The art of delegation version 1a

•Download as PPT, PDF•

2 likes•1,524 views

grandmab

The Art of Delegation Power Point

Health & Medicine

Tips to successfully share the work load in a busy work environment BMB 2010

[object Object],[object Object],[object Object]

Sponge + eggs + flour + sugar = sponge cake!!

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

What's hot

Resume

Shannon Goodwater

HUMAIRA DANISH ADMIN 2017

Humaira Danish

Dental Assistant

Manar Abdalla

Resume-Dora Ellis Reyes-2012

Dora Ellis Reyes

SHELLY HEATH resumeword

Shelly Heath

Aged Care Not what it used to be

Angy Dinevska

Lonnie's Resume

yolanda garrison

Proposal for an Effective Model for Dismissal Summaries

Julie Bentley

Creating a culture of safety

Other Mother

Hughes_Resume upon request

Danielle Hughes, BSN, RN, C-EFM

dental assisting

jas_mine21

Management analysis

Jamory

Measuring “Culture of Safety” Tawam’s Experience Discovery: Tawam Hospital’s Executive leadership realized the need to establish a “Culture of Safety” within the organization and implemented the Johns Hopkins Medicine “Comprehensive Unit based Safety Program” (CUSP). CUSP was introduced as a pilot project in the Intensive Care Unit (ICU), Neonatal Intensive Care Unit (NNU) and Paediatric Oncology Unit (Peds Onc). Prior to implementation the leadership decided to measure staff perception of safety using evidence based tool. Solution: Tawam partnered with Pascal Metrics to implement the Safety Attitude Questionnaire survey. The SAQ was administered to all Tawam Hospital staff in three phases (2008, 2010 and 2011). In 2010 the pilot CUSP units were also resurveyed to determine the status of safety culture since its introduction in 2008.  An email from the CEO was sent to the participants encouraging them to participate in the SAQ survey.  Physicians, nurses, ward-clerks; respiratory therapist, physiotherapist, dieticians etc were included in the survey.  Those who spent at least 50% of their time in the identified units were only included to participate in the survey.  Survey was administered during departmental meetings to increase response rate.  Conducted separate sessions of physicians.  Staff dropped the completed surveys in an envelope.  82% of staff in the patient care areas of the whole hospital participated in the overall 3 phases of SAQ Survey.  The three CUSP pilot units were re-surveyed in 2010.  Anonymity, privacy and confidentiality were maintained from the beginning till the end. Outcome: The survey results were graded against percentage positive responses. Responses that were less than 60% mark were graded in the danger zone and anything above the 80% mark were graded in the goal zone. Teamwork climate and Safety climate scale scores are considered to be primary dependent variables, because they are important in preventing patient harm. The overall hospital score on all the domain scores were in the danger zone, less than 60%. 20 clinical locations in 2010 and 7 clinical locations in 2011 had less than 60% scores in the primary dependent variables. The SAQ results were disseminated department wise in the presence of a hospital Senior Executive. Every department did an action plan using the SAQ de-briefer tool. The hospital administrators to bring about the change played a facilitators role and helped the departments to come up with their actionable plans. The hospital leadership in their pursuit to continuing the culture of safety journey, identified six more units for CUSP implementation based on the Phase 2 SAQ scores of 2010. Accordingly the Medical 1, Medical 2, Surgical 1, Surgical 2, Day Case and OBGYN Units were identified for the CUSP roll out. Senior Executive leaders were assigned to each of these new CUSP units to ensure leadership commi

Safety Attitudes Questionnaire- a way to measure “culture of safety”

Krishnan Sankara Narayanan MS, MBA, CPHQ, FASHRM, LHRM

Resume 2016

Ann (Sing-Chia) Liu

Dental Assisting Portfolio

Kalene Holman

What's hot (15)

Resume

HUMAIRA DANISH ADMIN 2017

Dental Assistant

Resume-Dora Ellis Reyes-2012

SHELLY HEATH resumeword

Aged Care Not what it used to be

Lonnie's Resume

Proposal for an Effective Model for Dismissal Summaries

Creating a culture of safety

Hughes_Resume upon request

dental assisting

Management analysis

Safety Attitudes Questionnaire- a way to measure “culture of safety”

Resume 2016

Dental Assisting Portfolio

Similar to The art of delegation version 1a

Nursing Essay Writing

Paper Writing Service Cheap

Reproduced with permission of the copyright owner. Further reproduction prohibited without permission. Running head: SUPPORT COORDINATION TRAINING 1 SUPPORT COORDINATION TRAINING 3 Support Coordination Training BUS 340: Business Communication SUPPORT COORDINATION TRAINING Each state providers services to adults with intellectual disabilities daily. These services are supposed to be delivered with quality and within the guidelines of policies created by the department of behavioral health and developmental disabilities from each state. Support coordinators are tasked with the job of being the eyes and the ears of the state as the state is not able to directly oversee each entity that is providing services to intellectually disabled adults. Support coordinator assess not only the quality of each provider’s service but each individual’s satisfaction with each service. This oversight includes support coordination, which the state directly oversees. Much like DFCS workers, support coordinators are spread thin and are required to do a great deal of work. This causes support coordinators to burn out quickly and even miss important things during visits to monitor services. This in turn causes providers to be able to get by with not providing quality services and services that meet the standard that the state’s DBHDD has set. It is much easier to blame the support coordinator for failing to do their job properly than to admit that the real issues lie within the lack of training and preparation. “This kind of work requires strong leadership and a solid infrastructure in order to sustain the various tasks involved in service coordination” (Bigby, Fyffe, & Ozanne, 2007). To send someone out with the great task of managing not only the individual but the family of the individual and their support team without proper training is frightening. However this is the case with most support coordination agencies. Support coordinators have to assess the effectiveness and efficiency of services using judgement coupled with knowledge. If a support coordinator does not have particularly good judgement or enough knowledge, even about that particular individual, it can be impossible to assess services. Services or even a provider that may work for one DD individual may not work for another. Therefore, it is a neccessity to ensure that support coordinators are properly trained before being sent out into the field to assess services through extensive training. Training should include all aspects of the support coordinators expected tasks including: information (background) about the individual’s that the support coordinator is assigned to manage, judgement training, implementation of formal procedures and processes, resources and tools training, services training, time management and more importantly work-related stress reduction training. These activities are directed towards ensu ...

Reproduced with permission of the copyright ow.docx

sodhi3

THIS IS THE FEEDBACK I RECEEIVED. Only one patient responded to my post. Hope this helps Ryan, Inadequate levels of nursing professionals were first discussed more than 80 years ago (Whelan, n.d.). Recently, scholars have opined many reasons for the shortage of nurses. Factors such as work stress, burnout, violence against healthcare professionals, a lack of qualified nursing instructors, and nurses unable to adapt to changing technology or clinical environments have been addressed (Haddad & Toney-Butler, 2019). As many nurses may attest, doing more with less can lead to mistakes and dissatisfaction with a nursing career. Ultimately, patient care suffers. Organizations employ various tactics to help strengthen nurse retention. Halter et al. (2017) suggest strong nursing leadership and assigning preceptors to new nurses can help minimize nursing resignation rates. At the writer’s employment, hospital administrators use several ways to retain nurses. Each quarter, a nurse is recognized for outstanding achievement by receiving a certificate, gift card, and editorial mention on the hospital’s intranet. Moreover, the hospital caters lunch for all employees, dayside and nighttime staff, twice a year for meeting quality targets. Also, the hospital uses various national celebration days such as ice cream, donuts, coffee, bagels, and candy to reward all employees. Creating a level of goodwill and institutional collaboration can help retain nurses and improve job satisfaction (Kurnat-Thoma et al., 2017). Reference Haddad, L.M., & Toney-Butler, T.J. (2019). Nursing shortage. StatPearls Publishing. Halter, M., Pelone, F., Boiko, O., Beighton, C., Harris, R., Gale, J., Gourlay, S., & Drennan, V. (2017). Interventions to reduce adult nursing turnover: A systematic review of systematic reviews. The Open Nursing Journal, 11, 108-123. https://doi.org/10.2174/1874434601711010108 Kurnat-Thoma, E., Ganger, M., Peterson, K., & Channell, L. (2017). Reducing annual hospital and registered nurse staff turnover: A 10-element onboarding program intervention. SAGE Open Nursing, 3. https://doi.org/10.1177/2377960817697712 Whelan, J.C. (n.d.). Where did all the nurses go? Retrieved from https://www.nursing.upenn.edu/nhhc/workforce-issues/where-did-all-the-nurses-go/ By Thomas C. Ricketts and Erin P. Fraher Reconfiguring Health Workforce Policy So That Education, Training, And Actual Delivery Of Care Are Closely Connected ABSTRACT There is growing consensus that the health care workforce in the United States needs to be reconfigured to meet the needs of a health care system that is being rapidly and permanently redesigned. Accountable care organizations and patient-centered medical homes, for instance, will greatly alter the mix of caregivers needed and create new roles for existing health care workers. The focus of health system innovation, however, has largely been on reorganizing care delivery processes, reengineering workflows, and adopting electronic technolo ...

