Saturday, February 15, 2020

PERI OPERATIVE PROCEDURE CHANGE Essay Example | Topics and Well Written Essays - 1250 words

PERI OPERATIVE PROCEDURE CHANGE - Essay Example Besides, before an operation preoperative care should also be conducted to a patient because it usually allows many patients to have better results after surgery. The preoperative care includes psychological and physical preparation. Physical care preparations include studying and analyzing patient history like anesthesia history. Thus, laboratory tests like electrolytes, CBC, activated partial thromboplastin time and prothrombin are done (Keele, 2011). Psychological preparations like answering patient question before an operation usually decrease their anxiety. The perioperative procedure that will be analyzed in this essay is the routine shaving of surgical sites. Shaving of surgical sites is usually performed by surgeon assistant (Evans, 1998). The hospital administrator or chief surgeon determines the basis for practice after reviewing the patient history and approving the best procedure to be executed (Evans, 1998). The procedure is usually carried out by using depilatory creams , which dissolve the hair, and it is usually a slower process as the skin has to be in contact with cream for 15-30 minutes. Hair can also be removed by using clippers, with sharp edges to cut hair close to the patient skin leaving short stubble of about 0.04 inches long. Shaving is the most common method because it uses a sharp blade held within the head of the razor which is swapped over the patient skin to remove hair. Shaving, which is commonly used by many surgeons, has been implicated to cause higher risks of infections. Shaving result into microscopic cuts and abrasion, thus act as a block of the skin’s barrier defense against microorganism colonies (Hakim and Papalois, 2007). On the flip side, depilatory creams have a catastrophic disadvantage in that there could be an allergic reaction to the cream thus forcing nurses to conduct a patch test 24 hours prior to operation time thus leads to increased cost. The rationale for making the decision usually lies to the operat ion team and factors like allergy and health record due to SSIs infections determines the best method to be employed (Hakim and Papalois, 2007). Besides, shaving of surgical sites before any operation is usually carried out in a specific manner to reduce the spread of SSI and avoid health catastrophe that a patient may suffer due to poor administration of safety procedure during shavings (Fisher et al, 2007). Preparation of surgery of years has included the removal of body hair form the intended surgical wound site. Hair is mainly removed as its presence can impede with the exposure of the incision and subsequent wound. Besides, hair is also alleged to be associated with lack of cleanliness thus hair removal has shown too led to reduction of surgical site infections. A surgical site infection (SSIs) contributes tremendously to surgical morbidity and mortality every year. SSIs accounts for15% of all nosocomial infections experienced by patients after surgery. There are three types of SSIs defined by Centers for Disease Control and Prevention and they include incisional or organ infection, which is further subdivided as superficial (it mainly involves only the skin and subcutaneous tissue) and versus deep which infects the underlying soft tissue beneath the skin. Most of the SSI cases, the pathogen source, is the native flora of the patient’s skin, mucous membranes or hallow viscera. When a patient skin is incised, the underlying skin tissue is uncovered to the

Sunday, February 2, 2020

Financial management Essay Example | Topics and Well Written Essays - 1500 words - 1

Financial management - Essay Example Key principles that are followed by the Panel on Takeovers and Mergers are as follows: First, the panel follows the principle of equal treatment for every shareholder. According to this principle, every shareholder of the firm that is getting taken over should get equal treatment. Even if all the security holders do not posses adequate control on the operation of the company, each of them should be protected. Second, the panel strictly follows the rule of providing adequate advice and information timely to all security holders. Third, the panel can not allow the creation of any false market for the shares of the offeree firm. According to this principle, a company is allowed to announce a merger or takeover only once after it becomes completely ready for the event to conduct. Fourth, it is not possible for any firm to perform any unauthorized frustrating activities without having any approval from its shareholders. According to this principle, a firm can not issue or sell any share f rom its treasury without proper approval from its shareholders. (Fisher, 2003) B. The Economic reasons for mergers and acquisitions are some economic benefits that are obtained by means of mergers and acquisitions. The benefits are as follows: Efficiency: Mergers and acquisitions help firms to add up their assets. ... Besides getting efficiency at operational level, mergers and acquisitions also help in providing efficiency at management level to some extent. When a firm involves in the process of merging with another firm or taking over the assets of any other company, then it becomes possible to generate a market controlled by corporate. (Hunt, 2009; Sherman and Hart, 2006) Financial benefits: By taking over the assets of other firms, a business organization can follow the route of diversification of its earnings. This type of diversification causes a significant fall in the variation in the area of profitability of the company and thus helps in making a reduction in the risks of bankruptcy as well as attendant costs. Market power effect: Mergers and acquisitions is also helpful in providing greater amount of market power that in turn offers many benefits to the companies who involve in the process of merging. (Galpin and Herndon, 2007) Sometimes mergers and actuations become unsuccessful for th e following reasons: First, mergers influence organizational culture to a large extent. On account of mergers and acquisitions the employees of the merging companies have to experience rigorous anxiety. This kind of anxiety causes a fall in the level of productivity. Second, frequently, mergers are done with wrong intentions. Often, mergers or takeovers are used for seeking glory or to express financial strength. Third, the success derived from mergers and acquisitions is frequently hindered by variations in the work cultures as well as corporate activities of the firm which are involved in the process of mergers and acquisitions. Fourth, once the process of mergers and acquisitions becomes complete, firms generally put their focus on the issues relating to cost reduction rather than