Saturday, February 29, 2020
Case study hr after a disaster
In a large organization employing is highly educated professionals is to conduct a needs assessment of the professionals. Directing a needs assessment is important, so that the management looking at the rewards and challenges of being a manager that can motivate the professionals effectively. In addition, educated professionals need to fulfil their self-actualization needs, needs for achievement and needs for affiliation. Organic structure can be adopted in managing the professionals. Organic structure can be adopted in managing the professionals at the same time. In a large organization that employees highly educated professionals, is giving more important for the organization to fulfil the self-actualization needs of the professionals. According to Maslow Hierarchy, self-actualization need is a personââ¬â¢s needs for growth, achieving oneââ¬â¢s potential and self-actualization. Moreover, it is also a personââ¬â¢s need to become what he or she is capable is becoming. However the manager can provide training to the professionals to fulfil their actualization need. For example, the manager can provide training in communicate skills, computer systems application and programming, customer service as well. Besides that, managers can apply theory Y to motivate the highly educated professionals. Theory Y is the assumption that employees are creative, enjoy work, seek responsibility, and can exercise self-direction. And yet there several ways for a manager to motivate employee based on Theory Y. For example, managers can adopt participative decision making. Furthermore, Organic structure is the suitable use for more flexible structures with less clearly-defined chains of command. Effective companies usually try to use the best structure for their specific situation. In addition, there are six characteristics of organic structure which is cross-functional team, cross-hierarchical teams, free flow of information, and wide spans of control, decentralization and low formalization. Then, decentralization is more independence, freedom, increase flexibility, speed up decision making, get closer to customers, empower employees and reduce costs. As conclusion, the manager can provide training to the professionals to fulfil their actualization needs. As a nutshell, Organic structure is more suitable for motivating the highly educated professionals and is a highly adaptive form that is as loose and flexible as well too.
Thursday, February 13, 2020
Report Essay Example | Topics and Well Written Essays - 1500 words - 3
Report - Essay Example Sub-normal rainfall, with less than 100mm of rain per year can occur every 3-4 years. The region is characterised by one wet season, between April-August, followed by a prolonged dry season. Average rainfall varies from 600mm in lowland areas to 1500mm in the highlands. Temperatures range from 16à °-30à °c (BDVS, 2005). 1.4 Population The mean density of people is 33.1 per km? (BDVS, 2005). However, this figure varies, and most settlements and populations are found near water resources. 62% of the population donââ¬â¢t have enough food to maintain a healthy living. 1.5 Land use 20,000 Ha of land is used for cultivation of food and cash crops. However, despite the large size of farmed land, the water supply from rivers and lakes is inadequate to meet domestic, livestock and irrigation needs. 2 Water Provision and Scarcity The WWF (World Wide Fund) states that ââ¬Ëfreshwater is essential to human health, agriculture, industry and natural ecosystems, but is now running scarce in many regions of the world. Figure 2 highlights reasons for current water shortages. Figure 2 ââ¬â Reasons For Water Shortages Adapted from Sub-sea Infrastructure Report (2006) According to Lomborg (2001), the worldââ¬â¢s water consumption has almost quadrupled since 1940. Many experts and environmental agencies including the UN Environmental Report GEO 2000 claim that the water shortage constitutes a ââ¬Ëfull scale emergencyââ¬â¢, where ââ¬Ëthe world water cycle seems unlikely to be able to cope with increased demands over the coming decadesââ¬â¢. 3 The Worldââ¬â¢s Arid Regions Arid and semi-arid regions cover 30% of the total area (see Figure 3) of the worldââ¬â¢s land surface (Balon and Dehnad, 2010) and over 40% of the worldââ¬â¢s population live in these areas. Source: http://www.fao.org/docrep/003/y1899e/y1899e50.gif 4 Methods of Water Provision Mismanagement of existing boreholes, irrigation furrows and dams have lead to lengthy periods of disrepair , siltation and dereliction of Baringoââ¬â¢s water supplies. Facilities are also often polluted by human and animal waste. For a district that is water-deficient, most of the rainwater that does fall goes to waste due to a lack of appropriate harvesting technologies, especially at household level according to the Baringo District Vision and Strategy: 2005-2015. I aim to highlight how mitigation strategies and water supply management can improve the effectiveness of water resources and provide long-term sustainable solutions. 