THIS IS THE FEEDBACK I RECEEIVED. Only one patient responded to my.docx

juliennehar

Job Redesign For Expanded HIM Functions Case Study...

Amanda Hengel

2 1 5 L e a r n I n g o b j e c t I v e s C H A P T E R 8 H U M A N R E S O U R C E S M A N A G E M E N T They’re not employees, they’re people. —Peter Drucker ➤ Describe the range of human resource functions in the medical practice. ➤ Appreciate the range of professionals that are found in medical practices. ➤ Articulate the steps in the hiring function. ➤ Understand regulations that are specific to the employment process. ➤ Illustrate the steps in managing change. ➤ Describe why leading change is important to medical practice management. In t r o d u c t I o n Healthcare employment constitutes about 9 percent of the American workforce, with about 3 percent being professionals (KFF 2016). Hiring and sustaining a high-caliber staff are two of the most important functions of managing a physician practice. Without a properly trained and motivated staff, providing high-quality services to the practice’s patients C o p y r i g h t 2 0 1 7 . H e a l t h A d m i n i s t r a t i o n P r e s s . A l l r i g h t s r e s e r v e d . M a y n o t b e r e p r o d u c e d i n a n y f o r m w i t h o u t p e r m i s s i o n f r o m t h e p u b l i s h e r , e x c e p t f a i r u s e s p e r m i t t e d u n d e r U . S . o r a p p l i c a b l e c o p y r i g h t l a w . EBSCO Publishing : eBook Collection (EBSCOhost) - printed on 4/7/2020 7:56 PM via SUNY CANTON AN: 1839064 ; Wagner, Stephen L..; Fundamentals of Medical Practice Management Account: s8846236.main.eds F u n d a m e n t a l s o f M e d i c a l P r a c t i c e M a n a g e m e n t2 1 6 is difficult. An old saying in human resources management, “Hire for attitude, and train for skill,” is particularly applicable today, when in the highly competitive medical practice environment, patients have increasingly high expectations of their providers. Simply having technical skills is not adequate to build and maintain a successful practice. Staff must be able to engage patients in a positive and constructive way to earn their trust and satisfaction. Although data seem to conflict on this point, many researchers believe engaged and satisfied patients are more likely to comply with the instructions of their providers than are disengaged, unsatisfied patients, leading to better outcomes (e.g., Kane, Maciejewski, and Finch 1997). More recently, a study by Fenton, Jerant, and Bertaski (2012) found little connection between satisfaction and clinical outcome; in fact, the researchers found that mortality was higher, as were expenditures and utilization, among more satisfied groups. Other authors have observed this tenuous connection as well (Kennedy, Tevis, and Kent 2014). The controversy has intensified as more physician payment is tied to patient satisfaction. Some issues that complicate this concept are the lack of common definitions and measures of satisfaction and the complexity inherent in defining.

2 1 5L e a r n I n g o b j e c t I v e sC H A P T E R.docx

herminaprocter

2 1 5L e a r n I n g o b j e c t I v e sC H A P T E R.docx

lorainedeserre

A Nurse Residency Program For New Nursing

April Dillard

Nursing Essays

Papers Writing Service

Essay On Wound Care Nurse

Peggy Johnson

Job enrichment: creating meaningful career development opportunities for nurses CHRISTINE DUFFIELD R N , D i p N E d , B S c N , M H P , P h D 1 , RICHARD BALDWIN R N , A s s D i p N u r s A d m i n , B H l t h A d m i n , M B A 2, MICHAEL ROCHE D i p A p p l S c N u r s , B S c N u r s , M H S c , P h D 3 and SARAH WISE L L B , M S c 4 1Professor, Associate Dean (Research), Director, 2Honorary Associate, 3Senior Lecturer and 4Research Assistant, Centre for Health Services Management, Faculty of Health, University of Technology, Sydney, NSW, Australia Correspondence Christine Duffield Centre for Health Services Management Faculty of Health University of Technology, Sydney Level 7, 235–253 Jones Street (PO Box 123) Broadway NSW 2007 Australia E-mail: [email protected] DUFFIELD C., BALDWIN R., ROCHE M. & WISE S. (2014) Journal of Nursing Management 22, 697–706. Job enrichment: creating meaningful career development opportunities for nurses Aim This paper presents an evaluation of a career development policy in South Australia which increased the number of senior staff nurse positions and provided senior registered nurses with time away from clinical duties to undertake agreed projects. We use Kanter’s model of structural power and commitment theory to understand the dimensions of this policy. Background Development strategies for experienced staff who wish to remain at the bedside are needed, especially in smaller health services with limited opportunities for horizontal or vertical mobility. Methods Face-to-face semistructured interviews were conducted with 54 senior staff nurses who participated in the career structure arrangements. Results The policy enhanced the structure of opportunity in three ways: by increasing the number of senior staff nurse positions, the ladder steps were improved; undertaking strategic projects developed new skills; and the job enrichment approach facilitated time out from the immediate pressures of ward work and challenged nurses in a different way. Conclusions Through job enrichment, South Australia has found a novel way of providing meaningful career development opportunities for experienced nurses. Implications for nursing management Methods of job enrichment need to be considered as part of career development policy, especially where movement between clinical facilities is limited and staff wish to remain at the bedside. Keywords: career development, empowerment, job enrichment, job satisfaction, nurse management, retention Accepted for publication: 30 November 2012 Introduction Providing staff development opportunities within appropriate career structures is an important tool in enhancing nurses’ job satisfaction, organisational commitment and, ultimately, retention. The concept of job satisfaction has consistently been found to be a major, if not the most prominent, predictor of nurses’ inten- tions to stay in their current role and within the nursing profession (Duff.

Job enrichment creating meaningful career developmentopport.docx

christiandean12115

Chapter Nine Ethics and Safe Patient Handing and Mobility 1 2 Extent of the Problem Safe Patient Handing and Mobility (SPHM) is a concern for patients, family members, and healthcare professionals. SPHM involves safety when lifting, re-positioning, and transferring patients. Formal issue of concern since the 1980s 3 Barriers to SPHM Implementation of best practices is limited by: Lack of knowledge. Perceptions of the use of equipment. Gender of the caregivers. Equipment. 4 Problem Solving There is a need to further SPHM by influencing the work culture. Costs of programs is a concern, but programs save money and prevent injury. State legislation will assist. Professional association campaigns address issues. 5 Ethical Concerns Nonmaleficence is a major ethics application for SPHM. Nonmaleficience is also a cardinal ethics principle for healthcare providers. Using evidence-based practices can prevent harm. 6 Ethical Concerns Nonmaleficence also includes educating patients and family members on SPHM to prevent harm. Changing systems and making appropriate referrals are also part of nonmaleficence. 7 Ethical Concerns Beneficence is also an ethics concern in SPHM. It means that do the best for others. Beneficence includes maintaining the dignity of patients. Beneficence also goes beyond the patient to include the family members. 8 Ethical Concerns Beneficence includes concern for staff members. It is beneficent to prevent the staff injury by using SPHM. Preventing injury also includes ethical stewardship. SPHM practices honor the dignity and value of patient, family, and staff. 9 Ethical Concerns Social justice is also included in SPHM practices. SPHM practices decrease the possibility of injury, which reduces costs of worker’s compensation, insurance, and staff replacement costs. 10 In Summary… 11 11 Florida National University PHI1635 Biomedical Ethics: Assignment Week 5 Case Study: Chapter 9 Objective: The students will complete a Case study tasks that contribute the opportunity to produce and apply the thoughts learned in this and previous coursework to examine a real-world scenario. This scenario will illustrate through example the practical importance and implications of various roles and functions of a long-term care settings. As a result of this assignment, students will be better able to comprehend, scrutinize and assess respectable superiority and performance by all institutional employees. ASSIGNMENT GUIDELINES (10%): Students will critically measure the readings from Chapter 9 in your textbook. This assignment is planned to help you examination, evaluation, and apply the readings and strategies to your of a long-term care settings You need to read the PowerPoint Presentation assigned for week 5 and develop a 3-4 page paper reproducing your understanding and capability to apply the readings to your long-term care settings. Each paper must be typewritten with 12-point font and double-s.

