Answer the three attached questions
Module 04 Written Assignment Nursing Process – Case Study Please read the following case study and complete the questions below.
Daniel is a 16 year old boy who is an identical twin. He and his brother Jeff are very close and do most things together. While Daniel excels at sports he believe his brother is much better at most everything. Daniel, his brother, and their two sisters live with their parents in the Midwest. Recently Daniel has been feeling more tired than usual. He thought it was because of his schedule and school work, which he is fairly good at. He gets mostly Bs, but his grades have been slipping of late. One day he fainted while getting ready for a game. His coach called his parents to let them know Daniel was taken to the Emergency Room. While there the doctor decided to admit Daniel to the hospital for observation. At the time he was running a slight fever, his breathing was shallow, and he was sweating. He was also very sleepy and his blood pressure was high. He did have some abnormal laboratory work, but his doctor was not too concerned at present. Daniel also stated that he felt achy.
You are assigned to take care of Daniel today and when you walk into his room, his mother and brother Jeff are there. Daniel appears to be sleeping. In your written assignment, respond to the following questions applying the nursing process:
Assessment: What type of objective and subjective data can you collect with what you know? How will you collect these data? What further evidence do you need?
Analysis and Identification of the Problem: What do you believe Daniel’s problem(s) are? What might be the nursing diagnoses? Use the following for identification.
Planning: Identify two goals and one nursing intervention for each, based on your nursing diagnoses.
While you will not be able to implement or evaluate, how well do you think your nursing interventions might help with Daniel’s care.
Nursing Process – Case Study
You’ll analyze two data sets in SPSS:http://calcnet.mth.cmich.edu/org/spss/Prj_carsdata.htm andhttp://calcnet.mth.cmich.edu/org/spss/Prj_diseaseData.htm1. Perform a multiple regression analysis, make a correlation table, provide descriptives (i.e., means, standard deviations)2. Perform logistic regression analysis, make a correlation table, provide descriptives. Also, compare means across disease states.3. What do you know based on this data? Demonstrate your understanding of what is happening.You will also analyze the data I have attached. Import your data into SPSS. And tell me the following:Which two friends have the strongest correlation with each other? The weakest?Who should Captain Planet trust the most? The least?Produce a correlation table, a descriptives table, and a regression analysis consisting of all five Planeteers’ ratings as independent variables.Captain Planet Example.xlsx
Help with assignment on business
The long-term success and prosperity of an organization is linked to
the strategy it pursues over time. A firm understanding of the
environment within which the organization exists is a critical
ingredient in the strategy development process. You are tasked with
researching the history of quality improvement programs to better
understand how you approach improving quality in your healthcare
organization.InstructionsResearch and write a paper on the following question. Your response
should be between at least 1000 words. Your work should follow the
conventions of Standard English (correct grammar, punctuation, etc.).
Your writing should be well ordered, logical and unified, as well as
original and insightful. Your responses should include at least three
scholarly references and a references section. Furthermore, all sources
used should be properly cited using APA formatting.Question:Explain the historical evolution of healthcare quality improvement
programs. How the performance has challenges, healthcare reform efforts,
and the need for cost containment contributed to this development?
Select the areas you find most important to improve quality and create
performance targets and explain why.RequirementsExplain the historical evolution of healthcare quality improvement programs.Examine the performance challenges, healthcare reform efforts, and
the need for cost containment contributed to this development.Select the areas most important to improve quality and create performance targets and explain why.Academic Tools includes resources to assist you with meeting APA expectations for written Assignments.
HA 425 PGU Operational Analysis and Quality Improvement Paper
Programming Program Theory and Inspiration Porn Questions Discussion
Programming Program Theory and Inspiration Porn Questions Discussion.