4.1 Surface Water Capture and Storage ââ¬ËThere is a need to improve the efficiency of distribution and use of waterââ¬â¢ (Gange, 1965). Kenyaââ¬â¢s current National Development Plan emphasises the promotion and utilization of rainwater for sustainable development. Non-profit organisations such as Kenya Rainwater Association (KRA) aim to unite communities and bring individuals, institutions, landowners and organisations together to enhance rainwater harvest and utilization techniques. They are currently investing in methods for reducing losses such as evaporation from large storages, seepage from supply channels and other wastage that occurs within the distribution system. Theyââ¬â¢ve also built roof water tanks for schools that collects and provides safe drinking water. 4.2 Irrigation Agriculture Use of water from the Chemeron Reservoir is a critical issue in Baringo. Current methods of informal basin and channel irrigation involve little monitoring of water application. Modern irrigation
Saturday, February 1, 2020
An effective speaker paper comparison critique of 2 famous speeches Essay - 1
An effective speaker paper comparison critique of 2 famous speeches - Essay Example Both speeches were enthralling considering that they were delivered by Presidential candidates. Personally, I was impressed by both speeches because they were towering and very insightful. Both speeches remind us of our struggle and our best qualities, on how we were able to surmount them through hardwork and perseverance. In Obamaââ¬â¢s speech, I particularly like the line ââ¬Å"time and again these men and women struggled and sacrificed and worked till their hands were raw so that we might live a better life. They saw America as bigger than the sum of our individual ambitions; greater than all the differences of birth or wealth or faction. This is the journey we continue todayâ⬠. This is very appropriate considering that America was under a crisis and still is struggling to overcome it. Obama also spoke of national unity, ââ¬Å"to end petty grievances and false promisesâ⬠recognizing that America is shaped by ââ¬Å"every language and culture, drawn from every planet of this earthâ⬠. Finally, Obama relate that he is one of the ââ¬Å"People (who) have remained faithful to the ideals of our forbearersâ⬠. Romneyââ¬â¢s speech is equally towering. He also spoke of our struggles and offered hope. He enumerated that he knew the struggle of common man by relating ââ¬Å"driving home late from that second job, or standing there watching the gas pump hit 50 dollars and still going, when the realtor told you that to sell your house youd have to take a big lossâ⬠was very reflective of the pain of many Americans during the financial crisis. He added ââ¬Å"But what could you do? Except work harder, do with less, try to stay optimistic. Hug your kids a little longer; maybe spend a little more time praying that tomorrow would be a better dayâ⬠it was indeed a dark moment that Mitt Romney painted emblematic of the Americanââ¬â¢s struggle
Friday, January 24, 2020
An Analysis of the Poetry of Yeats :: Biography Biographies Essays
An Analysis of Down by the Salley Gardens One of Yeats' poems, Down by the Salley Gardens is a typical story of inexperienced youth in the realm of love. The final two lines hold the key to the theme of the poem: She bid me take life easy, as the grass grows on the weirs; But I was young and foolish, and now am full of tears. The poem is evidently about the relationship between the narrator and the woman with the "little snow-white feetâ⬠¢ and the narrator's failure to be able to cope with that relationship. Whilst she wanted to enjoy herself and "take life easyâ⬠¢, he was too "young and foolishâ⬠¢ to understand her needs, resulting in them going their separate ways, hence the ?nal line. Down by the Salley Gardens has a number of problems, probably due to it being written at an early point in Yeats' writing career. It lacks the subtlety of his later poems; there really is very little to analyze in terms of the themes and issues raised within. The language is also far simpler - there are no very memorable lines in this poem, whereas his later works contained lines that would eventually enter most people's collective unconscious, such as some of the first few lines of The Second Coming: Things fall apart; the centre cannot hold;/Mere anarchy is loosed upon the world, The repetition used in the last two lines of each stanza is obvious and overstated, and the bouncy, cheerful rhyme scheme does not seem to compliment the rather downbeat and morose tone of the poem. Down by the Salley Gardens simply lacks the power and depth with which he later infused his poems. The Lake Isle of Innisfree Written only four years after Down by the Salley Gardens, The Lake Isle of Innisfree is a remarkable advance. This poem is far more sophisticated in all respects. An immediately noticeable difference between it and the previous poem is its maturity; the themes explored and the techniques used to do so are far more complex and detailed than those used in Down by the Salley Gardens. The central theme is that of exile, and it is portrayed in a somewhat curious way. The narrator longs to live on the island of Innisfree and be closer to nature, hence the lines:
Wednesday, January 15, 2020
Drug Testing for Welfare Recipients? Essay
Temporary Assistance for Needy Families (TANF) is a federally funded block grant which provides needy families assistance in finding and obtaining work opportunities. The funds are given to states to distribute. States are allowed some flexibility in how they chose to distribute these funds. There has been a recent movement among states to implement drug testing for applicants and recipients to receive this assistance. Many people see this as a violation of their 4th amendment rights. The ideology behind drug testing is to weed out misuse of funds by recipients, thus alleviating budgetary concerns in hard economic times. Are there other means of easing budgetary issues without potentially violating the 4th amendment rights of the poor? A common stereotype of people receiving public assistance is they are people who are drug addicts, alcoholics, lazy, and donââ¬â¢t want to work. Stereotypes are generalizations made about a certain group of people, good or bad. Stereotypes have a ne gative affect when they keep us from seeing a person for who they really are negating the individual (Iowa State University Study Abroad Center). According to an opinion poll on Debate.org, seventy percent of people responded ââ¬Å"yesâ⬠when answering the question, ââ¬Å"Should someone receiving welfare be drug tested?â⬠Respondents stated reasons such as ââ¬Å"You canââ¬â¢t trust someone to use free money on things they needâ⬠, ââ¬Å"Help should be given to those who really need it not to people who are too lazy to workâ⬠¦Ã¢â¬ , and ââ¬Å"I donââ¬â¢t believe it is fair â⬠¦ hard-working people have to pay taxes, and the money goes to lazy people who spend our hard earned money on drugsâ⬠(Debate.com). These statements are indicative of stereotyping; stereotypes being pervasive within our society (Iowa State University Study Abroad Center). However, not all applicants or recipients needing public assistance fall within the stereotype. Luis Le bron is a 35-year-old Navy veteran, father of a 4-year-old, the sole caregiver for his disabled mother and a student at the University of Central Florida. He just needs some help after having served his country and while trying to finish school and take care of his son and disabled mother (Bloom). The American Civil Liberties Union (ACLU) in Florida has filed a lawsuit on behalf of Lebron due to his refusal to submit to a drug test and relinquish his 4th Amendment rights. Lebron feels that, ââ¬Å"Itââ¬â¢s insulting and degrading that people think Iââ¬â¢m using drugs just because I need a little help to take care of my family while I finish up my education.â⬠The 4th Amendment of the United States Constitution states: The right of the people to be secure in their persons, houses, papers, and effects, against unreasonable searches and seizures, shall not be violated, and no warrants shall issue, but upon probable cause, supported by oath or affirmation, and particularly describing the place to be searched, and the persons or things to be seized (Cornell University Law School Legal Information Institute). The concept of the 4th amendment is to protect two basic freedoms ââ¬â the right to privacy and freedom from random search and seizure. (Cornell University Law School Legal Information Institute). Twenty-eight states have proposed drug testing public assistance, according the National Conference of State Legislature. Utah has passed legislation requiring applicants to complete a written questionnaire screening for drug use. Georgia passed legislation requiring drug tests for all applicants. The Louisiana House endorsed random drug-testing of 20 percent of the stateââ¬â¢s welfare recipients. Ohio is considering a pilot program to test welfare recipients. Floridaââ¬â¢s drug testing law required applicants to pay for their tests and then would be reimbursed if the results proved negative (Prah). Federal or state laws that require suspicionless drug testing for eligibility to receive public assistance may be subject to constitutional challenge. Constitutional challenges are aimed towards privacy and unreasonable search. For searches to be reasonable, they generally must be based on suspicion, unless a ââ¬Å"special needâ⬠can be shown that may allow for an exception. Public assistance programs do not necessarily create these special needs grounded in public safety that the Supreme Court has