MGT-211: H.R Management 22682-Medinah-MalesMGT-211: H.R Management 22682-Medinah-MalesAssignment-1Read the case given and answer the questions: Mike INC.is well known for its welfare activities and employee-oriented schemes in the manufacturing industry for more than ten decades. The company employs more than 1000 workers and 200administrative staff and 90 management-level employees. The Top-level management views all the employees at the same level. This can be clearly understood by seeing the uniform of the company which is the Same for all starting from MD to floor level workers. The company has 2 different cafeterias at different places one near the plant for workers and others near the Administration building. Though the place is different the amenities, infrastructure and the food provided are of the same quality. The company has one registered trade union and the relationship between the union and the management is very cordial. The company has not lost a single man day due to strike. The company is not a paymaster in that industry. The compensation policy of that company, when compared to other similar companies, is very less still the employees don’t have many grievances due to the other benefits provided by the company. But the company is facing a countable number of problems in supplying the materials in the recent past days. Problems like quality issues, mismatch in packing materials (placing material A in the box of material B) incorrect labelling of material, not dispatching the material on time, etc… The management views the case as there are loopholes in the system of various departments and hand over the responsibility to the HR department to solve the issue. When the HR manager goes through the issues he realized that the issues are not relating to the system but it relates to the employees. When investigated he come to know that the reason behind the casual approach by employees in work isThe company hired new employees for a higher-level post without considering the potential internal candidates.The newly hired employees are placed with higher packages than that of existing employees in the same cadre.Assignment Question(s): (Marks
What are the major issues or concerns
for employees at Mike Inc.?(1.5Marks)
As an employee of this organization what would you suggest to the employers? (1
Q3. “Is the
organization working on lines of ethics or not” Comment (2.5 Marks)
MGT 211 Saudi Electronic University Human Resource Management Mike Inc Case Study
MGT-520: Managing Perform. for Results
MGT-520: Managing Perform. for Results. I’m working on a Management question and need guidance to help me study.
Read “Case Study 2-2:Disrupted Links in the Performance Management Process at Omega, Inc.” in your textbook. The six links in the performance management process outlined in the text are interrelated. If any of the links is missing, unclear, or compromised, it will have an effect on the entire process, and employees may not understand what is required of them. Consider each of the links of the performance management process shown in the Figure 2.1 Performance Management Process on page 39. Discuss whether each of the links are present and in what form in the performance management system described. What can be done to fix each of the disrupted links in the process?
Be sure to support your statements with logic and argument, citing any sources referenced. Post your initial response early, and check back often to continue the discussion. Be sure to respond to your peers’ posts as well.
MGT-520: Managing Perform. for Results
Advantages And Disadvantages Of Biotechnology Biology Essay
i need help writing an essay Advantages And Disadvantages Of Biotechnology Biology Essay. The objective purpose of this assignment is the, familiarization of the connection between the biotechnology and agriculture; bringing on the contribution of the biotechnology science to agriculture. On the way to assess the specific contribution, citations of positives and negative effects are allocated as well as thoughts and worriers regarding the future of the association between biotechnology and agriculture. Ever since agriculture was developed, before 10 000 years (Sample et al .,2007), humans were attempting to invent new crops as well as and new techniques in order to make the production much more easy. Over the effort of the humanity to produce the best quality products as possible and in more quantities, new technologies and techniques were introduced allowing agriculture for further development. Standing on this piece of evidence it is a fact that most of the technological innovations where integrated to the agricultural science over the last 200 years.(Krimsky et al.,1996). On this improvements of the agricultural science it is appropriate to include the fertilizers, the plant breeding , the mechanization of the procedure as well as the management of the plant enemies using plant protection products (e.g herbicides, pesticides, fungicides).(Krimsky et al., 1996) However the discovery of recombinant DNA back in the early seventies opened a new era in modern agriculture introducing biotechnology into the field ,allowing the scientists to develop novel ideas of innovations in food production.(). As biotechnology is defined according to the Convention on Biological Diversity, “any technological application uses biological systems, living organisms or their derivatives create or modify products for specific use »(Convention on Biological Diversity, 1992). This definition includes medical and industrial applications and tools and techniques used in agriculture and food production (FAO, 2004). Among the best known applications, is the creation of genetically modified foods, cloning the sheep Dolly, the complete sequencing of the human genome and the developments in stem cell research. Like all technologies, so the Biotechnology is associated with known and unknown risks and threats. That in itself is a “food source” for the media to the production of stories that attract readers (Gaskell et al., 2003). Benefits that may occur with the usage of genetic modified organisms had to do with several values that the humanity has set as priority objectives. Moreover the supporters of the agriculture biotechnology state that with the usage of GMOs the role of the sustainable environment is bounded; due to the