The War In Vietnam Essays - Vietnam War, , Term Papers

The War in Vietnam The Vietnam War, the country's longest, cost fifty-8,000 American lives. Just the Civil War and the two universal wars were deadlier for Americans. During the time of direct U.S. military interest in Vietnam starting in 1964, the U.S Treasury spent over $140 billion on the war, enough cash to subsidize urban recharging ventures in each significant American city. Regardless of these tremendous expenses and their going with open and private injury for the American individuals, the United States fizzled, without precedent for its history, to accomplish its expressed war points. The objective was to safeguard a different, free, noncommunist government in South Vietnam, yet after April 1975, the socialist Democratic Republic of Vietnam (DRV) administered the whole country. The underlying explanations behind U.S. contribution in Vietnam appeared to be legitimate and convincing to American pioneers. Following its achievement in World War II, the United States confronted the future with a feeling of good integrity and material certainty. From Washington's point of view, the foremost danger to U.S. security and world harmony was solid, oppressive socialism radiating from he Soviet Union. Any socialist anyplace, at home or abroad, was, by definition, and adversary of the United States. Drawing a relationship with the ineffective mollification of fundamentalist despots before World War II, the Truman organization accepted that any indication of socialist animosity must be met rapidly and compellingly by the United States and its partners. This receptive approach was known as control. In Vietnam the objective of control was Ho Chi Minh and the Vietminh front he had made in 1941. Ho and his main lieutenants were socialists with long-standing associations with the Soviet Union. They were additionally enthusiastic Vietnamese patriots who battled first to free their nation of the Japanese and afterward, after 1945, to keep France from restoring its previous pioneer authority over Vietnam and the remainder of Indochina. Harry S. Truman and other American pioneers, having no compassion toward French expansionism, supported Vietnamese autonomy. Be that as it may, growing socialist control of Eastern Europe and the triumph of the socialists in China's affable was caused France's war against Ho to appear to be an anticommunist instead of a colonialist exertion. At the point when France consented to a quansi-free Vietnam under Emperor Bao Dai as an option in contrast to Ho's DRV, the United States chose to help the French position. The American origination of Vietnam as a virus war battleground to a great extent overlooked the battle for social equity and national power happening inside the nation. American consideration concentrated principally on Europe and on Asia past Vietnam. Help to France in Indochina was a compensation for French collaboration with America's arrangements for the resistance of Europe through the North Atlantic Treaty Organization. After China turned into a socialist state in 1949, the security of Japan happened to vital significance to Washington, and Japanese advancement expected access to the business sectors and crude materials of Southeast Asia. The episode of war in Korea in 1950 served basically to affirm Washington's conviction that socialist animosity represented an extraordinary peril to Asia . Ensuing charges that Truman had lost China and had made due with an impasse in Korea made succeeding presidents dread the local political outcomes in the event that they lost Vietnam. Thi s anxiety, an overestimation of American force, and an underestimation of Vietnamese socialist quality bolted all organizations from 1950 through the 1960s into a firm anticommunist remain in Vietnam. Since American approach creators neglected to welcome the measure of exertion that would be required to apply effect on Vietnam's political and social structure, the course of American arrangement prompted a consistent heightening of U.S. contribution. President Dwight D. Eisenhower expanded the degree of helper to the French yet kept on dodging military mediation, in any event, when the French encountered a staggering destruction at Dien Bien Phu in the spring of 1954. Following that fight, a universal gathering at Geneva, Switzerland, masterminded a truce and accommodated a North-South segment of Vietnam until decisions could be held. The United States was not involved with the Geneva Agreements and started to encourage the formation of a Vietnamese system in South Vietnam's imperious president Ngo Dinh Diem, who dismissed Bao Dai in October 1955, opposed holding a political decision on the reunification of Vietnam. In spite of over $1 billion of U.S. help

Essay on Sport Injury - Cerebral Concussion

Sport Injury Introduction Sport is one of the main aspects that are vital for the development of human beings. However, sports are associated with various complications like cerebral concussion. Cerebral concussion is one of the diseases that are considered to affect the brain. This disease is known to cause some traumatic effects to the brain of an individual. This disease is caused if the head is damaged. Any damage that is inflicted to the head may affect the brain. This may be caused if the impact makes the brain get into the contact with the skull. The skull is a part of the body that acts as the guard to the brain. If the head is smashed or if the head smashes an object, concussion may be suffered. Many of the scientists believe that this concussion has considerable effects to the brain. This concussion is known to cause an effect that is temporary and which may make some of the functions of the brain fail. This concussion also has considerable effects in terms of physical and emotional feelings of an i ndividual. According to many scientists, it is a state, when functions of the brain are stopped and affected temporarily (Shannon, 2010).