1. What factors motivate youth participation in programming? How will you take these into account for your program?2. Draw your program’s theory of change. This should follow the guidelines set forth in last week’s guide for an adequate theory of change. The third chapter of Logic-Model-Development-Guide will be very useful for you to create TOC. An additional resource was posted in this week’s module for additional assistance. https://knowhow.ncvo.org.uk/organisation/impact/plan-your-impact-and-evaluation/identify-the-difference-you-want-to-make-1/example-theories-of-change3. What is “inspiration porn” and why does the author critique it?4. How might inspiration porn uphold ableist beliefs in society?5. Archive A – Find an example of inspiration porn from the sporting world. Be sure to describe how this reflects inspiration porn6. What were the benefits of children with a disability who participated in sports? Why is this significant?7. Archive B – Find a local adaptive sports organization/opportunity in your local community (New York). Post the link to their website. You don’t have to discuss this organization, but I do recommend you review the offerings in your community
Programming Program Theory and Inspiration Porn Questions Discussion
Business homework help
term paper help Business homework help. The basic cause of terrorism is the failure of governments in providing justice to the people- Discuss., Corruption in countries such as Nigeria and Afghanistan lead to terror groups running rampant throughout.,The basic cause of terrorism is the failure of governments,● ,Topic,: The basic cause of terrorism is the failure of governments in providing justice to the people- Discuss., ○ Corruption in countries such as Nigeria and Afghanistan lead to terror groups running rampant throughout.,■ , Key word:, radical islam / sharia law,■ ,Key word:, western education,○ Government exploitation such as in India have fueled terrorist groups to attack the state,■ ,Key word:, Naxalism,○ Political corruption such as in Ireland with denying them limited form of elected representation,■ ,Key word:, Home rule,■ , Key word:, ,Potato Famine,● ,Importance of this Topic:, This topic shows the correlation between having a corrupt government system and the outbreak of terrorism within a country.,● ,Conclusion:, Terrorism feeds off of the lack of stability in governments across the world. Using the failures that governments have made to pin its people against it. In the countries examined, it was observed how each government had a level of instability and lack of care for its people that in return led to an outbreak of radical groups. Finally, to end terrorism in these countries, the governments need to formulate and provide the needs being demanded from its people.,References,Archana, P. “India: Rural Roots of Naxalite-Maoist Insurgency.” Crisis and Conflict in, Agriculture, pp. 203–213., doi:10.1079/9781786393647.0203., Campbell, John. “Boko Haram: Origins, Challenges and Responses.” Norwegian Peacebuilding, Resource Centre, Oct. 2014., Knick, Karen Ann. “Causes of Terrorism in Northern Ireland, 1969-1972.”, doi:10.18130/v36w1h.,The format of your abstract is improper. Also, you do not need keywords for each region. You should also combine these failures of the government to present a cohesive argument with examples from these countries.,Furthermore, the outline suggests that you are limiting yourself to the contents of readings done for the class. You have already answered them through your assignments and essays and at this stage it is expected that you display your knowledge by widening your scope. In all the three countries the genesis of terrorism is wider than simply the issue of government corruption. The regional focus of the terrorist groups suggests a rational approach based upon geography, history and also many other factors.,The objectives of establishing a communist state in India, an Islamic Sharia governed state in Nigerian and a Catholic dominated region in N Ireland further suggest reasons other than government failures are also factors in violence adopted by these groups. Try and apply the concept of human rights to a wider perspective with examples from other countries while using these three also. Since terrorism is a politically driven use of violence, emphasis upon human rights by the government address the political grievances and hence diffuse the need for violence.,Attachments,Click Here To Download,Business homework help
Political Science homework help
