Tuesday, May 5, 2020

“You Can’t Use a Lyric, Nalah!” free essay sample

â€Å"You can’t use a lyric, Nalah!† That’s what I keep telling myself as I sit here brainstorming for this paper. Square one: the very first sentence. How can I grab your attention in one line? Nothing but song lyrics are coming to my mind, but I don’t want to use them because they are not my words. This is supposed to be a personal essay where I get to write all about me. With so many different aspects of myself, where do I possibly begin? I write something down and then I scribble it away thinking, â€Å"AHHHH! No, that’s not right!† I’m constantly twisting my curls and staring off into the distance; thinking and thinking about what to write. â€Å"Okay, that’s enough,† I say to myself. â€Å"Let’s ask Google now. Maybe Google knows.† I type in ‘college essay examples’ and see a common theme. We will write a custom essay sample on â€Å"You Can’t Use a Lyric, Nalah!† or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Most people seem to have one story that changed their lives forever. Then I ask myself, â€Å"Do I have one?† So I start listing: I am a child of teenage parents who were unable to stay together. The nonstop jokes about my crooked smile were only funny to those around me. Going through puberty at such a young age made me so self-conscious that I didn’t even want to look at myself in the mirror. In the heat of our biggest argument, my mother tells me I wouldn’t care if she died. My best friend almost lost her life in a car accident. I had a relationship with a man that broke my daddy’s heart. But then I stop listing, because that is not where I want to go with this. I’m reading these essay examples and wishing mine would come out like theirs. Wishing I had one story to tell you that showed you who I am. I keep telling myself, â€Å"I’ll figure something out,† but nothing seems to fall in line. All I can think of are the first lyrics that floated into my head when I was trying to write my opening sentence: Sitting in the studio thinking about which mood would go right now, freestyle or write down whatever And still I come up clever, I just need to free my thoughts So that’s what I began doing after all the agony of trying to sum myself up into one snapshot of my life. I began to free my thoughts. Thoughts of confusion and frustration. Thoughts that evoked emotions I haven’t allowed myself to feel in a long time; emotions that made me want to breakdown and cry. Lastly, thoughts of fear because if I didn’t or don’t tell my story through a vignette of my lifetime, I would be writing this essay â€Å"wrong†. â€Å"Si Dios quiere,† my grandma always says. It means if God willing and is a motto that has been etched into my mind. Whatever obstacles He puts in my path holds its own purpose. Everything happens to help me progress. Every day is a chance to be better than yesterday and learn something new. Whether it be from a mistake or in the classroom at the college of my dreams. Here, I’ll learn how to build my own corporation from business professors. This in turn will not only allow me to fulfil my philanthropic goals, but to give back to my parents. I have put them through havoc, but they have always remained there for me. They are my foundation and my motivation to succeed. There’s simply not one given time that I could share in great detail with you. I’m a photo album filled with snapshots of my life that make me who I am. As the next months bring an abundance of change and new experiences, I’m going to continue to live life audaciously. Knowing that whatever happens along the way, for better or for worse, is all part of God’s plan for me. And when I don’t know which way to turn or what to do, a prayer and some song lyrics will get me back on track.