Online Banking - 42019 Words

Internet Banking Table of Contents Chapter–1– Introduction 0 Chapter–2– Internet Banking a new medium 7 Chapter--3 - International experience 19 Chapter -4 -The Indian Scenario 33 Chapter- 5- Types of risks associated with Internet banking 41 Chapter- 6- Technology And Security Standards For Internet - Banking 49 Chapter -7 - Legal Issues involved in Internet Banking 74 Chapter- 8- Regulatory and supervisory concerns 84 Chapter–9 - Recommendations 98 Annexure 1 111 Annexure 2 112 Annexure 3 113 Annexure 4 115 Chapter–1– Introduction 1.1 Background 1.1.1 Banks have traditionally been in the forefront of harnessing technology to improve their products, services and efficiency. They have, over a long time, been†¦show more content†¦A new form of competition has emerged both from the existing players and new players of the market who are not strictly banks. 1.1.4 The Regulatory and Supervisory concerns in i-banking arise mainly out of the distinctive features outlined above. These concerns can be broadly addressed under three broad categories, viz, (i) Legal and regulatory issues, (ii) Security issues and (iii) Supervisory and operational issues. Legal issues cover issues relating to the jurisdiction of law, validity of electronic contract including the question of repudiation, legal / regulatory environment and gaps between the existing and electronic trade etc. On the question of jurisdiction the issue is whether to apply the law of the area where access to Internet has been made or where the transaction has finally taken place. Allied too is the issue where the income has been generated and who should tax such income. There are still no definite answers to these issues. 1.1.5 Security of i-banking transactions is one of the most important areas of concerns to the regulators. Security Issues include questions of adopting internationally accepted state-of-the art minimum technology standards for access control, encryption, firewalls, certification of digital signature, Public/Private Key Infrastructure (PKI) infrastructure etc. The regulator is equally concernedShow MoreRelatedOnline Banking1281 Words   |  6 PagesONLINE BANKING is the banking service that allows the customers to conduct financial transactions on the computerized networks such as internet through secure website with a particular bank. Online banking has no physical presence so the customer can perform banking activities at any place which has got the internet network. Online banking comprises of two things that is internet banking and sim banking. Online banking through traditional banks enable customers to perform all routine transactionsRead MoreOnline Banking1507 Words   |  7 PagesTABLE OF CONTENTS 1. INTRODUCTION 3 1.1. Background Information 3 1.2. Research Problem 3 1.3. Objectives 4 1.3.1 Project Objectives 4 1.3.2 System Objectives 4 1.4. Significance of the Study 5 2. LITERATURE REVIEW 6 2.1. Online Banking 6 2.2. History of Online Banking 6 2.3. General Statistics 7 1. INTRODUCTION 1.1. Background Information Jumuia Bank is a renowned bank in Kenya which has over 46 branches nationwide in Kenya. Its headquarters is located in Nairobi in Hurlingham, LenanaRead MoreOnline Banking2072 Words   |  9 PagesOnline Banking: How Technology has Affected the Bank Industry Aluscine Kabia Diana Mickle Jennifer Ross Betty Tekeste University of Phoenix COM525: Managerial Communication and Ethics Edward L. Dempsey March 14, 2005 Modern technology has set the stage for today s industries to adopt faster, more effective and efficient tools to improve their business and productivity. A vast majority of organizations within various industries are using new technology to introduce changes to theirRead Moreonline banking project3880 Words   |  16 Pagesthat Mr. Sudipta Kumar Biswas a student of B.Com Honours in Accounting Finance of Sursuna College under the University of Calcutta has worked under my supervisor and guidance for his project work and prepared a project Report with the title Online Banking. The project report, which he is submitting, is genuine and original work to the best of my knowledge. Signature: Read MoreAssignment on Online Banking3560 Words   |  15 PagesTERM PAPER ON ONLINE BANKING SERVICE IN BANGLADESH 1. DEFINITION OF ONLINE BANKING Online banking  is a service offered by banks that allows  account  holders to access their account data via the Internet. In order to take advantage of online banking, an account holder would need to meet several technological requirements, such as having a personal computer with Internet access and web browser. If those conditions are satisfied, online banking can be performed from anywhere in the world. To minimizeRead MoreOnline Banking System11309 Words   |  46 Pages1. Introduction Online banking is an internet based account management service that allows to view our account balances and transaction transfer funds between authorized accounts, initiate loan payments, request stop payments on checks, order personal checks, download transaction information into your computer communicate with the bank using e-mail, and can include bill payment services bill payment services. On-line storage refers to a file of information (like a file on students orRead More Online Banking Essay1983 Words   |  8 PagesOnline Banking: How Technology has Affected the Bank Industry Aluscine Kabia Diana Mickle Jennifer Ross Betty Tekeste University of Phoenix COM525: Managerial Communication and Ethics Edward L. Dempsey March 14, 2005 Modern technology has set the stage for today’s industries to adopt faster, more effective and efficient tools to improve their business and productivity. A vast majority of organizations within various industries are using new technology to introduceRead MoreOnline Banking in Bangladesh6399 Words   |  26 PagesChapter 1 1.1 Introduction Internet Banking is growing popular day by day in Bangladesh. A number of private as well as local banks are going online now considering the demand and necessity of fast banking. Internet banking not only provides banking facility round the clock but also helps a country to get attached to the international economy as well as business. People throughout the world are now getting engaged with more activity and business and hence need the fast and anytime access to his/herRead MoreOnline Banking Project3550 Words   |  15 Pageshave been doing this, and internet banks continue the same function. The only difference is in the way the transactions are made. We all know about internet banking and most of us use it quite often as well, but few of us actually understand about the history of internet banking and how it all came out. Knowing the history of internet banking can be incredibly useful, especially since it will allow us to have more respect for the little things that we take for granted. Computers themselves have reallyRead MoreMaybank Online Banking2132 Words   |  9 PagesOnline Banking Time is a precious commodity. Traffic jams, parking woes and a busy schedule can be a hassle to your banking needs. Maybank2u.com is an instant online banking service that our valued customers can access from the desktop or laptop - anytime, anywhere - at your leisure and convenience. Cash Management BEING IN FULL CONTROL OF YOUR BUSINESS MEANS THE CHANCE TO DO MORE Online banking has become an important facet in everyday living. The fusion of internet technology

Gender Discrimination - 5921 Words

