded by the 3/25/15 agreements due to Section 16 of the 3/25/15 Master
Services Agreement. This is correct, agreement all quotes will be governed by the 3/25/15/MSA.
(Section 2 of the MSA also stipulates this.) The processes used to add on additional burg and fire
alarms/monitoring after the parties executed their March 25, 2015, Master Service Agreement, Burg
Schedule (Quote Q–00347798), and Fire Schedule (Quote Q–00349979) were not correct. – Why
are these quotes not correct? Here is what the SOSP indicate:
347787 – Burg (Leased Systems) TKO –– 143 sites total –– $130 month.
Monitoring – intrusion alarm
Online Support & Basis account maintenance
Service Plan
GSM Cellular Basic Intrusion
Monitoring of additional areas
PIN Management by SCSS
349979 – Fire (Leased Systems) TKO –– 43 sites total –– $98/mon
Technical Assistance Center Support
Annual Fire Test & Inspections
Basic eData Manager
Fire & Sprinkler Monitoring
24 hr auto dialer testing
Standard service Plan
These were completely separate agreements for the intrusion and fire alarm installations at store
340. (Incorrect assessment on these Qs.)
As an initial matter, neither Brandon Snyder
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28.
29. Reliable, Ultimate Security For Homes
RUSH (RELIABLE, ULTIMATE SECURITY FOR HOMES)
INTRODUCTION
Home security systems is no longer a luxury but a necessity in todays high crime society. Burglary
is a crime New Zealanders are most likely to suffer. Our solution to this problem is a smart home
security application that would allow us to effectively and efficiently notify police and homeowners
discretely, as well as accurately identify the stolen items. Thus, minimizing chances of a thief
escaping conviction and ultimately reduce the annual burglary rate and provider safer homes.
3. BUSINESS SECTION
3.1 Vision
Our vision is to be industry leading and provide affordable, user friendly, effective and efficient
home security for society; giving users peace of mind and a secure home.
3.2 Industry Analysis: Home Security Application Industry
Industry: Home Security Application Industry
Force: High/Low: Justification:
Buyer power: High There are numerous home security applications available for example,
AlarmForce (VideoRelay), SimpliSafe Security and Vivint Thus high buyer power as buyers have
more options to choose from. (Voss, 2006)
Supplier power: Low More than 10 mobile platforms and thousands of application developers are in
market. Registered developers have increased from just 3,000 to over 130,000 in the past 22 months
(Mace, 2005). Therefore supplier power is low due to numerous choices.
Threat of new entrants: High There are no entry barriers making it relatively easy for new
competitors to enter into
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30.
31. Clinical Alert Management Report
Develop a Clinical Alert Management Committee to facilitate management of alerts. Include key
stakeholders and contributors from clinical, technical, and information technology with interest and
experience in medication alert management. Team members include:
− Clinical Pharmacist 18
− Physicians including specialized physicians with knowledge about critical drug interaction 18
− Information Technology staff 19
− Risk Management 19
− Patient Safety
− Safe alarm management and response team to address issues with malfunctioning devices 19
Define the goals and responsibilities of the committee
− Evaluating evidence–based articles and literature in making decisions to change the severity of the
interaction by looking at specific drug–drug, ... Show more content on Helpwriting.net ...
27 o Route of administration
For example having an alert for Tacrolimus IV and Fluconazole dose exceeding 200 mg
When there is disagreement amongst clinicians about categorization, refer to additional literature to
reach a consensus
Based on recommendations from committee, implement and test the changes to the drug interactions
in the software
Implement an alert dashboard with real time data that tracks29 o How many times an alert has been
fired for a particular interaction, o How many times it's been overridden, o Who has done the
override o What department the alerts are primarily being fired in
Assign pharmacists that are responsible for medication reconciliation and making sure that there is a
current and accurate medication list.
Utilize electronic entry for comprehensive reconciliation at admission and discharge 33
Fire alerts pharmacist if medication reconciliation not completed within 24 hours (Table 7)
Alert when there are outside or new medications available for reconciliation (Table
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32.
33. Approach Us For Investing Qualified Cnc Machining Tools
14. Approach Us To Buy Qualified CNC Machining Tools
Rapid CNC machining is our core value and has given us whole competency of small volume works
including rapid injection molding, die casting as whole of our small volume works require rapid
tooling and post machining. We ensure that we complete work through machine with our team. We
offer fast turnaround CNC machining to finish building working rules, models and components. We
also supply parts to low volume production quantities in a collection of materials. We are able to
deliver you benefits of machining without crossing your budget. We never find out chances to cross
your budget. In order to finish off work within your budget, we decrease number of days to finish
off work.