Political Science homework help. Identification of Opportunities and LimitationsJust as no two system implementations are the same, no two evaluation plans are, either. Every system implementation has unique attributes that require the development of a unique evaluation plan; however, nurse informaticists may be able to reuse parts of evaluation plans in similar practice settings or expanded research efforts. When considering existing evaluation plans for future use, it is important not to overlook a plan?s limitations. These limitations may lead to unintended consequences if they are not examined with a keen eye.In this Discussion, you analyze the limitations of your evaluation plan and opportunities for future application. In addition, you develop strategies for minimizing unintended consequences resulting from your own evaluation plan.To prepare:Review this week?s Learning Resources, focusing on the limitations and opportunities highlighted in the research articles.Review your evaluation plan, assessing the possible limitations.Consider the plan?s contributions to your organization and to nursing as a whole. Assess future opportunities for building on this research.Research the Walden Library for an article detailing unintended consequences of an HIT implementation. Consider strategies for minimizing unintended consequences resulting from your evaluation plan.By tomorrow Tuesday 1/31/17, post minimum of 550 words in APA format with a minimum of 3 references from the list below. Include the level one headers as numbered below:1)ÿÿÿÿÿ A brief summary of the limitations of your evaluation plan. 2)ÿÿÿÿÿ Also describe future opportunities that could build upon your evaluation plan. 3)ÿÿÿÿÿ Summarize the article you identified that deals with unintended consequences, and outline strategies for avoiding unintended consequences stemming from your own evaluation plan. Include the reference in proper APA format. (See Attached PDF)Required Readingsÿÿÿ Bethell, C. D., Kogan, M. D., Strickland, B. B., Schor, E. L., Robertson, J., & Newacheck, P. W. (2011). A national and state profile of leading health problems and health care quality for US children: Key insurance disparities and across-state variations. Academic Pediatrics, 11(Supp 3), S22?S33.ÿÿÿ Retrieved from the Walden Library databases.This article describes a study that evaluated the commonality of health problems and special health care needs in children at the national and state levels in the United States. The study examined issues surrounding health care quality in relation to insurance, access to care, special needs, and demographics.ÿBloomrosen, M., Starren, J., Lorenzi, N. M., Ash, J. S., Patel, V. L., & Shortliffe, E. H. (2011). Anticipating and addressing the unintended consequences of health IT and policy: A report from the AMIA 2009 Health Policy Meeting. Journal of the American Medical Informatics Association, 18(1), 82?90.Retrieved from the Walden Library databases.The authors of this article highlight discussions from the American Medical Informatics Association?s 2009 Annual Health Policy Meeting. In the article, the authors outline the conference?s recommendations for coping with unintended, unanticipated, and undesirable consequences of health information technology implementation.ÿÿÿ Jimmieson, N. L., & Griffin, M. A. (1998). Linking client and employee perceptions of the organization: A study of client satisfaction with health care services. Journal of Occupational and Organizational Psychology, 71(1), 81?96.Retrieved from the Walden Library databases.The authors of this article describe a study that sought to determine how organizational characteristics may serve as predictors of client satisfaction. In addition, the authors make recommendations for future research involving employee perceptions of working environments.ÿÿÿ Novak, L. L., Anders, S., Gadd, C. S., & Lorenzi, N. M. (2012). Mediation of adoption and use: A key strategy for mitigating unintended consequences of health IT implementation. Journal of the American Medical Informatics Association, 19(6), 1043?1049.Retrieved from the Walden Library databases. ÿÿÿ In this article, the authors explore the work of nurses who serve as mediators of the adoption and use of a Bar Code Medication Administration (BCMA) system. The authors identify three key themes that are critical to mediation work.ÿÿÿ Romano, M. J., & Stafford, R. S. (2011). Electronic health records and clinical decision support systems: Impact on national ambulatory care quality. Archives of Internal Medicine, 171(10), 897?903. Retrieved from http://archinte.jamanetwork.com/article.aspx?articleid=227364ÿThis article describes an analysis of data from the 2005?2007 National Ambulatory Medical Care Survey and National Hospital Ambulatory Medical Care Survey. The analysis focuses on whether a higher quality of care can be correlated with the introduction of electronic health records and clinical decision support systems.ÿÿÿ Walden University. (2012). Presentations. Retrieved from http://writingcenter.waldenu.edu/1331.htmThis site gives suggestions for creating an effective presentation. It includes tips on such things as the use of contrast, repetition, and alignment in your presentation.Political Science homework help
Organizational Systems and Quality Leadership-Root cause analysis and Failure mode and effects analysis