recognized in the past (Carpenter). There has only been litigation initiated in two states where the laws require suspicionless drug testing ââ¬â Florida where the U.S. District Court issued an injunction to stop testing and Michigan where several individuals were granted a temporary injunction. A number of other applicants in Florida chose not to submit to drug testing. Because applicants are not required to explain why they chose not to submit to the tests, there is no statistical data as to the reasons why. Proponents for testing believe it is because applicants knew they would fail the test. However, opponents state that the reasoning could be because applicants may not have been able to afford the tests or because testing sites were not easily accessible (The Assoicated Press). It has been suggested that drug abuse is a major cause of welfare. However , there is only evidence, based on secondhand information, to support this. If drug use among welfare participants were reduced to the levels of non-participants, welfare participation would decline by approximately one percent (Kaestner). A report from the National Institute on Alcohol Abuse and Alcoholism states, ââ¬Å"Proportions of welfare recipients using, abusing or dependent on alcohol or illicit drugs are consistent with proportions of both the adult U.S. population and adults who do not receive welfareâ⬠(National Institute of Health). The researchers found the rate of drug abuse and/or dependency among welfare recipients to fall between 1.3 and 3.6 percent, as opposed to a rate of 1.5 percent within the general population. Data from the National Household Survey of Drug Abuse roughly coincides with these findings, with the rate of drug dependency among welfare recipients being approximately 4 percent. Further, the data suggests that no more than one in five welfare r ecipients used illegal drugs in any given year; half of those having used only marijuana (Budd). The evidence from these three studies shows that although drug use is tied to homeless and welfare participation, proportionally to the general population there is not a significant difference. Finally, in the study by Kaestner, he suggests that for purposes of reducing welfare, public programs should focus their efforts on something besides drug use (Kaestner). There is the belief that testing welfare applicants and recipients will reduce the payment of benefits to people who are mishandling the funds. In a 2011 article from the Tampa Tribune, Whittenburg reports, with the average cost of test being approximately $30, the state would owe $28,000 ââ¬â $43,000 in reimbursements for applicants who passed tests monthly. The state would save approximately $32,000 to $48,000 for rejected applicants, assuming 20 to 30 people failed the test monthly. Welfare recipients receive an average of $134 per month, so the state would save approximately $2600 to $3300 which the rejected applicants wouldnââ¬â¢t receive. Over a one year period, which is the disqualification period for one failed test, the state could save $32,000 to $48,000 annually on the applicants rejected in a single month. The net savings would be $3,400 to $8,200 annually on one monthââ¬â¢s worth of rejected applicants. Over 12 months, the money saved on all rejected applicants would add up to $40,800-$98,400 for the cash assistance program that state analysts have predicted will cost $178 million this fiscal year (Whittenburg). In a 2012 article from the New York Times, Alvarez reports that during the period that the Florida state law was in effect that required drug tests for welfare applicants, there was no direct savings. It found only a few drug users and didnââ¬â¢t affect the number of applications. According to the law, applicants who passed the drug test were reimbursed, an average of $30 for the cost of testing. Negative testing thus cost the state a little more than $118,000. This alone is more than the cost of benefits to those who failed the test. Ultimately, this turns out to be a cost to the state of an extra $45,780 (Alvarez). In order to avert any further court proceedings initiated by plaintiffs who believe their 4th amendment rights have been violated and avert costly testing programs, it would be prudent for the Federal government to exact language that explicitly prohibits the use of suspicionless drug testing in order to receive money from federally funded programs. Rather, government officials should refocus their efforts in the fight against drugs to the recovery from substance abuse of the general public rather than targeting a specific group of people, namely welfare recipients. Citizens should petition their states representatives to vote against proposed laws that support drug testing. Further, those representatives should seek to supplement existing or fund new treatment programs with the dollars saved by eliminating drug testing programs for welfare applicants and