Sunday, April 5, 2020

Rent Musical Essays - Broadway Musicals, Off-Broadway, Rock Musicals

Rent Musical There's a scene in the new musical "RENT" that may be the quintessential romantic moment of the '90s. Roger, a struggling rock musician, and Mimi, a junkie who's a dancer at an S/M club, are having a lovers' quarrel when their beepers go off and each takes out a bottle of pills. It's the signal for an "AZT break," and suddenly they realize that they're both HIV-positive. Clinch. Love duet. If you don't think this is romantic, consider that Jonathan Larson's sensational musical is inspired by Puccini's opera "La Boheme," in which the lovers Mimi and Rodolfo are tragically separated by her death from tuberculosis. Different age, different plague. Larson has updated Puccini's end-of-19th-century Left Bank bohemians to end-of-20th-century struggling artists in New York's East Village. His rousing, moving, scathingly funny show, performed by a cast of youthful unknowns with explosive talent and staggering energy, has brought a shocking jolt of creative juice to Broadway. A far greater shock was the sudden death of 35-year-old Larson from an aortic aneurysm just before his show opened. His death just before the breakthrough success is the stuff of both tragedy and tabloids. Such is our culture. Now Larson's work, along with "Bring in 'Da Noise, Bring in 'Da Funk," the tap-dance musical starring the marvelous young dancer Savion Glover, is mounting a commando assault on Broadway from the downtown redoubts of off-Broadway. Both are now encamped amid the revivals ("The King and I") and movie adaptations ("Big") that have made Broadway such a creatively fallow field in recent seasons. And both are oriented to an audience younger than Broadway usually attracts. If both, or either, settle in for a successful run, the door may open for new talent to reinvigorate the once dominant American musical theater. "RENT" so far has the sweet smell of success, marked no only by it's $6 million advance sale (solid, but no guarantee) but also by the swarm of celebrities who have clamored for tickets: Michelle Pfeifer, Sylvester Stallone, Nicole Kidman and Tom Cruise, Mel Gibson, Ralph Fiennes...name your own biggie. Last week, on opening night, 21 TV crews, many from overseas, swarmed the Nederlander Theatre to shoot the 15 youthful cast members in euphoric shock under salvos of cheers. Supermogul David Geffen of the new DreamWorks team paid just under a million dollars to record the original-cast album. Pop artitsts who've expressed interest in recording songs from the 33-number score include Whitney Houston, Toni Braxton and Boyz II Men. A bidding scrimmage has started for the movie rights among such Hollywood heavies as Warner Brothers, Danny DeVito's Jersey Films, Fox 2000 and Columbia. The asking price is $3 million, but bonuses for length of run, the Pulitzer Prize (which "RENT" has already won), various Tony and critics' awards could jack the price up to $3.75 million. Despite these stupefying numbers, the young producers, Jeffrey Seller, 31, and Kevin McCollum, 34, and their associate, moneyman Allan S. Gordon, know that they're not home free. "There's no such thing in New York," says Seller. "Our company has mostly done tours. If you sell 8,000 seats a week in Cleveland, you did a great job. Never having done a Broadway show, the idea that you have to sell 450,000 seats a year is daunting." Major Broadway players like the Shubert Organization and Jujamcyn Theaters, which lost out to the Nederlander in the feverish grab for "RENT," would love to be daunted like these Broadway tyros. Rocco Landesman, Jujamcyn's president, says he's "crushed" at not getting "RENT." He predicts the show will be a "crossover success; it will attract an ethnically diverse audience, people who are not normally theatergoers." "RENT" has a $67.50 top ticket price, but the producers have reserved the first two rows at $20 and are tagging mezzanine seats at a "bargain" $30. "'RENT' has a lot riding on its shoulders," says producer Jim Freydberg, whose "Big" has just opened. "I desperately hope it works. If it's successful, we're going to get more daring shows on Broadway. If it's not, we're going to get more revivals." This is interesting, coming from a competitior whose own show, based on the popular Tom Hanks movie about a 13-year-old boy who wakes up on day in the body of a 30-year-old man, could be said to represent the less daring sector of Broadway. "If I really wanted to make money I'd go to Wall Street and invent money," says Seller. "I came to Broadway because I was excited by the question 'Can you challenge the mainstream? Can you reinvent the mainstream from