fact that the main target is the reducing of the usage of pollutants such as pesticides and herbicides. An extra fact that is settled is that the population of the earth is about 6 billion; and with the possibility that there is a continuous trend for further increase. Indicative, it is expected that over the next 50 years the world’s population will be doubled. With this fact, it is remarkable to declare that the humanity has to ensure that the quantities of food that will be produced ought to be adequate in order to feed the entire population of the earth. Perhaps this will be a huge challenge, whereas the agricultural sciences have the great responsibility. Standing on these factors; the supporters of genetically modified products, have highlighted a numeral benefits that may humanity obtain from their use. The Genetically Modified Organisms, in view of the fact that they have been introduced a gene from another organism, they are able to acquire properties compared with the natural plants as they have the ability to confer resistance to various biotic and abiotic factors such as resistance to various plant protection products from herbicide and pesticide as well as salinity drought conditions. With the most usual method in conventional agriculture to protect the crops from pest insects to be spraying the plants with different chemical insecticides; have a lot of bad consequences. Even if the use of chemical insecticides is prudential spray or forced; the usual results of the non-rational usage of the chemical pesticides by farmers, lead to the fait accompli, which usual have to do with the huge ecological consequences. This method comprises negative effects on the environment and to the ecological balance. Apart from the harmful insects to crops, the chemical pesticides may destroy many other species of insects which they might be consider as beneficial as well as natural enemies to the pests. The consequences result in a genuine ecological disruption. Furthermore, the excessive use of insecticides may create resistance of the insects so that to meet those needs is even what harmful. Additionally most chemical insecticides have toxic effects even for humans, with residues of pesticides that may possibly end up through food chains. On this aspect, biotechnology has given a very good solution; deriving plants which have the power to react autonomously as “bio insecticides”. For this purpose, was isolated a gene from the soil bacterium Bacillus thuringiensis which can encode a protein with a natural insecticide action.(Pentheroudakis). This protein is a Î´-endotoxin and has toxic effects in an environment with pH 7,5 to 8,which can be observed in insects and not in the stomach of man. The certain bacterium Bacillus thuringiensis is used as a biological insecticide for many years, and is grown in bioreactors and then can be sprayed on crops in order the plants to have the appropriate protection from the pests. This solution is considered environmentally friendly since it excludes the use of hazardous chemicals and pesticides and does not lead to adverse health and environmental (standards 1999, deMaagd 1999). But also apart from its fuction as a solution , it is also considered as non an economic solution since of the fact that Bacillus thuringiensis has a limit time of life and that’s why it has have repeated sprays.(Penteroudakis) .Gene technology made possible the transformation of the particular gene which can produce the Î´-endotoxin in plants; enabling plants to be protected from the destructive action of certain insects such as Lepidoptera. There are several strains of Bacillus thuringiensis and each strain produces a different toxin, which acts in a particular species of insects (Estruch et al, 1996). This ensures the plants resistance to certain insect species by introducing a particular gene (the genes are called genes Bt). One of the applications of Bt producing plants is to resist the European corn borer, which is the main enemy pest of the U.S. corn crop and also responsible for damages cost $1 billion annually (Huang et al, 1999). According to the company Monsanto, the production of transgenic Bt crops reduce the use of chemical pesticides by 1 million litters per year. The nematode worms, as soil organisms can cause serious damages to the crops. Parasitic nematodes can create serious trouble at a wide variety of plants and are responsible for significant crop losses. Also the eggs survive in the soil under adverse conditions for many years. Another thing that has to be concern is that it is extremely difficult to militate with parasitic nematodes particularly after the withdrawal of methyl bromide. With the contribution of biotechnology scientists found that various plants are resistant to nematode worms. For the resistance of certain genes are responsible which have been isolated. An example is the gene Gro1 potato, which confers resistance to Globodera rostochiensis. This has opened the way for the possible introduction of these genes into crops to address the challenge of the filamentary.(Jung et al,1998) Crop plants genetically modified to withstand very powerful and widely used herbicides, can help to reduce environmental impact of the widespread use herbicides. One example is the creation of GM soya from the company Monsanto, which is not affected by the herbicide Roundup ®, product of the same company (http://www.monsanto.com/monsanto/ag_products/input_traits/products/round up_ready_soybeans.asp). The resistance of plants against viral diseases, fungi and bacteria will improve the performance of the fields. The company Monsanto released on the market in 1996, the genetically modified soybean, which is resistant to the widely used herbicide Roundup. The genetically modified soybean was introduced the bacterial gene CP4-EPSPS that produces an enzyme resistant to the action of the herbicide. The Roundup suppresses the activity of natural plant EPSPS enzyme and destroy the plants. Genetically modified plants, however, producing a “resistant” enzyme is not affected by the action of Roundup. The genetically modified soya has caused a storm of reactions in Europe. Soybeans are particularly important because its derivatives are used in many processed foods such as soya lecithin used in the production of chocolates and baking. In 1998 one third of total U.S. soybean