Sleepless Night - Original Writing - 1441 Words

He/She 7 AM. Another sleepless night to add to the collection. I haven’t had a full night’s sleep in over 3 months. I wonder what it’s like, to be able to get to sleep without your thoughts circling around in your head like a swarm of angry bees. I guess that’s what I deserve for being this way. â€Å"Ellie,† my dad yells from the kitchen downstairs, â€Å"Get down here, breakfast is ready!† I yell back, â€Å"It’s Elijah, dad!† I trudge down the stairs in my pajamas, a band tee and plaid bottoms. As I reach the bottom of the stairs, I hear my mom fumbling with some pots and pans, trying to make some eggs. I can tell it isn’t going as she had hoped. When I enter the kitchen, I walk over to my seat and eat my â€Å"delicious† eggs. After breakfast, I walk†¦show more content†¦When I am done, it is very hard to breathe, which is completely normal for me. At least I have a flat chest. I‘ll put up with anything, my sides bruising or my armpits bleeding, to look as much like a man as possible. I finish getting ready by putting on a grey and black plaid shirt and some baggy jeans, a normal outfit of mine. Now, it’s finally time to go to the bus. I slowly walk through the sparkling snow to get to my bus stop. All I can hear is the wind whistling through the trees and my feet crunching in the snow. When I get to my stop, I can see the bus starting get closer. I pull out a book and get ready for the hour long bus ride. It was a pretty normal day at school, lots of homework and little fun. When I get home, I immediately go back to my room. I get out a notebook and start scribbling down all of my thoughts. I write down everything about how I have felt for what seems like forever. I tear out the sheet, carefully fold it into a small square, and put it into my pocket. I have something very important to do, which I have been worrying about all day. I then go to my closet and get out a very large backpack. In it, I pack three shirts, two pairs of pants, my notebook, and a pen, just in case something goes wrong. I also grab my phone and put it into my pocket next to the piece of paper. As I slowly walk down the stairs, I notice that the house is eerily quiet. Even though I don’t think anybody is around, I walk silently, making

Is Otolaryngology A Important Career - 1403 Words

Alexa Garza English 9.5 Career Research This research paper is going to be talking about a really important career which is Otolaryngology. This job is really important to know about because many people suffer from the problems that this one studies or works for and the experts may help a lot. What I mean with â€Å"problems† is like the ear, nose, and throat issues that people my present. In this research paper of my chosen career will be talking more detailed about the job, its educational requirements, the salaries, and showing some graphs, charts and citations. Maybe some of the information that is going to be given will be good for your knowledge and is really interesting to know. Garza, 1 Alexa Garza Mrs. Sanchez†¦show more content†¦Ã¢â‚¬Å"The nice thing about otolaryngology is that it’s nice balance between helping patients in the office without needing o do surgery and fixing them† (Dr. Malis , page 1) As this doctor said, he doesn’t have to do surgeries if needed, he would do anything for his patients except hurt them or do something inappropriate. (floridatoday.com , pages 1-2) Garza, 2 Most ENT surgeons work in private practice but also in academic settings. They treat problems of upper pharynx, larynx, oral cavity, head and neck structures besides the ENT region. They examine some affected organs with some special equipment such as x-ray machines, microscopes, prisms, fluoroscopes and audiometers. (greatsampleresume.com , page 2) Otolaryngologists work for a long period of time and really hard. Most of them have critical thinking, and solving skills, they are able to work well under stressful conditions and have also a huge strong moral philosophy. (greatsampleresume.com ,page 3) â€Å"I think just in is you assume they have got good technical skills, but really it is judgment. That’s something that often times folks don’t appreciate† ( Dr. Malis , page 2) Doctor Malis is haring with us his experiences as a ENT doctor. (floridatoday.com , page 2) Garza, 3 Part II: Education To be an otolaryngologist you have to experience really difficult things but they are worth in many ways, you can have a better

