Rapid Sequence Induction and Intubation. Incidence Reflection Essay

Rapid Sequence Induction and Intubation. Incidence Reflection - Essay Example In this reflection I have ensured that I maintain confidentiality in line with the Health Professional Council code of Conduct that demands the observance of the same, under code number two that states â€Å"You must respect the confidentiality of service users.† It informs me that I must treat information about service users as confidential and that I must not release any personal or confidential information to anyone not entitled to it (HPC, 2008, pp. 8-9). Therefore all names of the people involved in the process are treated as anonymous and I will different letters to refer to each one of them. I decided to choose this area for my reflection basing on a few reasons. First is that as a student ODP doing my clinical placement, it was my first time to come across such a major incident and therefore it made me curious. Secondly is that, I realized that this procedure is applied to all EG operations, making it commonly used. As a student on placement I realize the need to familiarize myself with the incident and procedures of operation as it is a common phenomenon in our daily lives. The last point is that, I engaged myself in massive research on this topic thereby developing skills and knowledge in this particular area. Rapid Sequence Induction Intubation (RSII) Rapid Sequence Induction and Intubation (RSII) is a medical procedure involving the fast induction of general anaesthesia and following intubation of the trachea. It is generally used in an emergency (EG) situation or for patients who have an increased risk of aspirating gastric contents into lungs (EL-Orbany & Connolly, 2010). The main objective of this technique is to minimise the interval time between loss of protective airway reflexes and tracheal intubation with a cuffed endotracheal tube (ETT). If the intubation is not attained within a maximum 2 minutes, the patient could suffer extreme morbidity or even death from hypoxia (lack of oxygen in body tissue). Therefore airway management is the most important skill for an emergency practitioner. Failure to secure an adequate airway can cause disability (EL-Orbany & Connolly, 2010). The decision to intubate the patient is sometimes very difficult to reach. The difficulty emanates because t he situation requires high clinical experience so as to recognise the signs of an imminent respiratory failure. The concept of RSI was gradually evolved after introduction of Suxamethonium chloride/succinylcholine (paralytic drug) in 1951, and the description of cricoid pressure (CP) in 1961 (EL-Orbany & Connolly, 2010). The procedure include; oxygen administration, rapid injection of a predetermined dose of thiopental/barbiturate (group of drugs), immediately followed by succinylcholine, application of CP and tracheal intubation. It seemed from these components that the term; RSI which is used in both anaesthesia literature and emergency medicine are both inadequate. Because, the technique includes both anaesthesia induction and tracheal intubation, therefore the term RSII is more accurate and descriptive of the technique (EL-Orbany & Connolly, 2010, pp. 18-25) Reflective models My essay will employ the Rolfe et al. (2001) model of reflection to reflect on what I learnt and the exp eriences I went through. Reflective practice is an approach to learning and practice development that is patient centred and which acknowledges the untidiness and confusion of the practice environment

Strategic Plan of my current employer Essay Example | Topics and Well Written Essays - 1250 words

Strategic Plan of my current employer - Essay Example Internal environmental factors affecting an organization’s performance include strengths and weaknesses. Externally, opportunities and threats influence an organizations’ performance among industry competitors. Inefficiency in the planning process is dangerous to the survival of an organization. Mistakes by the management while lying down the strategic plan management consequentially lead to failure and loss of business to competitors. In the extreme, an organization faces liquidation (Bo?hm, 2009). To achieve is purpose of â€Å"to develop a self-actualized scholar, who possesses a knowledgeable and discerning mind, thrives in service to others, and is prepared for college,† Paulo Freire Charter School must effectively manage its internal and external environments effectively and efficiently. Internal factors adequately affect the strengths and weaknesses of an organization. The management of any organization needs to plan for the purpose of hedging against any form of internal problems. Resources and human capital are essential elements in the internal factors management. Availability of raw materials, financial capital for investment and labour to work in the various departments are the internal factors affecting the performance of an organization. To achieve organizational goals, adequacy of resources is essential. Internal factors make both the organizational strengths and weaknesses. ... Long-term finances are essential in financing long-term operations of the school. Inadequate finances for an organization are its weakness, while adequate finances are its strength. Purchase of machinery, hiring of workers, and expansion of a classes and addition of courses offered by the school are the major uses of long-term funds in the school. Strategic budgeting process by an organization ensures proper allocation of resources according to the requirements of the organization. Poor budgeting of organizational funds potentially leads to financial problems to the school. Prioritizing needs with reference to the organizational needs and requirements will help the organization from getting into financial problems. Bo?hm (2009) points out that as strength, adequate finances greases the various wheels used by the management to achieve the school’s purpose. However, this could also form part of its weaknesses. Inadequate funds, misappropriation of the school’s income and poor liquidity position are a weakness that can lead to poor results, and thus the school losses business to its competitors. Human capital is responsible for the achievement of organizational goals and objectives (Bruce, 2006). To achieve its goal the school needs human resources, and these need care and profession in their handling. Investing in human resources of the organization increases the organization quality of services. At the same time, the organization achieves its goals, reaches its vision and lives up to its mission statement. Proper motivational strategies to the teachers increase their output. According to Frey (2002), there is more to motivation than offering good salaries to the employees. Although