Our Two Options Of Materials:
We offer two kinds of materials namely plastic and metal. When you prefer plastic materials, we
will give you options to choose among and our options include ABS, PC, POM, PP, PMMA, PBT,
PTFE, Nylon, GF Nylon, PEEK and PVC. As you expect our metal materials, we offer more kinds
of metal materials such as Aluminum, Zinc, Magnesium, Brass, Copper, Bronze, Mild Steel,
Stainless Steel, Tool Steel, Tungsten and Titanium. We proved our reputation through our excellent
standards in milling services such as CNC milling, 3D milling, manual prototype milling and 4th
axis machining centers. We offer guarantee with complete accuracy with tool. The best tolerance of
our CNC metal products is more than equal to 0.01 mm and for
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34.
35. Vender Safety Case Study
these guidelines to be instrumental in helping members of the healthcare community and recognize
clinical alarm safety as a systemic multipronged issue that requires the implementation of innovative
alarm management strategies. This documented strategy includes a methodical approach to
intelligently reduce alarms and creating a multilayer alarm notification system. Cvach's (2012)
established guidelines has led to strong adoption of an effective alarm management strategies and
supporting innovative technological solutions. The clinical teams have incorporated nationally
recognized best practices and guidelines in developing an alarm management solution for the NICU.
Vendors Technologies
Mobility Applications. After having a clear ... Show more content on Helpwriting.net ...
Webb (2017) stated that the competing middleware vendor Extension recently acquired a mobility
platform named Vocera. Although Vocera was considered as a mobility, communication platform,
COHC has made a significant investment with the use of the Apple iPhone and therefore the use of
Vocera would be a costly change in direction. Ouellette (2017) and Webb (2017) agreed that the next
step would be to explore the medical equipment integration capabilities of Connexall's alarm
management middleware solution.
Medical Equipment Interoperability. The project team evaluated the five primary types of medical
equipment systems that were determined that interoperability would be critical by NICU clinicians
for effective communication. Ouellette (2017) investigated critical medical equipment to determine
the feasibility for integration with alarm management middleware and mobile applications. The
NICU clinical team identified the Phillips patient monitoring, pumps, incubator, ventilator and the
nurse call as medical equipment that is vital to their workflow.
Physiological Monitoring. The Philips patient monitoring system can be centrally managed and has
the ability to send patient alarm data from the medical device via a transmission protocol to the
middleware alarm system. The system also has localized visibility and audible sounds on the local
patient monitor inside the patient room
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36.
37. False Positives
Why False Positives Are a Major Problem for SOC Professionals
The number of security alerts that SOC professionals must deal with seems to be escalating at an
alarming rate. According to a recent survey conducted by the International Data Corporation, 37
percent of the respondents stated that they deal with at least 10,000 alerts every month – and 52
percent of those alerts are false positives. The average organization may deal with many more alerts,
according to a study from the Ponemon Institute that reported during a typical week, the average
was almost 17,000 malware alerts, and a mere 19 percent of those were deemed worthy of action.
Those responding to the Ponemon study also indicated that they estimate that their prevention tools
miss approximately 40 percent of the malware infections they suffer in a typical week. Considering
that the annual spending on dealing with false positives is estimated by the Ponemon Institute to be
$1.3 million for a large company – the equivalent of almost 21,000 hours of wasted time – it
becomes obvious that SOC professionals need to employ every tool they can find to control the
issue.
False positives may not sound like a major problem, but they are extremely detrimental to system ...
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Even if staff members can evaluate an average of 12 alerts per hour – which does not provide
sufficient time for a thorough analysis – each team member would be able to review fewer than 100
alerts per day. After weeks or months of facing a mountain of alerts that they cannot possibly clear,
staff members may become desensitized to alarms, leading them to overlook alerts on legitimate
threats. Given the scarcity of qualified personnel, many companies are also forced to rely on staff
members with little experience in the "real world" or little training in SOC procedures, increasing
the possibility of an overlooked
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38.
39. Summary: The Informatic Nurse Specialist
Expected improvements as outcomes.
Employing teamwork to combat the problem and consequences of alarm fatigue is crucial in the
safety of patients. The Informatic Nurse Specialist along with the nurse manager and alarm
committee will individualize and customize alarm thresholds to limits that are clinically appropriate
for individual patients to decrease the incidence of nuisance and false alarms that distract staff
members and contribute to alarm fatigue ( Cvach,2012; Evans,Shumante & Lovelace, 2011). Staff
will be re–educated on the appropriate use of alarm systems to help minimize the effects of nuisance
and false alarms. When staff are appropriately trained on how to fully utilize equipment, clinically
signicant ... Show more content on Helpwriting.net ...
