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This essay will narrate a nurse’s ethical dilemma as experienced in a local emergency department. In addition, the paper will discuss the relevant codes of conduct and law and make recommendations based on the nurse’s ethical dilemma.
The subject in this case is a 93-year-old Alzheimer patient who was by then in an extended care facility. As the ailment worsened, she became unable to eat or drink anything, and this was a great threat to her health. It reached that point where the patient would not respond to any touch or voice. The physician in charge of her at this extended care facility had indicated that she would not thrive with that condition. The granddaughter to this ailing patient was the power of attorney. To make matters worse, the elderly patient had no advanced directive. The patient’s family had earlier been directed to send her to the emergency…… [Read More]
Emergency oom Efficiency
Improving Emergency Department Flow by Using a Provider in Triage
Emergency room triage plays an essential role in the speed and quality of the emergency room departments. Triage represents only one small part of the process that determines quality of patient care. Emergency rooms can be crowded. Busy times are often unpredictable, making it difficult to avoid bottlenecks in the system. This has an affect on the amount of time between arrival and when the patient sees a physician. Patients can be in for frustrating long waits while sitting in the hospital lobby.Patients often leave the emergency room waiting areas without being seen because they get tired of waiting. These patients are referred to as left-without-being seen (LWBS). educing LWBS rates is crucial for improving quality of patient care in emergency rooms. Long waits also cause a potential liability for the hospitals, as patients that are critically…… [Read More]
Emergency Departments (EDs) have the highest levels of violence of any hospital units, and according to a 1994 survey, 97% or nurses in these reported verbal violence and 87% physical violence. All EDs have large numbers of uninsured patients, many of them with drug, alcohol of psychiatric problems, which increase the normal stress and anxiety of this environment and make violence far more likely. This problem is compounded by the fact that only 3% of EDs had full-time security on-site, which means that "prevention is the best method to deal with violence in the ED" (Hoag-Apel, 1998, p. 60). All EDs should do a risk assessment that includes the location, design, history and security measures in the facility; the type of in-house security staff, training and weapons, communications with local police and hospital security; nighttime lighting, parking areas, numbers of chemically dependent patients. It should note whether access is monitored…… [Read More]
ange Nursing Theories
As a profession, nursing presents many challenges. Indeed, it is one of the most stress inducing jobs in the world, not only in terms of the physical toll and long hours, but also because of the emotionally exhausting nature of the work. For this reason, personnel turnover tends to be high and there is a general shortage of nursing personnel at hospitals. Because of the vital nature of the profession to the healthcare field and to humanity in general, many researchers have addressed the problem of high personnel turnover in the nursing profession, as well as factors like leadership, work efficiency and interpersonal relationships.
Of all the work environments within the nursing profession, the Emergency oom is probably the most stressful, which also leads to high personnel turnover. One approach towards a resolution is to find ways of enhancing nursing staff satisfaction. Increased satisfaction at work would…… [Read More]
ED Boading Plan
Emegency Depatment Ovecowding Due to Boading: Poposed Solution
The poposed solution fo the noted poblem of emegency depatment ovecowding due to the pactice of boading patients in the emegency depatment athe than admitting them to othe aeas of the hospital is elatively simple and staightfowad. In essence, the solution that is most suppoted by cuent eseach is to simply cease the pactice of inpatient boading in the emegency depatment, inceasing thoughput by stabilizing and admitting to othe depatments those patients that cannot be teated on an outpatient basis, and inceasing the numbe of beds and staff available in othe depatments to meet this shift (Gason et al. 2008; Viccellio et al. 2009). This solution has been found to be beneficial to medical staff and patients alike, and simply inceasing the amount of beds and staffing that exists in the emegency depatment does not have a simila effect…… [Read More]
2010; McCarthy et al. 2009; Zimmerman 2004). These studies have also shown that a reduction in boarding numbers and crowding can eliminate or reduce these problems.
After all of these considerations, the fourth step in osswurm and Larrabee's (1999) model for change is to design the actual changes to practice that should be implemented. In this case, this requires few additional resources other than learning materials for hospital staff to acquaint themselves with new procedures and practices -- there is no equipment necessary, and supplies used by the emergency department should actually decrease pretty much across the board as patients are more quickly sent to other departments of the hospital after stabilization (AEM 2008). The design, then, is one that is purely procedural, and should consist of clear triage and stabilization practices that effectively assess patients and determine the appropriate continuation of their care, whether that be on an outpatient…… [Read More]
For effective fulfillment of duties by health care professionals which will, in turn, give a quality service to patients under their care, there is a need for effective inter-professional communication among personnel in a hospital environment. While the concept of territory exists within a sector, that, however, should not be a barrier to a fluid collaboration among health workers of different backgrounds. There is a need to formulate a working communication strategy to solve the lingering inter-professional problems in hospital environments generally, and particularly, in the emergency department. As important as it is, a look at inter-professional communication in emergency department shows a seemingly unfavorable situation among practitioners involved in this one of the most significant subsectors of health profession (Varjoshani, Hosseini, Khankeh, & Ahmadi, 2014). Among other numerous issues in the department, this paper looks at the problem of boisterous atmosphere in the emergency department, explores the contributing barriers…… [Read More]
Workflow chart criticism: "A patient arrives in the ER"
First and foremost, this workflow could benefit from a clearer title. The flow does not merely delineate what happens when a patient is admitted to the ER but rather what transpires when a patient with a suspected cardiac condition is admitted via emergency medical services. As well as a more coherent title, this workflow could benefit from greater description in the different boxes of the flow. While it is true that a workflow chart is designed to be relatively economical in terms of verbiage, this workflow needs greater explanation of acronyms such as 'CP via EMS.' It is unclear what CP refers to at first. Presumably it refers to a suspected cardiac patient but the meaning of the acronym is ambiguous given the title and the fact that CP could refer to a variety of different things.