Chapter NineEthics and Safe Patient Handing and Mobility.docx

spoonerneddy

© 2 0 1 3 M A H ea lt h ca re L td Michelle Burke Michelle Burke is Tutor, Florence Nightingale School of Nursing and Midwifery, King’s College London Email: [email protected] Managing work-related stress in the district nursing workplace AbstrAct This article aims to highlight the issue of work-related stress within the district nursing workplace. It will acknowledge how the management of work-related stress has previously been discussed within nursing literature and will consider the emerging relationship between staff working conditions, staff wellbeing and quality of patient care. It will reintroduce the Health and Safety Executive’s (HSE’s) Management Standards approach to tackling work-related stress, which provides management support to reduce environmental work stressors and encourage enabling work environments and a positive workplace culture. Key Words w District nursing w Work-related stress wStaff health and wellbeing w HSE Management Standards w Quality care Work-related stress is defined as ‘the adverse reaction people have to excessive pressures or other types of demand placed on them at work’ (Health and Safety Executive (HSE), 2007:7). Under UK law, employers have a duty of care to protect the health, safety and welfare of their employees and to assess the risks arising from hazards at work, including work-related stress (HSE, 2007). Stressful work environments place high demands on a person, without giving them sufficient control and support to manage those demands, with a perceived imbalance between the effort required and the rewards of the job (National Institute for Health and Care Excellence (NICE), 2009). NHS staff are almost four times as likely to be absent from work with stress compared with other occupations (Clews and Ford, 2009) and the rate of sickness absence within nursing and midwifery averages 4.87%, the third highest in the NHS (Health and Social Care Information Centre, 2012). environmental work stressors In 2012, a national survey of nearly 3000 nurses captured aspects of the working conditions of nurses in 31 acute hospitals across England (Ball et al, 2012). Some 42% of the nurses surveyed were classified as suffering from emotional exhaus- tion; 70% of the respondents felt there were insufficient numbers of staff to get work done; 80% reported that at least one aspect of care was not done in their last shift due to lack of time and 44% said that they would leave their current job due to job dissatisfaction. These results are supported by previous, smaller studies (Zeytinoglu et al, 2006; Laschinger, 2010). Although district nurses were not represented in the survey by Ball et al (2012), the findings could be tentatively applied to the district nursing setting, as smaller-scale research has identified similar outcomes. A descriptive study by Evans (2002) explored district nurses’ experiences of stressful work- related events and found that t.

LynellBull52

Respond to Chisom and Arianne Chisom O RE: Discussion - Week 3 Top of Form Organizational Structures and Leadership Nurse leaders and management must have organizing skills when working in any hospital setting. According to Marquis & Huston (2015), "In the organizing phase, relationships are defined, procedures are outlined, equipment is readied, and tasks are assigned" (p. 261). The current hospital I am at runs like a corporation. The Hospital Corporation of America (HCA) is large hospital system that takes pride in being run like a business. That means that every hospital has CEO, COO, CFO, etc., just like in a corporation. The hospital is run like a line organization. According to Marquis & Huston (2015), " In these structures, authority and responsibility are clearly defined, which leads to efficiency and simplicity of relationships" (p. 271). Anyone that works at HCA must sign a contract that lists the job responsibilities and duties. This agreement serves as legal documentation that everyone understands their role in the organization. Decision Making The organization uses a centralized decision-making hierarchy. Upper management makes all the important decisions and will inform nurse supervisors and management of any changes that must be implemented. All the main issues in the hospital are decided by upper management and must be expedited fast (Marquis & Huston, 2015). The hospital is relatively large with multiple units and specialties. The problem with centralized decision making is that upper management must implement any changes. The current unit I'm on has significant issues related to the nurse supervisor and director. Most of the problems stem from a lack of communication with management and staff. Staff has spoken up a lot about the problem but has realized nothing is getting done. Since the upper management makes decisions for the whole hospital, it has been hard to explain the problems of the unit. Informal and Formal Leadership Formal and informal nurse leaders are relevant to each unit. A formal leader on the unit is the Director of Nursing (DON). The DON has a formal position in the organization. Right now, the DON functions as a manager. The DON is in charge of all the staff on the unit and works closely with the Director of the unit. As stated before, there have been numerous issues with the DON and staff. Due to many changes with the director of the unit changing to different people in the span of a few months, more tasks have been pushed onto the DON. This has caused distention amongst the staff. Staff morale is low due to not having clear and concise responsibilities and duties. The DON as a nurse leader must use evidence-based practice (EBP) to push for better quality of care and safety of staff and patients on the unit. The nurse leader must lead changes in the organization and EBP paves the way for the changes needed (Stetle, Ritchie, Rycroft-Malone, & Charns, 2017). Informal leaders are essential to any uni.

Respond to Chisom and ArianneChisom O RE Discussion - Week .docx

peggyd2

Respond to Chisom and ArianneChisom O RE Discussion - Week .docx

audeleypearl

Running head: IDENTIFYING A CHANGE PROJECT 1 IDENTIFYING A CHANGE PROJECT 4 Identifying a Change Project Name Institution What is the difference between leadership activities and management activities: Leadership can be described as the conduct of a person when guiding the activities of a given group towards a common goal. The main concept of roles of leadership is based on impacting group activities and adjusting to change Sullivan, E. J. (2013. There is a challenge when considering leadership in the healthcare context because most theories are not formed within the healthcare framework for they were normally established for business contexts and later applied to the healthcare. Management can simply be defined as the process that managers utilize to realize organizational goals. It’s the process of achieving organizational set goals through the available resources. How do management and leadership activities contribute to the success of change initiatives: The activities involved in this process include planning, staffing, organizing, directing, controlling, and making decisions in the operations of the system to attain anticipated result and improve its entire performance. Management involves a combination of steps to follow to achieve the set requirements. Leaders look for suitable ways of doing things for instance they will establish the goals and purposes for the people (American Nurses Association, 2010; Sullivan, 2013). Anyone can be a leader without necessarily being in an authority position. Transformational leadership is necessary along with good management of staff and resources. This entails committing individuals to action, converting those under you into leaders and converting the leaders themselves into change agents. It has less to do with use of power to pressure and suppress others in order to achieve result. Instead, it involves empowering them to understand and own the vision of the organization and trusting them to work towards the goals that profit not just themselves but the organization in general (Sullivan, 2013). In nursing empowerment would result to enhanced patient care, reduced sick days, and less attrition. Through this, the staff will have higher job satisfaction and there will be higher retention of staff amongst there nursing functions. What change projects are needed in your agency at this time? Among the changes required is to ensure nurses practice to the full capacity of their education and training and programs to be formed to ensure nurses attain higher training to much the growing demands in the sector. These can only be achieved through good leadership and proper management. The Company that I work for currently is an insurance company and as a registered nurse case management, there is always area of change especially in reaching pat.

Running head IDENTIFYING A CHANGE PROJECT 1 .docx

charisellington63520

Running head: NURSING RESEARCH PROJECT 1 NURSING RESEARCH PROJECT 5 Nursing Research Project Phase Two Karen Lezcano Nursing Research Florida National University Nursing Research Project Introduction Nursing just like any profession faces numerous challenges daily. Nurses are usually tasked with the duty to ensure that they work diligently and professionally to ensure that their clients are satisfied with the services that they deliver. They are usually tasked with the duty to ensure that the patients that visit their premises get quality services that they deserve. However, these services come at a cost; they face a myriad of challenges that they have to work fully despite these challenges to satisfy their clients. Therefore, this research paper analysis some of the problems that nurses face in the daily execution of their duties. Identification of the Problem Nurse faces a myriad of challenges in their daily execution of duties. To ensure that they discharge their duties perfectly all these challenges must be identified and effective measures are put in place to ensure that the challenges are taken care of. The major problems that most of the medical facilities are the issue of understaffing. Nurses have faced challenges in terms of duties assigned to them in comparison to their numbers. Studies conducted have also portrayed that there are shortages of nurses in the medical facilities. However, the challenges that these nurses face are varied in different nations and towns, there are those nations that have surplus while there are those towns and nations that have a high shortage of these important service providers in the healthcare facilities. The impact of these shortages has also resulted in further challenges for the nurses. In this regard, one of the major challenges that these nurses face is the need to work for long hours due to the shortage of employees at the medical facilities. The few available nurses must work in shifts and endure long working hours to ensure that they meet the desired goals of the institution are met. The work of nurses calls for one to be sober and cognitive in decision making (McLelland et al. 2015). However, with a situation where nurses are required to work for long hours, work in shifts such that they can sleep for a while and resume their duties. This is a worrying trend for the nurses because their cognitive ability and judgment as normal human beings are likely to decline when overworked. Therefore, the chances of making poor decisions are also likely to increase with time as they work overtime. Besides that, the shortages of nurses in healthcare facilities which calls for overworking of these nurses to ensure that patients are fully taken care of, usually lead to an increase in hazard and dangerous accidents taking place.