It is important to note that the implementation of health information technology should not add to
the operational burden on the nurses but provide for improvements in patient care (Jacques&
Howell,2015). Clancy states," that the nurse informaticist play a vital role in the successful
planning,design and implementation of information technology" ( 2015, p.535). The selection of this
new upgraded software will be easily configured and maintained by the IT department. The nurse
informatics specialist will assist with the design and implementation of an app system that integrates
to an upgraded electronic health record ( EHR) that will display crucial patient information and vital
alarm information to the healthcare providers healthcare certified mobile phone and also a
centralized dedicated alarm monitoring area in the nurses station. This upgrade in the EHR will
provide easy accessible information to help providers to prioritize patient needs as urgent and
critical vs noncritical and can wait. The use of mobile devices displaying patient critcal information
enables staff to effectively communicate and collaborate with other members of the health care team
to respond to a crisis because of an actual life–threatening actionable alarm event. The use of this
enhanced, upgraded EHR not only assist health care providers to prioritze actions and react more
proficiently to alarms but it will also help to determine the appropriate treatment plan for the
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40.
41. Plan of Action: Monitor and Alarm Fatigue
Monitor fatigue has been an issue ever since the technology to monitor patients was developed. The
problem has gotten worse as technology has advanced and the number of alarms in the hospital
increased. The average ICU has "over 40 different alarms" (Sendelbach & Jepsen, 2013). Monitor
fatigue is related to any type of monitoring device used in the hospital making the scope of the
problem rather large as monitors range from bed alarms to telemetry monitors. In June 2013 the
Joint Commission approved new "National Patient Safety Goal NPSG.06.01.01 in clinical alarm
safety for hospitals and critical access hospitals (The Joint Commission, 2013, p. 1)." One of the
first goals of the hospital was to identify the alarms most at risk for ... Show more content on
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Your paragraph(s) should be professionally written, single spaced with APA formatted citations and
references (there is a reference textbox at the end of this form. Use it for your references).
Nurses are so inundated with various buzzes and beeps from numerous alarms that they sometimes
are desensitized, and nurses to alarms fail to respond to alarms in a timely manner if they respond at
all. This is called alarm fatigue. Nuisance alarms are often called false positive alarms and are one of
the leading causes of alarm fatigue. These alarms normally do not result from a patient having an
adverse condition are often considered annoying because they get in the way of patient care
(Graham & Cvach, 2010). Basically, alarms go off falsely so often they have created a "cry wolf"
effect as caregivers start to mistrust the alarm system (Cvach, 2010). As stated previously, alarms
fatigue is a large problem with such huge risk to patient safety that The Joint Commission made
clinical Alarm Safety one of their Goals for 2014.
What are the implications of the problem? What will happen or not happen if the problem is not
resolved? Write 1–2 paragraphs discussing the implications with supporting examples. Your
paragraph(s) should be professionally written, single spaced with APA formatted citations and
references (there is a reference textbox at the end of this form. Use it for your references).
With alarms going off constantly, it is easy for a nurse to become
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42.
43. 'The Morket Of Thorns To Bring Sleeping Beauty'
One of the major theme for this short story is the overwhelming fear of the outside world. The
author made it clear that the suburb the family lives in is white, wealthy, and significant on rejection.
The family in Gordimer's fairy tale lives in a nice neighborhood, but as chaos occurs nearby and
houses are staring to be robbed, the residents of the neighborhood begin to build and place security
measures such as iron gates, bars on the windows and placing alarm systems. But, every time the
residents install even more security, they're harming themselves instead of protecting their family.
Because of the pets in the house, they trip the alarms multiple times which causes people to think
every time the alarm goes off its just the pets which actually ... Show more content on
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The family in the story loves each other very much and want the safety and protection for each
other, as shown in the opening. Their love for each other creates an increasing fear of the
interruption in the outside world. Their fear of crime encourages them to isolate themselves from the
outside world. The family took suggestions from other people about protective measures and each
time they were suggested one they did not hesitate to put it up around their house. Their ambition to
protect themselves from the outside actually ends up killing one of their loved ones. The family
consistently believes that the outside world is the monster, yet through their fear, the monster
actually walks amongst them. In the desire to eradicate insecurity, disastrous consequences result. It
seems that Gordimer is suggesting that in the modern setting, fear and insecurity is constant
companions. Rather than seeking to eliminate them, one might be better off in attempting to simply
understand their presence and their
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44.
45. Eyewitness Identification And Eyewitness Fingerprints
Eyewitness testimonies provide crucial evidence in pinpointing the identity of the perpetrator in
order to solve a crime, thus the criminal justice system depends upon the accuracy of eyewitness
identification to investigate and prosecute criminals. However, eyewitness identification is imperfect
and the leading cause of wrongful convictions (Huff, Rattner, & Sagarin, 1996; Scheck, Neufeld, &
Dwyer, 2000). One prominent method of eyewitness identification is a line–up procedure during
which "A line–up is a procedure in which a criminal suspect (or a picture of the suspect) is placed
among other people (or pictures of other people) and shown to an eyewitness to see if the witness
will identify the suspect as the culprit in question" (Wells ... Show more content on Helpwriting.net
...