The next square notes…… [Read More]
HSBC Information Systems
asked write organization,: bank . information system problems useing switched information system. write introduction organization . background organization case HSBC bank, information system problems information system helped solve problems information system helped make business easier.
n information system is a combination of any forms of information technology and activities which are carried out by the people in the organization in order to support the management, operations and decision making process in the organization Sawy & Nanus, 1989.
The term information system frequently refers to any interaction that happens between the processes, people, technology and data in the organization hituv, 1980.
It does not only refer to the technology in use in the organization. It also refers to the processes, technology, and data that are in the organization West, 1994()
HSBC group is one of the largest financial and banking service providers in the whole wide world. The…… [Read More]
(Shactman; Altman, 2002)
4. ecommendations for Overcoming these Barriers:
Some of the suggestions for overcoming these barriers are (i) appointment of a General Practitioner -- GP officers to work as a Liaison Officer between the ED and the community so that the communication is streamlined as well as processes of referral and feedback and development of clinical pathways. (ii) Expansion of community off-peak facilities, including the setting up of the capacity for community access to X-rays, Scanning, ultrasound, blood tests and observation beds. (iii) Initiation of a project to deal with frequent attenders to the ED through the development of management plans contributed to by the patient, their GP, the ED as also their specialist (iv) Education of the local community such that are aware as to when and under what situations to access ED care or alternative care in the community. (Ardagh; ichardson, 2004)
Ardagh, Michael; ichardson, Sandra.…… [Read More]
Emergency, Planning and Operations Methodology
In your opinion what were the main issues expressed by the States
Concerning Homeland Security and states rights at the 2002 State Emergency esponse Commission Conference? Please justify your position.
Most of the states attending the 2002 State Emergency esponse Conference expressed an overall sentiment that in relation to security, things are going to vary from state to state based on the capabilities of the emergency response agencies in each state, as well as the types of hazards that states are likely to face in addition to WMD's i.e. For example, states have to take into consideration whether they have chemical facilities, nuclear facilities and similar hazardous materials to address. State also has to take into consideration whether or not they have highways that are used to transport hazardous or nuclear waste materials.
Colorado made the point that secrecy regarding Homeland Security measures will not…… [Read More]
Business Name: MWV located in Covington VA
Number of Employees 190
Emergency management plan entails a system of managing resources, information analysis and decision making in the event of a tornado hitting the facility (Hubbard, 2009). The emergency management plan acts a guide to the responsible personal, the staff and residents within the facility on the steps to take upon the occurrence of a tornado. The emergency plan gives a description of the role that the pre-appointed Emergency Management Group (EMG) is expected to carry out in the event of a tornado. The Emergency Management group will serve as the overall authority over the activities in the facility relating to the occurrence of a tornado.
The emergency management policy is to ensure the safety of every individual within the facility and bring the facility to normal operations after an accident.
The head of the Emergency Management group is…… [Read More]
Disasters that can critically compromise the accessibility of knowledge include floods, fires, earthquakes, hurricanes, employee sabotage, computer viruses, and theft. The effects of disasters can lengthen even after the restructure of physical damage. Simply, the earlier a business recovers from a disaster; it will experience lesser wide-ranging continuing effects of the disaster. Not only the thrashing of sales during a disaster is destructive for the company, "the loss of customers, vendors, inventory and employee records extend recovery times from weeks and months to years" (Carlson & Parker, 1998). However, if a company has a premeditated disaster recovery plan (DP), it can reduce the nuisance of a disaster, whereas inappropriate preparations can result in a business experiencing liquidation of its bank accounts (Carlson & Parker, 1998).
In the Information Technology industry, Disaster ecovery (D) security issues occur repeatedly. The critical security measures in the environment are frequently covered by…… [Read More]
.Additional batteries are also needed, however, not the rechargeable batteries or flashlight. To help full the numerous lists of "necessary" items to prepare for an emergency disaster the army/navy retailer is generally not the best place to purchase batters; bottled water; etc.. These stores do on the other hand provide emergency water filtration and purification products. They also market field food prep kits and portable cooking accessories. Other items readily available at these stores include: "Shelter -- military surplus blankets, cots, sleeping bags, tents, duffels, shovels... outerwear are very practical, well-made and inexpensive components of any home disaster preparation kit. Military-style inflatable lifeboats and vests are great for flood use." Gas masks, on the other hand, are not a particular item needed for emergency disaster planning and as Hawver contends, "best promoted as Halloween items rather than as effective for use in emergency situations." In the same sense, helmets, chemical…… [Read More]
Emergency Planning: Washington, DC
Emergency planning entails planning carefully for every type of hazard that may affect a particular area. It involves forecasting and developing a plan to deal with natural, manmade and technological disasters.
Washington, DC's emergency planning has of course changed entirely since September 11, 2001. The terrorist attacks that left the entire country stunned and scarred had a particularly strong impact on Washington, DC. The center of America's political structure and a strong financial base, Washington continues to be a prime target for terrorists, one that will always be on a "short-list," so to speak, of cities that may yet again have to endure a terrorist attack of mammoth proportions.