The appreciation and feasibility of higher education Free Essays

As an emerging field of survey there are many challenges and inquiries that evoke when one declares higher instruction as a field of survey. Some people like Dennis Mileti ( 2003 ) could easy declare that since people talked about Emergency Management as a subject, â€Å" therefore it is. â€Å" Philips ( 2003:2 ) . We will write a custom essay sample on The appreciation and feasibility of higher education or any similar topic only for you Order Now In specifying higher instruction as a field of survey there are inquiries that will prosecute us for old ages to come as they have for the old ages ago. â€Å" Position documents will be written, perspective challenged, arguments entered in course of study commissions, turf conflicts waged in alumnus councils † Phillips ( 2003:2 ) . The argument is sometimes reduced to the inquiry of whose definition of ‘field of survey ‘ to be used. Philips ( 2003:2 ) suggests that we need to hesitate and analyze the yesteryear while contemplating the hereafter. How far we are with higher instruction as a field of survey and what way is it taking. We need to look back and state where we come from. harmonizing to Goodchild ( neodymium ) the survey of higher instruction has non yet reached adulthood but possesses many of the properties of scholarly field. He contests that programmes designed to fix individuals entry in higher instruction exist in profuseness. He besides states that there are about eight hundred professors who think of themselves as professors on higher instruction. This suggests that these professors would hold easy agreed with Mileti ( 2003 ) in that when people talk of something therefore it is. We need to look at what characterizes higher instruction and higher instruction as a field of survey in peculiar. Although in the past few decennaries there was really small literature sing higher instruction as a field of survey, new research suggests the antonym at the present. Hobbs and Francis ( 1973 ) and Francis and Hobbs ( 197 4 ) were able to that the theoretical research available in the disciplinary diaries was rare in the higher instruction. They besides found that there was small evident usage of periodical literature of the theoretical findings Kellems ( 1975 ( 3 ) , 135-154 ) . Goodchild ( neodymium ) suggests that there is a turning literature that deals with assorted parts of higher instruction sphere. So, this suggests that we are so traveling in a way. Let us utilize this definition of a ‘field of survey ‘ so that we can all be at par. This has no purpose to sabotage or pique anyone ‘s mind. Can we hold that as a field of survey, Higher Education is more embracing on the one manus, and does non hold its ain theoretical foundation, on the other? it relies on academic subjects such a societal scientific disciplines to explicate the educational procedure. Maybe it is because of this basic ground that we have seen less funding in the field of survey than in the academic Fieldss. Thingss have changed now, or they promising to alter or we need to alter things around. In the following subject I want us to look at the lively-hood and the sustainability of the field. Appropriateness and feasibleness of research within higher instruction. What can we look at and make up one’s mind that we can take higher instruction as a field of survey? The argument comes back once more. When we look at the clip line of higher instruction we recognise many alterations with clip before 1994 and the state of affairs after 1994. By 1994, there were in south Africa 36 higher instruction Institutions, which were structured along racial and cultural lines and characterised by a crisp differentiation between universities ( 21 ) and technikons ( 15 ) OECD, ( 2008 ) . New lines would be drawn or are being drawn off from those of the yesteryear. Universities are get downing to see the bigger image now. Where all establishments want to go Centres of excellence. Some have chosen to go entrepreneurial university and other practical universities. the inquiry remains, how we become specializers in higher instruction if there is no specialization in higher instruction as a field of survey. How are the lectors prepared to run into the organiza tional aims? Nzimande, ( 2009:3 ) negotiations about the cardinal characteristics of higher Education and Training System. â€Å" aˆÂ ¦the system of HET will be supported by an institutional base that is both diverse and differentiated every bit good as being conceptualized as an integrated and consistent whole in which meaningful acquisition tracts are developed across institutional and workplace instruction and preparation signifiers. † Nzimande ( 2009:3 ) the people responsible for the development of these acquisition tracts are the higher instruction practicians. This sets out a challenge to all talks at Higher Education Institutions to prosecute in research in order to turn to the challenges that the curate of higher instruction negotiations about in the subject policy development. Other subjects in higher instruction would include but non restricted to higher instruction direction and leading, plan planning and development, research, passage surveies ( workplace to larning topographic point and larning topographic point to workplace ) . I view the followers as possible countries of research in higher instruction. The green paper on Skills development ( 1997 ) aimed to develop an â€Å" incorporate accomplishments development system which promoters economic and employment growing and societal development through a focal point on the instruction preparation and employment services † . if no 1 is making research on higher instruction we may ne’er happen out what this means and hence higher instruction establishments may ne’er be able to supply the service as suggested by the authorities. To simplify the above, in 1997 the above was taken frontward in the accomplishments development act ( 97of 1999 ) which aimed to: Develop accomplishments of the south African workforceaˆÂ ¦ . Encourage employers to utilize the workplace as a acquisition site Increase the degrees of investing in instruction and trainingaˆÂ ¦ Ensure the quality of instruction and preparation in and for the workplace ; To me all of the above I the act am research chances for higher instruction practicians. Lecturer and other higher instruction staff need to understand and hold expertness in the accomplishments needed for the work force. The lone manner we know how to break get new cognition is through research. This would assist the higher instruction establishments in footings of support from the authorities and other stakeholders based on the turnaround or the results of the preparation and sort of instruction they provide. This brings me to the quality of instruction and preparation in and for the work force. We need more people in the readying of lectors for covering with the demands of the work force. Through invention and promotion in engineering we may non keep the old cognition and hope that it will be equal for more old ages to come. The curate besides mentioned ‘quality intercessions ‘ which include among other things the debut of formal makings for talk Sers Nzimande ( 2009: 5 ) formal makings now will non needfully be formal makings in the following 10 old ages to come. We have seen state of affairss where establishments, in their quest to be the tbest, stop up bring forthing one line of work force more than any othrer. For illustration the University of Zululand is bring forthing more instructors than any other making at the present. Does it of all time occur to the leaders that at one phase these instructors will see what many people call a bottle cervix state of affairs, where there will be more pedagogues than the schools really necessitate? The Education white paper 3, and the National program for Higher Education ( NPHE ) in their policy paperss, they articulate increased engagement as one of the ends of Higher Education Transformation in South Africa, which is the accomplishment of equity in the higher instruction system.OECD, 2008. The higher instruction practicians are expected to react to this call and I f they are non prepared through research they will non react suitably. By reacting suitably I mean that engagement would be increased, equity achieved, and the quality of instruction non compromised. Increasing engagement and accomplishing equity in footings of gender, race, ethnicity, and socio-economic position is easy because it is a statistical issue. Covering with big Numberss of pupils besides needs a research base reply. A addition it is the duty showing itself as an chance to higher instruction practicians to venture out ways and agencies of covering with big Numberss in limited resources, for illustration. The other issue here that needs to be addressed is that of background. To reason, I would wish to indicate out to other fellow talks and faculty members that there is a brighter hereafter in higher instruction as a field of survey, and there can be more subjects than what I mentioned here. How to cite The appreciation and feasibility of higher education, Essay examples