Lindsay and Wells (1985) devised an alternative line–up presentation procedure to reduce the
tendency of eyewitnesses to rely on relative judgment. A Sequential Line–Up (SEQ) presents the
eyewitness with only one suspect at a time and they respond to each suspect with either a positive
identification or none (Wells & Olson, 2003). It was proposed that reasoned that this procedure may
raise participants' response criterion and evoke a more "absolute" criterion (i.e., Is this the
perpetrator or not?) rather than the similarity based relative–judgment criterion, thereby alleviating
the simultaneous bias (Ebbesen & Flowe, 2002; Lindsay & Wells, 1985). To compare the SEQ and
SIM line–ups Lindsay and Wells (1985) used two conditions; a target–absent line–up, in which one
an innocent suspect is embedded among fillers, and a target–present line–up in which the guilty
suspect is embedded among fillers. This data found that the SIM and SEQ procedures produced
nearly identical correct identification rates in the target–present trial whereas in the target–absent
condition the rate of mistaken identifications the rate was 43% with the SIM procedure and only
17% with the SEQ method (Lindsay et al., 1991). Compared to SIM presentation, SEQ line–up
presentation did not significantly influence the correct identification rate but
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46.
47. Alarms : An Electronic System
Introduction
A burglar alarm is an electronic system designed to detect an unauthorized entry into the house,
building or area. These kind of security alarms are used mostly in the commercial, residential,
industrial and military properties for protection against theft (burglary) or property damage. It also
provides protection form introducers. It also keeps the privacy of the house. Burglar alarms contains
a main control box to which various sensors are connected. When a break in is identified by the
sensors they send out signals to the control box, which in return, make the alarm to sound or I may
perform some predefined tasks like turning the lights of curtains, calling the police, calling the
security company etc.
Working
Burglar alarm works with the help of sensors and ICs connected with capacitors, transistors,
resistors and diodes. The alarm works by using sensors and electrical circuits to detect the thief or
introducer. There are different types of burglar alarm including motion detectors, which detects
changes in the specific area or region and the smoke or fire, which detect possible arson. To detect
movement changes in a particular area there are panic detectors.
Sensor of burglar alarm trigger out by either closing or opening a circuit. The circuit can be either
closed or open but closed systems provide more security than open systems that is the reason closed
systems are more popular. What happens in the closed system is it allows the electricity to flow
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48.
49. Research Paper On Zesti Lemonz
The building being investigated is a single storey building with a circular shape. It has a flat roof as
the roof serves as part of a parking area for second, third and fourth year students as well post
graduate students. It is Zesti Lemonz. Zesti Lemonz is a restaurant situated on the west campus
roundhouse of the university of Witwatersrand. The university is located in Braamfontein, Inner City
Johannesburg.
2. Technological attributes The restaurant mainly caters for students; therefore, they sell all their
meals at an affordable price for students. Zesti's has a breakfast menu for all those people who have
an early morning at wits. It also provides delicious fast foods such as toasted sandwiches, chips,
pizza, pasta, burgers and rolls, wraps and tramezzini. Salads are readily available for those who
prefer to keep it healthy. Some of the best hot beverages are also served at Zesti Lemonz, for those
who need the energy or for all the fairly cool conditions Johannesburg experiences from time to
time. ... Show more content on Helpwriting.net ...
First, there were Joel Pendant ceiling lights. These lights were placed above the warmer. This could
be because the illumination onto the food will attract the customer's eye towards the food. Secondly,
small LED lights were used. This type of lights come at an advantage as they long lasting, consume
little energy and are easy to install. Not only are they purposed for illuminating the room, but
decorating the room. Third, we have our typical fluorescent tube lights. These are also
advantageous. They are energy efficient and last long. This means that a very low maintenance is
required. Last are the spot lights. They are installed in clusters although they can be controlled
separately. Alternatively, moderate bright lights can be used for the restaurant, as lighting that is too
bright makes the customer feel a bit uncomfortable. For the kitchen, LED lights can be used to
ensure that the food is properly
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50.
51. Descriptive Essay On Auto Alarm In My Day
Cheesy Mozzarella cheese mixed in with cheddar jack, sausage gravy, sausage crumbles, and bacon
crumbles all smothered together on a freshly made pizza dough crust. Take a second to imagine its
warm and toasted beauty in nature. What about warm smothered biscuits with a middle layer of
sausage drenched in sausage gravy served in perfection of a non–mess bowl with a ice cold caramel
macchiato. If you are a pumpkin kind of person, just imagine how delicious a stuff pumpkin
cinnamon flavor pretzel served fresh the minute the Quik Trip kitchen opens. I am always
surrounded by the beautiful delicacy of food, in its all shapes flavors and sizes. However that just
the first thirty minutes of my day, my alarms are the beginning point and from then ... Show more
content on Helpwriting.net ...