One of the primary concerns for Washington, DC emergency planners is Reagan National Airport. The airport is so close to the most important landmarks and population centers in downtown Northwest Washington, DC, that it poses a continual…… [Read More]
Emergency Terror Response
Roles and Responsibilities of Terror Response Incident Commander
In the event of an emergency incident such as the terrorist attack described in the case scenario, the National Response System (NRS) is immediately invoked. This places a previously designated Incident Commander at the helm of all efforts to control, contain and respond to a terrorist attack. In the present case, as the Incident Commander, it is incumbent upon me to employ the NRS and the resources which it has placed under my control in order to bring order to the chaos of a terror attack.
ith the initiation of the incident, my first priority is to gather together an assembly of delegates and representatives from concerned agencies. This would include personnel from local law enforcement (police, municipal personnel, HAZMAT teams), the Department of Defense (NORAD, NORTHCOM, etc.), Homeland Security and various affiliated and subordinated intelligence agencies as…… [Read More]
For communities and agencies alike, an emergency plan is the arrangement of dealing with a crisis that contains procedures on how to prevent injuries and fatalities, lessen damages and speed up the resumption of normal operations. It's important for these agencies and the community to have an emergency plan since it helps them to prevent multiple losses of resources and lives. Some of the major components to include in the emergency plan include possible emergencies, emergency preparedness procedures, lists of personnel and maps with evacuation routes ("Emergency Planning," 2005). This is because these elements provide the agency's staffs or the community with instructions of the possible emergencies and how to tackle them, their emergency duties and evacuation routes to enable them to handle the emergency effectively. To ensure that the agency or community is aware of the provisions in the emergency plan, community or agency awareness and education…… [Read More]
The management of large organizations is a very crucial issue, whether they are government-related or not (Argyris, 1993; Argyris & Schon, 1978; Broom, Jackson, Harris, & Vogelsang-Coombs, n.d.; Brown & Brudney, 2003; Hatry, 1999; Haynes, 1999). Often, however, the government does not seem to realize that it must manage itself in the same way that a business would in certain aspects if it is to succeed and therefore it does not market itself to the public.
The spending that has been involved with the Department of Homeland Security is also crucial, because it has changed over time to reflect the needs and the realization of what it takes to make the Department work (Eggen & Mintz, 2003). This spending is important to discuss, because it indicates how much of the government's money - and by extension how much of the tax dollars of Americans - is going toward funding this…… [Read More]
Emergency Plan for San Diego State University
Evaluation of Emergency Plan of San Diego University
San Diego State University has set out "emergency preparedness, response, and recovery guidelines for students, faculty, staff and campus auxiliary organizations so that the effects of campus emergency situations can be minimized." (San Diego State University, Division of Business and Financial Affairs, 2014, p. 1) San Diego State University has placed emergency numbers across the campus and on its webpage and includes the following:
(1) SDSU Policy (police/medical/fire) 9-1-1
(2) Environmental Health and Safety (chemical spills/toxic fumes) 46778 or [HIDDEN]
Also placed for information is the Emergency Operations Information Line 1- [HIDDEN] .
San Diego State University's Home Page is located at www.sdsu.edu and it is reported that in the event of an emergency on the campus that this webpage is updated. San Diego State University has developed a check list for what should be…… [Read More]
The exercises and training divisions work with similar divisions in Delaware, Pennsylvania, and Virginia, a Continuity of Operations department designed to work with the federal Department of Homeland Security, and an Office of Domestic Preparedness and Law Enforcement Liaison work with local and federal authorities to coordinate comprehensive disaster planning efforts. (Maryland Emergency Management Homepage, 2006, Official Website)
Different organizations that are involved, how the organizations interact with or are apart of the EOC/What is the responsibilities of each member to the EOC
The federal government, including FEMA (Federal Emergency Management Authority), the Department of Homeland Security, and the state Emergency Management offices of Delaware, Virginia, and Pennsylvania are all involved, as is the National Guard. These organizations do not have specifically delineated legal responsibilities to the state of Maryland's EOC, other than to serve the citizens of the U.S. In the case of the federal government. (Maryland Emergency Management…… [Read More]
Regarding Border ecurity, "the Department of Homeland ecurity prevents and investigates illegal movements across our borders, including the smuggling of people, drugs, cash, and weapons" (DH.gov. Border ecurity. 2012. PP. 1). Customs, Coast Guard, and Immigration (IN) are working departments in this area.
Preparedness, Response, Recovery refers to "providing a coordinated, comprehensive federal response and mounting a swift and effective recovery effort" (DH.gov. Preparedness. Response. Recovery. 2012. PP. 1). FEMA is the direct provider of government action and coordination in this realm.
On Immigration, "the Department is responsible for providing immigration-related services and benefits such as naturalization and work authorization" (DH.gov. Immigration. 2012. PP. 1). IN is the primary vehicle in this context however, cross-over with Border ecurity functions are common.
Lastly, DH engages in cyber security "keeping our federal civilian networks secure, and secure the cyberspace and critical infrastructure on which we all depend" (DH.gov. Cyber ecurity. 2012. PP.…… [Read More]
Emergency, Planning and Operations Methodology
The Department of Homeland Security is fully aware of the importance of local and state first responders. Currently managed under the Department of Justice, the Department of Health and Human Services, and the Federal Emergency Management Agency and other various offices, local firefighters, state and local law enforcement, and local emergency medical personnel would be subject to the Department of Homeland Security's authority (http://www.whitehouse.gov/deptofhomeland/sect4.html).Moreover, the Department is prepared to "develop and manage a national training and evaluation system to design curriculums, set standards, evaluate, and reward performance in local, state, and federal training efforts" (http://www.whitehouse.gov/deptofhomeland/sect4.html).Through FEMA, emergency supplies, food and shelter would be allocated to supplement the work of local agencies that are already providing such needs at the community level (http://www.fema.gov).Moreover, FEMA would coordinate "private industry, the insurance sector, mortgage lenders, the real estate industry, homebuilding associations, citizens, and others" in high-risk areas (http://www.whitehouse.gov/deptofhomeland/sect4.html).…… [Read More]
In 2002, "President Bush signed into law the Public Health Security and Bioterrorism Preparedness and Response Act of 2002, which, among other things, eliminated the need to convene an advisory committee to amend the list of diseases" listed as quarantineable (Misrahi, Foster, Shaw, & Cetron 2004).