Running head NURSING RESEARCH PROJECT .docx

glendar3

Running head NURSING RESEARCH PROJECT .docx

todd581

Instructor Feedback Assignment 2 Grading Criteria Maximum Points Earned Points Background and Significance Section articulates the problem and need for the proposed innovation. 5 5 â€“ NP Statement of the Problem and Purpose of the Study is appropriate and supported with evidence. 5 5 Research question 5 5 Research Hypothesis and Null Hypothesisare appropriate for research question. 15 10 â€“ your research hypothesis is ok but you do not have a null â€“ it should show no relationship between the same variables Variables are Operationally Defined. 15 0 â€“ you have talked about your data collection methods but have not provided any variable definitions How are you defining â€“ Patient satisfaction, improvement in health status, cost containment, availability of medical care Followed APA guidelines for writing style, spelling and grammar, and citation of sources. 5 2 â€“ page 3 had two different font types (look at the in text citation) spelling error â€“ (can) â€“ null hypothesis section â€“ need a conclusion to your paper Total: 50 27 Week 3 Research Proposal Draft Elizabeth Flores South University Running head: WEEK 3 RESEARCH PROPOSAL DRAFT 1 WEEK 3 RESEARCH PROPOSAL DRAFT 2 Week 3 Research Proposal Draft People will often judge others not just on the answer that is provided but also the question that is asked. Since we can't always get the answer right, we should try to at least get the question right! So in this humbled researcher’s opinion, the most relevant question for a nurse practitioner is very important. The question is: how can we elevate the level of health care in the United States and potentially the entire world while containing costs and effectively supply the voracious and ever growing need for compassionate, competent, and effective health care workers. This should also be accomplished as we fill the need for elevating the suboptimal work conditions, addressing the lack of respect, increasing the sub optimal remuneration, that advanced nurse practitioners are forced to endure on a daily basis. The problem: Nurse practitioner are often bright, motivated, and talented individuals who are patient and just wanted to help the infirmed while making a career for themselves, which is barely possible in "todays climate". The cause: Bright students are often pigeoned hole out of having the opportunity to attend medical schools by an antiquated and unfair school system in the United States. This system unfortunately often weeds out very talented and passionate individuals. I believe that schools from the very early ages are teaching many outdated concepts and use very tricky, sneaky, and unfair testing practices and questions. These schools waste a lot of time teaching out dated concepts and facts. Our world and has change so much yet schooling is locked into teaching many of the same concepts it did a hundred years ago while often ignoring more important concepts such health and cancer related topics.

Instructor FeedbackAssignment 2 Grading CriteriaMaximum Points.docx

normanibarber20063

Applying Evidence-Based Practice Evidence for Effective Leadership and Management Citation: Catrambone, C., Johnson, M., Mion, L., & Minnick, A. (2009). The design of adult acute care units in U.S. hospitals. Journal of Nursing Scholarship, 41(1), 79–86. Overview: This descriptive study examined the current state of hospital unit design characteristics recommended by the Agency for Healthcare Research and Quality (AHRQ) in 81 adult medical-surgical units and 56 intensive care units in six metropolitan areas. The AHRQ recommends that the following unit design characteristics positively impact patient outcomes: single rooms, work areas for staff that are not a long distance from the bedside, frequent staff hand hygiene stations, certain types of unit configuration, percentage of private rooms, and presence or absence of carpeting. The purpose of this study is to provide a benchmark and to assess nursing environments. Data were collected by observation, measurement, and interviews. The researchers conclude that few of the hospital units met the AHRQ recommendations. Further research is required to expand understanding of these design elements, their interaction, and impact on outcomes. Application: Health care organizations are much more than a description of the organization. They are also physical buildings. Several recommendations in the Institute of Medicine (IOM) report Keeping Patients Safe. Transforming the Work Environment of Nurses (2004) pertain to design of work and workspace to prevent and mitigate errors. This study on unit design elements relates to the IOM work, which is referenced in the study. There are many factors and elements that impact PRINTED BY: [email protected] Printing is for personal, private use only. No part of this book may be reproduced or transmitted without publisher's prior permission. Violators will be prosecuted. https://jigsaw.vitalsource.com/api/v0/books/9781323001004/pri... 1 of 28 9/17/16, 8:03 AM the quality of care and design is one of them. Historically nurses typically have had limited input into design of units, but more hospitals are including nursing management and staff nurses in the decision making process when facilities are renovated or new buildings are built. For a long time nurses just had to work within the space they had even if the design did not consider nursing needs; however, more is known today on the impact of space and design on work processes and staff. Questions Based on your clinical experience, your clinical experience why is unit structure important to the staff and to patient outcomes? Identify three examples to support your opinion. 1. Why do you think it would be important to have standards related to unit structure and environment? 2. If you were a patient, what type of unit would you want to be on? Describe it, and explain why this is the type of unit you would prefer. 3. confronting many critical issues related to access of care and lack of insurance, .

Applying Evidence-Based Practice Evidence for Effective Leader.docx

justine1simpson78276

challenges of Clinical Leadership.docx

4934bk

Similar to The art of delegation version 1a (20)

Nursing Essay Writing

Reproduced with permission of the copyright ow.docx

THIS IS THE FEEDBACK I RECEEIVED. Only one patient responded to my.docx

Job Redesign For Expanded HIM Functions Case Study...

2 1 5L e a r n I n g o b j e c t I v e sC H A P T E R.docx

A Nurse Residency Program For New Nursing

Nursing Essays

Essay On Wound Care Nurse

Job enrichment creating meaningful career developmentopport.docx

Chapter NineEthics and Safe Patient Handing and Mobility.docx

Respond to Chisom and ArianneChisom O RE Discussion - Week .docx

Running head IDENTIFYING A CHANGE PROJECT 1 .docx

Running head NURSING RESEARCH PROJECT .docx

Instructor FeedbackAssignment 2 Grading CriteriaMaximum Points.docx

Applying Evidence-Based Practice Evidence for Effective Leader.docx

challenges of Clinical Leadership.docx

Recently uploaded

Premium Call Girls Nagpur {9xx000xx09} ❤️VVIP POOJA Call Girls in Nagpur Maharashtra. Exclusive Nagpur Escorts 👉 Just Call Us: 9xx000xx09 VIP Call Girls Nagpur 100% Genuine at your Door Step Available 24x7 Booking Details Are here: just visit website: https://www.callgirlescortservice.com/nagpur-call-girls.html #Call Girl In Nagpur, #Nagpurcallgirls #CallgirlserviceNagpur, #CallgirlsinNagpur Website on rent : mailto:indiancallgirl4rent@gmail.com 09-May-2024( Mj) Click On WhatsApp Chat +91-9xx000xx09 Escort Service In Nagpur Nagpur Escorts Make You Feel Like Royalty Nagpur Escorts catering to high profile clients are available 24-7 to meet their clients' needs and are also available for dinner dates, business conferences, foreign travel trips and clubbing activities. Their customers are contacted directly through in order to prevent risky situations from developing.is home to some of Maharashtra's most beautiful women. These girls come highly educated with great backgrounds; furthermore they are extremely beautiful and will make you feel like royalty if hired for hours or days! Siya Khan | FOR BOOKING CALL Our All Services :- 1 )★ (Oral to consummation) bjnonCovered 2 )★ Special Massage 3 )★ O-Level (Oral sex) 4 )★ Blow Job; 5 )★ COB (Come On Body) 6 )★. Extraball (Have sex ordinarily) 7 )★ A-Level (5 star escort) 8 )★ Strip-bother 9 )★ BBBJ (Bareback Blowjob) 10 )★ Spending time in my rooms 11 )★ BJ (Blowjob Without a Condom) 12 )★ COF (Come On Face) 13 )★ Completion

Premium Call Girls Nagpur {9xx000xx09} ❤️VVIP POOJA Call Girls in Nagpur Maha...