I am also not interested in energy drinks, shots or any energy source of substance, they just don't
seem to take any effect on me. Anyhow, usually around this time I am setting up and stocking all the
back stock around the store. My motto is the lower the product is, the more poor we look so, I like to
keep my end of the shift full to the absolute maximum and have no outs, it just makes everything
look nicer. After shocking everyone with my hair down I decided to put it up in a pony like I usually
do... I have the kitchen shift. Meaning I still have to cook for my whole eight hours that I work. We
cook anything from drinks with ice cream to fresh flatbreads, shakes, frape's, pizza and now the new
item on the menu; Biscuits and Gravy. I am Definitely not a fan of it. Making fresh pizzas on the
hour is one of the kitchen's requirements, no exceptions. The pizza that's made until 10 am is the
breakfast pizza. I seriously can't even begin to imagine how many slices of pizzas we sell. After 10
o'clock, the pizzas that are served are three meat and pepperoni, And let me tell you they sell. There
are several duties that have to be done when you're on kitchen duty. Along with making and
prepping food you also have to write your food order.
As much as I love learning by just being thrown to the wolf's den, I have to say I didn't see this one
coming. I guess I should go to our store meetings at least once in a blue moon. I had to make the
newest dish offered in
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52.
53. What Is Implementation Of The BAFA Community Risk...
Implementation of the BAFA Community Risk reduction plan can be broken down into: resources,
personnel, programs, structure, and culture.
Resources: We will work with our administration to ensure that we have the financial resources
needed to begin the purchase of materials outlined in the the strategy section above as well as the
necessary approval for payroll increases to fulfill the time required for the additional programming.
Outside agencies and groups such as Livingston County EMS, in home health care companies,
mental health groups and community clubs will be reached to become partners in efforts to reach out
target groups we have difficulty reaching.
Personnel: The new programming is going to require additional people ... Show more content on
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Smoke alarm program, home safety inspections and older adult programs are collaborated to
conduct an educational and informative session and provide safety material for residents and first
responders.
Risk Group 2: Single family homes dated pre–1979
Utilize smoke alarm program and enhance the awareness to the community about the dangers of
aging homes and the lack of protection from not having functional or existing smoke alarms.
After every structure fire in the area, we will perform a smoke alarm blitz in the neighborhood of the
incident, this shall occur regardless of age of home.
* Door hangers with a summary of our smoke alarm program will be left at any residence we are not
able to make contact with. A CRR member from the first due station will coordinate with their
station officers and firefighters to conduct after fire door to door canvasses.
Risk Group 3: Disabled residents
Hearing impaired alarms offered to all residents who have a hearing impediment.
* Establish a working relationship with organizations to identify and assist residents with a disability
of any kind to aid in fire prevention and home hazard reduction.
Provide material to organizations directly involved with disabled residents to inform them of
programs offered along with educational material on home hazards, injury prevention and smoke
alarms.
54. Culture: One of the more difficult challenges of the program is obtaining "Buy–In" into the
program. Trainings and
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55.
56. Emergency Alert System Research Paper
The current American emergency alert broadcast system traces its roots back to the Cold War Era.
The years have passed, technology has advanced and the American population has grown. Over the
years, the alert broadcast system has changed in fits and starts. Overall, however, it has failed to
keep pace with the population increase and technological environment. Attempts have been made to
plug the gaps in broadcast coverage, in reality, the stopgap and partial methods are inadequate. A
multitude of technological advances exist and utilized to alert the populace. It is dangerous to have
an aging, non–integrated emergency alert broadcast system. Even though an integrated alert network
would be expensive, it could save countless lives. Despite the financial costs, it is long past time to
build, organize and deploy a comprehensive integrated, nationwide, multi–communication platform
to protect the lives of citizens by issuing alerts to the broadest spectrum of citizens possible.
The premise of an alert early warning system is simple. In ... Show more content on Helpwriting.net
...
The EAS is the current alert broadcasting system employed the United States, and was limited in its
scope by being able to only provide brief and basic warning messages. As the population in America
has increased and technological advances in communication systems have surged forward, the EAS
was quickly outpaced by these changes. The originally identified alert shortfalls have only been
acerbated by a number of technological and societal changes. Government officials had lost the
ability to disseminate timely and authoritative emergency warnings, with clarity, to an increasing
number of citizens. The ever widening gap between citizens and the means to issue timely
emergency alerts endangers their lives. When viewed from a national level, the alert broadcasting
shortfalls become more
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57.
58. The Importance Of Alarm Fatigue And Its Effects On The...
Chapter Four: Evaluation
The purpose of this project was to determine if traditional education had a greater impact on the
number of false and non–actionable alarms over presenting education in an online educational
format. Evidence supports that alarm fatigue is a nursing problem that puts patients at risk for ham.