This law became significant during the SARS scare. Before 2002 "the list of federal quarantinable diseases in the United States had not been revised since 1983. It included cholera, diphtheria, infectious tuberculosis, plague, smallpox, yellow fever, and viral hemorrhagic fevers such as Marburg, Ebola, and Congo-Crimean" fevers (Misrahi, Foster, Shaw, & Cetron 2004). The CDC was able to quickly ad SARS to the list. In the past, the CDC "generally deferred to state and local health authorities...to restrict the movement of persons within their boundaries" with such diseases (Misrahi, Foster, Shaw, & Cetron 2004). Its greater legislative ability to move quickly in classifying the…… [Read More]
Second, Iowa City had quick connections with State level disaster response crews that allowed for quick clean-up and rebuilding. They also coordinated with outside communities to provide shelter and other basic needs through local Red Cross organizations.
On the other hand the small, rural community of Holy Cross, also hit by a severe storm, was not as well prepared to respond. The main reason for this lack of efficient response was because of a lack of a centralized network. Due to the small size of the city, there is no permanent emergency relief plan. The community's response was reactionary and thus took longer and was very unorganized. Much of the response came from the State.
Stehr, Steven D. (2002): "Community Recover and Reconstruction Following Disasters," Handbook of Crisis and Emergency Management. New York: Marcel Dekker, Inc.… [Read More]
..and it is unlikely that the military will attempt to take over the executive branch by a coup." (2007) the media is not informing the citizens of what is occurring in many cases and a recent attempt to make a citizens arrest by over 8,000 individuals in Washington of President ush relating to war crimes resulted in many of those individuals being tasered and arrested.
SUMMARY and CONCLUSION
The future of the United States, according to what is known of the history of Rome, the predecessor upon which the U.S. originally based the form of its democratic government, appears to be bleak indeed. However, there is hope that the next presidential election will progress in a democratic manner and that the newly elected president will have the stamina and integrity required to see the United States return to the democracy upon which it was based and with the least pain…… [Read More]
These insights are equally applicable to forecasting how global events will potentially impact the United States and its trading partners. The same techniques used for anticipating terrorism threats can use used for anticipating conditions of genocide and political upheaval, even in countries that appear to be economically and politically stable (Goldsmith, utcher, Semenovich, Sowmy (2012), et.al.). The DHS has also had to architect it systems that overcome bureaucratic inertia and protecting bureaucracy instead of flattening it (Larson (2004), pp. 29). Having had to streamline not just their own structure but the integration points with many other departments and divisions also shows how unique their cross-functional structure is (Mitchell (2003), p. 18). Using the lessons learned of organizational structure efficiencies and dynamics of cross-functional performance in more expanded areas could solve the impasse on budgeting within the broader U.S. government as well. There is also the potential to combine…… [Read More]
Emergency response is critical component to a natural disaster. In some instances, natural disasters are unexpected in regards to both their duration and destructive capabilities. In other instances, natural disasters can be seen ahead of time, while the damage can still be unknown, as is the case for hurricanes. In either circumstance, a proper response can mitigate hardships within a particular community. The proper response is often a coordinated and integrated approach to remedying a situation. Florida is a state that is particularly prone to natural disasters and in particular hurricanes. In recent occurrences, it was not the actual hurricane that caused so much destruction, but instead the residual effects. For example, flooding, power outages, and debris often cause more damage than the actual hurricane did. It is for these reasons that a robust emergency support system is needed.
In regards to the emergency support system of Florida, it appears…… [Read More]
Organizational Performance Management
Emergency Medical Services & Pharmacies Long-Term Health Care Physicians' Offices Hospitals This paper written organizations. • Discuss influence regulatory accreditation standards performance-management systems.
Organizational performance management
The main purpose for the health care industry is to serve patients in the most effective, safe, and efficient manner. Each organization in this industry functions differently. However, there are some functions and regulations that the organizations will share. These regulations provide the organizations with a path that they are supposed to follow. egulatory requirements mandate the organization to compliance, and provide a standard performance level that creates the need for the organization to have specialized accreditation and monitoring in order to have quality improvements at various levels Sciences, 2006.
The key component for ensuring that an organization maintains its course in meeting the standards, compliance, maintaining the organization's mission and vision, and meeting regulatory requirements is communication. isk management will…… [Read More]
Emergency personnel occupying the fire and emergency services make day-to-day decisions and their behavior contributes to the constant evolving of public perceptions. The negative perception of the public due to their scrutiny of fire and emergency operations, budgets, and behavior has slowly tarnished the image of these departments. Therefore, measures should be undertaken in saving the image of the fire and emergency services field through talking openly, reflecting on honesty, working collaboratively, taking responsibility for upcoming issues and acting professionally. The following study looks at the perceptions of the public concerning the Fire Department and the factors influencing their opinions. In addition, the paper looks at what they do in an attempt to either increase or decrease the perceptions of their communities. Furthermore, it identifies the Fire Department’s activities aimed at establishing positive perceptions from community members.
Fire Departments continue to be under scrutiny, and they continue to…… [Read More]
Wait Time in the Emergency Center Can Be Decreased
How Could the Wait Time in the Emergency Center be Decreased?
This paper discusses how long wait times and overcrowding can be reduced in emergency centers as a way of improving healthcare quality for all patients.