Sunday, March 8, 2020

Retail Packaging Essays

Retail Packaging Essays Retail Packaging Essay Retail Packaging Essay Retail Packaging Name: Course: Institution: Tutor: Date: Retail Packaging Packaging Smaller Runs When starting a business, it is only logical to make sure that the retailing packaging being used is of the least cost possible. There are a number of prints that can be made on the folding carton. Since the business is planning on using only three printing colors, there a number of varieties to choose from. However, due to saving on costs and other unnecessary complications that come with printing, the business will use the flexography printing method. There are a number of printing methods that can suite the folding carton. These include letter press, gravure, flexography, digital printing and offset. However, the flexography suites this retail packaging due to a couple of reasons. Since the business will start with the use of three colors, this method can incorporate up to ten colors (Casals Pilars International, 2007). This is because it incorporates fast drying inks thus making the process much faster. The major advantage of this method is that it is cost effective as compared to other methods. Since water based inks can be used as effectively as oil based ones, the water based are the cheapest as far as reducing costs is concerned. They also bring out the same effect as the oil based inks. This type of printing is also used in image making thus can be used to produce any images that might be used on the carton folders. The reproduction of all the color hues is one of the major disadvantages of this type of printing (Casals Pilars International, 2007). However, the business will only incorporate three colors that can be reproduced. This will disadvantage will not affect the business. This type of printing can take place in both the absorbent and non absorbent materials. The materials used to make the folding cartons are non-absorbent. There will be no problem with the materials to be used. This is an advantage, as some of the other printing methods do not make a favorable impression on the non-absorbent materials. Since this is business, minimizing the cumbersomeness of printing is one of the aims of being effective. This can take place through this method. A photopolymer image or a rubber enables the formation of millions of impressions without having to repeat a process. This saves time, cost and is more effective. The business needs to make as many folding cartons as possible within the shortest time possible. Larger Production Producing goods in larger quantity means that the business will have to improve in efficiency without compromising on the quality of the products (Meyers Gerstman, 2005). The digital printing method is the best if the business was to incorporate larger production of the folding cartons. Although it involves the use of more expensive machinery than the ones used in the previous method, it is more effective and efficient when it comes to mass production. One significant advantage of this method is that it is extremely fast. Thousands of folding boxes can be printed in a very short time. Although it involves machinery that is expensive, the unit cost is much smaller due to the bulk production of folding cartons taking place. The original desired image is not altered on the final product as compared to other methods. This will enable the business to offer more satisfying results to the customers thus attracting more customers (Hoffmann-Falk, 2007). This type of printing involves multiple colors within a short period. Whether the business decides to use more colors or decides to remain with the three colors, this printing method will accommodate the changes. Consistency and innovations are very significant to a business. However, major extra costs should be avoided in order to maximize on the profits (British Retail Consortium, 2008). References British Retail Consortium. (2008). Global standard for packaging and packaging materials. London: The Stationery Office. Casals, R., Pira International. (2007). The future of flexographic printing markets to 2012. Leatherhead: Pira International. Hoffmann-Falk, M., Oce? Printing Systems GmbH. . (2007). Digital printing: Technology and printing techniques of Oce? digital printing presses. Poing: Oce? Printing Systems GmbH. Meyers, H. M., Gerstman, R. (2005). The visionary package: Using packaging to build effective brands. Houndmills, Basingstoke, Hampshire: Palgrave Macmillan.