Sheetaleventcompany

These are simplified slides discussing the regulation of cardiac output and venous return. Learning objectives: 1. Comprehend the determinants of cardiac output and factors affecting cardiac output 2. Comprehend the factors affecting stroke volume and heart rate and total peripheral resistance 3. Identify the factors regulating venous return 4. Discuss the causes of high and low output cardiac failure 5. Enlist the functions of veins and recognise the significance of venous reservoirs Study Resources: 1. Chapter 20, Guyton and Hall Textbook of Medical Physiology, 14th edition 2. Chapter 30 and 32, Ganong’s Review of Medical Physiology, 26th edition 3. Chapter 10, Human Physiology by Lauralee Sherwood, 9th edition 4. Physiology, Cardiac Output - StatPearls https://www.ncbi.nlm.nih.gov/books/NBK470455/

Cardiac Output, Venous Return, and Their Regulation

MedicoseAcademics

Kolkata Call Girls Shobhabazar 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Service Available Call Mrs Leela Ji +91-8005736733 We offer all types of girls of your choice with space. Our escorts are fully cooperative and understand your needs. All types of call girls like Housewives, College girls,#J11 Russian girls, Muslim girls, Afghani girls, Bengali girls, Working girls, south Indian girls, Punjabi girls, etc. In-Call: — You Can Reach At Our Place in Kolkata Our place Which Is Very Clean Hygienic 100% safe Accommodation. Out-Call: — Service for Out Call You have To Come Pick The Girl From My Place We Also Provide Door-Step Services Hygienic: — Full Ac Neat And Clean Rooms Available In Hotel 24 * 7 Hrs In Kolkata C010524HD Our Services and Rates: – One Shot — 2500/in call (time ½ hour), 5000/out call Two shot with one girl — 5000/in call (time 1 hour), 6000/out call Body to body massage with sex- 3000/in call (time 1 hour) full night for one person– 8000/in call, 10000/out call (shot limit 4 shot) We are available 24*7 all days of the year Call us — 8005736733 !! Thank you for Visiting.

Kolkata Call Girls Shobhabazar 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Gir...

Namrata Singh

Call Girl Service In Jaipur 📞9xx000xx09📞Just Call Divya📲 Call Girl In Jaipur No💰Advance Cash On Delivery Service Call Girl Near Me Booking Details Are here: just visit website: https://hotbabe24.com #Call Girl In Jaipur, #Jaipurcallgirls #CallgirlserviceJaipur, #CallgirlsinJaipur Website on rent : mailto:indiancallgirl4rent@gmail.com "Call Girls Jaipur VIP Call Girls Service Jaipur.. Booking Open Now We Are Providing Safe & Secure High Class girl women sucking men Services Affordable Rate 100% Satisfaction, Unlimited Enjoyment. Any Time for Model/ women seeking men in royal call girl High class luxury and premium call girl agency. ✔️High class luxury and premium escorts agency We Provide Well Educated, Royal Class Female, High-class Escorts agency offering a top high class escort service in the royal Escorts ✔️ Get High Profile queens , Well Educated , Good Looking , Full Cooperative Model Services. you can see me at my comfortable Hotels or I can visit you in hotel Our Service Available IN All Services 3/5/7 Star Hotels, In call /Out call Service 24/7.. ✔️ All Meetings We Provide Hottest Female With Me Are Safe And Consensual With Most Limits Respected Complete Satisfaction Guaranteed...Service Available In:- 24/7 3 * 5 *7 *Star Hotel Service In. In Call Out call service Avilable also. ✔️ I guarantee you to have an unforgettable experience with me A curvy body, long hair and silky smooth skin. She is an independent royal Escorts/Women Seeking Men model will give you more pleasure & Full satisfaction. ✔️ I am very sensual and flirtatious with charming personality! I love to laugh and my bright smile is ever Present. ,Hotel & Home Services CALL PLZZ ✔️Available Near All 3* 4* 5* 7* Hotels Of I Want Only Hotel Name , Guest Name , Room No. Only For Confirmation.✔️ Nandani... agency...⭐⭐⭐⭐⭐ VIP...Service ✣ ✤ ✥ ✦ TIME WASTERS AND BARGAINERS ARE PLEASE EXCUSE, WE RESPECT YOUR SAFETY AND PRIVACY AND EXPECT TH WHATSAPP: 9xx000xx09 CALL ME" 9xx000xx09

Jaipur Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Jaipur No💰...

Sheetaleventcompany

Dehradun Call Girl Service ❤️🍑 8854095900 👄🫦Independent Escort Service Dehradun WhatsApp Chat: ☎️ +91-8854095900 Call Girls Dehradun offer you everything from intimate moments to wild nights - be it intimate or wild. Their girls are always prepared to meet all your needs and desires so you're assured a memorable experience with them. Beautiful Babes are sure to turn heads wherever they go, captivating men with their seductive personalities and captivating looks - not to mention their sensually alluring bodies that are sure to satisfy all your naughty fantasies, from blowjobs to anal massages; not forgetting BDSM and orgies as well. Show them some appreciation when the time is right. Call Girl Dehradun that their clients can be very demanding. To maintain their reputation and gain more clients, these sexy call girls always work tirelessly to provide exceptional service that ensures each customer's happiness - so much so that many men seek them out to have an unforgettable experience with Passionate about providing erotic pleasure for their clients - fulfilling all sexy fantasies while offering role play services such as BDSM. ★OUR BEST SERVICES: - FOR BOOKING ★ A-Level (5-star escort) ★ Strip-tease ★ BBBJ (Bareback Blowjob) ★ Spending time in my rooms ★ BJ (Blowjob Without a Condom) ★. Extra ball (Have ride many times) ☛ ☛ ☛ ✔✔ secure✔✔ 100% safe WHATSAPP CALL ME💥✨✨⭐⭐⚡💦💦💨🔥💫💫 Their services range from erotic encounters and movie dates to in-call and out-call services, making this option available 24/7. Available for services including NSA, threesomes and foursomes sessions as well as massage services and casual foreplay - they even provide real girlfriend experience. Find one online or visit local women's clubs, hotels or restaurants. Hiring a Dehradun call girl for an evening or day out can be the perfect addition to your social gathering or office event, or you could arrange for her to visit your home or hotel room. Not only are these women gorgeous, they're intelligent as well, with great senses of humor - sure to please and leave you wanting more. If you want a cheap escort in Dehradun, look for someone who is either a student or works part time so that she will always be available when you need her. In addition to this, look for housewives as this ensures they have stable lives that can keep you satisfied for extended periods. These beautiful ladies will capture your attention at first sight with stunning eyes and full, seductive lips; not to mention a seductive personality that makes you want to spend more time with them; moreover they are discreet enough to meet up anywhere nearby! Hiring a call girl in Dehradun can be done through either the internet or calling her directly, with services like massage or sex sessions offered to request from specific agencies within a few hours of making contact. Furthermore, text the girl directly for price quotes!

Gorgeous Call Girls Dehradun {8854095900} ❤️VVIP ROCKY Call Girls in Dehradun...