Physicians working in emergency departments are dedicated to offering high quality emergency care, as fast as possible, to all the patients brought into the emergency center. However, long wait times and crowding hamper patient safety. The ever increasing emergency patient numbers, coupled with critical shortages in the entire system of emergency medical care, play a role in limiting patients' access to emergency care on a timely manner. Patients with the need to see physicians in 1 to 15 minutes get attended to in 37 minutes, a figure twice the expected timeframe. The long wait times and crowding in emergency departments have been attributed to patients…… [Read More]
Our study is however geared towards the assessment of applicability of the universal triage system in emergency clinical work. The current triage systems are somehow one-sized-fits it all in their design (Veenema,2007).He points out that the main problem with the existing triage methodologies is the fact that they are not tailored for all situations such as weapons victims but are just normal pediatric scenarios. This therefore means that some of the components of the various triage systems are most likely to fail under certain circumstances as a result of the disparity in the physiological baselines used in coining the various triage systems.Veenema then ponders if the solution tom these dilemmas are held in the coining and adoption of a universal triage system.
The research questions that are to be used as the basis of forming hypothesis for the research they are:
Hypothesis 1: Does the use a universal triage…… [Read More]
Hospital Emergency Plan
According to a study, about 99% of hospitals have plans to cope with disaster, and 95% of them even had committees for that purpose. There were reports from 90% or more of the hospitals which showed that they were in collaboration with emergency treatment services (96%), emergency agencies for management (94%), agencies for law enforcement (95%), fire sectors (95%), along with health sectors (92%). 96% of the respondents sated that there were plans to cope with disaster throughout the hospital, and that they were accessible easily (Higgins et al., 2004, p. 328). Meridian Health has made it its responsibility to better the welfare and health of New Jersey residents. They do this by giving the best quality health services in the community, homes and hospitals, which put their focus on patients, and also by conducting clinical research and education for the enhancement of medicine (Meridian Health, 2016).…… [Read More]
Mass Casuality Decontamination
Mass Causality Decontamination
Throughout the past era, worries about possible terrorist acts concerning weapons of mass destruction (WMD) directed Congress and the President to obtain a complete counteract terrorism strategy that was aimed at stopping a chemical, biological, or nuclear attack and improving domestic attentiveness. The organization of choice for national significance management has been the Department of Defense. Of the $1.2 billion taken in the FY 2000 business plan purposely for WMD reply, most of it went to DOW Overreliance on the military for domestic (Wynd, C. 2006) WMD defense, nevertheless, may reduce the military's war combating capacity and holds the potential for breach of individual rights. Given that these attacks are confronting to avoid and may take place anywhere and at any time, mass decontamination is one of the significant factors to controlling the distresses of such an occurrence, saving lives, and limiting the number…… [Read More]
Affordable Care Act and EMS
The affordable care act is a medical insurance program that came into existence during the Obama regime. This came as a subsequent addition to the Medicaid and Medicare programs as fronted in the year 1965. The motive behind the creation of this scheme was to improve the affordability and accessibility of medical care to all the American citizens. Just like America, every society around the globe is made up of the less privileged and the rich. Therefore, the country's leadership opted to have this kind of insurance scheme so that everyone, regardless of the economic status can access cheap medical attention and in a convenient way. This forms the basis of the Affordable care act. This program offers many opportunities in the future for the Emergency Medical Services (EMS) organization. In this case, there are chances for the people to benefit from the same.
The…… [Read More]
If the country is safe, then that is all that matters to the department. If any group was to be considered as a form of competition, drug traffickers and terrorists may be the closes groups to fall into that category.
In the economic arena, the Department of Homeland Security does not have the best standings. There were 30 reportable internal control weaknesses in the department, 18 of which were considered material weaknesses. The four inherited component agencies did not even conform with the Federal Financial Management Improvement Act. It has been recommended that the Department of Homeland Security improves its financial management. It is important to keep in mind that making a profit is not the goal of this department, though it is also important that the department follows the financial improvement laws (http://www.gao.gov/products/GAO-04-774).
I can bring dedication to this position. My strong sense of patriotism is what drives me…… [Read More]
he other major component of the Department of Homeland Security that doesn't belong is FEMA, the Federal Emergency Management Agency. his is the only component of the Department that is not involved in preventing security threats that human in nature; its main purpose is to aid citizens and local governments in times of natural disaster. Again, communication with the Department would be necessary, but involving the response agency's involvement in a department whose main goal is detection and prevention of criminally threatening or destructive acts against the nation seems a very inefficient way to handle emergency situations.
here are also several agencies not represented in the Department of Homeland Security whose role in the protection of our nation and its citizens has long been a vital part of the United States' defense system. Most notable among the missing are the Federal Bureau of Investigation, Central Intelligence Agency, and the National…… [Read More]
In February of 2006 changes to the structure of FEMA were proposed. According to an article found in the Washington Post, the proposed changes would create a fulltime response force of 1,500 and expanding 10 regional offices (Hsu). The changes to the Agency bring into question whether or not the agency should remain a response agency with a small workforce that has the primary responsibility of processing disaster claims and providing assistance in times of emergency or should FEMA be expanded to an agency that has the capacity to take charge whenever it is required.
According to the article the proposed changes which also include improving vendor databases, adding reconnaissance teams, and strengthening claims management are only the beginning of what needs to be changed to ensure that the agency operates more efficiently (Hsu). The article also asserts that a cultural change must occur as it relates to the way…… [Read More]
Planning for a larger center in the future eliminates the need to build an entire new center if it is someday required. The director should also do a risk analysis of the type of threats that face the community, and the facility. Another writer notes, "The Federal Emergency Management Agency has developed guidelines to assist a community in a risk assessment process" (Vaughn, 2008, p. 26). While hurricanes are the main concern, there can also be other treats, such as safety, security, staff health, and the overall operation of the facility.