Organizational Systems and Quality Leadership-Root cause analysis and Failure mode and effects analysis. Paper details INTRODUCTION Healthcare organizations accredited by the Joint Commission are required to conduct a root cause analysis (RCA) in response to any sentinel event, such as the one described in the scenario attached below. Once the cause is identified and a plan of action established, it is useful to conduct a failure mode and effects analysis (FMEA) to reduce the likelihood that a process would fail. As a member of the healthcare team in the hospital described in this scenario, you have been selected as a member of the team investigating the incident. SCENARIO It is 3:30 p.m. on a Thursday and Mr. B, a 67-year-old patient, arrives at the six-room emergency department (ED) of a sixty-bed rural hospital. He has been brought to the hospital by his son and neighbor. At this time, Mr. B is moaning and complaining of severe pain to his (L) leg and hip area. He states he lost his balance and fell after tripping over his dog. Mr. B was admitted to the triage room where his vital signs were B/P 120/80, HR-88 (regular), T-98.6, and R-32, and his weight was recorded at 175 pounds. Mr. B. states that he has no known allergies and no previous falls. He states, “My hip area and leg hurt really bad. I have never had anything like this before.” Patient rates pain at 10 out of 10 on the numerical verbal pain scale. He appears to be in moderate distress. His (L) leg appears shortened with swelling (edema in the calf), ecchymosis, and limited range of motion (ROM). Mr. B’s leg is stabilized and then is further evaluated and discharged from triage to the emergency department (ED) patient room. He is admitted by Nurse J. Nurse J finds that Mr. B has a history of impaired glucose tolerance and prostate cancer. At Mr. B’s last visit with his primary care physician, laboratory data revealed elevated cholesterol and lipids. Mr. B’s current medications are atorvastatin and oxycodone for chronic back pain. After Mr. B’s assessment is completed, Nurse J informs Dr. T, the ED physician, of admission findings, and Dr. T proceeds to examine Mr. B. Staffing on this day consists of two nurses (one RN and one LPN), one secretary, and one emergency department physician. Respiratory therapy is in-house and available as needed. At the time of Mr. B’s arrival, the ED staff is caring for two other patients. One patient is a 43-year-old female complaining of a throbbing headache. The patient rates current pain at 4 out of 10 on numerical verbal pain scale. The patient states that she has a history of migraines. She received treatment, remains stable, and discharge is pending. The second patient is an eight-year-old boy being evaluated for possible appendicitis. Laboratory results are pending for this patient. Both of these patients were examined, evaluated, and cared for by Dr. T and are awaiting further treatment or orders. After evaluation of Mr. B, Dr. T writes the order for Nurse J to administer diazepam 5 mg IVP to Mr. B. The medication diazepam is administered IVP at 4:05 p.m. After five minutes, the diazepam appears to have had no effect on Mr. B, and Dr. T instructs Nurse J to administer hydromorphone 2 mg IVP. The medication hydromorphone is administered IVP at 4:15 p.m. After five minutes, Dr. T is still not satisfied with the level of sedation Mr. B has achieved and instructs Nurse J to administer another 2 mg of hydromorphone IVP and an additional 5 mg of diazepam IVP. The physician’s goal is for the patient to achieve skeletal muscle relaxation from the diazepam, which will aid in the manual manipulation, relocation, and alignment of Mr. B’s hip. The hydromorphone IVP was administered to achieve pain control and sedation. After reviewing the patient’s medical history, Dr. T notes that the patient’s weight and current regular use of oxycodone appear to be making it more difficult to sedate Mr. B. Finally, at 4:25 p.m., the patient appears to be sedated, and the successful reduction of his (L) hip takes place. The patient appears to have tolerated the procedure and remains sedated. He is not currently on any supplemental oxygen. The procedure concludes at 4:30 p.m.,and Mr. B is resting without indications of discomfort and distress. At this time, the ED receives an emergency dispatch call alerting the emergency department that the emergency rescue unit paramedics are enroute with a 75-year-old patient in acute respiratory distress. Nurse J places Mr. B on an automatic blood pressure machine programmed to monitor his B/P every five minutes and a pulse oximeter. At this time, Nurse J leaves Mr. B’s room. The nurse allows Mr. B’s son to sit with him as he is being monitored via the blood pressure monitor. At 4:35 p.m., Mr. B’s B/P is 110/62 and his O2 saturation is 92%. He remains without supplemental oxygen and his ECG and respirations are not monitored. Nurse J and the LPN on duty have received the emergency transport patient. They are also in the process of discharging the other two patients. Meanwhile, the ED lobby has become congested with new incoming patients. At this time, Mr. B’s O2 saturation alarm is heard and shows “low O2 saturation” (currently showing a saturation of 85%). The LPN enters Mr. B’s room briefly, resets the alarm, and repeats the B/P reading. Nurse J is now fully engaged with the emergency care of the respiratory distress patient, which includes assessments, evaluation, and the ordering of respiratory treatments, CXR, labs, etc. At 4:43 p.m., Mr. B’s son comes out of the room and informs the nurse that the “monitor is alarming.” When Nurse J enters the room, the blood pressure machine shows Mr. B’s B/P reading is 58/30 and the O2 saturation is 79%. The patient is not breathing and no palpable pulse can be detected. A STAT CODE is called and the son is escorted to the waiting room. The code team arrives and begins resuscitative efforts. When connected to the cardiac monitor, Mr. B