Friday, February 21, 2020

International Business Analysis. Financial Crisis of 2007-2010 Essay

International Business Analysis. Financial Crisis of 2007-2010. Bankruptcy of Lehman Brothers - Essay Example These particular securities which were considered as poisonous resulted in making up a substantial fraction of their individual final asset base. The non-payments related to such securities promoted a significant credit crisis as every individual financial institution accumulated cash and called for the requirement for increasingly enlarged payments prior to lending it to others. The investment brokerages along with the banks situated in Wall Street rapidly lost capital of amounting to around US$175 billion between the time periods ranging from the year 2007 to the year 2008. Many large and sound financial institutions had to be rescued with the aid of huge amount of guarantees that were obtained from Federal Reserve. Numerous of the remaining ones ensured their continued existence with the help of selling large portions of their preferred stock along with assured best return rates, towards a sequence ‘sovereign funds’ that were believed to be possessed by the respective governments of Singapore, China, Abu Dhabi and South Korea among the rest (Blackburn, 2008).The financial institutions especially the banks suffered grave financial crisis owing to the apparent deeply faulty management in relation to the systematic risk. A quite significant part related to this particular issue was identified to be the fact that the central as well as a few of the prominent financial institutions made use of a obscure secondary form of banking system in order to conceal a great deal of their respective exposure. Renowned institutions such as Merrill Lynch, Barclays Capital, Citigroup, Deutsche Bank along with Hong Kong and Shanghai Banking Corporation (HSBC) were known to get engaged in huge amount of debt or due balances and as a result provided loans by employing the funds of other individuals in opposition to inadequately poor kind of collateral (The Chancellor of the Exchequer, 2009). The triggering factor behind the credit crisis was measured to be the growing payment failures among the people of the US who were believed to be in possession of the subprime mortgages during the previous quarter of the year 2006 and in the beginning of the year 2007 (Jaffee, 2008). The increasing rate of failure to make payments against the held mortgages by the individuals was identified to be the rise made with respect to the interest rates for the reason of defending the declining value of dollar. This particular scenario or condition resulted in the breakdown of numerous big and sound mortgage brokers between the months of February to March in the year 2007, however the real possibility of the issue only started to get recorded in the later periods. Fascinatingly, the initial bank that registered an issue in this regard was the Deutsche Bank who was learnt to be compelled to provide guarantee for two funds in the month of July’ 2007 that were supposed to be property-based (The Chancellor of the Exchequer, 2009). To sum up, the essential aspect t hat was realised regarding the financial crunch relates to the comprehension that across the globe, certain issues failed to be adequately well understood. The international standards pertaining to regulation along with the international agreement with regard to risk remained unsuccessful to carry on with the notion of financial innovation as well as globalisation. This definite mentioned aspect did not

Wednesday, February 5, 2020

Communication and Cultural Studies Annotated Bibliography

Communication and Cultural Studies - Annotated Bibliography Example "We asked participants to revise and expand their conference papers with these perspectives in mind. The resulting volume presents an interdisciplinary look at how power and forms of cultural representation interacted in the context of Austrian-American relations during the cold war. Taken as a whole, the contributions challenge naive notions of cultural imperialism." "Since the beginning of time, humans have expressed a concern for ethics. Plato Republic is essentially a work of political ethics, as is Aristotle Nicomachean Ethics. For both Plato and Aristotle, the "good" person was a conscientious citizen contributing to the city-state. The notion of civic virtue implies a citizenry that is informed, active, selfless, enlightened and, above all, just." Rhetoric and the study of communications have long lent themselves to research into ethics. "There is universal agreement that human communication demands concern for ethics." These essays are the product of a conference of international proportions that were sponsored by the Linacre Centre to discover the importance of the encyclical Evangelium vitae (in 1995) of John Paul II. The purpose of the study was for healthcare ethics.