GENDER DISCRIMINATION By Nkechi AGBOGO TABLE OF CONTENT 1. Abstract 2. Introduction 3. What does sex discrimination cover 4. Sex discrimination possible scenes 5. Forms of sex discrimination 6. Reasons for sex discrimination 7. Policies which should help reduce gender discrimination 8. Conclusion 9. Reference ABSTRACT Gender discrimination is an acute and persistent problem, especially in developing countries. This paper argues that gender discrimination is an inefficient practice. The distortions in the allocation of talent between managerial and unskilled positions, and in human capital investment, are analyzed. It is†¦show more content†¦While gender discrimination happens to both men and women in individual situations, discrimination against women is an entrenched, global pandemic. The world today is characterised by rapid transformations in all spheres of life that is globalization. By this time of globalization, struggle for gender equality is a matter of concern also. For example, major progress has been made in closing the gender gap in school enrolments at both primary and secondary levels. The rapid growth of the garment industry has provided a large number of ceremonial sector jobs for all genders. Moreover, the society belongs to us is highly patriarchal and gender di scrimination is common at all levels of community. Women are reliant on men throughout the whole time of their lives. The range starts from father to husbands to sons. The constitutional affirmations of gender equality are also present in our country. However, the state legislation always overlooks the rights of women. From time to time, women, young girls and female children are more underprivileged than male in their access to education, employment, health care services etc. Traditionally, women are recognised only for reproductive purposes and are encouraged to do only household works other than outside works. CHAPTER 2 WHAT DOES SEX DISCRIMINATION COVER? Sex discrimination covers four areas: 1) Direct discrimination 2) Indirect discrimination 3) Harassment 4) Victimisation 1. direct discrimination: This involvesShow MoreRelatedRacial Discrimination And Gender Discrimination962 Words   |  4 Pagesincreasingly being seen, especially on social media. It s a single word which people are using instead of the longer phrases disability discrimination or disability prejudice. Racial discrimination and gender discrimination have their own single words - racism and sexism - and so those ideas can be expressed a little more easily. Disability discrimination is often complicated and misunderstood. At one end of the scale, buildings with steps instead of ramps may be said to be ableist. Less obviousRead MoreGender Discrimination1518 Words   |  7 PagesGender Discrimination Written by: Brent Davey TABLE OF CONTENTS Introduction--------------------------------------------------------------------3 Gender Discrimination Defined-------------------------------------------3 Gender Discrimination at Work-------------------------------------------5 Gender Discrimination and Politics--------------------------------------6 Conclusion---------------------------------------------------------------------6 Works Cited-------------------------------------------------------------------8Read MoreSexual Discrimination And Gender Discrimination1384 Words   |  6 PagesSexual discrimination, sex based discrimination, gender discrimination or sexism is a type of prejudice or discrimination based on a person s sex or gender usually by the opposite gender. Thus, it generally refers to discrimination against a male by a female or a female by a male. Feminism can therefore be considered a form of sexism. More often than not however, sexism is commonly applied to the unfair treatment of women, the denial of opportunity to women or an injustice towards women, whichRead MoreDiscrimination Based On Gender Discrimination973 Words   |  4 PagesDiscrimination, especially discrimination based on gender, should be looked at through Deontology. This is because discrimination based on gender affects the rights of many, requires duties of other to not discriminate and have respect for others, and can have large consequences. It is important we look at rights, duties, and consequences rather than only evaluate gender discrimination based on its consequences in order to be able to create a way to virtuously handle gender. While gender discriminationRead MoreRacial Discrimination And Gender Discrimination2298 Words   |  10 PagesDiscrimination is an ongoing problem that exists in many forms and is often studied by social psychologists. According to Bordens and Horowitz (2014), discrimination is defined as â€Å"overt behavior- often negatively directed toward a particular group and often tied to prejudicial attitudes- which involves behaving in different ways toward members of different groups† (p. 106). Although discriminatory behaviors have seemed to simmer down over the past decades, individuals still to this day continueRead MoreSexual Discrimination And Gender Discrimination2076 Words   |  9 Pagesdemand is a kind of employment discrimination. The sex discrimination of employment the female encounter is especially extrusive. At present, females of China more and more fall in a weak position in employment market. So, what is gender discrimination? Gender discrimination, also known as sexual discrimination, is any action that specifically denies opportunities, privileges, or rewards to a person (or a group) because of gender. The practice of letting a person s gender become a factor when decidingRead MoreGender Discrimination In The Workplace1867 Words   |  8 PagesDiscrimination in the workplace, specifically gender discrimination is a significant matter, impacting women all over the world. Defined by the International Labour Organization (ILO) Convention No. 11, discrimination is ‘Any distinction, exclusion or preference made on the basis of race, colour, sex, religion, political opinion, national extraction or social origin, which has the effect of nullifying or impairing equality of opportunity or treatment in employment or occupation.’. As stated by GillianRead MoreThe Existence Of Gender Discrimination2843 Words   |  12 PagesThe existence of gender discrimination in w orkplaces is not under dispute (Acker, 2006). In virtually all societies across the world, women are known to be in a lower position in labour market than men. Women are overrepresented in positions at the bottom echelons of organisations; they have less status, prestige, power and authority on the job. Besides, women are segregated into roles and jobs that offer poorer rewards and have fewer opportunities for progression to positions of power (Walby, 1988)Read MoreGender Discrimination And The Workplace Essay1242 Words   |  5 Pagesusually paid less than their male peers and they aren’t promoted as fast as their male peers. Progress has been make towards gender workplace equality but gender workplace discrimination continues to be an impediment to gender equality. For the purpose of research on gender workplace discrimination, I used four journal articles. The first article, Minimizing Workplace Gender and Racial Bias, by author William T. Bielby, discusses stereotypin g in the workplace. The article offers suggestions on howRead MoreGender Discrimination At The Workplace962 Words   |  4 Pages Gender Discrimination in the Workplace Santisha Fleming Human Resource Management Dr.Juluis Demps –Management 360 Jacksonville University April, 1, 2015â€Æ' American women can vote, hold office, and they can work in a public work environment. They are considered have an equal opportunity when compared to men. What is the true definition of equal employment opportunity? Does this mean that women and men are offered the same opportunities in the workplace? As well treated equally in regards

Egyptian, Greek and Roman Sculpture free essay sample

A comparison of Egyptian, Greek and Roman culture through sculpture. This paper examines how a societys ideals are reflected in its sculpture, through the example of comparing Egyptian, Greek and Roman Sculpture. The author describes the characteristics of these societies as seen through their art and that their sculptures are a reflection on the perspective on the same world. Different cultures see the world in different ways. Religion, society, and even politics, shape our views, and give form to our human environment. Architecture, music, literature, dress all are visible manifestations of a peoples values. This is no less true in the realm of sculpture. A religious people will create works of art that express its most deeply held spiritual beliefs; a cerebral people, sculptures that capture humankinds highest ideals, while the politically minded turn out statues and busts that represent their worlds movers and shakers. Styles can range from the formal and the symbolic, to the ideal and the real. We will write a custom essay sample on Egyptian, Greek and Roman Sculpture or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Each serves its cultural purpose. As all peoples have done, the Egyptians, the Greeks, and the Romans produced sculptures that testify to the beliefs of their respective societies.