recipi ents. Another step to solidify a stance against suspicionless testing would be an amendment to the Personal Responsibility and Work Opportunity Reconciliation Act (PRWORA) to include language that explicitly prohibits suspicionless testing. Given that the National Institute on Alcohol Abuse and Alcoholism reports that substance abuse is no more prevalent in welfare applicants and recipients than the general population (National Institute of Health) then there is no basis for testing as a condition for receiving benefits. Alleviation of budgetary concerns is not guaranteed by the reduction of caseloads due to positive tests (Office of the Assistant Secretary for Planning and Evaluation). Where challenged, courts have determined that suspicionless testing is a violation of the 4th Amendment (Schaberg). North Carolinaââ¬â¢s Governor, after vetoing a bill to implement drug testing, stated, ââ¬Å"Drug testing â⬠¦applicants â⬠¦ could lead to inconsistent application â⬠¦ Thatââ¬â¢s a recipe for government overreach and unnecessary government intrusion. This is not a smart way to combat drug abuse. Similar efforts in other states have proved to be expensive for taxpayers and did little to actually help fight drug addiction.â⬠(Smith) Bibliography Alvarez, Lizette. ââ¬Å"No Savings Are Found From Welfare Drug Tests.â⬠The New York Times 18 April 2012: A14. Bloom, Rachel. ââ¬Å"Poor People Have Rights Too.â⬠12 October 2011. American Civil Liberties Union. 3 August 2013 . Budd, Jordan C. ââ¬Å"Pledge Your Body for Your Bread: Welfare, Drug Testing, and the Inferior Fourth Amendment.â⬠2011. William & Mary Bill of Rights Journal . 7 August 2013 . Carley, Frances. Drug Testing Welfare Recipients: A Review of Potential Costs and Savings. Lansing, 2012. Carpenter, David H. ââ¬Å"Constitutional Analysis of Suspicionless Drug Testing Requirements for the Receipt of Governmental Benefits.â⬠Report. 2013. Cornell University Law School Legal Information Institute. Fourth Amendment. n.d. 5 August 2013 . ââ¬â. Fourth Amendment. n.d. 5 August 2013 . Debate.com. Should someone receiving welfare be drug tested? n.d. Iowa State University Study Abroad Center. Stereotypes. 7 June 2011. 21 Augusr 2013 . Kaestner, Rob ert. ââ¬Å"Drug Use and AFDC Participation: Is There a Connection?â⬠May 1996. the National Bureau of Economic Reearch. 6 August 2013 . National Coalition for the Homeless. ââ¬Å"Substance Abuse and Homelessness.â⬠July 2009. National Coalition for the Homeless. 6 August 2013 . National Institute of Health. ââ¬Å"NIAAA Researchers Estimate Alcohol and Drug Use, Abuse, and Dependence Among Welfare Recipients.â⬠23 October 1996. National Institute on Alocohol Abuse and Alocoholism. 7 August 2013
Tuesday, January 7, 2020
Essay on My Family - 931 Words
My Family My Family has always been a very important staple in my life, they come to all of my sporting events and school activities to support me 100%. They are always there if I ever am in trouble or in need of help, they can do whatever I need. If I need a talking to and I need to calm down and focus they can do that for me. Then there are the times that I have with my brothers and my other family and we have a lot of fun, memories that you share with your family you will never forget. We have thanksgiving together, and all of my family comes out here for the 4th of July and we have the best time. During the day we go out in the boat and things in the water and at night we eat a lot of food and shoot off tons of fireworks. Then weâ⬠¦show more contentâ⬠¦No name, no face to put with him, heck I dont even know if I look like him. My family and I are different, there are families that dont share the same situation as having four adopted kids that are all spread apart in age. Y et my family and I push through that and we look past that, people dont understand they think that coming from different parents would divide us kids by thinking, hey, you arent my real brother That kind of thing does not happen, if anything being from different parents brings us together because we are so different from each other we are curious to learn about each other. Some people see it as a tough thing to deal with and I see it as a blessing for my parents, my brothers, and myself to be unique in this way, and we have always been a religious family so we definitely believe that each one of us kids was a blessing to our parents. The sacrifice that they make everyday when the go to work to support four kids who they never owed anything, never had to call themselves our parents, but they took us in and called us their own and they are angels walking, for the wonderful impact they have had on the lives of me and my brothers. Growing up in a large family there will always be troub les and when the ages are so far apart there will always be growing pains. Being adopted they have the choice of picking kids that are farther apart from each other which means that we are all