crop was genetically modified, while in 1999 more than half [Mitten et al, 1999]. Another possible benefit of the usage of biotechnology in agriculture, is the possible creation in the future of seeds resistant to cold (the introduction of the gene of antifreeze protein from fish Antarctica), in salinity or drought, which will allow crop plants in soils inhospitable to date indicative (Zhang and Blumwald, 2001). And the contribution of biotechnology does not stop here .It is possible the creation in the future, seeds and crops with high nutritional value (Ye et al., 2000) which will allow for better nutrition children in the Third World.One good paradigm to support this Almost half the world’s population eats rice (Oryza sativa L.), at least once a day (IRRI undated). Rice is the staple food among the world’s poor, especially in Asia and partsof Africa and South America. It is the primary source of energy and nutrition for millions.Thus, improving the nutritional quality of rice could potentially improve the nutritionalstatus of nearly half the world’s population, particularly its children. Commodity ricecontains about 7% protein, but some varieties, notably black rice, contain as much as 8.5%(Food and Agriculture Organization 2004). The most limiting amino acid in rice is lysine.Efforts to increase the nutritional value of rice target protein content and quality along with key nutrients often deficient in rice-eating populations, such as vitamin A and iron.The International Rice Research Institute (IRRI), Philippines, is a primary center for riceresearch and development of improved varieties. In 1999, Dr. Momma and colleagues at Kyoto University, Japan, reported a geneticallyengineered rice having about 20% greater protein content compared with control rice (Momma et al. 1999). Transgenic plants containing a soybean gene for the protein glycinin contained 8.0% protein and an improved essential amino acid profile compared with 6.5%protein in the control rice. Also the production potential in the future of edible vaccines and drugs in potatoes and tomatoes (Daniell et al., 2001). Plants such as poplar, can the genetic modification to used for phytoremediation contaminated by heavy metals in soils (Rugh, 2004). Apart from the advantages that biotechnology can donate to the agriculture sciences; there are and a lot of factors that as scientists and as consumers we have to be aware. There are ethical factors and other parameters that have to mostly with the environmental subjects that have to be in mind. Nearly all have expressed their concern about GM food and the possible effects on health and safety of humans in environment, economic situation of farmers and the poor of the world making agriculture one of the few, powerful companies: environmental activist organizations (such as Greenpeace, the Network against GMOs, the GMWatch), religious organizations, citizens groups sensitized (such as the Organic Consumer Association), researchers and scientists (such as ETCgroup, the Institute of Science in Society, by The American Society of Environmental Medicine, the Union of Concerned Scientists). Experiments and studies have identified a number of risks associated with the use of GM foods. Environmental hazards that they might derived is firstly the challenge of unintended harm to other species. As an example of this; laboratory studies have shown that pollen from B.t. GM corn caused high rates of mortality in the larvae of the Monarch butterfly. (Losey etal., 1999) The possible reduction of biodiversity, is another threat of the GM crops against the environment. The widespread use of GM crops may lead to reduced biodiversity in neighboring crops GM ecosystem. Because GM products are likely to have competitive advantage over its natural wild varieties of plants, the latter may not be able to survive with its attendant reduction or extinction of wild varieties (Conner et al., 2003, Vacher et al., 2004). The GM crops can be fatal for others organizations that share the ecosystem, as species of birds (Watkinson et al., 2000). The Horizontal gene transfer is another thing that worries the scientific world regarding the usage of GMOs. The introduction of exotic species into new environments can cause extensive and irreversible destruction through the “horizontal transfer of genes, transport ie genes among related organisms, and microbes in or mammalian cells (unlike the “vertical transmission” is the transfer genes from one generation to the next). The transfer and integration these genes would result in genetic modification agencies beyond the estimates of researchers. Such ‘transfers’ can lead eg to create “super weeds” (literature Review Ho and Cummnis, 2008). General health problems in animals is another think that we have to be aware. A variety of studies in animals suggest that consumption of GM foods can cause serious health problems such as infertility, hormonal dysfunction, accelerated aging, dysfunction of genes associated with cholesterol synthesis, problems in the regulation of insulin, cell labeling and protein synthesis and changes in the structure of the liver, kidney, spleen and gastrointestinal (Ewen and Pustzai, 1999, Finamore et al., 2008, Malatesta et al., 2008, Kilik and Akay, 2008, Kroghsbo et al., 2008). Another object that we have to have in mind is allergies, which is the biggest, so far, side effects of GM foods and is likely to increase the incidence of dangerous allergies. Many people and especially children are allergic to edible plants such as peanuts, an allergy which can lead death because of some proteins produced by them. Projects to increase the nutritional value of soybeans in the introduction to genome of a gene from the Brazilian peanut abandoned when research showed that the transgenic soy can promote allergic reactions to people predisposed (Nordlee et al., 1996). There evidence that the genetically modified plant products are even higher allergenic potential than conventional plants. Several studies have been reported in the literature, suggesting that the process of genetic modification may increase the allergen potential of plants. For example, levels of inhibitor trypsin-allergenic agent of soybean – are 27% higher in GM soy. Also, the Bt toxin in GM corn may trigger allergic immune response since it contains sequences that match EN identified