Tuesday, January 28, 2020

Nurse or ODP as first assistant in theatre

Nurse or ODP as first assistant in theatre The Role of a Nurse or ODP as First Assistant This essay will look at the role of a Nurse or Operating Department Practitioner as a first assistant in modern theatre. NATN (1993) defines first assistants as registered Nurses who provide skilled assistance under the supervision of the surgeon but do not intervene surgically. Their standard of care must be of a very high order. Holding retractors, using suction, Handling tissues and organs, skin preparation, assisting with skin closure and haemostasis, cutting sutures and ligatures, prepping, draping and general assistance to the surgeon are examples of this role. Patient safety is paramount and to ensure this, the importance of undertaking training beforehand is emphasised. The role is not to be confused with that of a surgeons assistant where Nurses have more extensive involvement during surgeries NATN (1994) Theatre Nurses began to function as first assistants during World War Two when there was a shortage of surgeons and their juniors. Recently this role has evolved as Nurses expand their practice as well as compensating for a similar shortage of Surgeons, resulting from a reduction of Doctors working hours NHSME (1991). By assuming this role, Nurses are acquiring greater responsibility and therefore greater legal accountability. Studies show that considering the amount of time Nurses are spending on these expanded role activities, the continuing expansion has created cost implications, which include training costs, and the costs of increased hours required to enable the Nurses to carry out these procedures. As the years are going by, it has become clear that the roles of all healthcare workers have changed and are still changing. Reforms in healthcare delivery have arisen from the move to degree level education of the Nurses and the implementation of the New Deal (NHSME1991), which concerned Doctors working hours and delegating to Nurses activities previously undertaken by medical staff. Professional and legal developments such as the United Kingdom Central Councils (UKCC) Code of Professional Conduct (1992), Scope of Professional Practice (1992) and Exercising Accountability (1989) have all acted as guidelines for the Nurse when developing practice and expanding their roles. In 1989, the Government agreed that the number of hours worked by junior Doctors was unacceptable and it was necessary to reduce their workload. This initiative also had implications for Nurses to take on some of the activities or tasks which had been considered a part of the junior Doctors remit Higgins (1997). The author continues by saying that this extension and expansion of the Nurses role would also fulfil the key requirements of the New Deal. In the process, the training incentives would also enhance and expand the scope of nursing practice, and provide a more holistic approach to patient care. To ensure that these training programmes complied with the scope of professional practice requirements (UKCC 1992), each programme has three centre objectives to be achieved by the participant. By the completion of the course, each participant must be able to recognise the legal and the professional issues surrounding the practice, gain skills and experience required to perform the proc edure and attained all the requisite knowledge underpinning the practice with improvement in communication between disciplines. DHSS (1997) Theatre Nurses working as first assistants have many matters such as accountability, responsibility, autonomy and duty of care to the patient with which to contend. Hind (1997) declares that there are four issues to consider, which are professional, legal, contractual and self, as described below: * Professional: UKCC (1996) states that a registered Nurse must promote and safeguard the interests and well being of patients and clients, acknowledge any limitations in knowledge and competence and decline any duties unless able to perform them in a safe and skilled manner. Bernthal (1999) advocates this by saying that Nurses are totally accountable and Surgeons can only supervise and not take responsibility for any action of the Nurse acting as a first assistant.   They must not help the surgeon out without adequate education. * Legal: Bernthal (1999) says that Nurses are accountable to the public through criminal law and to the patient through civil law. Theatre Nurses need to be aware of the possibilities of litigation as they extend their role. If a theatre Nurse does not feel competent in a role, they have a duty in civil law as well as in the guidelines set by UKCC to refuse to act, thereby ensuring patient safety. Lack of experience is never an excuse for incompetent care, once a duty of care is breached causing harm to the patient, the result is a charge of negligence. Therefore, major legal and professional implications exist. * Contractual: When a contract of employment is signed, employees are bound by its terms Hunter (1994). Employers can control not only what nurses do but also how they do it Lunn (1994) which creates a dilemma.   Nurses have a responsibility, legally and professionally, to protect their patients by performing only in those areas in which they are competent but as employees, they also have a duty to carry out the orders of the employer. Therefore the employer must provide adequate training and support so that the staff can carry out any extended role competently that they require of them Bernthal (1999). * Self: Bernthal (1999) states that to be ‘self accountable, Nurses have a moral, as well as a legal and professional duty, to educate themselves in any deficient area of knowledge. If all professionals self regulated themselves perfectly, there would be no need for other legal and professional bodies to ensure patient safety Hind (1997) A group of senior Nurses at the University Of Dundee in 1999 stated that a high percentage of scrub practitioners are undertaking first assistant activities. They also stated that there was a lack of funding to support this role