Reducing the number of nuisance alarms decreases the occurrence of alarm fatigue among
registered nurses. Evidence also supports patient harm is lessened when alarm fatigue is reduced
(Sendelbach, S., & Funk, M. 2013). Nurses are ethically obligated to reduce and remove the risk of
patient harm. Patients are at a greater risk for harm when nurse do not appropriately manage
nuisance alarms. Nurses are ethically obligated to reduce this risk of hazard to patients by following
evidence–based strategies to reduce these nuisance alarms. This chapter includes the implementation
for this project, and step by step details will be outlined. The project's results will be discussed as
well as the evaluation of the findings. Also in this chapter, evaluation of the project's design and
evaluation of the project's implementation will be examined.
The project was designed to compare false, non–actionable alarms prior to education on the
evidence–based strategies to reduce alarm fatigue, after online education and then again after
traditional face–to–face education. The project included nurses in the 14 bed cardiac intensive care
unit, within a 456 bed, not–for–profit
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59.
60. Alarm Fatigue Research Paper
Alarm Fatigue Prevention
Medicine is an always evolving field, and continues to grow in the pursuit of people health benefit.
As time has passed better research studies, discoveries, treatments and improvement of patient
outcomes has been the pride of the medical field. However; despite all the improvements in medical
advancement, preventable medical errors have become a major problem in the field. About a decade
ago, the Institute of Medicine (IOM) investigated and created the report To Err Is Human: Building
a Safer Health System, in that report the IOM came to the conclusion that approximately 98,000
people has died yearly in the United States as a consequence of an preventable medical error (RWJF,
2011). Some of these errors are caused
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61.
62. Once Upon A Time By Nadine Gordimer
Nadine Gordimer's short story "Once Upon a Time" is about a fairy tale that goes terribly wrong.
The narrator is initially roused by something that sounds like an intruder. To help herself go back to
sleep, she tells herself a "bedtime story." Here, a South African family lives in a gated community
away from rioters and burglars; to keep themselves safe, all of the neighbors build immense walls
and genius security systems. The family's young, curious boy is always fascinated by the security,
and he eventually makes the mistake of climbing into the DRAGON'S TEETH, mangling him to
death or near–death. Gordimer incorporates ignorance, fear, and suspense to make this story
incredibly compelling and astounding. Ignorance creates the fairy tale's problems. For example, the
author states there are many rioters and wrongdoers, but the family lives in a subdivision away from
them. "People of color" (Gordimer 1) are also contained in another area. These minorities are "not
allowed in the subdivision, except as reliable housemaids and gardeners, so there was nothing to
fear" (2). This clearly shows the family's intention is to hide away from the despair of others and
live "happily ever after" (1). The entire neighborhood also fails to realize it is burying itself alive.
Their alarm systems constantly go off; whether they are caused by cats or burglars does not matter
because people become accustomed to the alarms and "the din roused the inhabitants of the suburb
no more than the
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63.
64. Emergency Alert Thesis
Thesis Statement: It is dangerous to have an aging, non–integrated and linked emergency alert
broadcast system. Even though an integrated alert network would be expensive, it could save
countless lives. Alternate Thesis 1: Despite the financial costs, it is long past time to build, organize
and deploy a comprehensive integrated, nationwide, multi–communication platform to protect the
lives of citizens by issuing alerts to the broadest spectrum of citizens possible. Alternate Thesis 2:
The cost to replace the current dangerously outdated, non–integrated emergency alert broadcast
system would be high, but could save countless lives. Problems: I: The currently used Emergency
Alert System (EAS), is not integrated into a nationwide, multi–communication platform alerting
system ... Show more content on Helpwriting.net ...
a. Attempt to incorporate modern technologies such as satellite radio and television stations, social
media and wireless communications into the current EAS spectrum of emergency alert broadcasting.
b. Utilizing the Integrated Public Alert Warning System – Open Platform for Emergency Networks
(IPAWS–OPEN) testbed, to create a new and modern multi–tiered alert communication network for
the United States. c. The Federal Communications Commission (FCC) has legal authority to require
communication companies within the United States to comply with alerting protocols, however,
social media is an international system and not legally under FCC control. Possible incentives to
motivate social media companies to comply should be explored. Alternate Solutions: III: Using the
IPAWS–OPEN as a new Emergency Alerting System, would allow the tested network to be
expanded to a national level coverage. a. The IPAWS–OPEN tests have been very positive and the
Common Alerting Protocol (CAP) data format allows for dissemination over many warning systems
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65.
66. Residential Security System: A Case Study
Well you have a big problem. You don't have a residential security system installed in your home.
You are currently at risk of being the victim of a burglary. We want to help you to protect your
family by showing how you can choose the right home security system for your needs and means.
There are over 250 separate Residential Security companies that offer different products and
services. How do you go about selecting the right one? Well first lets decide what we need to have
in a home security plan and system. We need to make sure that we have a great high quality system
installed. There are some great names out there for you to choose from you will want to ask each
company that you are going to evaluate, which products do they carry. You ... Show more content on
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I have seen cheaper but I've also seen poorly installed equipment done by someone trying to save
money and a burglar would simply by pass the system because of this. So don't skimp on this part of
protecting your family, intalling a system in important.