Task Analysis Essay Example

Task Analysis Essay Law and Management in Occupational Health and Safety Patients in the Perioperative environment are often required to be repositioned on the operating table and most of these patients have had a regional or general anaesthetic, making it impossible for them (the patient) to assist staff in that repositioning. The added risk in any repositioning is loss or damage to the patients’ airway, and maintaining the patients’ musculoskeletal alignment, so as to not cause any damage to nerves, muscles, limbs, spine and or neck etc. The repositioning should be assessed to determine if it can be done manually or by some assistive devices. During the surgery it may be necessary to lift the patients’ legs, arms or head to prepare the area for sterile field draping, which may result in nursing or theatre support staff at risk of musculoskeletal injuries, and in situations where bariatric patients (over 100kgs) the manual handling staff may need limb holding devices. Prior to surgery, the anaesthetic nurse, anaesthetist, surgeon, theatre support technician or orderly should plan and collaborate regarding positioning, support and moving devices as well as the technique which will be utilised in the moving and repositioning of the patient – during and after the procedure when the patient will be transferred on to another bed for the post-operative recovery period. When transferring a patient from patient bed to operating table, it is important to have enough staff to assist with the transfer and to use the correctly placed support devices as well as using good body mechanics (ergonomic techniques). We will write a custom essay sample on Task Analysis specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on Task Analysis specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on Task Analysis specifically for you FOR ONLY $16.38 $13.9/page Hire Writer When patients are obese it may be necessary to use soft gel straps to support the patients legs so that they do not move off the operating table and cause debilitating and painful nerve damage. This project is to develop a Safety Management Plan to implement a safe practical way to identify, assess and control risks in the Perioperative environment (Operating Theatre) specifically relating to the lateral transfer and or movement of patients requiring surgery at this hospital facility. Perioperative Manual Handling Safety Management Plan Perioperative Manual Handling Safety Management Plan Using the 5 step process in the Queensland Government risk assessment plan the following matrix is how the Perioperative unit could benefit from experienced, safety motivated and interested staff could act as agents for change and safety in a more deliberate and focussed way to reduce the hazard of musculoskeletal injuries to staff especially in the task of laterally transferring patients from the operating table to the postoperative bed. These patients are usually unconscious and unable to assist or communicate their needs and concerns at this time. Perioperative Safety Management – Risk Identification and Controls| Step 1| Look at the Hazard * Musculoskeletal disorders in nursing staff and orderlies when undertaking a lateral or horizontal transfer of unconscious patient from operating table to post-operative bed| How to look for HazardsKnowledge and Understanding Manual Handling Policies * Manual Tasks Involving the Handling of People Code of Practice 2001 * Workplace Health and Safety Act 1995 * Workplace Health and Safety Regulation 2008 * Manual Handling Training especially regarding unconscious patients| What to look for * Practices that are causing discomfort either for the member of staff or patient * Practices that are likely to cause nerve or musculoskeletal injuries – shoulder, fingers, wrist, forearm, back, neck, sciatic nerve, knees, ankles| Step 2| Decide who might be harmed and how * Nursing Staff * Orderlies * Anaesthetists * Surgeons/Assistants * Recovery Staff | Assess the riskHow might someone b e harmed * Injury to patient when moving the unconscious patient from operating bed to recovery bed with a supported airway * Lateral or sideways movement requiring pushing, pulling and lifting of limbs by team members * The staff member who controls move not always in ‘sync’ with rest of team – uncoordinated transfer * Existing musculoskeletal disorders experienced by staff and patients| What is this harm? * Airway becoming dislodged * Back, Neck, arm, shoulder injury to staff using Manual Handling techniques and devices * Uncoordinated transfer * Sideways twisting for person holding feet during transferHow likely is this harm? According to the consequences/ likelihood matrix below * Injury to patient – likely/major consequences * Unplanned airway removal – likely/major to catastrophic * Musculoskeletal injury – likely/moderate to major * Exacerbating and worsening musculoskeletal disorders– likely/major to catastrophic (permanent loss of employment) * Team unpreparedness – likely/minor major| Step 3| Decide the control measures| Regulations ? * Workplace Health and Safety Act 1995 * Workplace Health and Safety Regulation 2008Codes of Practice? * Manual Tasks Involving the Handling of People Code of Practice 2001What are existing controls? * Mater Operating Theatres Manual Handling Policies and Clinical Practices Manual * Manual Handling Training – Generic – needs to be targeted especially movement and care regarding unconscious patientsAre controls as high as possible? Current Manual Handling training stands at a compulsory slide sheet in-service lasting approximately 5 minutes every six months * In-service is generic and not specifically targeted to moving unconscious patients who are not able to follow instructions or cooperate with staff requests in this lateral move post operatively * Training needs to be comprehensive and developed with ergonomic and physical therapist input so that staff movement and body positioning minimises potential and foreseeable damage to limbs, nerves, shoulders and lower backs * Equipment needs be demonstrated in a non-clinical simulation before using on any patients to maximise the potential for team confidence and competence in the use of equipment – minimising harm in actual situations| Do controls protect everyone? * Controls at present minimise the importance of Manual handling techniques * Manual handling needs to have a higher profile in the unit so that it is possible to protect patients, staff and visiting surgeons and anaesthetists * Controls in place are in policy manuals, and highlighted at orientation (can be months after starting employment). * New staff are on the job immediately and therefore don’t have ‘training’ at the best and high est level of competency and developmentWhat additional controls are required? Higher profile on training by manual handling experts * Regular manual handling workshops and training groups in simulated