and to recognise those who had successfully completed the formal first assistant training course. They also realised that for the initiative to progress, it was imperative that there was an actual record of the current scrub practitioners practice in Tayside, which resulted in a four-week long scrub practitioner audit in 1999. This audit involved each scrub practitioner filling a questionnaire for every case admitted to the theatre. However the result wasnt as expected (Robinson and McIntosh 2002). Robinson and McIntosh (2002) stated that the analysis, though, showed the first assistant activities were undertaken to some extent by the scrub practitioner, confirming the working partys initial theory. The audit team also learnt that the degree of involvement of first assistant was far higher than originally thought, and that all the first assistant duties which scrub practitioners had accepted as a part of their normal practice were inclined to be undertaken more often. These include activities such as skin preparation, draping and cutting of sutures and ligatures. The personal opinion of the audit team was that, locally, medical staff had adapted their practice and accordingly were happy for scrub practitioners to perform the first assistant activities. The audit team also learnt that surgeons have helped in redefining the role of scrub practitioners. Despite increasing emphasis on professional accountability, it is evident that the scrub staff are routinely performing outside t heir ‘normal scope of practice. Tanner (2000) stated that first assistants activities constitute an extended role and it is necessary to explore whether the tasks undertaken are extended skills requiring additional training and separate contracts. There is a concern that if scrub Nurse or ODP takes on the first assistant role, they will encounter problems with professional accountability and liability and also require additional training. This however has been accepted, apparently unchallenged, by scrub and theatre Nurses. However it is time to address this and find out whether the activities currently recognised as a part of the first assistants role do or do not constitute extended practice (Tanner 2000). Timmons (2000) states that evidence on the above statement is based on the qualitative study exploring Theatre Nurse practice. The methodology of this study used observations of scrub Nurse practice and interviews with scrub and theatre nurses. As suggested by NATN (1993), some first assistant activities (e.g. assisting with skin closure and haemostasis, cutting sutures and ligatures, prepping, draping etc.) were actually all routine theatre Nurse practice. Sutherland et al (2000) confirmed these findings in a later audit of theatre Nurse practice showing that in 951 surgical cases, 73% of the theatre Nurses undertook first assistant activities, and on asking why, 39% of them said the activities were a part of their normal practice, especially prepping and draping.   EORNA (1997) supports this idea of first assistant tasks in the curriculum content for theatre course, e.g. preparation of the patient. This does not mean that the first assistant role is not an extended role, but rather the tasks currently described by NATN as being a part of first assistant role may be routine theatre practice. Tanner (2000) states that the observations of theatre practice identified some activities which occurred infrequently, were limited to certain surgical specialities and appeared to require additional education or understanding, e.g. staff developing x-rays, setting up image intensifiers, shaping grafts, putting cement on prostheses, hammering, preparing ‘back slabs, cementing and directing laparoscopic camera equipment. It does not mean that these tasks are skills of the first assistant but merely that these tasks seemed to be additional skills which may form part of the future developing role of the theatre practitioner. NATNs principles of safe practice in the perioperative environment (1998) goes on to say that surgical preparation requires knowledge of infection control and aseptic techniques and that staff at all grades should receive support in these techniques until proficient. One should assume that all qualified theatre practitioner possess a proficient aseptic technique and therefore they are able to undertake this task. Tanner (2000) stated that in fact, a majority of theatre nurses prep and drape patients, which make it superficial to label these activities as additional skills. It is much better to incorporate them into our existing developing role in response to a changing environment. The current role of theatre Nurses has evolved as a response to the changes brought by advances in surgery, world wars, staff shortage and even a personality dispute (Kneedler and Dodge 1987) (Groah 1990) (Fairchild 1993, 1996) (Adams 1990) Bernthal (1999) called for the need to provide well-defined parameters defining the first assistant role. Tanner (2000) stated that the theatre is a complex environment with a large number of professional groups where the smooth running of operating sessions is dependent upon boundaries that are fluid and continually negotiated. Scrub Nurses will be familiar with situations where Surgeons have opened sutures for them, moved the theatre lights or transferred patient, all tasks considered to be the responsibility of nursing or circulating staff.   Placing boundaries or limit may prevent such negotiated ‘swapping of roles. Boundaries which are inflexible and not responsive to changing situations may restrict the smooth running of the operating lists. If limitations are built around theatre practice, in the future theatre Nursing may become over-specialised and eventually untenable. Ultimately the boundaries set down by theatre Nurses may end up excluding theatre Nurses themselve s.   