Sheetaleventcompany

Nagpur Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Nagpur No💰Advance Cash On Delivery Service. Nagpur Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Nagpur No💰Advance Cash On Delivery Service Booking Details Are here: just visit website: https://hotbabe24.com #Call Girl In Nagpur, #Nagpurcallgirls #CallgirlserviceNagpur, #CallgirlsinNagpur Website on rent : mailto:indiancallgirl4rent@gmail.com "Call Girls Nagpur VIP Call Girls Service Nagpur.. Booking Open Now We Are Providing Safe & Secure High Class girl women sucking men Services Affordable Rate 100% Satisfaction, Unlimited Enjoyment. Any Time for Model/ women seeking men in royal call girl High class luxury and premium call girl agency. ✔️High class luxury and premium escorts agency We Provide Well Educated, Royal Class Female, High-class Escorts agency offering a top high class escort service in the royal Escorts ✔️ Get High Profile queens , Well Educated , Good Looking , Full Cooperative Model Services. you can see me at my comfortable Hotels or I can visit you in hotel Our Service Available IN All Services 3/5/7 Star Hotels, In call /Out call Service 24/7.. ✔️ All Meetings We Provide Hottest Female With Me Are Safe And Consensual With Most Limits Respected Complete Satisfaction Guaranteed...Service Available In:- 24/7 3 * 5 *7 *Star Hotel Service In. In Call Out call service Avilable also. ✔️ I guarantee you to have an unforgettable experience with me A curvy body, long hair and silky smooth skin. She is an independent royal Escorts/Women Seeking Men model will give you more pleasure & Full satisfaction. ✔️ I am very sensual and flirtatious with charming personality! I love to laugh and my bright smile is ever Present. ,Hotel & Home Services CALL PLZZ ✔️Available Near All 3* 4* 5* 7* Hotels Of I Want Only Hotel Name , Guest Name , Room No. Only For Confirmation.✔️ Nandani... agency...⭐⭐⭐⭐⭐ VIP...Service ✣ ✤ ✥ ✦ TIME WASTERS AND BARGAINERS ARE PLEASE EXCUSE, WE RESPECT YOUR SAFETY AND PRIVACY AND EXPECT TH WHATSAPP: 9xx000xx09 CALL ME" 9xx000xx09

Nagpur Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Nagpur No💰...

Sheetaleventcompany

Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...

Sheetaleventcompany

Goa Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Goa No💰Advance Cash On Delivery Service. Call Girl Service In Goa 📞9xx000xx09📞Just Call Divya📲 Call Girl In Goa No💰Advance Cash On Delivery Service Call Girl Near Me Booking Details Are here: just visit website: https://hotbabe24.com #Call Girl In Goa, #Goacallgirls #CallgirlserviceGoa, #CallgirlsinGoa Website on rent : mailto:indiancallgirl4rent@gmail.com "Call Girls Goa VIP Call Girls Service Goa.. Booking Open Now We Are Providing Safe & Secure High Class girl women sucking men Services Affordable Rate 100% Satisfaction, Unlimited Enjoyment. Any Time for Model/ women seeking men in royal call girl High class luxury and premium call girl agency. ✔️High class luxury and premium escorts agency We Provide Well Educated, Royal Class Female, High-class Escorts agency offering a top high class escort service in the royal Escorts ✔️ Get High Profile queens , Well Educated , Good Looking , Full Cooperative Model Services. you can see me at my comfortable Hotels or I can visit you in hotel Our Service Available IN All Services 3/5/7 Star Hotels, In call /Out call Service 24/7.. ✔️ All Meetings We Provide Hottest Female With Me Are Safe And Consensual With Most Limits Respected Complete Satisfaction Guaranteed...Service Available In:- 24/7 3 * 5 *7 *Star Hotel Service In. In Call Out call service Avilable also. ✔️ I guarantee you to have an unforgettable experience with me A curvy body, long hair and silky smooth skin. She is an independent royal Escorts/Women Seeking Men model will give you more pleasure & Full satisfaction. ✔️ I am very sensual and flirtatious with charming personality! I love to laugh and my bright smile is ever Present. ,Hotel & Home Services CALL PLZZ ✔️Available Near All 3* 4* 5* 7* Hotels Of I Want Only Hotel Name , Guest Name , Room No. Only For Confirmation.✔️ Nandani... agency...⭐⭐⭐⭐⭐ VIP...Service ✣ ✤ ✥ ✦ TIME WASTERS AND BARGAINERS ARE PLEASE EXCUSE, WE RESPECT YOUR SAFETY AND PRIVACY AND EXPECT TH WHATSAPP: 9xx000xx09 CALL ME" 9xx000xx09

Goa Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Goa No💰Advanc...

Sheetaleventcompany

ANATOMY AND PHYSIOLOGY OF RESPIRATORY SYSTEM.pptx

Swetaba Besh

Jual Obat Aborsi Cytotec | 083848007379 | Obat Aborsi Cytotec | Obat Telat Bulan | Obat Pelancar Haid | Obat Penggugur Kandungan | Cara Aborsi Aman | Cara Menggugurkan Kandungan | Apotek Cytotec | Klinik obataborsi7 | Jual Jamu Aborsi | Tempat Aborsi | Jual Obat Cytotec | Agen Cytotec | Alamat Penjual Cytotec | Tempat Penjual Cytotec | Harga Obat Aborsi | Harga Obat Cytotec | Obat Aborsi Wilayah. Hp / WA :083848007379 APOTEK : Kami Jual Obat Aborsi Cytotec Hub :083848007379 | Jual Obat Aborsi Cytotec| Obat Penggugur Kandungan Cytotec | Obat Pelancar Haid Tuntas. Dengan harga yang bisa Anda pilih sesuai usia kandungan Anda. Tips menghindari penjual obat palsu: (1) Hindari penawaran dengan harga yang murah / murahan hasil pasti (GAGAL). (2) Layanan Setiap Waktu, bisa di TLP, dengan Respon yang baik & cepat. (3) Mendapatkan No Resi Pengiriman supaya anda bisa cek melalui JNE/TIKI/POS terdekat untuk mengetahui / memastikan pesanan anda. (4) Ada berbagai BUKTI nyata tanpa rekayasa & TERPERCAYA. (5) Mintalah foto obat dengan mencantumkan alamat Anda di sekitarnya sebelum Anda mentransfer pembayaranya. DAFTAR LENGKAP HARGA PAKET OBAT CYTOTEC AMAN DAN TERPERCAYA Berikut daftar lengkap dari berbagai paket Obat Aborsi Cytotec — Obat Aborsi Tuntas — Obat Penggugur Kandungan ( Obat Telat Bulan — Dan Obat Aborsi Ampuh ) PAKET OBAT ABORSI HARGA STANDAR DAN HARGA TUNTAS Paket Standar . 1 – 4 Minggu Rp. 800.000, – Paket Tuntas 1 Bulan – Rp. 1.000.000,- Paket Standar . 4 – 8 Minggu Rp. 1.200.000, – Paket Tuntas – Rp. 1.500.000,- Paket Standar . 8 – 12 Minggu Rp. 1.800.000, – Paket Tuntas – Rp. 2.100.000,- Paket Standar . 12 – 16 Minggu Rp. 2.400.000, – Paket Tuntas – Rp. 2.800.000, -16 – 24 Minggu Rp. 3.500.000,- 28 – 32 Minggu Rp. 4.500.000,- Paket Obat Telat Bulan — Obat Aborsi Standar 90% Tingkat keberhasilan* Paket Obat Telat Bulan — Obat Aborsi Tuntas 99% Tingkat keberhasilan INGAT … JANGAN TERGIUR HARGA MURAH … ANDA BISA MENYESAL, KARNA OBAT YANG ASLI MASIH BERKEMASAN TABLET UTUH, BENTUKNYA TABLET PUTIH SEGI ENAM BUKAN BULAT POLOS….! TERIMAKASIH ATAS KEPERCAYAAN ANDA MENJADI PELANGGAN KAMI Pengiriman obat aborsi ampuh dilakukan melalui Tiki, Jne, pos indonesia untuk luar negri pos EMS EXPRESS 1–2 HARI SAMPAI. UNTUK LUAR NEGERI PAKET EMS 3–4 HARI DIJAMIN 100% SAMPAI DITEMPAT TUJUAN ALAMAT RUMAH ANDA, INGAT … JANGAN TERGIUR HARGA MURAH … ANDA BISA MENYESAL BUKTI PENGIRIMAN YANG DI KEMAS Wa :083848007379 FORMAT PEMESANAN Pengiriman Via Paket JNE / TIKI / POS EMS INTERNASIONAL Untuk Luar Kota dan Luar Negeri. Anda Bisa SMS kan Format Pemesanan Seperti Di Bawah Ini : Nama Lengkap : __ Alamat Lengkap : __ No. Hp Aktif : __ Pesanan Barang : __ Bank Transfer : __ ? Contoh Format Pemesanan Nama Lengkap : Amelia Lestary Alamat Lengkap : Jl. Pahlawan No.105 No. Hp Aktif : 08123456xxx Pesanan Barang : Paket Obat Aborsi No.4, Rp xxxxxx Transfer Bank : Via Bank BRI / BNI / MANDIRI / BCA.