Next is the monthly fees, probably the most important of the costs that you will be considering. We
want to pay for great service here. I have found that average for this was around $29 – $79 per
month. And of course there are some that are cheaper or should we say less expensive. Some do
provide good service here for lower prices so this part depends on what you are really looking for. If
you are just wanting something that will make a loud noise and frighten people away, then you don't
really need to worry much about the monthly monitoring fees. But if you would like an all around
protection for your family, then make sure that you are finding great service.
Finding the right system for your home security is a very important move and we don't want to learn
this one the hard way, so lets make sure that we do what we can to protect our families, you can get
more great tips and
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67.
68. Building A Fashionable Home
It is not enough to build a fashionable home, it should be sufficiently safe and secure for its
occupants as well. Those living in gated condominiums are not exactly immune to the ever growing
home security concerns either. It is also not enough to secure your home against various physical
threats. You need to plan well and build a safe interior as well, especially if you have children,
elderly members or pets staying back when you are out for work or for any other purpose.
Planning stage
Before taking any action, you need to plan well. If you are building a new residence, then this
planning phase should start in the designing stage itself. It is never too early to think of the health
and well being of the family. Once you survey the layout of your house and its interiors, you will
have a rough estimation about the possible threats.
Note down all the requirements first before you begin searching for the available security products.
Analyse the pros and cons of each before investing on any of the available options. Discuss your
requirements with a home security expert and seek his or her opinion about the matter. Don't
consider that making a home secure is possible just by installing the latest burglar alarm. As you will
shortly see, there are other important aspects that you will have to cover.
Types of security measures
Even when at home, we are continuously exposed to different kinds of harms. To live as securely
and peacefully as possible you need to prepare your building
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69.
70. Bed Room Gap Analysis
In 2010, the medical critical care unit at the York Street campus of Yale–New Haven expanded into
two 28–bed units housed on two floors, each encompassing 33,000 square feet. The increase in
geography posed new challenges for clinical staff with regard to alarm management. Crisis monitor
alarms were programmed to populate the bedside physiologic monitoring screens in zoned clinical
areas. This allowed clinicians to view the alarm condition and respond appropriately to area alarms.
The units established an alarm management team in 2013 with the goal to meet the requirements of
NPSG.06.01.01. The team consisted of representatives from clinical engineering, the Yale School of
Nursing, information technology, nursing management, performance improvement, physician
leadership, and bedside clinical staff. The team began by using the gap analysis assessment tool
provided by AACN.3
Clinical staff members responded to an open invitation for alarm management committee
participation. ... Show more content on Helpwriting.net ...
Ten staff nurses shared their ideas about improving alarm management. Pulmonary critical care
physicians verbalized that alarm noise detracted from the team's ability to interact with the patient
and family at the bedside during rounds. Clinical staff members were engaged in the project using
shift change huddles, patient safety and quality briefings, pulmonary critical care provider and alarm
management meetings. The performance improvement team addressed staff feedback regarding
noise levels. Decibel meters were placed in a central location in the intensive care unit to obtain
measurements of noise from all sources. The team identified audible alarms from bedside
physiologic monitors as the largest contributor to the noise levels in the units. Overall, noise levels
in the units averaged 68.4 dB. [AU: Reorganized paragraph for clarity. –edited paragraph
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71.
72. Nursing Case Study Alarm Management
Background
A sentinel alarm event occurred at several hospitals within the AW Network, which prompted the
Pennsylvania Department of Health to conduct a Center for Medicare Services level investigation.
This type of investigation requires an action plan with a measure of correction. Parallel with the
alarm events, the Joint Commission had created the National Patient Safety Goal 06.01.01, also
known as goal six, to reduce harm associated with clinical alarms (The Joint Commission, 2014).
The potential patient risks for an adverse event from alarm mismanagement are experienced around
the world, and while the particulars of each event varies; research suggests that by reducing
nuisance alarms, the chance for an adverse event diminishes (Gorges, ... Show more content on
Helpwriting.net ...
Education of this in the organization about the alarm system management will also be required in
January, 2016. Person responsible:
Patient Safety
Clinical Engineering
Nursing/ Leadership
Patient Safety
Clinical Engineering
Nursing Leadership When to be done:
Begin in 2014
Begin in 2016 Where to be done:
All A Network facilities
All X Network facilities
Alarm Assessment Teams Leaders:
Cardiac
Critical Care
Maternal Child
Perioperative PS
Nursing
Clinical Engineering To begin Feb.
2015 Throughout nursing departments and care/service areas
Plan
List the tasks needed to set up this test of change Person responsible When to be done Where to be
73. done
1.Determine the Group membership belonging to each team
2. Establish meeting times
3. Develop a policy and process
4. Define steps
Each group will make alarm assessment and determine with the multidisciplinary team the level of
importance of each alarm.