allergens (literature review Smith, 2007). Scandal had caused case of Bt corn Starlink â„¢ of Aventis, which grown in the U.S. from 1998 to feed and industrial purposes and not for human consumption because of concerns of scientific staff of the U.S. Environmental Protection that can cause allergic reactions. In 2000, modified corn Starlink â„¢ s put into tacos and another 300 food products containing corn in various parts of world, making visible the gaps that existed in the management of possible risks from the use of GM (Bucchini and Goldman, 2002). Finally A key argument of the proponents of GM crops, large production and distribution companies modified seeds and lion scientists, is the largest agricultural performance of biotechnology crops, an argument which appears to be rebutted by the recent. Research the Union of Concerned Scientists in which genetically modified crops ultimately enhance the appearance of resistant herbicides weeds thus reducing the production and leading to smaller crops (Gurian-Sherman, 2009). In addition, as mentioned previously, the GM seed moving is patented and in future will also be sterilized causing billions of poor farmers to buy expensive seeds each time with disastrous results (Whitman, 2000). The application of genetic engineering resulted in the creation of genetically modified organisms resistant pathogens. This became possible to transfer resistance genes, especially with the help of Ti plasmid of Agrobacterium tumefasiens, in crop plants of great economic importance, such as corn, soybeans, cotton, tobacco, oilseed k.al. The most commonly used gene is the Bt gene coding for the production of a toxin able to counteract the harmful insects on crops. The isolation of the gene from the bacterium Bacillus thuringiensis and the introduction of a plant species resulted in the creation of a broad class of transgenic plants resistant to attacks of insects, Bt plants. The cultivation of Bt plants have the advantage of avoiding the use of chemical pesticides, which contain toxic and hazardous substances. It is also important to create GM plants resistant to nematodes and herbicides, particularly in widely-used herbicide Roundup. The cultivation of transgenic plants but can cause various environmental problems. This is the transfer of genes to plants or weeds through pollen and thus creating heat-parasites, prevalence through natural selection of resistant strains of insects to the toxin Bt, the unexpected effect of Bt insect toxin safe for agriculture and the possible abuse the creation of herbicide-resistant plants on them. There is no doubt that the establishment and cultivation of genetically modified plants will not only continue but probably will in future become the dominant form of farming. The attitude of scientists, especially those related to environmental protection, towards GMOs should be responsible and critical. The new research data, the largest observation time, economics and the comparison of the potential risks with the multiple benefits will help shape a scientifically informed view on the impact of GMOs into the environment. Advantages And Disadvantages Of Biotechnology Biology Essay
Designing an ecological experiment
Designing an ecological experiment. Paper details This assignment is a follow-up from a previous assignment I did where I had to come up with 2 hypotheses based on an aspect in nature that I observed. For the past month I’ve been observing various sites at a park. I chose to write about the Gila woodpeckers that I’ve observe going in and out of holes they made in the wall of saguaro cacti. For this assignment, choose one of the 2 hypotheses I wrote and answer the questions. I have attached the ecological hypotheses assignment, the template for this assignment (please use this to type your answers on), and an example of how to do this assignment provided by my professor for this class. This is the rubric they will use to grade this assignment: This assignment will be graded according to the following rubric (25 points total): 1) A clear description of treatments and materials needed to create these treatments (5 points); 2) A clear description of measurements and materials needed to make these measurements (5 points); 3) A logical prediction of results that would support your hypothesis (5 points); 4) An appropriate method of replication, focusing on the relevant unit of observation for your hypothesis (4 points); 5) An appropriate method for randomizing subjects among treatments while ensuring a balanced design (6 points). Thank you!!Designing an ecological experiment
Disaster Plan Essay
Disaster Plan Essay. Paper Details:Develop a disaster recovery plan to lessen health disparities and improve access to community services after a disaster. Then, develop and 10- slide presentation PowerPoint of the plan with speaker notes for the Vila Health system, city officials, and the disaster relief team. In this assessment, you are a community task force member responsible for developing a disaster recovery plan for the Vila Health community using MAP-IT and trace-mapping, which you will present to city officials and the disaster relief team. Begin thinking about: • Community needs. • Resources, personnel, budget, and community makeup. • People accountable for implementation of the disaster recovery plan. • Healthy People 2020 goals. • A timeline for the recovery effort. You may also wish to: • Review the MAP-IT (Mobilize, Assess, Plan, Implement, Track) framework, which you will use to guide the development of your plan: • Mobilize collaborative partners. • Assess community needs. • Plan to lessen health disparities and improve access to services. • Implement a plan to reach Healthy People 2020 objectives. • Track community progress. • Review the assessment instructions and scoring guide to ensure that you understand the work you will be asked to complete. Scenario Disaster Recovery Scenario • Introduction • Background • Staff Interviews • Follow-up Report • Conclusion Introduction For a health care facility to be able to fill its role in the community, it must actively plan not only for normal operation, but also for worst-case scenarios which could occur. In such disasters, the hospital’s services will be particularly crucial, even if the specifics of the disaster make it more difficult for the facility to stay open. In