in aShow MoreRelatedMy Family Of The Family1312 Words à |à 6 Pages Because my parentsââ¬â¢ families are so different, there are few strengths common to all three family sculptures. One strength that applies in most cases is that children near each other in age tend to have close relationships. My family of origin was broken down into pairs: Steven and Daniel, Julia and Michael, Alyssa and Natalie, and Matthew and Emily. All of these paired relationships were generally healthy, and it was within these pairs that we were assigned roles within the family. Because of thisRead MoreMy Family Of The Family1061 Words à |à 5 PagesIntroduction A personââ¬â¢s family of original is their family he or she grew up in (Welch). This could be a family someone was brought up in or adopted into (Welch). In my case, my family of origin is my family related by blood because I grew up in this household my entire life. There are many types of subfamilies such as single parent families, childless or childfree families, stepfamilies, cohabiting, and same sex families. I was raised in a traditional family and so have all my ancestors tracing backRead MoreMy Family : A Family1205 Words à |à 5 PagesMy family comes from a very different background between both my parents. In this family tree summary I will describe how my family emigrated from Ireland in the late 1800s and early 1900s to seek a different lifestyle. My mother and father come from very different backgrounds medically and with very different upbringings. My father, John, side of the family is very different from my mothers. My great great grandparents arrived from Ireland in the late 1800s arriving from Dublin in hope for a brighterRead MoreMy Family Of The Family1594 Words à |à 7 PagesOur family of origin plays a large role in socializing us. Specifically, our family of origin ââ¬Å"is the family in which we are raised and socialized to adhere to the customs and norms of the culture in which we liveâ⬠(Welch, 2012, pg. 6). Who our family members are and how they live their lives influences us, helping to make us into the people we become. I owe a lot to all of my family members and a love them all very much. I grew up in a very family oriented environment which makes me place aRead MoreMy Family : A Family1474 Words à |à 6 Pageslearned that my family may not be as dysfunctional as I thought. There are many families out there with crazy combinations of who and what makes up their family. 1/3 of people who married ha ve also been divorced before and people normally repartner within 3-5 years. The United States has one of the highest divorce rates, only Russia has a higher rate. My family is made up of my paternal and maternal biological families, my step father s family and some of my step mother s, along with my adoptive familyRead MoreMy Family And My Life1318 Words à |à 6 Pages When I was 8, my family and I lived in small house in the city town. Our life was a little bit hard, everyone in the family is always busy, my mom went to work most of the time and my dad, too. My sister and me we both have school during the day and tutoring class after school. Sometimes, I only see my mom twice a week even though she is home everyday at midnight because of her busy work. My dad is in charged of taking me to school and picking me up after tutoring class, but he also have his jobRead MoreMy Family (My New Family) Essay521 Words à |à 3 Pagesknowing my true identity? Starring at the pain of growing up not knowing my father, and watching my mother shut me out to be with a man, she hardly even knows? Watching as the pain and struggle has continuously tormented my heart leaving me the only escape of climbing into the unknown. Moving in with my aunt and uncle saved my life; they gave me the family I have always dreamed for. All my life I have questioned who I am? My mother was adopted and my father has been everywhere, but in my life. IRead MoreMy Family : An Extended Family946 Words à |à 4 PagesIntroduction to Family My family consist of many people. My Father is Hector Abundis he is a very hard working man who and has been married to my mother Mary for 27 years now. My mom is very strong and also hardworking. I have three older brother Hector Jr is the oldest heââ¬â¢s 29 and is currently in college as well. Next is my brother Arturo he is very intelligent and also the brother I am the closet to. After him is my brother Jesse he is 25 Then, thereââ¬â¢s me the baby until my parents adopted my now littleRead MoreDefining Family : My Family1453 Words à |à 6 PagesDefining Family My family consist of three people that live in my household. My mother, Janette who is 43 years old African American woman. She has a high school diploma and took some classes at Joliet Junior College, but she drop out because she couldnââ¬â¢t handle it. She works at a warehouse whom she is the team leader and since her income is what supports this family it would put my family in the lower income bracket. My older brother, Dionte who is 26 years old African American man. He has a highRead MoreMy Family Of The Family Tree2126 Words à |à 9 PagesI derive most of my identity from my Motherââ¬â¢s side of the family tree, so this autobiography will be a little lopsided; much like my personality. My maternal grandmotherââ¬â¢s family came from Sonder Stenderup of Jutland, Denmark and my maternal grandfatherââ¬â¢s family is of German descent. The original family name was Gron, however my great grandfather change the surname to Green in order to sound more American. My mothe rââ¬â¢s grandparents came from Jutland, Denmark in 1905 and my grandmother was born in