The easiest way to organize the center is to follow the National Incident Management System (NIMS). It contains an incident command structure that is a common method of organizing the center. Commanders within the structure all have different areas of responsibility, including communications, damage assessment, available resources, and other key responsibilities (Editors, 2010, p. 8). Overseeing the activity…… [Read More]
Their casualties go uncounted, their actions largely unmonitored and their crimes unpunished." Scahill relates that four years into the Iraq occupation "there is no effective system of oversight or accountability governing contractors and their operations, not is there any effective law - military or civilian being applied to their activities." (2007) According to Scahill's report: "Since the launch of the "global war on terror," the administration has systematically funneled billions of dollars in public money to corporations like lackwater USA, DynCorp, Triple Canopy, Erinys and ArmorGroup. They have in turn used their lucrative government pay-outs to build up the infrastructure and reach of private armies so powerful that they rival or outgun some nation's militaries." (2007)
III. The EFFECTIVENESS of DHS
The work of Ahlers (2007) entitled: "Auditor's: Homeland Security Gets Mixed Grades" reports that congressional auditors gave "mixed grades to the Department of Homeland Security on its efforts to…… [Read More]
training in the field of emergency management is particularly complicated. The reason for the complication is the astonishingly broad latitude of situations for which emergency services and personnel might ultimately be required. Now obviously there are certain limitations that are based on simple geography: emergency management personnel in California may be called upon to deal with mudslides or earthquakes, and emergency management personnel in Kansas will be summoned for tornados. But a large-scale terrorist incident could conceivably occur anywhere that is populated. Meanwhile certain types of disaster almost perfectly defy any attempt at preparation altogether -- the example of the 2004 Indian Ocean tsunami, which killed over two hundred thousand people, is particularly pertinent, because there existed no detection system for such an event. Tsunamis are rare events, but common enough in the Pacific Ocean that a detection system existed there -- but they are so rare in the Indian…… [Read More]
Crisis management refers to the process of comprehensive risk assessment and strategic planning. A Community Emergency Response Team (CERT) provides proactive strategies for mitigating risk and managing crises through effective mobilization of human, financial, and technological resources, coordination of different support agencies and allies, and the implementation of recovery and response missions. There is no one central crisis management protocol, for each organization or community will have its own specific risks and resources (“Crisis Management and Emergency Response Plans,” n.d.). The CERT team works within the parameters of its community contingencies.
Emergency management refers to specific plans for responding to specific emergencies. While not all emergencies can be fully planned for, and unexpected situations will arise, CERT teams are trained and equipped to provide emergency management services for preventing fatalities, minimizing injuries, reducing loss and damage to property, reducing the environmental hazards resulting from an emergency, and…… [Read More]
Disaster Preparedness and Emergency esponse for Natural Disasters or Terrorists Attacks in Florida
Emergency management has been described regarding the phases by using words such as prepare. Mitigate, respond and recover. For this paper, we are going to examine the underlying concepts, variation, limitations, and implications of emergency management phases. Moreover, we are going to look at the various preparedness and response strategies applied by the State of Florida when dealing with natural disasters and terrorist attacks among others. Therefore, the purpose of this paper is to show the preparedness and response put in place for these crises for both researchers and practitioners. The paper will also try to give definitions and descriptions of two components, preparedness and response, of emergency management, the temporal versus functional distinctions. Moreover, it is important to understand the interrelationships and responsibilities for each of the phases (mitigation, preparedness, response, and recovery) and the diversity…… [Read More]
Emergency Medical Services System Act of 1973 helped to establish national standards for emergency medical systems, with broad implications for education and public health. The Act follows a series of seminal events that drew attention to weaknesses in emergency response, including the lack of proper, regulated, or consistent training for personnel. Moreover, the Act helped to ensure that healthcare infrastructure would be modernized to minimize instances and costs related to accidental injury and death. The Act includes provisions for training in emergency medical services, offering funding and support for training programs that conform to a set of federal standards. Interestingly, Nixon had initially vetoed the Emergency Medical Services System Act, and it was subsequently reworded to omit mandate for a Public Health Service Hospital system -- something Nixon believed was "unnecessary," (Shah, 2006, p. 1). Passing the EMS Systems Act of 1973 meant that the Department of Health, Education, and…… [Read More]
Role of National Strategies in Emergency Operations Plan
Emergency and disaster planning is a process that entails development of a cooperative, coordinated process of dealing with urgent situations using available resources. Generally, this process is exploratory in nature and culminates in development of a plan that offers general procedures for management of unforeseen impacts. According to Alexander (2015), emergency planning basically entails preparing systematically for probable contingencies in the future such as major disasters and incidents. When creating emergency operation plans (EOPs), national strategies like the National Response Framework (NRF) and National Incident Management System (NIMS) should be taken into consideration. These national strategies provide guidance and a framework for creation of emergency operations plan. This paper reviews the NRF, NIMS and NECP in terms of their most useful elements for the county’s emergency management plan.
Brief Review of the NRF, NIMS and NECP
The National Response Framework (NRF) is…… [Read More]
Finally, consideration of the Intel-based server function is relevant for support of the Microsoft Exchange email environment. In all cases, the Company holds licensure but is not the manufacturer of the solutions to the products used in the HR Department recovery strategy. Only it engineering staff with assistance from those product suppliers will offer full provision to risk management and immediacy during the recovery.
Recovery time objectives (RTO) and Recovery Point Objectives (RPO) to the CLIENT's Human Resource network in Lincoln are targeted as > 24 hours to point of completion. To this end, in terms of cost, the CLIENT's highest cost to risk factor is where Electronic Vaulting listed as #4 might be determined as priority during the course of initial assessment of a disaster at the site. The Lincoln location is a Warm Site #3 to Cold Site #2 in reference to the reported Survey data. It is…… [Read More]
S. Customs and the Animal and Plant Health Inspection Services were combined to form U.S. Customs and Border Protection. Overall, DHS incorporates 22 government agencies. The major agencies of DHS are the TSA, Customs and Border Protection, Citizenship and Immigration Services, ICE, FEMA, the U.S. Secret Service, and the U.S. Coast Guard (Borja).