this scenario, you will resume your role as the senior nurse at Valley City Regional Hospital. Like many facilities within the Vila Health network, Valley City Regional serves as the primary source of health care for a wide area of North Dakota. As such, it is even more imperative than usual that it stay open and operational in all situations. Doing this means planning and preparation. The administrator of the hospital, Jennifer Paulson, wants to talk to you about disaster preparedness and recovery at Valley City Regional. But first, you should read some background information about events in Valley City in the past few years, including the involvement of the hospital. Background Investigate the scene for relevant background information. Article HOPE FOR THE BEST, PLAN FOR THE WORST Op-ed by Anne Levy, Valley City Herald Valley City has had a great year, growing on a number of fronts. But all of our growth and success exists in the shadow of the recent past, a case of recent wounds slowly healing and fading to scars. No one who was in Valley City two years ago will ever forget the catastrophic derailment of an oil-tanker train and the subsequent explosion and fire. While fatalities were fewer than they could have been, six residents of our city lost their lives. Nearly two hundred were hospitalized, and much of the city was temporarily evacuated. Several homes near the railroad tracks were leveled, and our water supply was contaminated by oil leakage for several months. Life has resumed, and we have begun to thrive again, in our fashion. But the nagging feeling recurs: When the disaster struck, were our institutions properly prepared? No one wakes up in the morning expecting a train derailment, of course. But responsible institutions think about things that could go wrong within the realm of possibility, and make a plan. Many individuals performed brave, inspired, selfless service in the chaos of the derailment, but it is clear in retrospect that much of the work was improvised, disorganized, and often circular or at cross-purposes. For the first two hours of the crisis, the Valley City Fire Department was caught unprepared by the damage to the city water supply caused by the explosion, which was more extensive than had been considered possible. The Fire and Police departments had trouble coordinating radio communications, and a clear chain of command at the scene between departments was painfully slow to emerge. The hospital was woefully understaffed for the first six hours of the crisis, taking far too long to find a way to bring additional staff and resources onto the scene. The city health department was unacceptably dilatory in testing the municipal water supply for contaminants. A call from the Herald’s offices to City Hall confirmed that the city’s disaster plan is over a decade old, and is unfortunately myopic both in the events it considers as possible disasters and in the agencies it plans for. It is of utmost importance to the future of our city that this plan be revised, revisited, and expanded. All city agencies should review their own disaster plans and coordinate with the city for a master plan. The same goes for crucial non-government agencies, most especially the Valley City Regional Hospital. Of course, this all exists in the shadow of budget cuts both at city hall and the hospital. The sun is shining today, without a cloud in the sky. This is the time to make sure we are ready for the next storm, so to speak, to hit our city. No one knows what the next crisis will be or when it will come. But we can count on the fact that no one will get up that morning expecting it. Jennifer Administrator, Valley City Hospital Hello, thanks for stopping by. I hope you’re settling in well. I’d been planning on talking to you about disaster planning in the near future anyway, but now it looks like it’s a lot more urgent. I’m not sure if you’ve heard, but the National Weather Service says we’re going to be at an elevated risk for severe tornadoes in Valley City this season. I’m taking that as a clear sign that it’s time we get serious about disaster planning. And it’s not just me… The mayor just called me and asked the hospital to check our preparedness for a mass-casualty event, given recent qualms about the way the derailment was handled. For instance, did you see that op-ed in the paper about disaster planning? Anyway. My particular concern is patient triage in the near term and recovery efforts over the next six months. As I work on a more formal response to the Mayor about where we’re at for this threat, I’d appreciate it if you could do some research and planning on this matter. Even if we dodge the bullet on these tornadoes, there’ll be something else in the future. We need to stop putting it off and get serious about our disaster planning. What I’d like for you to do first is take some time to talk to a good cross-section of people here at the hospital about what happened last time, and about our disaster plan in general. Make sure you get people from administration as well as frontline care staff; after all, problems can be visible in one area but not another a lot of times. So spread it around! Since you weren’t here for the train crisis, I think you’re in a unique position to have a fresh, unbiased outlook on it. Actually, first you might find it useful to take a look at the hospital fact sheet, just to brush up on our basics here. After you’ve looked at the fact sheet and done some talking to people, I’d like you to swing back by and we’ll talk about next steps. Thanks! Fact Sheet Valley City, ND, Demographics Population: 8,295 (up from 6,585 in 2010 census) Median Age: 43.6 years. 