Monday, December 30, 2019
Admission Essay on The Role of the Nurse Anesthetist
Introduction A nurse anesthetist (CRNA) is an Advanced Practice Nurse who is specially trained to administer anesthetics to those patients who are undergoing dental, medical or obstetrical procedures (McIntosh, 1995). The specialty of nurse anesthetics was created to respond to surgeonsââ¬â¢ requests for a solution to the alarmingly high rates of mortality and morbidity caused by anesthesia during that time. The surgeons visualized nurse anesthetists as professionals who would devote themselves to patient care in the course of surgical procedures. With time, nurse anesthetists became part of the whole range of specialized surgical procedures, refinement in anesthetic equipment and techniques. In order to qualify for studies as a CRNA, the candidate must possess a Bachelor of Science in nursing degree. The candidate must also be a registered nurse with at least one year experience in acute care. Some programs may require the candidate to have experience of two years either in critical care or the operating room. The CRNA program itself runs for approximately 2-3 years and includes clinical training and a graduate degree. After the completion of training, the nurse anesthetist must undertake an exam to obtain national certification to qualify as a CRNA. It is a requirement that CRNAs must be recertified every 2 years and must demonstrate credits of continuing education which are specific to the area of specialty. The CRNA must also give proof of satisfying a designated amount of time that has been spent in the provision of anesthesia to patients (Nagelhout and Zaglanicziny, 2001). Duties and Responsibilities of the Nurse Anesthetist CRNAs usually work together with anesthesiologists (Medical Doctor) but can also work independently (Dulisse and Cromwell, 2010). Their duties are mainly related to operative procedures. In the operating room, the first step for a CRNA is to evaluate the patient before administering anesthesia. This generally includes a review of the patientââ¬â¢s medical history and discussions about the anesthetic procedures with the patient so as to obtain informed consent for the use of anesthesia. The next step for the CRNA is to formulate and implement the anesthetic care plan. This plan should outline the needs or requirements, treatment and expected results for regarding the patient. The CRNA also chooses the appropriate mode of delivery of anesthesia to the patient. As the operative procedure continues, the CRNA keeps administering any anesthesia, adjunctive fluids or medications which may be required to maintain the anesthetic state and patientsââ¬â¢ homeostasis. The CRNA is also charged with the duty of managing the oxygen saturation and pulmonary status of the patient. The CRNA also monitors the physiological status of the patient. These include hemodynamics, vital signs and equipment (heart monitors and ventilation systems). The CRNA must be able to quickly detect abnormal responses like anaphylaxis and malignant hyperthermia which may be fatal if not recognized early enough. After the procedure, the CRNA must assess the recovery of the patient from the anesthesia and determine at what point the patient is discharged (McIntosh, 1995). Conclusion CRNAs are very important professionals in the operative room. In addition to their traditional roles, CRNAs may practice in chronic and acute pain management through specialized techniques. They may also opt to specialize in patient populations like geriatrics, pediatrics, neurology or obstetrics. The American Association of Nurse Anesthetists (AANA) advise that the continuing necessity for safe, available andà effective anesthetic care ensures that the nurse anesthetist will continue to beà a much sought after professional (Dulisse and Cromwell, 2010). References Dulisse,à B.,à and Cromwell,à J.à (2010). No Harm Found When Nurse Anesthetists Work Without Supervision By Physicians.à Health Affairs,à 29(8),à 1469-75. McIntosh, L.à (1995). Essentials of Nurse Anesthesia.à New Jersey: McGraw Hill. Nagelhout, J. and Zaglaniczny K. (2001).à Nurse Anesthesia.à 2nd ed. Pasadena: Kaiser Permanente.
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