situations = staff practice on other staff. * In-service and practical demonstrations to highlight the importance of correct posture for staff, correct lateral moving techniques and equipment for staff * Correct and helpful exercises that staff can do ‘on the run’ so that the manual handling tasks are done after staff are ‘warmed up’ * Weekly highlights on noticeboard on an important point regarding safe lifting, moving and back care for staff = many hospitals and aged care centres have excellent back injury prevention programs and are readily available at websites and search engine destinations. Step 4| Put Control measures in placeOHamp;S representative to Train and utilise staff who are Interested and experienced in Manual Handling of people| Developing a p lan for improving controlsTrain the Trainer programs for interested personnel not necessarily Registered Nurses (Enrolled Nurses with experience and interest)Train staff in the Incident Reporting Program and to build Staff confidence in using the software – when a hazard is reported or an injury – Staff need to be confident that it will be followed up and that negative consequences of hazard identification and reporting are not safe practices in the workplace | Improving controls * Making the Incident reporting program more user friendly and encourage staff to use the program and give timely feedback on statistics * Encourage staff to report all injuries and near misses so that the unit builds a culture of ‘safety is every ones business and responsibility’ * Make safety a priority and that means staff safety as well as patient safety – reward safety issues and hazard reporting * Encourage staff to come up with solutions to risks and hazard identifi cation – involve everyone| Step 5| Review the Controls * 3 monthly reviews of competencies and updating of training for any new staff * Staff surveys to indicate self- satisfaction of training and competencies| Are the controls working? * Feedback from Staff self-satisfaction surveys * Anecdotal feedback from workshops and training sessions * Improvement or decline – what would staff change or improve? | Are there any new Problems? * New staff training before actually moving a patient * Generic manual handling policies * Minimum lateral transfer equipment – slide sheet and patslide? Hovermat beds possible? * People not lifting feet when patslide positioned – heel damage or pain if patslide strikes patients heel or ankle? * Apathy, lack of interest and poor technique? | PURPOSE AND SCOPE of Safety Management Plan Mercy Health and Aged Care Central Queensland Limited (MHAACCQ, 2010) is committed to the provision of a place of work that is safe and without r isk to the health, safety and welfare of its employees, or any other person of our workplace We believe that * All injuries can be prevented * Working safely is a condition of employment * Employee involvement is essential * Management are ultimately accountable for safety Munn (2011) suggests that tasks performed in the perioperative environment may present a high risk to staff for musculoskeletal injuries relating to patient handling include * Transferring patients on and off operating tables ( in this case Lateral pushing and pulling of up to 180 kgs) * Repositioning patients on operating table ( this unit has weight limits on operating table 300 kgs) * Lifting and holding patients extremities – orthopaedic, cosmetic and general surgery * Standing for prolonged periods of time – scrub nurse has limited movement whilst scrubbed * Holding retractors for long periods of time – self retaining retractors not always suitable * Lifting and carrying equipment and supplies Pushing, pulling and moving equipment on wheels – endoscopic and microscopes Manual Handling is a major cause of injury in health care facilities. Manual handling regulations require a hazard identification, risk assessment and control approach. Obligations and the Workplace Health and Safety Act 1995 The Workplace Health and Safety Act 1995 imposes obligations on people at workplaces to ensure workplace health and safety. This is done when persons are free from the risk of death, injury or illness created by workplaces, relevant workplace areas, work activities or plant and substances for use at a workplace. Ensuring workplace health and safety involves identifying and managing exposure to the risks at your workplace. RESPONSIBILITIES Part 3, Division 2, Section 28 Obligations of persons conducting business or undertaking (1) A person (the relevant person) who conducts a business or undertaking has an obligation to ensure the workplace health and safety of the person, each of the person’s workers and any other persons is not affected by the conduct of the relevant person’s business or undertaking. (2) The obligation is discharged if the person, each of the person’s workers and any other persons are not exposed to ri sks to their health and safety arising out of the conduct of the relevant person’s business or undertaking. (3) The obligation applies— (a) whether or not the relevant person conducts the business or undertaking as an employer, self-employed person or otherwise; and (b) whether or not the business or undertaking is conducted for gain or reward†¦Ã¢â‚¬  Work Health and Safety Act 1995 (Qld) Part 3, Div 1, Section 26 (3) If a code of practice states a way of managing exposure to a risk, a person discharges the person’s workplace health and safety obligation for exposure to the risk only by— (a) adopting and following a stated way that manages exposure to the risk; or (b) doing all of the following— (i) adopting and following another way that gives the same level of protection against the risk; (ii) taking reasonable precautions; (iii) exercising proper diligence. † People handling activities and injury The most frequently injured body part s from people handling activities undertaken without assistance are the back, shoulders and wrist. People handling activities can contribute to a number of Work-Related Musculoskeletal Disorders (WRMDs) including: a) Low Back Disorders (injuries to muscles, ligaments, inter-vertebral discs and other structures in the back). b) Tendon Disorders (injuries affecting the tendons in the wrist, and elbows particularly). c) Nerve Disorders (injuries affecting the wrist, neck and shoulder). d) Upper limb muscle strains (injuries affecting the rotator cuff* and forearm particularly). â€Å"WRMDs occur in two ways: gradual wear and tear (cumulative trauma) caused by frequent periods of muscular effort involving the same body parts, and sudden damage caused by nexpected movements, intense or strenuous activity, for example, when people being handled move suddenly or when the worker is handling a load beyond their capacity. Gradual wear and tear is the most common way WRMDs occur. Even when an injury seems to be caused by overload, the triggering event might just be the final trauma to tissu es already damaged by previous exposures to people handling and other manual activities. It is recommended that when a healthcare worker needs to lift more than 15. 