17.1% under age 18; 14.8% between 18 and 24; 21.1% between 25 and 44; 24.9% 46 – 64; 22% 65 or older. Officially, residents are 93% white, 3% Latino, 2% African-American, 1% Native American, 1% other. —additionally, unknown number of undocumented migrant workers with limited English proficiency Special needs: 204 residents are elderly with complex health conditions; 147 physically disabled and/or use lip-reading or American Sign Language to communicate. Note that the Valley City Homeless shelter runs at capacity and is generally unable to accommodate all of the city’s homeless population. Also, the city is in the midst of a financial crisis, with bankruptcy looming, and has instituted layoffs at the police and fire departments. VALLEY CITY REGIONAL HOSPITAL FACT SHEET 105-bed hospital (currently 97 patients; 5 on ventilators, 2 in hospice care.) NOTEWORTHY: Both of VCRH’s ambulances are aging and in need of overhaul. Also, much of the hospital’s basic infrastructure and equipment is old and showing wear. The hospital has run at persistent deficits and has been unable to upgrade; may be looking at downsizing nursing staff. Staff Interviews Select each individual to hear their statement. Kate McVeigh RN Hey there! Yeah, I think I have a minute or two to talk about the derailment. Wow. It’s crazy. I guess that’s been a while, but it still feels like it just happened. It’s all so vivid! I was on shift when it happened, so I was here for the whole thing. The blast, the first few injuries, and then the wave. I think I was working for 16 hours before Heather, the former head nurse, told me to leave before I passed out. I just remember a big jumble. We had waves of people coming in before we were really aware of what we were up against. Someone actually brought out the disaster plan but it was kind of useless. Just a bunch of words about using resources wisely and what have you, no concrete steps or plan. And then people started pouring in and we started treating them and there just wasn’t time to figure out how to make that stuff about using resources wisely into an actual, concrete plan. I mean, of course it’s good advice to use your damned resources wisely in an emergency! But just saying that doesn’t help. Without a plan, we were just working our way through a line, or really more like a crowd, without any thought of triage or priorities or anything. You knew as you were doing it that it was bad, but what could you do? There was always a next person to help. You know what would have been useful in that damn disaster plan? Strict, functional checklists and lists of steps and such. Concrete plans for a chain of command. Clear lists of what to do and what our priorities should have been. And I’m just talking doctor and nurse time here, as far as waste goes. I know we had critical problems with supplies and such, but I was too focused on patient care to really know what was going on there. OK. I have to go do rounds. Good luck. Yikes. I’m all anxious just thinking about that again. Megan Campbell RN Oh, I remember the night of the derailment really well. I’ll never forget it. I was off that night, out for dinner with my family. Heard the boom and the word spread through the Pizza Hut about what had happened pretty quickly. I kept expecting a call telling me to come in to the hospital, but none ever came. After maybe ten minutes of that, I figured I’d better just come in on my own. It was pretty clear there were going to be a lot of people moving through the hospital. I guess that was a little bit of a failure, but it’s nothing compared to what I saw when I showed up at the hospital. I just hustled into the ER and started helping out. It wasn’t clear who was in charge, and nobody was making any decisions. People just started piling in with burn wounds, smoke inhalation, blunt trauma from the explosion, you name it. And we were just dealing with them first-come, first serve, more or less. Just working our way through the room while people kept coming in and piling up. I knew that this wasn’t the right way to be doing this – heck, we all knew – but the room was too chaotic for anyone to take a second and say “stop” and impose some kind of systematic approach. I don’t know for sure if any lives were lost because of the muddle, but I know people with some very serious injuries suffered a lot longer than they needed to while we were treating people with minor sprains and contusions who’d just happened to get to the ER a little earlier. Hope this helps! Courtney Donovan M.D. I can’t say that I feel great about the state of disaster planning here at the hospital. I know we keep talking about doing something, but it never seems to get any further than talk. I mean, no offense, but I think this is the third time since the derailment that someone has tried to talk to me about lessons learned. There’s a point where just that repetition makes it clear that no lessons have been learned. But just to be a good sport: The big lesson from the derailment is that our staff is intelligent, resourceful, energetic, and flexible. That’s the good news. Stuck with a horrific situation and a disaster plan that I’d describe as “aspirational,” we got through a very rough event. It was more painful than it needed to be, since we had to improvise most of it and improvisation is never the most efficient way to do things. But we provided real help to people and I think we kept the loss of life admirably low. But god. There was no structure, no thought to anything. I tried to get the nurses to perform some triage, but they were too busy reacting to the latest mini-crisis to pop up in front of them. I don’t blame them, of course! I tried to give some orders, but then like the nurses I was always pulled in to sit with the next patient, and someone else would come out and countermand whatever I’d said, and it just went on like that all night. On a personal level, I know I pushed myself too hard that night. I mean, with good reason, but still. I was exhausted and loopy after 14 hours or so, and it’s just luck that I didn’t make any serious medical errors. I’m not the only one who put it all out there. I know most of the medical staff were in bad shape towards the end, too. I guess that’s always going to be a risk, but I think we could have planned our operations a little better. If we’d been more thoughtful about what we were doing, maybe we wouldn’t have needed to grind ourselves down so far. You know what else? I’ve never felt good about our long-term check-ins afterwards. People who had recurring problems related to the derailment came in, but neither we at the hospital or anybody in public health did enough to check in with people on an ongoing basis in the months after the disaster. Even when we were having those water contamination issues! People forget about that–the derailment disaster really continued for months afterwards as the cleanup went on. I hope you’re serious about taking this information and turning it into something useful. For god’s sake, please don’t just write it all down and keep