Jual Obat Aborsi Di Dubai UAE Wa 0838-4800-7379 Obat Penggugur Kandungan Cytotec

jualobat34

👉Chandigarh Call Girl Service📲Niamh 8868886958 📲Book 24hours Now📲👉Sexy Call Girls in Chandigarh No Advance Cash On Delivery Call Girls in Chandigarh +91-8868886958 Chandigarh Escort Service provide Cute Nice sweet and Sexy Models in beautiful Chandigarh city cash in hand to hand call girl in Chandigarh and Chandigarh escorts. HOT & SEXY MODELS // COLLEGE GIRLS IN CHANDIGARH AVAILABLE FOR COMPLETE ENJOYMENT WITH HIGH PROFILE INDIAN MODEL AVAILABLE HOTEL & HOME ★ SAFE AND SECURE HIGH CLASS SERVICE AFFORDABLE RATE ★ 100% SATISFACTION,UNLIMITED ENJOYMENT. ★ All Meetings are confidential and no information is provided to any one at any cost. #Call Girl In Chd #Chd Call Girl #Chd Call Girl Service #Call Girls In Chd. ★ EXCLUSIVE Profiles Are Safe and Consensual with Most Limits Respected ★ Service Available In: - HOME & 24x7 :: 3 * 5 *7 *Star Hotel Service .In Call & Out call Services : ★ A-Level (5 star escort) ★ Strip-tease ★ BBBJ (Bareback Blowjob)Receive advanced sexual techniques in different mode make their life more pleasurable. ★ Spending time in hotel rooms ★ BJ (Blowjob Without a Condom) ★ Completion (Oral to completion) ★ Covered (Covered blowjob Without a Condom)-👉Chandigarh Call Girls 📲8868886958 📲Book Now📲👉Chandigarh Call Girl Service No Advance Cash On Delivery

👉Chandigarh Call Girl Service📲Niamh 8868886958 📲Book 24hours Now📲👉Sexy Call G...

Sheetaleventcompany

Cara Menggugurkan Kandungan Dengan Cepat Selesai Dalam 24 Jam Secara Alami Bu...

Cara Menggugurkan Kandungan 087776558899

👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi College Call Girls Virugambakkam No💰Advance Booking Details Are here: just visit website: https://www.loversbabe.com/ #Call Girl In Chennai, #Chennaicallgirls #CallgirlserviceChennai, #CallgirlsinChennai #locantoChennaicallgirls #Chennaicallgirls #Chennaicallgirlsimages #Chennaicallgirlskothrud #Chennaicallgirlslocanto #Chennaicallgirlsmobno #Chennaicallgirlsmobileno #Chennaicallgirlsmobilenumber #Chennaicallgirlspics #ChennaicallgirlsChennaiescorts #Chennaicallgirlsrates #Chennaicallgirlsservice #Chennaicallgirlsservices #Chennaicallgirlsskokka Click On WhatsApp Chat +91-7427069034 Chennai Escorts Make You Feel Like Royalty Chennai Escorts catering to high profile clients are available #S07 24-7 to meet their clients' needs and are also available for dinner dates, business conferences, foreign travel trips and clubbing activities. Their customers are contacted directly through in order to prevent risky situations from developing.is home to some of India's most beautiful women. These girls come highly educated with great backgrounds; furthermore they are extremely beautiful and will make you feel like royalty if hired for hours or days! Siya Khan | FOR BOOKING CALL Our All Services :- 1 )★ (Oral to consummation) bjnonCovered 2 )★ Special Massage 3 )★ O-Level (Oral sex) 4 )★ Blow Job; 5 )★ COB (Come On Body) 6 )★. Extraball (Have sex ordinarily) 7 )★ A-Level (5 star escort) 8 )★ Strip-bother 9 )★ BBBJ (Bareback Blowjob) 10 )★ Spending time in my rooms 11 )★ BJ (Blowjob Without a Condom) 12 )★ COF (Come On Face) 13 )★ Completionx

👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...

rajnisinghkjn

Call Girl In Indore 📞9235973566📞 Just📲 Call Inaaya Indore Call Girls Service In Indore No💰Advance Cash On Delivery Service "Call Girls Indore VIP Call Girls Service Indore.. Booking Open Now We Are Providing Safe & Secure High Class girl women sucking men Services Affordable Rate 100% Satisfaction, Unlimited Enjoyment. Any Time for Model/ women seeking men in royal call girl High class luxury and premium call girl agency. ✔️High class luxury and premium escorts agency We Provide Well Educated, Royal Class Female, High-class Escorts agency offering a top high class escort service in the royal Escorts ✔️ Get High Profile queens , Well Educated , Good Looking , Full Cooperative Model Services. you can see me at my comfortable Hotels or I can visit you in hotel Our Service Available IN All Services 3/5/7 Star Hotels, In call /Out call Service 24/7.. ✔️ All Meetings We Provide Hottest Female With Me Are Safe And Consensual With Most Limits Respected Complete Satisfaction Guaranteed...Service Available In:- 24/7 3 * 5 *7 *Star Hotel Service In. In Call Out call service Avilable also. ✔️ I guarantee you to have an unforgettable experience with me A curvy body, long hair and silky smooth skin. She is an independent royal Escorts/Women Seeking Men model will give you more pleasure & Full satisfaction. ✔️ I am very sensual and flirtatious with charming personality! I love to laugh and my bright smile is ever Present. ,Hotel & Home Services CALL PLZZ ✔️Available Near All 3* 4* 5* 7* Hotels Of I Want Only Hotel Name , Guest Name , Room No. Only For Confirmation.✔️ Nandani... agency...⭐⭐⭐⭐⭐ VIP...Service ✣ ✤ ✥ ✦ TIME WASTERS AND BARGAINERS ARE PLEASE EXCUSE, WE RESPECT YOUR SAFETY AND PRIVACY AND EXPECT TH WHATSAPP: 9235973566 CALL ME" 9235973566

Call Girl In Indore 📞9235973566📞 Just📲 Call Inaaya Indore Call Girls Service ...

Sheetaleventcompany

❤️Chandigarh Escorts Service☎️9814379184☎️ Call Girl service in Chandigarh☎️ Chandigarh Call Girls Service ☎️ Call Girls In Chandigarh BEST Call Girls in CHANDIGARH Escort Service provide Cute Nice sweet and Sexy Models in beautiful CHANDIGARH city cash in hand to hand call girl in CHANDIGARH and CHANDIGARH escorts. HOT & SEXY MODELS // COLLEGE GIRLS IN CHANDIGARH AVAILABLE FOR COMPLETE ENJOYMENT WITH HIGH PROFILE INDIAN MODEL AVAILABLE HOTEL & HOME ★ SAFE AND SECURE HIGH CLASS SERVICE AFFORDABLE RATE ★ 100% SATISFACTION,UNLIMITED ENJOYMENT. ★ All Meetings are confidential and no information is provided to any one at any cost. ★ EXCLUSIVE Profiles Are Safe and Consensual with Most Limits Respected ★ Service Available In: - HOME & 24x7 :: 3 * 5 *7 *Star Hotel Service .In Call & Out call Services : ★ A-Level (5 star escort) ★ Strip-tease ★ BBBJ (Bareback Blowjob)Receive advanced sexual techniques in different mode make their life more pleasurable. ★ Spending time in hotel rooms ★ BJ (Blowjob Without a Condom) ★ Completion (Oral to completion) ★ Covered (Covered blowjob Without a Condom)Chandigarh Call Girls

❤️Chandigarh Escorts Service☎️9814379184☎️ Call Girl service in Chandigarh☎️ ...

Sheetaleventcompany

Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts service book now CALL WATTSAPP THE MOST BEAUTIFUL INDEPENDENT ESCORT CALL GIRL SERVICE, WE ARE PROVIDING GENUINE CALL GIRL SERVICE I AM A a NATURAL BRUNETTES, SLIM BODY, NATURAL LONG HAIR AND ALL TYPE OF HAIR IS A NATURAL BRUNETTE IN THE MOST BEAUTIFUL INDEPENDENT ESCORT GIRL I AM A NATURAL BRUNETTE WITH ROOM AND HOTEL AND A NATURAL BRUNETTE WITH A BODY MADE FOR SIN AND ALL TYPE OF ME ALL THE TIME I SEND YOU A HAIR, VERY SOCIABLE AND FUNNY, READY TO ENTERTAIN TO ENTERTAIN U AND MAKE FORGET ABOUT TO GET ENTERTAIN U AND MAKE FORGET ABOUT ALL THE PROBLEMS. LET'S HAVE A WONDERFUL TIME TOGETHER AND FORGET ABOUT EVERYTHING ALL TYPE SERVICE ENJOYMENT SAFE AND SECURE IN CALL OUT CALL HOME AND HOTEL ANYTIME AVAILABLE AND ALL TYPE SERVICE ENJOYMENT

Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts servic...