is found to be in ventricular fibrillation. CPR begins immediately by the RN, and Mr. B is intubated. He is defibrillated and reversal agents, IV fluids, and vasopressors are administered. After 30 minutes of interventions, the ECG returns to a normal sinus rhythm with a pulse and a B/P of 110/70. The patient is not breathing on his own and is fully dependent on the ventilator. The patient’s pupils are fixed and dilated. He has no spontaneous movements and does not respond to noxious stimuli. Air transport is called, and upon the family’s wishes, the patient is transferred to a tertiary facility for advanced care. Seven days later, the receiving hospital informed the rural hospital that EEG’s had determined brain death in Mr. B. The family had requested life-support be removed, and Mr. B subsequently died. Additional information: The hospital where Mr. B. was originally seen and treated had a moderate sedation/analgesia (“conscious sedation”) policy that requires that the patient remains on continuous B/P, ECG, and pulse oximeter throughout the procedure and until the patient meets specific discharge criteria (i.e., fully awake, VSS, no N/V, and able to void). All practitioners who perform moderate sedation must first successfully complete the hospital’s moderate sedation training module. The training module includes drug selection as well as acceptable dose ranges. Additional (backup) staff was available on the day of the incident. Nurse J had completed the moderate sedation module. Nurse J had current ACLS certification and was an experienced critical care nurse. Nurse J’s prior annual clinical evaluations by the manager demonstrated that the nurse was “meeting requirements.” Nurse J did not have a history of negligent patient care. Sufficient equipment was available and in working order in the ED on this day. REQUIREMENTS Your submission must be your original work. No more than a combined total of 30% of the submission and no more than a 10% match to any one individual source can be directly quoted or closely paraphrased from sources, even if cited correctly. An originality report is provided when you submit your task that can be used as a guide. You must use the rubric to direct the creation of your submission because it provides detailed criteria that will be used to evaluate your work. Each requirement below may be evaluated by more than one rubric aspect. The rubric aspect titles may contain hyperlinks to relevant portions of the course. A. Explain the general purpose of conducting a root cause analysis (RCA). A1. Explain each of the six steps used to conduct an RCA, as defined by IHI. A2. Apply the RCA process to the scenario to describe the causative and contributing factors that led to the sentinel event outcome. B. Propose a process improvement plan that would decrease the likelihood of a reoccurrence of the scenario outcome. B1. Discuss how each phase of Lewin’s change theory on the human side of change could be applied to the proposed improvement plan. C. Explain the general purpose of the failure mode and effects analysis (FMEA) process. C1. Describe the steps of the FMEA process as defined by IHI. C2. Complete the attached FMEA table by appropriately applying the scales of severity, occurrence, and detection to the process improvement plan proposed in part B. Note: You are not expected to carry out the full FMEA. D. Explain how you would test the interventions from the process improvement plan from part B to improve care. E. Explain how a professional nurse can competently demonstrate leadership in each of the following areas: • promoting quality care • improving patient outcomes • influencing quality improvement activities E1. Discuss how the involvement of the professional nurse in the RCA and FMEA processes demonstrates leadership qualities. F. Acknowledge sources, using in-text citations and references, for content that is quoted, paraphrased, or summarized. G. Demonstrate professional communication in the content and presentation of your submission. RUBRIC A:ROOT CAUSE ANALYSIS NOT EVIDENT-An explanation of the general purpose of conducting an RCA is not provided. APPROACHING COMPETENCE-The explanation does not accurately describe the general purpose for conducting an RCA. COMPETENT-The explanation accurately describes the general purpose for conducting an RCA. A1:RCA STEPS NOT EVIDENT-An explanation of 6 RCA steps is not provided. APPROACHING COMPETENCE-The explanation does not accurately identify or does not logically describe one or more of the 6 steps used to conduct an RCA, as defined by IHI. COMPETENT-The explanation accurately identifies and logically describes each of the 6 steps used to conduct an RCA, as defined by IHI. A2:CAUSATIVE AND CONTRIBUTING FACTORS NOT EVIDENT-An application of the RCA process to the scenario is not provided. APPROACHING COMPETENCE-The application of the RCA process to the scenario does not accurately describe causative or contributing factors that led to the sentinel event outcome, or the application does not accurately differentiate between causative and contributing factors. COMPETENT-The application of the RCA process to the scenario accurately describes the causative and contributing factors that led to the sentinel event outcome. B:IMPROVEMENT PLAN NOT