It is time to consider whether scrub Nurses can adapt successfully to their expanded and extended roles. Wright (1995) stated that in the simplest terms, role extension refers to Nurses carrying out tasks not included in their normal training. Most of these tasks relate to acute medical-technical intervention usually carried out by Doctors such as setting up intravenous infusions. Such tasks are thought to require greater intelligence and skill. Role expansion, on the other hand, is based on an alternative set of values. The significance and intricacy of scrub Nurses core skills are recognised in a concept of ‘fundamental rather than ‘basic training. UKCC (1992) states that the scrub Nurse undertaking either some or all the elements of the first assistant role, as defined by NATN (1993) should be competent enough to do the task as no work should be carried out unless the Nurse is certain in the requisite knowledge and skills. Section 9 guidelines of UKCC (1992) gives enormous scope for Nurses to expand their activities, provided that certain critical questions can be adequately answered: whether the patient care will get better, whether core Nursing is preserved and the essential values and practices associated with caring protected, whether the scrub Nurse is competent and able to judge as not all Nurses are aware of the limitations of their knowledge and skills. More importantly, whether any management support is present, as Nurses need to feel that any new work that they take is supported by the organisation in which they work. Also, a comprehensive strategy is needed to ensure that any role development is safe and based on so und knowledge and skills which can be made possible by education. UKCC (1992) Thus, the aim of this initiative is to educate Nurses to undertake the role of first assistant, which is recognised nationally as an interface between the Doctor and the Nurses in the operating department. The education programme is divided into two sections dealing with clinical and academic issues. During this period, the first assistants critically analyse the care needs of patients for both elective and emergency surgery and scrub practitioner participates in care and preparation of patient for surgery and act as a first-assistant to the surgeon. Beesley (1998) and Bernthal (1999) stated that numerous hospitals support their staff to undertake university based Theatre Nursing courses or in-house theatre course where e.g. prepping and draping are taught. It is also surprising for a hospital that has paid for its theatre staff to be taught prepping and draping not to undertake these activities as a part of their contract. Beesley (1998) also describes a hypothetical situation where a patient prepped and draped by a theatre Nurse developed a post-operative wound infection. Beesley continues by suggesting that in this situation, the Nurse could be deemed negligent, as the Nurse had no formal training on the role of first assistant. However, it would be surprising for a qualified theatre Nurse not to have been taught the underlying principles of prepping, draping and infection control. Tanner (2000) also stated that a surgeon in a similar situation, although knowledgeable of asepsis would be unlikely to have covered ‘draping the patient as part of the FRCS exams. NATN (1993) also states that it is essential that adequate education and training be offered to those Nurses who are likely to undertake the first assistant role. While this is also a wise advice to offer Nurses undertaking new roles, it is based on the assumption that the activities currently associated with the first assistant role are indeed new. Beesley (1998) also bring forward the NATN stance and advocate that ‘nurses must first seek the education and training they require to become competent in this role. Tanner (2000) states that as a result of this demand for education, the ENB N77 ‘The Nurse as the First Assistant was developed. Farrell (1999) describes the development and the delivery of this course at Manchester University and includes a table showing an example of the course content reading ‘core anatomy and physiology, skin prep and draping, wound healing, tissue viability, sutures, wound drainage and haemostasis. This would appear indistinguishable from the contents of a routine theatre course (Tanner 2000). In conclusion, theatre practitioners will continue to face challenges to their practice in a dynamic and changing healthcare system. The role of the first assistant has wide implications, legally and professionally, and all theatre practitioners must be aware of these. Nurses have a unique professional role and it is essential that this is developed and not eroded if Nurses take on the role of the first assistant. Wright (1995) states that expanding the role of a theatre Nurse is fraught with difficulties, but also full of possibilities. Observation of theatre practitioners practice suggests that prepping, draping and retracting are routine theatre practice and not extended duties which require additional education and separate contracts. This should not be misinterpreted as suggesting that first assistant activities do not require additional education or separate contracts, but simply that some of the activities previously mentioned, which are identified as being first assistant activities, do not require this. If boundaries to theatre Nursing practice are set which are incorrect or inflexible, theatre Nurses may find themselves excluded, not only from carrying out these routine tasks, but from any future tasks developed in response to a changing environment. Stretching the boundaries of care, may of course, increase the employment opportunities for theatre Nurses in an increasingly competitive and cost-conscious healthcare market. More importantly, it seems that the patient has a chance of a better deal. Formal approaches to role expansion can replace the previous ad hoc methods providing safer practice and legitimising what many theatre staff already do anyway. There is no need to fear the creation of a ‘mini-doctor if we are clear about our values, practices and methods of development. Indeed, the potential is there to create many varied ‘mega-nurse roles that can be turned into a genuine clinical career structure, based not on managerial hierarchy, but on expanding knowledge and skills in-patient care (Wright 1995).