3 kilos of patient weight, lifting aids should be used. The lateral transfer of a patient from one surface to another, such as from operating table to patients bed, poses a risk to staff for developing musculoskeletal disorders. Some general guiding principles pertaining to the transfer of a patient to an operating table are: * The number of staff involved in a transfer is needed to be sufficient based on the patients weight, and to ensure that ALL extremities are supported and the patients alignment and airway are maintained * The lateral transfer device needs to support the whole length of the patients body * The are where the patient is being transferred to needs to be slightly lower * When a patient is being transferred from supine (on back) to prone (on front) the support equipment (such as pillows or spine table need to be utilised in the transfer * Mechanical devices such as Hover Mat air assisted mattress transfer devices have been devised to assist in the safe transfer of Perioperative patients† Manual Tasks Involving the Handling of People Code of Practice 2001, Qld. â€Å" Section 27A Managing exposure to risks (1) To properly manage exposure to risks, a person must— (a) identify ha zards; and (b) assess risks that may result because of the hazards; and (c) decide on appropriate control measures to prevent, or minimise the level of, the risks; and (d) implement control measures; and e) monitor and review the effectiveness of the measures. (2) To properly manage exposure to risks, a person should consider the appropriateness of control measures in the following order— (a) eliminating the hazard or preventing the risk; (b) if eliminating the hazard or preventing the risk is not possible, minimising the risk by measures that must be considered in the following order— (i) substituting the hazard giving rise to the risk with a hazard giving rise to a lesser risk; (ii) isolating the hazard giving rise to the risk from anyone who may be at risk; (iii) minimising the risk by engineering means; (iv) applying administrative measures; (v) using personal protective equipment. 9 Without limiting section 28, discharging an obligation under the section includes, having regard to the circumstances of any particular case, doing all of the following— (a) providing and maintaining a safe and healthy work environment; (b) providing and maintaining safe plant; (c) ensuring the safe use, handling, storage and transport of substances; (d) ensuring safe systems of work; (e) providing information, instruction, training and supervision to ensure health and safety. † Workplace Health and Safety Act 1995, Qld Manual Tasks Involving the Handling of People Code of Practice 2001 The People Handling Code of Practice states ways to prevent or minimise exposure to risk due to the handling of people that can cause or aggravate work related musculoskeletal disorders. It applies to any workplace activity requiring the use of force by a person to hold, support, transfer (lift, lower, carry, push, pull, slide), or restrain another person at a workplace. This code outlines practical ways in which a person to whom this code applies can meet the requirements of the Workplace Health and Safety Act 1995. Guidance on the broad area of manual tasks in all its forms, including the moving of equipment used for handling people, is provided in the Manual Tasks Code of Practice. What is â€Å"people handling†? People handling refers to any workplace activity where a person is physically moved, supported or restrained at a workplace. Specifically, people handling refers to workplace activities requiring the use of force exerted by a worker* to hold, support, transfer* (lift, lower, carry, push, pull, slide), or restrain* a person* at a workplace. * Exacerbating and worsening musculoskeletal disorders– likely/major to catastrophic (permanent loss of employment) * Team unpreparedness – likely/minor major * http://www. noweco. com/risk/risk04e. gif All people handling activities are a potential source of injury and therefore, a hazard. If you undertake people handling at your workplace, you should use a process to manage the risks associated with this hazard People handling is often only one part of a theatre nurses job. If other parts of the nurses job also involve manual handling of other loads, it is necessary to assess the whole job and manage the risks associated with undertaking those activities which add to the accumulative stress on the worker’s body. 1. People handling activities is a collective term for a group of related people handling tasks. 2. People handling tasks are the specific ‘pieces’ of work undertaken at the workplace, which involve the physical movement of a person. 3. People handling actions are the individual elements of the task and refer to movements which are undertaken. † Manual Tasks Involving the Handling of People Code of Practice 2001, Qld. Common work-related actions within people handling tasks which contribute to WRMDs include: * frequent and repetitive lifting with a bent and/or twisted back regardless of weight * static working positions with the back bent, for example, holding a limb during a surgical procedure or providing stability while a person stands â€Å" Manual Tasks Involving the Handling of People Code of Practice 2001, Qld. Risk factors To gain a greater understanding of the relationship between people handling activities and injury, it is useful to consider the ‘risk factors’ which influence the level of risk associated with undertaking people handling tasks. These risk factors can be grouped into two distinct categories: * direct risk factors – which directly stress/injure the worker’s body * contributing risk factors and modifying risk factors which affect how the task or action is done. There are three direct risk factors: * forceful exertion * working postures (awkward, static) * repetition and duration. The risk management process Under the Workplace Health and Safety Act 1995 (the Act), exposure to health and safety risks that arise from workplace hazards (such as people handling) must be managed. The Act places this responsibility for workplace health and safety upon certain people (such as relevant persons and persons in control of workplaces) Risk management is an ongoing process. It should be undertaken: * now, if it has not been undertaken before * when changes occur at, or are planned for, the workplace * when there are indications for potential injury * after an incident (or ‘near miss’) occurs * at regularly scheduled times appropriate to the workplace. The steps below illustrate the application of the risk management process to managing exposure to the risks associated with people handling. Identification The first step in the process of managing exposure to people handling risks is identification. This step involves identifying people handling tasks, actions within each task, direct risk factors, and, contributing and modifying risk factors The first part of identification is to make a list of those tasks undertaken at the workplace that involve handling people. 