EVIDENT-A proposed process improvement plan is not provided. APPROACHING COMPETENCE-The proposal does not outline a logical process improvement plan, or the proposal does not logically discuss how the proposed plan will decrease the likelihood of a reoccurrence of the scenario outcome. COMPETENT-The proposal outlines a logical process improvement plan and logically discusses how the proposed plan will decrease the likelihood of a reoccurrence of the scenario outcome. B1:CHANGE THEORY NOT EVIDENT-A discussion of the application of Lewin’s change theory is not provided. APPROACHING COMPETENCE-The discussion does not logically describe how Lewin’s change theory could be applied to the proposed improvement plan, or the discussion does not describe each phase of the theory. COMPETENT-The discussion logically describes how each phase of Lewin’s change theory could be applied to the proposed improvement plan. C:GENERAL PURPOSE OF FMEA NOT EVIDENT-An explanation of the general purpose of the FMEA process is not provided. APPROACHING COMPETENCE-The explanation does not accurately describe a general purpose of the FMEA process, or the explanation does not logically discuss why the FMEA process would be used. COMPETENT-The explanation accurately describes a general purpose of the FMEA process and logically discusses why the FMEA process would be used. C1:STEPS OF FMEA PROCESS NOT EVIDENT-A description of the steps is not provided. APPROACHING COMPETENCE-The description of the steps of the FMEA process does not accurately define each of the steps. COMPETENT-The description accurately defines each of the steps of the FMEA process. C2:FMEA TABLE NOT EVIDENT-A completed FMEA table is not provided. APPROACHING COMPETENCE-The FMEA table is incomplete, does not identify appropriate failure modes related to the improvement plan proposed in prompt B, or does not accurately apply the scales of severity, occurrence, and detection in evaluating the identified failure modes. COMPETENT-The completed FMEA table appropriately identifies failure modes related to the improvement plan proposed in part B and demonstrates accurate application of the scales of severity, occurrence, and detection in evaluating the identified failure modes. D:INTERVENTION TESTING NOT EVIDENT-An explanation of intervention testing is not provided. APPROACHING COMPETENCE-The explanation does not describe steps of an appropriate testing procedure or practice that would be used by the candidate to test interventions from the process improvement plan in part B, or the explanation does not logically describe how the intervention testing procedures or practices would improve care. COMPETENT-The explanation describes steps of the testing procedures or practices that the candidate would use that are appropriate for testing the interventions from the process improvement plan in part B. The explanation logically describes how the intervention testing procedures or practices would improve care. E:DEMONSTRATE LEADERSHIP NOT EVIDENT-An explanation of how a professional nurse demonstrates leadership is not provided. APPROACHING COMPETENCE-The explanation does not logically describe how a professional nurse competently demonstrates leadership in one or more of the given areas. COMPETENT-The explanation logically describes how a professional nurse competently demonstrates leadership in each of the given areas. E1:INVOLVING PROFESSIONAL NURSE IN RCA AND FMEA PROCESSES NOT EVIDENT-A discussion of involvement in the RCA and FMEA processes is not provided. APPROACHING COMPETENCE-The discussion does not logically describe how the involvement of the professional nurse in either the RCA process or the FMEA process demonstrates leadership qualities. COMPETENT-The discussion logically describes how the involvement of the professional nurse in both the RCA and FMEA processes demonstrates leadership qualities. F:SOURCES NOT EVIDENT-The submission does not include both in-text citations and a reference list for sources that are quoted, paraphrased, or summarized. APPROACHING COMPETENCE-The submission includes in-text citations for sources that are quoted, paraphrased, or summarized and a reference list; however, the citations or reference list is incomplete or inaccurate. COMPETENT-The submission includes in-text citations for sources that are properly quoted, paraphrased, or summarized and a reference list that accurately identifies the author, date, title, and source location as available. G:PROFESSIONAL COMMUNICATION NOT EVIDENT-Content is unstructured, is disjointed, or contains pervasive errors in mechanics, usage, or grammar. Vocabulary or tone is unprofessional or distracts from the topic. APPROACHING COMPETENCE-Content is poorly organized, is difficult to follow, or contains errors in mechanics, usage, or grammar that cause confusion. Terminology is misused or ineffective. COMPETENT-Content reflects attention to detail, is organized, and focuses on the main ideas as prescribed in the task or chosen by the candidate. Terminology is pertinent, is used correctly, and effectively conveys the intended meaning. Mechanics, usage, and grammar promote accurate interpretation and understanding.Organizational Systems and Quality Leadership-Root cause analysis and Failure mode and effects analysis