Monday, January 20, 2020

The Use of Capital Punishment in America Essay examples -- Capital Pun

The Use of Capital Punishment in America The use of capital punishment in the U.S. is a growing concern for most American citizens. According to statistics, seventy percent of Americans are in support of the death penalty, while only thirty percent are against it. These statistics show that few people are against capital punishment (â€Å"Fact† 1). With the use of the death penalty growing the controversy is becoming more heated. With only twelve states left not enforcing it the resistance is becoming futile (â€Å"Fact† 4). Many debates have been made and even clauses have been invoked, such as, the â€Å"Cruel and Unusual Clause† that was invoked by the Supreme Court in 1962 (Meltsner 179). The use of death as a punishment has been viewed as â€Å"cruel and unusual,† but in further research the view of what is considered â€Å"cruel and unusual† has been reduced drastically (Berns 31). America’s method of punishments has been reduced from several extremely painful execution method s, to four quick and less painful punishments. They consist of line of execution, gas chamber, electric chair, and the most popular lethal injection (â€Å"Ways† 1-4). The debate about the death penalty consists in both ethical and religious viewpoints. The death penalty should be legalized in all fifty states, to deter from crime, keep repeat offenders off the streets, and alleviate prison costs from the taxpayers. On the other hand, there have been some men and women that have been wrongfully accused and executed for murder. Since the 1900’s at least 416 people have been wrongfully executed causing great concern for the accuracy of the death penalty (â€Å"Death† 4). According to an examination of the â€Å"Death Penalty and Legislature,† Henry Schwarzchild calculated that if the courts were to â€Å"carry out the death penalty for every murder, then we would be executing 400 persons per week (Bedau 366). At the same time this small number of mistakes is nothing compared to the problems society would face without the death penalty. The concern of the death penalty not only pertains to social problems, but also to biblical aspects as well. Walter Berns states many passages from the Bible that support the death penalty, but after careful research he determines that the passages can be interpreted in many different ways. To read this passage from Genesis someone might think that the death penalty is suppo... ...sy and debate that could continue in years to come. Works Cited 1. Bedau, Hugo. The Death Penalty in America Third ed. New York: Oxford University P, 1982. 2. Berns, Walter. â€Å"Crime and the Morality of the Death Penalty.† For Capital Punishment. New York: Basic Books P, 1974. 3. Carelli, Richard. â€Å"Court refuses to outlaw Florida electric chair.† Washington 19 Jan. 1999. http.//web.lexus-nexus.com/universal (20 Jan. 1999). 4. â€Å"Death Penalty Facts.† 7 June 1995. http://susers.aol.com/mcluf/deathf.htm (20 Jan. 1999). 5. â€Å"Death Penalty Fact Sheet.† http://www.ohio.net/~mhs/civics/capp/-factsheet.htm (20 Jan. 1999). 6. Kieter, Richard. â€Å"On the Front Line: Law enforcement views on the Death Penalty.† Feb. 1995. http://www.essential.org/dpic/dpic.r03.html (5 Feb. 1999). 7. â€Å"Nine Lives: Myths and Facts about the Death Penalty.† http://www.ninelive.org/myths. htm (20 Jan. 1999). 8. Meltsner, Michael. â€Å"The Supreme Court and Capital Punishment.† Cruel and Unusaul. New York: Random House P, 1973. 9. â€Å"Ways to be Executed by the Death Penalty. http://www.ohio.net/~mhs/civics/capps/ execution.htm (20 Jan. 1999).