it on your laptop this time. Mike Horgan Associate Director Hospital Operations I have been screaming about the need to update our disaster plan for years. I was screaming about it before the train incident, too, but nobody would listen then. I figured people might listen afterwards, but that hasn’t been the case, at least so far. If I’m talking to you about this right now, maybe it’s a good sign. Look. I respect the heck out of Jen Paulson, she’s been a great hospital administrator. But she’s also got a lot on her plate, and is never, ever able to properly take a step back and look at the big picture. Not her fault, it’s a systemic thing. And all of our disaster-planning problems are systemic. The disaster plan as it exists is basically a binder full of memos, each memo just being something I or Jen or someone else went and wrote down after we’d had a conversation about what to do if there was a catastrophic snowstorm or what have you. At best, it works as a bunch of notes that you could use to build a real disaster plan out of. As something you could act on in a crisis? No way. And we proved that in the train incident. One thing that makes me crazy about all of this: in all of our conversations, we act like we here at the hospital can cook up a plan on our own that’ll get us through anything. But that’s just crazy. We can and should have a plan. But when the stuff hits the fan, we’re not on our own and we can’t work from a plan that pretends we are. We interface directly with first responders: the fire department, the EMTs, and the police and sheriff’s departments. Our plan needs to coordinate with them. We saw that in spades on the night of the train explosion. We barely had functional communication with any of the other agencies for the first few hours of the crisis! People were being brought over by the ambulance load and just kind of dumped off so that they could go pick up the next wave! There was a serious problem with understandably panicked people crowding the hospital, mostly trying to find out where their loved ones were and if they were OK, and it was three in the morning before we had police here doing crowd control. So if you’re helping Jen work on an improved disaster plan: First, thank you. Second, please, PLEASE reach out to people at other agencies around town and work out some joint-operation protocols for next time. Andrew Steller Hospital CFO Well, welcome to the house of gripes. Sorry. It’s just that this is kind of a tough stretch, since the budget realities we’re facing make everything extra difficult and fraught. Believe me, I understand the importance of planning for the next disaster. It’s just that this is one more thing that our shortfalls are going to make really, really difficult. It’s looking pretty likely that we’re going to need to cut our nursing staff pretty soon. Aside from the day-to-day problems that’ll cause, it’ll have a huge impact in a disaster. But it’s worse than that. Impact from a disaster doesn’t just happen in the midst of the crisis. It lingers, just like we saw with the derailment. And we’re going to have a hell of a time in that aftermath phase if we’re dealing with a reduced workforce and reduced resources. I mean, think about who gets impacted when something major happens. The impact, especially long-term, doesn’t affect everyone equally. Think about any kind of special-needs population: people who don’t speak English, people with grave health problems who need ongoing care, people with serious economic problems… Those people are going to be affected up-front at least as much, if not more than, the baseline population, but then their recovery is going to be that much harder. That’s a reality that’s been borne out over and over. You see it with health impact, economic impact, even physical impact. If you were a little bit behind before, you’ll be a bit further behind after. We need, as both a moral and legal imperative, to provide equal access and service for all of the different parts of a diverse community. And again, we’ll be facing that situation with reduced capacity. Another thing that’s going to be a factor in our post-disaster recovery is government. Does FEMA step in? How long do they stay? Is there a disaster declaration, with some recovery funding? How about at the state level? Who’s coordinating all of this? This sort of thing requires a ton of communication and collaboration with governmental entities at all levels. We like to pretend we’re autonomous in these situations but we aren’t at all. There’s always a minefield of government funding and health policy to dig through as we try to put ourselves back together. Sorry to be the voice of gloom and doom here. This stuff isn’t impossible, but god knows it’s difficult. Anthony Martinez Director, Facilities Hey there. Disaster planning, huh? Yeah, it’d be good to have a disaster plan. It’s hard to do in real life, when you’re trapped by the realities of a budget cycle. You know? Whatever we plan, whatever we think is the right thing to do for the long term, there’s also this reality that Vila Health HQ expects us to hit certain monetary targets and we have to not only factor that into any idea about disaster planning, but also have to focus on hitting those targets rather than sitting down and, you know, making a plan. I try to do things in my own way as much as I can. For critical supplies in the building, I work to build as much of a cushion as the budget process will allow. Same for critical facilities; if we can financially make it work to make something redundant, I do it. It’d be great if this was more formally planned out and not a case of me stashing away a cache of saline solution when I can, but you deal with the reality you have and not the reality you wish you had. This is all a response to that damn derailment, of course. God, that was a mess. I was new to this position then, still trying to clean up the disaster I’d stepped into. My predecessor, well, Ed Murphy was a great golfer but not much of a long-term thinker. Across the board, we had enough supplies for the next week’s normal operations and nothing more. Ed had read some book about just-in-time inventory and was all excited about how efficient that could make us. And that kind of efficiency’s great if you’re running an assembly line, but it doesn’t work so well if you have a hospital and something