The Drug Enforcement Administration (DEA) was formed on July 1, 1973 and is headquartered in Arlington, VA. Former drug enforcement related agencies are the Bureau of Narcotics and Dangerous Drugs and the Office of Drug Abuse Law Enforcement. The parent agency of the DEA is the U.S. Department of Justice. The DEA is the lead agency for domestic enforcement under the Controlled Substances Act. The DEA's primary goal is to combat drug smuggling and use within the U.S. The DEA shares jurisdiction with the FBI and ICE and shares communications systems with the Department of Defense. DEA…… [Read More]
Quality Improvements in Emergency Services
Consumers in the form of patients and other stakeholders are increasingly demanding for proof that the care being delivered or rendered to them is of high quality. In general, the public is cognizant of, demand quality from the medical sector or industry, and anticipates action and improvements to be undertaken when quality is not existent. There are very clear expectations and anticipations for improved health, improved efficiency and in overall improved quality. It is important for an Emergency Medical Services agency or organization to have programs and agendas in place that not only analyze, evaluate and assess the manner in which the organization and its employees are operating. The purpose of this paper is to analyze the aspect of quality improvement in Emergency Medical Services. The paper will take a look into the background of quality improvement and advancement in the emergency medical services sector.…… [Read More]
Federal disaster recovery assistance has long been taken for granted in the United States, embedded in federal laws such as the Stafford Act and the Flood Insurance Act. Federal disaster recovery efforts have been further supported by key organizations including those directly involved in crisis scenarios, such as FEMA. Moreover, a number of ancillary national organizations directly or indirectly provide disaster relief assistance, including the United States Department of Transportation, and most notably the U.S. Department of Housing and Urban Development, which offers Community Development Block Grants for Disaster ecovery (Schwab, 2014). If the federal government should one day determine that its role no longer supported disaster relief services, then a number of regional, state, and local organizations would step up to fill the void in resources and management. Some of those organizations would be from the private sector and others from the public sector. In fact, a situation in…… [Read More]
Included in the reserve components are the following capabilities:
(1) Accurate and timely data on personnel assets;
(2) Standard data for comparison across services and components;
(3) Proper tracking of reservists for pay and service credit;
(4) Tracking of all military personnel into and around the theater; and (5) Integrated personnel and pay functions. (Ladra, 2005)
IV. DIMHRS: A Web-based Tool
The work of Wilson (2008) entitled: "New and Improved" states that DIMHRS is "...a web-based tool that will be available 24 hours a day making personnel and pay records available to human resource professionals, combatants commanders and other authorized users throughout the armed services." (Wilson, 2008)
The DIMHRS system is one that will be the "largest fully integrated HR system in the world and deliver timely and accurate pay and benefits to all service members and their families." (Wilson, 2008) DIMHRS will "fix shortfalls" as it takes "the place…… [Read More]
Emergency Operations Plan Outline
disruption of basic infrastructure (utilities, roadways, communication)
degradation of sanitary facilities iii. direct injuries/fatalities and property damage
Critical esource Dependencies
medical care needs could reach critical mass
clean water and hygiene needs must be managed
Characteristics and Policies of the EOP Authority That May Affect esponse
intercommunication and cooperation of disparate departments is essential
chain of command changes during emergency could prove problematic
Concept Of Operation
disaster notification should go straight to the top member of the hierarchy
proper chains of command and task hierarchies must be maintained
Overall Plan Priorities
protection of life, health, and property
effective coordination of relief efforts and resources iii. maintenance of basic physical and organizational infrastructure
Town / CITY Handling Of Emergencies
i. establish refuge/information centers for the population
ii. establish emergency communication procedures and hierarchies
Emergency Action Levels
i. overall…… [Read More]
Emergency Readiness Annotated Bibliography
Biochemical terrorism, nuclear or other terrorism is everyone's nightmare since the anthrax scares in Washington D.C. In September of 2001 and the Al-Qaeda attacks on September 11, 2001. The purpose of this annotated bibliography is to document the effectiveness of emergency management and readiness in Connecticut. It has been more than 5 years since the TOPOFF 3 emergency exercises in 2006 and literature published since then needs to be annotated and review for homeland security studies.
Petersen, R.E., Lindsay, B.R., Kapp, L., Liu, E.C., & Peterman, D.R. Congressional Reporting
Service, United States Congress. (2008). Homeland emergency preparedness and the national exercise program: Background, policy implications, and issues for congress. Washington, D.C.:
Government Printing Office.
In the CRS report, the series of ongoing TOPOFF exercises is documented in detail, including the 2006 exercise in Connecticut as well as other exercises are documented in detail. The…… [Read More]
Emergency Planning and the LAUSD
Los Angeles, California is not a stranger to emergency situations. The city has faced major natural disasters, as well as intense social unrest, all of which have affected education. As one of the largest districts in the state of California, the Los Angeles Unified School District has some serious challenges related to effective emergency planning and execution of emergency strategies when they are needed. As budget issues continue to reduce resources required for effective emergency preparedness, the district has some serious issues to face before other major emergency surfaces in order to ensure that the students and staff within the education system remain safe and can continue their part in the education system after the emergency has subsided.