The alarm settings will be determined by the teams based on level of severity.
Visual assessment
Auditory assessment measured in decibels
Response assessment Patient Safety
CNO
Clinical Eng.
Nursing Clinical Eng. Clinical Eng.
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74.
75. Installing A Home Security System
As a former Alarm Dispatcher with seven years of experience, I have a lot of knowledge regarding
alarm systems. You may be wondering whether or not a burglar alarm system is right for you. Here
are some things to keep in mind: A burglar alarm system on a business will lower your insurance
rates and will alert you any time the alarm sounds. There are also additional benefits of alarm
systems, such as schedules. Schedules are set by you, usually within business hours. Whenever the
system is not disarmed in the morning or not armed at night, the alarm company will call to let you
know. This ensures that your business is open on time and the alarm system is armed each night.
And each time someone disarms the system outside of those hours, the ... Show more content on
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Securing your home helps safeguard your valuables and keeps burglars out. What are some simple
home security measures you can implement today that will not break the bank? Secure the Garage
Door If you drive around the block, you will likely see garages that are left wide open, or just
partially cracked open. Unless you are inside the garage and can see what is going on around you, it
is never a good idea to leave the garage open, as it is an open invitation for thieves to just walk right
into your home without having to break a window. Bar Entry through Sliding Glass Doors If you
have sliding glass doors that lead out onto the patio or the back garden, this could be used as an
entry point by burglars to enter your home. Keep sliding glass doors securely locked at all times and
place a patio door security bar across the bottom of the sliding glass doors to keep would–be
burglars out. Choose a good quality product that locks into place when you install it so that it cannot
be manipulated by someone who is trying to gain unlawful entry. A simple lock can easily be opened
using a crowbar, but a bar can make it harder for intruders to break in. Install a Deadbolt Lock A
deadbolt lock will generally cost more than a patio door security bar, but it can give you peace of
mind from intruders. You can find a deadbolt for as little as $50 to over $100, depending on your
budget. Look for deadbolts that
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76.
77. The Imprefections of the Societies in The Maze Runner,...
Imagine a life where everything is perfect. Sadly this is not possible. Many societies that were
thought to be perfect, like The Maze Runner, Nazi Germany, Sierra Leone, and Ancient Greece
figured this out the hard way. Societies fall due to corrupt leaders, lack of supplies, and a faulty
security system.
Societies fall due to corrupt leaders which is a political problem. What lead to the fall of The Maze
Runner was the fact that they had corrupt leaders. Their leaders all went off in some way or another.
Alby was the first one to become corrupt. He burned the the papers which were the only chance the
gladers had at escaping. He was sobbing and just couldn't handle it all. Gally was another person
who underwent these changes. He claimed to "know" things about Thomas that others didnt.
Another once great society known as Nazi Germany fell due to this reason as well. Hitler was a
crazed man who can easily be classified as a corrupt leader. He did some crazy things that people
today cant really explain. What we do know is he tried to trick people into thinking what he was
doing was right. In a sick way, he was a fantastic leader. He could convince the whole society that
blaming everything on this group of people was the right thing to do. Hitler basically convinced
everyone that locking these people up was only for the sake of humanity, and things would be better
after this. Corrupt leaders can be a giant contribution to the collapse of an society, and that is why
several
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78.
79. Alarm Fatigue: A Case Study
Alarm fatigue is recognized by The Joint Commission as a serious patient safety issue, with alarm
mismanagement as being the root cause of alarm fatigue (The Joint Commission, 2013). Numerous
regulatory and nursing organizations have published strategies to manage alarm fatigue, however
evidence is lacking on the best methodology of educating nurses to alarm management. Put one or
two lines of the problem the spurred this project. The aim of this study is to compare the effect of
online education methodology versus traditional education methodology on the number of false and
non–actionable alarm in a cardiac intensive care unit. Historically, the cardiac intensive care unit
continues to have an excess number of false and non–actionable alarms despite previous attempts at
raising awareness of alarm fatigue. Chapter three will describe ... Show more content on
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Education will consist of online modules and traditional, face–to–face, live education. Prior to
educating the nursing staff on alarm management a survey of the number of false and non–
actionable alarms will be conducted on the cardiac intensive care unit. Once the online alarm
management education has been completed by all staff on the cardiac intensive care unit, the alarms
will again be recorded. Education on appropriate alarm management will then be conducted using
the traditional methodology of live, face–to–face classroom style education. After the traditional
alarm management education has been completed, the number of alarms will once again be
recorded. The alarm data will be compiled and tabulated from three reference points, prior to online
education, after the online education, and then again after the traditional education. Furthermore, the
alarm data will be analyzed from samples taken at the same time of day for each reference
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