unexpected comes up, like an oil train jumping the tracks and blowing up. I’d just started to build up some surplus supplies when that happened, nowhere near enough. We burned through supplies at a terrifying rate that night. Especially bandages and blood plasma. It didn’t help that the floor staff were just running around like crazy trying to treat people as they came in, not putting any thought into prioritizing who got what. I’m not blaming them, they were doing the best they could in a tough situation. But it meant that we were out of plasma for a while until Jackie Gifford from Fargo Methodist drove in with a truckload of replacements for us. It was like that all night, making frantic calls to hospitals and agencies all over the area, trying to get supplies. And keeping an eye on the fuel situation for the hospital generator, since the fire took out power for half the town. God, what a mess. Took us six months to clean all that up. So disaster planning? Yeah, I’m all for it. Staff Interviews Meet with Jennifer to report your findings. Jennifer Paulson Administrator, Valley City Hospital Thanks for talking to everyone! I bet you heard a lot. I’d like you to take some time to sit and think about what you’ve heard and seen, and try to knit it all together into some overall conclusions that we can use to work up a plan to be ready for the next disaster. Ultimately, I’d like you to be able to present a compelling case to community stakeholders (mayor and city disaster relief team) to obtain their approval and support for the proposed disaster recovery plan. I’d like you to use MAP-IT, and work up an approach supported by Healthy People 2020, and put it all into a PowerPoint. Instructions Complete the following: 1. Develop a disaster recovery plan for the Vila Health community that will lessen health disparities and improve access to services after a disaster. Refer back to the Vila health disaster recovery scenario to understand the Vila Health community. • Assess community needs. • Consider resources, personnel, budget, and community makeup. • Identify the people accountable for implementation of the plan and describe their roles. • Focus on specific Healthy People 2020 goals. • Include a timeline for the recovery effort. 2. Apply the MAP-IT (Mobilize, Assess, Plan, Implement, Track) framework to guide the development of your plan: • Mobilize collaborative partners. • Assess community needs. • Use the demographic data and specifics related to the disaster to identify the needs of the community and develop a recovery plan. Consider physical, emotional, cultural, and financial needs of the entire community. • Include in your plan the equitable allocation of services for the diverse community. • Apply the triage classification to provide a rationale for those who may have been injured during the train derailment. Provide support for your position. • Include in your plan contact tracing of the homeless, disabled, displaced community members, migrant workers, and those who have hearing impairment or English as a second language in the event of severe tornadoes. • Plan to lessen health disparities and improve access to services. • Implement a plan to reach Healthy People 2020 objectives. • Track and trace-map community progress. • Use the CDC’s Contract Tracing Resources for Health Departments as a template to create your contact tracing. • Describe the plan for contact tracing during the disaster and recovery phase. 3. Develop a slide presentation of your disaster recovery plan of your assessment of the Vila Health disaster recovery scenario for city officials and the disaster relief team. Be sure to also include speaker notes. Presentation Format and Length Use PowerPoint presentation software to create your slides and add speaker notes. Be sure that your slide deck includes the following slides: • Title slide. • Recovery plan title. • Your name. • Date. • Course number and title. • References (at the end of your presentation). Your slide deck should consist of 10 content slides plus title and references slides. Use the speaker’s notes section of each slide and cite your sources as appropriate. Make sure to review the Microsoft PowerPoint tutorial for directions for inserting your speaker notes. Supporting Evidence Cite at least three credible sources from peer-reviewed journals or professional industry publications within the past 5 years to support your plan. Graded Requirements The requirements outlined below correspond to the grading criteria in the scoring guide, so be sure to address each point: • Describe the determinants of health and the cultural, social, and economic barriers that impact safety, health, and recovery efforts in the community. • Consider the interrelationships among these factors. • Explain how your proposed disaster recovery plan will lessen health disparities and improve access to community services. • Consider principles of social justice and cultural sensitivity with respect to ensuring health equity for individuals, families, and aggregates within the community. • Explain how health and governmental policy impact disaster recovery efforts. • Consider the implications for individuals, families, and aggregates within the community of legislation that includes, but is not limited to, the Americans with Disabilities Act (ADA), the Robert T. Stafford Disaster Relief and Emergency Assistance Act, and the Disaster Recovery Reform Act (DRRA). • Present specific, evidence-based strategies to overcome communication barriers and enhance interprofessional collaboration to improve the disaster recovery effort. • Consider how your proposed strategies will affect members of the disaster relief team, individuals, families, and aggregates within the community. • Include evidence to support your strategies. • Organize content with clear purpose/goals and with relevant and evidence-based sources (published within 5 years). • Slides are easy to read and error free. speaker notes are provided. • Develop your presentation with a specific purpose and audience in mind. • Adhere to scholarly and disciplinary writing standards and APA formatting requirements. • References within 5 years • Please follow the attached scoring guide for a distinguished score. •STRONGLY ADVISE AGAINST PLAGIARISM. I HAVE A UNIVERSITY SYSTEM THAT I CAN CHECK AGAINST PLAGIARISM.Disaster Plan Essay