1. Consult with workers and observe the tasks. 2. Make a list of all the people handling tasks. 3. Make a list of the actions within each of these tasks 4. For each action, determine which of the direct risk factors are present. 5. For each action, identify the contributing and modifying factors Assessment Assessment involves determining the level of risk associated with each of the people handling actions identified. The desired outcome of the assessment step is a prioritised list of people handling actions requiring control. Further, when more than one people handling task is assessed, then the overall risk estimate for the task can be used to develop a prioritised list of tasks requiring control. Consult with workers throughout this process to assist with determining the level of risk associated with each of the people handling actions and the priority of each task. 1. Consult with the workers. 2. Determine the level of risk associated with each action 3. Prioritise actions for control. In order to prioritise the people handling actions, the risk associated with performing each action should be assessed. It is up to the assessor how this assessment is done. The assessor can choose any method of risk assessment as long as a prioritised list of actions is achieved. A way of assessing risk is to consider the likelihood and consequences of an incident occurring at the workplace. Likelihood – of an incident occurring at the workplace * To estimate the likelihood of an incident occurring at the workplace, the following aspects can be considered: * how often the action is undertaken the number of workers performing the same or a similar action * the duration of time that the action is performed * distractions * the effectiveness of existing control measures * capacity and characteristics of the workers * environment * availability and use of equipment * condition of equipment * injury data/history6. Consequences – of an incident occurring at the workplace To estimate consequences, the severity of a potential injury or illness that could result from performing a people handling action can be considered. Reference can also be made to injury records and statistics, and information on injuries from people handling in related industries for an indication of the potential severity of injury. Use this likelihood and consequence estimate to rank and then, list the people handling actions requiring control. The decision is then made that for some actions, for example, those for which it is very unlikely that an incident would occur and for which the consequences are minor, may not require control. A summary of the assessment process Consult with workers: * Estimate the likelihood of an incident occurring at the workplace. * Estimate the consequences of an incident occurring at the workplace * List the people handling actions in the order of they require control. Questions to ask: * What do the workers think? * What is the likelihood and potential severity of injury associated with each action? * What should be fixed? What should be fixed first? Control Risk control strategies involve: * making decisions about the best measure(s) to control exposure to the contributing and modifying risks identified * implementing the chosen controls. Consultation with workers is an importan t part of this process. Design controls involve the arrangement, or alteration of: * physical aspects of the work area such as equipment or furniture/fittings, or * the work procedure. * Design controls are preferred because they * can eliminate or at least minimise exposure to risk factors * have the advantage of being relatively permanent (compared with administrative controls). For these reasons, implement design controls wherever possible. Administrative controls are achieved primarily by modifying existing personnel arrangements. Administrative controls do not remove the root cause of potential problems. These controls can only reduce exposure to the risk of injury. They might also be forgotten or not followed under stressful or other conditions as they are behaviour based, for example coping with staff reduction It includes consideration of factors such as – * the work postures required to carry out the action, how often it is repeated and for how long. Provide mechani cal aids where appropriate given the sterile environment in the perioperative unit – Hovermats are elpful in reducing the load of manual handling – but these are prohibitively expensive and require as many people to move patient safely as any other method Task-specific training Training in work methods for specific tasks or actions helps workers to carry out these tasks/actions in a safe and effective way. * Controls should not create other risks – the solutions should not result in a transfer of risk, for example, incorrect use of a handling aid, such as a transfer sheet can create forceful exertions on the workers forearm Although all the manual handling issues in the Perioperative are beyond this papers’ parameters, at least this area of patient care should be lifted to a much higher profile from a management, safety and a professional longevity perspective. Low back pain has been described as one of the main occupational problems among healthcare workers and nurses frequently have the highest incidence (Karahan, Kav, Abbasoglu amp; Dogan,2008) What is needed is a consistent, determined and educated effort on the part of the unit manager, nurse educator and occupational health and safety team to implement a program that will drive the manual handling of people to the forefront of safety practices in the unit – where bariatric patients (more than 100kgs) are becoming the norm rather than the exception, across all age groups and gender. Hospital and other care facilities have not generally been designed with the movement of bariatric patients in mind. ( Safework Australia, 2009). It is assumed largely by practicing nurses in the perioperative unit that new staff that join the team have some background in manual handling. Many students report that they have little to no manual handling training, other than hands on with another marginally more experienced nurse directing their work task, this is not a satisfactory or safe method of training – either for the nurse or the patient. Much more emphasis must be directed at the pre-employment and career development process in the safe development and competent use of manual handling techniques of vulnerable, often otherwise well patients who have mostly elective surgery for non- life threatening procedures. As the patient advocate, it is the nurses responsibility to ensure a safe passage through the perioperative journey.