The district covers a huge portion of the city, with hundreds of thousands of children attending LAUSD schools. As a central headquarters for emergency operations, the district…… [Read More]
Emergency Management: Hurricane Katrina and Lessons Learned
In late August, 2005, Hurricane Katrina became the 11th named storm of the Atlantic hurricane season and was its most deadly and destructive. The federal and state governments' responses to this natural disaster have been heavily criticized in the mainstream media as well as by the hundreds of thousands of victims of this disaster in the years that followed. Although it is far too late for the victims of Hurricane Katrina, there were some valuable lessons learned from the disaster that have been used to help formulate improved responses in the future. This paper provides a review of the relevant peer-reviewed and scholarly literature concerning the emergency management of Hurricane Katrina, followed by an assessment of the various lessons that were learned. A summary of the research and important findings concerning these lesson learned are provided in the conclusion.
eview and Discussion
Background…… [Read More]
Principal Directorates of Department of Homeland Security
Border and Transportation Security
The largest component of the Department of Homeland Security is the Directorate of Border and Transportation Security (BTS). This division is responsible for maintaining the security of the nation's borders and transportation systems. BTS employees about 58% of DHS's total employees, has nearly half of its operating budget, and includes what was formerly TSA, Customs, the border security functions of INS, the Animal and Plant Health Inspection Service, and FLETC. Just like the other directorates of DHS, it is managed by an undersecretary of homeland security (United States Department of Homeland Security, 2012).
This department brought together several agencies from such departments as the Treasury Department, the Department of Justice, the Department of Transportation, and the Department of Agriculture. The mission of this directorate is to secure the borders and transportation systems of the United States and to…… [Read More]
Government of Western Australia Department of Education's Excursions: Off School Site Activities. The document describes the policies and procedures necessary for off school site activities.
Background of the Policy
It is recognized that off school site excursions have higher degrees of risk than being at the school. However, the Department of Education recognizes that off school site excursions can provide significant learning opportunities, so it does not want to eliminate them because of the risk. Therefore, it has promulgated regulations to minimize the risk during these excursions.
Purpose/Objective of My eport
The objective of this report is to provide a brief overview of the Department of Education's approach to excursions.
The document describes excursions as beginning with a teacher-in-charge, who is responsible for the investigation into the risks inherent with the excursion. Some of the excursions may be overnight, and those excursions require a special analysis of the risk.…… [Read More]
Balance between Emergency Powers, Abuse of Law by the State and Civil Liberties of People within and Beyond the U.S.
ithin the United States of America especially after the terrorists' attack of 9/11, there seems to be a delicate balance between emergency powers, abuse of law by the authorities and the citizens' liberty. There appears to be significant connection between increase of liberty and insecurity (Gearty 1). However the question here is what security means, in some instances, security could be national threats such as terror attacks or internal forces threatening the political establishments, those that advance particular ideological ends such as those witnessed in Most North African such as Libya and Arabian countries such as Yemen. Nonetheless, in instances of such threats, civil liberties suffer and it becomes a challenge reconciling it with national security. There are many aspects of liberal democracy such as freedom of expression, association and…… [Read More]
Breadth of Responsibilities
All of the DHS responsibilities relate back to the primary jurisdiction and mission responsibilities listed above. Information sharing and analysis, prevention and protection, preparedness and response, research, commerce and trade, travel security, and immigration all are functions of keeping our country safe from terrorists and responding to both manmade and natural disasters.
The auxiliary functions of the department such as the Secret Service, U.S. Coast Guard, FEMA, Immigration and Customs, the Transportation Security Administration, and the Office of the Inspector General (OIG) all add to the breadth of DHS functionality, and fall under the primary mission statement of the department. Even the OIG, which is responsible for auditing the internal functioning of DHS including fraud and abuse indirectly operates as a function of ensuring this primary mission is carried out effectively.
Is the DHS Effectively Organized?
After a couple of re-organizations over the years, yes, it is,…… [Read More]
It comes with a built-in tripod, so heavy recovery workers needing an auxiliary source of light can adjust its stream of light exactly where it is needed, and keep it there. The flashlight is 2.5 kg, 340 mm long and 160 mm in diameter.
Wearable Lights: The Pelican manufacturer offers a hands-free light (#2680 "Headsup Lite") that is ideal for recovery professions who have their hands full dealing with emergencies and other demanding, and the last thing they need is to have to fiddle with off-and-on switches, and worry about battery staying power.
The light is an LED flashlight that puts out the illumination of a high performance incandescent -- and yet the manufacturer claims the Headsup doesn't project those "dark spots and irregular beam pattern" which are part and parcel of most standard filament lamps. How are they able to produce a clear, clean flood of light with no…… [Read More]
Department of Homeland Security Grants
The HSGP (Homeland Security Grant Program) for the fiscal year 2017 contributes significantly to NPS (National Preparedness System) implementation through promoting the creation, delivery and sustenance of key capabilities vital to the achievement of America’s NPG (National Preparedness Goal) geared at improving its security and resilience. The provision of key capabilities necessitates integrated community-wide efforts and not the sole, independent endeavors of a particular governmental level or agency. HSGP’s allowable expenses foster attempts at developing and sustaining key capabilities over the Protection, Prevention, Mitigation, Recovery and Response mission domains, with the following prioritized:
· Development and Maintenance of Terrorism Prevention Competences by Law Enforcers
· Development and Upgradation of Key Urban Area and State Fusion Centers
FEMA (Federal Emergency Management Agency)
This Homeland Security agency was first established under the 1978 Presidential Reorganization Plan III, and put into service under a couple of Executive Orders…… [Read More]
Slide 9: Technological innovations in emergency management
The starting point in the creation of a plan on how to improve our program from a technological standpoint has been constituted by the review of the it industry. The scope of this research has been that of identifying the innovations in the field and their relevance for our agency and its mission. The results of the research endeavor are briefly presented below:
GIS is an important tool to use in the collection of data necessary and its usage is credited with overall successful emergency operations as it allows the intervention teams to gather data pivotal at all stages of the emergency management process.
emote sensing technology is enhancing the quality of the emergency management act at the stages of mitigation and preparedness and it has proven efficient in the management of both natural hazards as well as man made disasters.
The NOAAPort…… [Read More]