Dipal Arora

In this captivating lecture, Dr. Faiza, an esteemed Assistant Professor of Physiology, embarks on a comprehensive journey into the multifaceted realm of local blood flow regulation. With meticulous detail and clarity, she unravels the intricate mechanisms that govern the dynamic balance between tissue perfusion and vascular resistance, shedding light on both acute and chronic aspects of blood flow control. Beginning with an exploration of acute influences, Dr. Faiza elucidates how physiological factors such as metabolic demand, myogenic responses, and autoregulatory mechanisms orchestrate rapid adjustments in local blood flow. Students gain insight into the vasodilator theory, which elucidates the role of metabolic byproducts and vasoactive metabolites in promoting vasodilation, alongside the oxygen demand theory, which underscores the interplay between tissue oxygenation and nutrient demand. Delving deeper, the lecture delves into the fascinating realm of humoral control, where hormones and vasoactive substances wield significant influence over vascular tone. Dr. Faiza navigates through the intricacies of endothelial-derived factors like nitric oxide (NO) and histamine, alongside hormonal regulators such as angiotensin II and vasopressin. Through vivid explanations and illustrative examples, she unveils the intricate dance of vasodilation and vasoconstriction orchestrated by these biochemical messengers. Moreover, the lecture extends its gaze to the extrinsic control of blood flow, where sympathetic innervation exerts a profound impact on vascular dynamics. Dr. Faiza elucidates the role of sympathetic tone in modulating vascular resistance, highlighting its implications in diverse physiological and pathological scenarios. From skin perfusion to coronary circulation, students gain a nuanced understanding of how neural inputs shape local blood flow patterns. Enriched with clinical insights and contemporary research findings, this lecture equips students with a holistic understanding of blood flow regulation. By exploring concepts like active and reactive hyperemia, vascular remodeling, and collateral circulation, Dr. Faiza fosters a deeper appreciation for the adaptive responses of the cardiovascular system to changing physiological demands and pathological insults.

Control of Local Blood Flow: acute and chronic

MedicoseAcademics

Pune Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Pune No💰Advance Cash On Delivery Service Booking Details Are here: just visit website: https://hotbabe24.com #Call Girl In Pune, #Punecallgirls #CallgirlservicePune, #CallgirlsinPune Website on rent : mailto:indiancallgirl4rent@gmail.com "Call Girls Pune VIP Call Girls Service Pune.. Booking Open Now We Are Providing Safe & Secure High Class girl women sucking men Services Affordable Rate 100% Satisfaction, Unlimited Enjoyment. Any Time for Model/ women seeking men in royal call girl High class luxury and premium call girl agency. ✔️High class luxury and premium escorts agency We Provide Well Educated, Royal Class Female, High-class Escorts agency offering a top high class escort service in the royal Escorts ✔️ Get High Profile queens , Well Educated , Good Looking , Full Cooperative Model Services. you can see me at my comfortable Hotels or I can visit you in hotel Our Service Available IN All Services 3/5/7 Star Hotels, In call /Out call Service 24/7.. ✔️ All Meetings We Provide Hottest Female With Me Are Safe And Consensual With Most Limits Respected Complete Satisfaction Guaranteed...Service Available In:- 24/7 3 * 5 *7 *Star Hotel Service In. In Call Out call service Avilable also. ✔️ I guarantee you to have an unforgettable experience with me A curvy body, long hair and silky smooth skin. She is an independent royal Escorts/Women Seeking Men model will give you more pleasure & Full satisfaction. ✔️ I am very sensual and flirtatious with charming personality! I love to laugh and my bright smile is ever Present. ,Hotel & Home Services CALL PLZZ ✔️Available Near All 3* 4* 5* 7* Hotels Of I Want Only Hotel Name , Guest Name , Room No. Only For Confirmation.✔️ Nandani... agency...⭐⭐⭐⭐⭐ VIP...Service ✣ ✤ ✥ ✦ TIME WASTERS AND BARGAINERS ARE PLEASE EXCUSE, WE RESPECT YOUR SAFETY AND PRIVACY AND EXPECT TH WHATSAPP: 9xx000xx09 CALL ME" 9xx000xx09

Pune Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Pune No💰Adva...

Sheetaleventcompany

❤️Chandigarh Escorts Service☎️9809698092☎️ Call Girl service in Chandigarh☎️ Chandigarh Call Girls Service ☎️ Call Girls In Chandigarh BEST Call Girls in CHANDIGARH Escort Service provide Cute Nice sweet and Sexy Models in beautiful CHANDIGARH city cash in hand to hand call girl in CHANDIGARH and CHANDIGARH escorts. HOT & SEXY MODELS // COLLEGE GIRLS IN CHANDIGARH AVAILABLE FOR COMPLETE ENJOYMENT WITH HIGH PROFILE INDIAN MODEL AVAILABLE HOTEL & HOME ★ SAFE AND SECURE HIGH CLASS SERVICE AFFORDABLE RATE ★ 100% SATISFACTION,UNLIMITED ENJOYMENT. ★ All Meetings are confidential and no information is provided to any one at any cost. ★ EXCLUSIVE Profiles Are Safe and Consensual with Most Limits Respected ★ Service Available In: - HOME & 24x7 :: 3 * 5 *7 *Star Hotel Service .In Call & Out call Services : ★ A-Level (5 star escort) ★ Strip-tease ★ BBBJ (Bareback Blowjob)Receive advanced sexual techniques in different mode make their life more pleasurable. ★ Spending time in hotel rooms ★ BJ (Blowjob Without a Condom) ★ Completion (Oral to completion) ★ Covered (Covered blowjob Without a Condom)Chandigarh Call Girls

Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...

Sheetaleventcompany

Race Course Road } Book Call Girls in Bangalore | Whatsapp No 6378878445 VIP Escorts Service Available 24*7 Book Call Mrs Janvi Ji +91-6378878445 We offer all types of girls of your choice with space. Our escorts are fully cooperative and understand your needs. All types of call girls like Housewives, College girls,#J11 Russian girls, Muslim girls, Afghani girls, Bengali girls, Working girls, south Indian girls, Punjabi girls, etc. In-Call: — You Can Reach At Our Place in Bangalore Our place Which Is Very Clean Hygienic 100% safe Accommodation. Out-Call: — Service for Out Call You have To Come Pick The Girl From My Place We Also Provide Door-Step Services Hygienic: — Full Ac Neat And Clean Rooms Available In Hotel 24 * 7 Hrs In Bangalore Our Services and Rates: – One Shot — 2500/in call (time ½ hour), 5000/out call Two shot with one girl — 5000/in call (time 1 hour), 6000/out call Body to body massage with sex- 3000/in call (time 1 hour) full night for one person– 8000/in call, 10000/out call (shot limit 4 shot) We are available 24*7 all days of the year Call us — 6378878445 !! Thank you for Visiting.

Race Course Road } Book Call Girls in Bangalore | Whatsapp No 6378878445 VIP ...

dishamehta3332

Recently uploaded (20)

Premium Call Girls Nagpur {9xx000xx09} ❤️VVIP POOJA Call Girls in Nagpur Maha...

Cardiac Output, Venous Return, and Their Regulation

Kolkata Call Girls Shobhabazar 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Gir...

Jaipur Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Jaipur No💰...

Gorgeous Call Girls Dehradun {8854095900} ❤️VVIP ROCKY Call Girls in Dehradun...

Nagpur Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Nagpur No💰...

Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...

Goa Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Goa No💰Advanc...

ANATOMY AND PHYSIOLOGY OF RESPIRATORY SYSTEM.pptx

Jual Obat Aborsi Di Dubai UAE Wa 0838-4800-7379 Obat Penggugur Kandungan Cytotec

👉Chandigarh Call Girl Service📲Niamh 8868886958 📲Book 24hours Now📲👉Sexy Call G...

Cara Menggugurkan Kandungan Dengan Cepat Selesai Dalam 24 Jam Secara Alami Bu...

👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...

Call Girl In Indore 📞9235973566📞 Just📲 Call Inaaya Indore Call Girls Service ...

❤️Chandigarh Escorts Service☎️9814379184☎️ Call Girl service in Chandigarh☎️ ...

Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts servic...

Control of Local Blood Flow: acute and chronic

Pune Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Pune No💰Adva...

Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...

Race Course Road } Book Call Girls in Bangalore | Whatsapp No 6378878445 VIP ...