Remoción de condiciones de la residencia por matrimonio

Remocià ³n de condiciones de la residencia por matrimonio Los extranjeros que obtienen la tarjeta de residencia por matrimonio  con un ciudadano antes de cumplir los dos aà ±os de casados  deben solicitar la remocià ³n de las condiciones si quieren conservar su estatus de residentes. Hay que hacer la remocià ³n de la condicionalidad 90 dà ­as (3 meses) antes de que expire la tarjeta de residencia condicional. A partir de ahà ­ todas las green card que tenga sern definitivas, pero habr que renovarlas antes de que expiren. Quà © hacer para la remocià ³n de las condiciones de la tarjeta de residencia Rellenar conjuntamente ambos cà ³nyuges la planilla I-751 y enviarla al centro del USCIS que corresponda junto con el pago de la tarifa y la documentacià ³n necesaria. La planilla debe rellenarse utilizando sà ³lo un bolà ­grafo de tinta negra. Escribir N/A para dejar sin contestar las preguntas que no le afectan a su situacià ³n personal y escribir NONE cuando la respuesta deba ser ninguno. Si para contestar a alguna pregunta no llega el espacio proporcionado en el formulario, entonces tomar una hoja en blanco, escribir en la parte superior de la misma el nombre del residente permanente, su Alien Registration Number y la seccià ³n y nà ºmero de pregunta que se va a contestar en esta hoja adicional. Cundo no estn obligados los cà ³nyuges a rellenar conjuntamente la planilla I-751 Cuando el matrimonio haya sido de buena fe pero haya finalizado por viudedad, nulidad o divorcio. En este caso, adjuntar documento que acredite el fin del matrimonio. En los casos de divorcio à ©ste se ha tenido que producir por un caso de violencia o crueldad extrema hacia el cà ³nyuge extranjero. Incluso en los casos en los que el matrimonio no se ha disuelto pero el cà ³nyuge extranjero ha sufrido violencia domà ©stica à ©ste puede presentar en solitario la solicitud de remocià ³n de las condiciones de la tarjeta de residencia. Pero deber adjuntar documentacià ³n que pruebe esta situacià ³n, como son rà ©cords mà ©dicos, policiales, de asistentes sociales o de una corte. Incluso fotografà ­as de lesiones producidas por el abuso o declaraciones de un centro de acogida a và ­ctimas de la violencia domà ©stica. Documentos que se deben adjuntar con la peticià ³n Una fotocopia legible de la tarjeta de residencia por ambos lados. Documentos que sirvan de evidencia de que el matrimonio no es fraudulento y se ha celebrado con el à ºnico propà ³sito de conseguir los papeles. Entre los ejemplos de documentacià ³n que sirve para este propà ³sito destacan: Certificado de nacimiento de hijos en comà ºn.Hipotecas en comà ºn, contrato de arrendamiento, cuentas de banco de ambos cà ³nyuges, prà ©stamos, facturas a nombre de los dos, seguros de vida a favor del otro.Declaraciones juradas de al menos dos personas que conozcan la naturaleza del matrimonio y està ©n dispuestas a testificar que se trata de una relacià ³n de buena fe. En su declaracià ³n deben indicar su nombre completo, fecha de nacimiento, lugar de residencia y cà ³mo es que conocen al matrimonio.Adems, si se ha sido arrestado, demandado, o condenado en corte debe enviarse la documentacià ³n original que debe suministrar la agencia policial que realizà ³ el arresto, o la corte que sentencià ³ condenando o absolviendo. Y si se ha cumplido la condena, documentacià ³n original de ello. En los casos de multas de trfico no hay que notificarlas si no ha habido arresto y sà ³lo se ha impuesto pà ©rdida de puntos de la licencia de manejar y/o una multa inferior a los $500. Pero sà ­ deber hacerse cuando estn relacionadas con haber tomado alcohol o drogas. Si se adjunta algà ºn documento en un idioma distinto del inglà ©s, deber ser traducido por una persona que certifique que tiene un adecuado conocimiento de ambos idiomas. Costo de remover las condiciones de la tarjeta de residencia Este trmite tiene un costo de $590. En realidad hay que pagar $505 por el acto de la remocià ³n las condiciones y $85 por la gestià ³n de los datos biomà ©tricos (toma de huellas digitales, etc.). Adems, si un ciudadano americano hubiese pedido la tarjeta de residencia condicional para sus hijastros, adems de para su cà ³nyuge, deber abonarse $85 por cada nià ±o o muchacho para el que se realice el trmite de quitar las condiciones. Esto aplica sà ³lo en los casos en los que los chicos adquirieron la residencia al mismo tiempo que su padre o su madre o en los 90 dà ­as siguientes. Si tomà ³ ms tiempo, debe entonces rellenarse un I-751 por cada muchacho en esa situacià ³n. A dà ³nde enviar la documentacià ³n Depende del lugar de residencia habitual. Las personas que viven en los estados de Alaska, Arizona, California, Colorado, Dakota del Norte, Dakota del Sur, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Michigan, Minnesota, Missouri, Montana, Nebraska, Nevada, Ohio, Oregon, Utah, Washington, Wisconsin y Wyoming o en los territorios de Guam o la Samoa Americana deben enviar la peticià ³n a: USCIS California Service CenterP.O. Box 10751Laguna Niguel, CA 92607-1075 Pero si se vive en: Alabama, Arkansas, Carolina del Norte, Carolina del Sur, Connecticut, Delaware, Washington, D.C., Florida, Georgia, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Mississippi, Nuevo Hampshire, Nueva Jersey, Nuevo Mexico, Nueva York, Oklahoma, Pennsylvania, Rhode Island, Tennessee, Texas, Vermont, Virginia, y Virginia Occidental o en las Islas Và ­rgenes Americanas o Puerto Rico, entonces se enviar la documentacià ³n a: USCIS Vermont Service Center75 Lower Welden StreetP.O. Box 200St. Albans, VT 05479-0001 Entrevista Estas 65 preguntas dan una idea de quà © esperar en la entrevista a esposos. La finalidad es intentar diferenciar entre un matrimonio real y otro de mera conveniencia. El caso especial de cà ³nyuge de militares Las personas que desean remover las condiciones de su green card cuando estn en el extranjero acompaà ±ando a su cà ³nyuge que es militar o trabaja para el gobierno de los EEUU debern adjuntar dos fotos tipo pasaporte y una tarjeta con sus huellas digitales tomada en una oficina consular americana. Consejo y advertencia Se recomienda tomar este test sobre  cà ³mo obtener y conservar la tarjeta de residencia.  Sirve para asegurarse conocer informacià ³n esencial. Finalmente, los extranjeros que adquieren la green card por  ser inversionista  tambià ©n obtienen una tarjeta de residencia temporal. Pero para remover las condiciones deben seguir un trmite distinto. Este es un artà ­culo informativo. No es asesorà ­a legal.