Operations Management Essay Paper Example For Students

Operations Management Essay Paper Process Improvement PlanSeptember 24, 2003 AbstractIn examining material management and supply chain systems in the hospitalindustry, unexpected inefficiencies to monitor material usage patterns onhospital units, causes great risk to many processes that are involved inthe healthcare industry on a daily basis. The process necessary to improvesystems involves staff participation in brainstorming and analyzingcriteria for recommending solutions to fine-tune problem areas forenhancing patient care supply chain management. Process Improvement PlanFailure to maintain adequate supply levels in a healthcare process cancause delays in patients care, customer satisfaction, risk to servicingpatients and increased frustration to staff. Processes are implemented infacilities to help minimize the room for error so that individuals workingin the facility can perform task in a consistent, efficient, and optimalmanner, which could ultimately lead to improvement in both distributionefficiency and aggregate cost. Each nursing unit has to order supplies from the purchasing departmentto place on their carts in-order administer and distribute medical suppliesand pharmaceuticals to provide prescribed health care to patients. Thefollowing process is utilized for ordering supplies in a hospital setting:Supplies in which the nurses are responsible for ordering are on the AS400on the computer. The nurse takes a print out of the supply list and they inventory thestock and then the list is given to the unit secretary for placing in thecomputer. The order request sheet prints in the purchasing department andthe purchasing department fills the request and places them on the unit onthe supply cart. The purchasing department monitors some of the items that are routine,such as toothbrushes, pitchers, toothpaste and etc. when they make theirdaily rounds and perform cart checks. The problem with this orderingprocess is that there has been inadequate stocking of supplies onmedication carts by nurses during shift changes. One way to gain solutionsto this problem is through brainstorming. Brainstorming is defined as theact of defining a problem or idea and coming up with anything related tothe topicno matter how remote a suggestion may sound. All the ideas orrecorded and evaluated. Brainstorming can be an effective way to generate lots of ideas andthen determine which idea or ideas best solve the problem. When a facilityis utilizing brainstorming, this should be performed in a relaxedenvironment as if individuals feel pressured, they may not stretch theirminds to full capacity. Steps to brainstorming:1). Identify the problem. 2). Set time limit for resolutions. 3). Peer participate through verbalizing issues and possiblesolutions to theproblem. 4). Selected the five major topic for discussion and resolution. 5.) Select five criteria for evaluate and the best process forproblem containment. 6). Rate and rank each idea and recommended solution (0-5)7). Choose the idea with the highest ranking as a possible solutionto theproblem. A record should be maintained of all the ideas, incase thefirst idea doesnot work. Another method that could assist the organization in identifying theprevalence of a unit being under stocked is by using the the Paretoprinciple, the 80/20 rule This concept can save you time and money. Inthe world of quality control, the concept is applied to defects. A smallpercentage of root causes are responsible for the majority of the defects. Data on how often problems occur can be tracked using a bar chart. This cansave an organization time and money by helping its staff to focus on whatsmost important and ignoring the distractions. Some of the main areas of inefficiencies are:Medical supply ordering processes were not timely, and follow-up actionwith the host MTF was not effective. The host MTF did not effectivelysupport the reserve unit with required logistics support. .u49b74a5a7997e1dd587797d8bb8c14c0 , .u49b74a5a7997e1dd587797d8bb8c14c0 .postImageUrl , .u49b74a5a7997e1dd587797d8bb8c14c0 .centered-text-area { min-height: 80px; position: relative; } .u49b74a5a7997e1dd587797d8bb8c14c0 , .u49b74a5a7997e1dd587797d8bb8c14c0:hover , .u49b74a5a7997e1dd587797d8bb8c14c0:visited , .u49b74a5a7997e1dd587797d8bb8c14c0:active { border:0!important; } .u49b74a5a7997e1dd587797d8bb8c14c0 .clearfix:after { content: ""; display: table; clear: both; } .u49b74a5a7997e1dd587797d8bb8c14c0 { display: block; transition: background-color 250ms; webkit-transition: background-color 250ms; width: 100%; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #95A5A6; } .u49b74a5a7997e1dd587797d8bb8c14c0:active , .u49b74a5a7997e1dd587797d8bb8c14c0:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #2C3E50; } .u49b74a5a7997e1dd587797d8bb8c14c0 .centered-text-area { width: 100%; position: relative ; } .u49b74a5a7997e1dd587797d8bb8c14c0 .ctaText { border-bottom: 0 solid #fff; color: #2980B9; font-size: 16px; font-weight: bold; margin: 0; padding: 0; text-decoration: underline; } .u49b74a5a7997e1dd587797d8bb8c14c0 .postTitle { color: #FFFFFF; font-size: 16px; font-weight: 600; margin: 0; padding: 0; width: 100%; } .u49b74a5a7997e1dd587797d8bb8c14c0 .ctaButton { background-color: #7F8C8D!important; color: #2980B9; border: none; border-radius: 3px; box-shadow: none; font-size: 14px; font-weight: bold; line-height: 26px; moz-border-radius: 3px; text-align: center; text-decoration: none; text-shadow: none; width: 80px; min-height: 80px; background: url(https://artscolumbia.org/wp-content/plugins/intelly-related-posts/assets/images/simple-arrow.png)no-repeat; position: absolute; right: 0; top: 0; } .u49b74a5a7997e1dd587797d8bb8c14c0:hover .ctaButton { background-color: #34495E!important; } .u49b74a5a7997e1dd587797d8bb8c14c0 .centered-text { display: table; height: 80px; padding-left : 18px; top: 0; } .u49b74a5a7997e1dd587797d8bb8c14c0 .u49b74a5a7997e1dd587797d8bb8c14c0-content { display: table-cell; margin: 0; padding: 0; padding-right: 108px; position: relative; vertical-align: middle; width: 100%; } .u49b74a5a7997e1dd587797d8bb8c14c0:after { content: ""; display: block; clear: both; } READ: A Journey Towards Maturity and Identity EssayCertificates of transfer for medical equipment management officeproperty were not completed for the last 2 account transfers. Additionally, the annual equipment inventory was not completed in a timelymanner. Timely resolution of equipment discrepancies identified during annualinventories was hampered by incomplete or delayed reports of survey. Documentation indication that medical equipment inventories were completedwithin the required 12 -month period was inconsistent. MEMO inventory was not accomplished during FYs 01 and 00. Designation of the individual responsible for approving InventoryAdjustment Vouchers was not completed in accordance with Vol 5. Theprevious medical stock record account inventory was not available forreview. A systematic process to review, follow-up and resolve outstandingbackorders for materiel and equipment was not evident. Health care organizations should utilize resources to the better goodof the organization and its consumers so that processes work and not fail,by utilizing a number of approaches. Although changing practice patterns isthe most difficult aspect of any effort to restructure systems,modifications to ensure change and to make the desired practice the path ofleast resistance should be the key factor. This process will be improved to remedy the issue of restockingnursing units by using the, exchange cart system. Each cart is restockedto all required Par levels, and taken to the floor on an establishedschedule. The used cart on the floor is exchanged for the correspondingfull one, and the cycle continues. If a nursing unit manager believes thatreserves of a particular item are running low, usually due to the needs ofa particular patient, interim deliveries of a small number of items canusually be arranged. Also, this means that the individual nurse manager isable to set all Par levels, even if an approval process is required toformally alter them. In conclusion, the basics of inventory theory, such as daily userates, variances in use rates, and legitimate estimates of lead-time areall factor necessary in the medical supply chain in delivering services topatients. The two vital partners in the hospital supply chain are nursingand central supply. The need for a system, which addresses efficiency,maintenance of stock level, must have an efficiency of scale for bothsupplier and customer needs.