Who Is the Longest Reigning British Monarch

On September 9th, 2015, Queen Elizabeth II became the longest reigning monarch in the whole of British history. She came to the throne on February 6th, 1952 and, having previously become the oldest monarch ever to rule Britain, took the longest reigning title aged 89. She remains an overwhelmingly popular figure, both in Britain and around the world. She was crowned in 1953, and her long marriage to the Philip, the Duke of Edinburgh, means she is the only reigning British monarch to experience a diamond wedding anniversary. In contrast, the longest ruling Prime Minister in Elizabeth’s reign was Margaret Thatcher at over eleven years, there have been twelve Prime Ministers, and seven popes. Elizabeth has outlasted many world rulers. With a rule of sixty-three plus years there are several generations of Britons who have never known any other head of state, and her passing will be a particularly uncertain time for a country that has changed so much. With the exception of a small public relations blip in the 90s, she has adapted to change well and there is little precedent to follow. Her life has been dedicated to fulfilling the role of Queen. When the royal family has had criticism, Elizabeth has mostly avoided it. She has certainly avoided outspoken comments and has supported her governments quietly behind the scenes. Prime Ministers, who have regular private meetings, speak highly of her and the relationships she has with them. When Britain was voting on whether to leave the European Union, newspapers tried to involve her, but she managed to stay out of the decision. The same occurred with a vote on whether Scotland should leave the United Kingdom, although there never appeared to be any question of the country rejecting the queen as well as their neighbors. The Former Longest Reining British Monarch Elizabeth II took the title from Queen Victoria, also a ruler of the combined Britain.  Queen Victoria took the throne on June 20, 1837, and died on January 22, 1901, for a total of 63 years, 7 months and 3 days. Unusually for a monarch with a long reign, both took the throne as adults, Victoria a few weeks after her eighteenth birthday, dying aged 81. Elizabeth was twenty-five when she succeeded; Victoria was her great, great grandmother. Its very common for monarchs with long reigns to have started when they were children, which makes Elizabeths longevity all the more remarkable. Victoria reigned over a far larger area than Elizabeth, as the British Empire was at its height, whereas Elizabeth is head of state in the UK and fifteen Commonwealth countries. The Longest Reigning Monarch in Europe While sixty-three years is a long period of rule, it’s not the longest in European history. That’s believed to belong to Bernard VII of Lippe, who ruled his state in the Holy Roman Empire for eighty-one years, two hundred and thirty-four days in the fifteenth century (and lasted despite earning the nickname The Bellicose). Close behind him is William IV of Henneberg-Schleusingen, whose over seventy-eight and a half year rule was also in a state of the Holy Roman Empire. The Longest Reigning Monarch in the World King Sobhuza II of Swaziland had an advantage when it came to long reigns because he inherited the throne while just four months old. He lived from 1899 to 1982 and clocked up eighty-two years and two hundred and fifty-four days; believed to be the longest period of rule in the world (and certainly the longest that can be proved).

Analysis Of The Book Glory Of The Confessor - 1678 Words

During the period of Gregory of Tours what was considered to be the difference between the magical and the miraculous? In order to attempt to answer this question this essay will examine two works from Gregory of Tours, the first from his book The History of the Franks which examines the case of Mummolus and his witches and the second from his book Glory of the Confessor which examines the case of the tomb of Criscentia. The first book gives an example of what was seen as sorcery and the second an example of the miraculous. This essay will argue that the difference between what was classified as magic and what was classified as miraculous during the time of Gregory of Tours in the early Medieval Period was determined by differences in both the perceived source of power of an act and the perceived motivation of the practitioner. This essay will then attempt to discover the origins of these perceived differences. The results of the magic in the case of Mummolus and the miracle in the case of Criscentia both achieved a very similar result. Namely, the result of each case was healing. In the case of Mummolus this takes the form of a concoction that can immediately cure dysentery and in the witches actively saving Mummolus’s life. In the words of the accused witches the goal was, â€Å"to save Mummolus†. In the case of the miracles that occurred at the tomb of Criscentia the result was also that those afflicted with an ailment were cured. In one example from the text the miracleShow MoreRelatedRastafarian79520 Words   |  319 Pagesterms agreed with the appropriate reprographics rights organization. Enquiries concerning reproduction outside the scope of the above should be sent to the Rights Department, Oxford University Press, at the address above You must not circulate this book in any other binding or cover and you must impose this same condition on any acquirer Library of Congress Cataloging-in-Publication Data Edmonds, Ennis Barrington. Rastafari : from outcasts to culture bearers / Ennis Barrington Edmonds. p. cmRead MoreDeveloping Management Skills404131 Words   |  1617 PagesSuzanne Duda Lead Media Project Manager: Denise Vaughn Full-Service Project Management: Sharon Anderson/BookMasters, Inc. Composition: Integra Software Services Printer/Binder: Edwards Brothers Cover Printer: Coral Graphics Text Font: 10/12 Weidemann-Book Credits and acknowledgments borrowed from other sources and reproduced, with permission, in this textbook appear on appropriate page within text. Copyright  © 2011, 2007, 2005, 2002, 1998 Pearson Education, Inc., publishing as Prentice Hall, OneRead MoreIgbo Dictionary129408 Words   |  518 Pageswork, a Dictionary of the Ibo language: English-Ibo (1923). This latter work was also largely the responsibility of Dennis, and it is listed under his name in bibliographies, although his name does not appear on the title-page. The preface to this book gives its history as follows: While the Union-Ibo Version of the Bible was being prepared, the Assistant-Translator, Mr T.D. Anyaegbunam, was asked to make a list of new words as they occurred. Many additions were made to the list by the late Archdeacon

Business Environment in Fiji Free Essays

Fiji business environment is a combination of several factors that govern the business and trades of this island nation. Fiji business environment is generally good and promising for taking initiative of new ventures apart from some occasional disturbing factors. Fiji is one of the most progressive island nations in the central south of Pacific Ocean. We will write a custom essay sample on Business Environment in Fiji or any similar topic only for you Order Now It has many industries and other natural resources that help together to make a good business environment in this country. But Fiji faces a number of troubles also in the business sector. There are some political strife in the country that has originated from the clash between the cultural communities belonging to different ethnicity. Moreover, Fiji has some other problems also which are not favourable for creating a sound business environment in Fiji. Some of these problems are, natural disasters, deficiencies of sound economic plans and some others. But overall, Fiji business environment is good and promising enough for further developments. Business is affected by the external environment as it is by the competitors. It is important that firms are aware of the changes in the external environment to be successful. Understanding the influence of Macroeconomic factors helps the firms to determine the current market conditions and how beneficial will they be for the success of their business. Various macroeconomic factors that influence the business are: Macroeconomic factor a. Economic Growth. Economic activities refer to the level of buying and selling activities happening in an economy over a time period. Economic activity changes could happen due to the following reasons: †¢Changes in income levels †¢Future prospects of individuals. †¢Future of the economy †¢The level of economic activity in the world as a whole †¢Political activities around the world †¢Natural disasters – like hurricanes, earthquakes, or flood etc †¢Changes in prices of raw materials – oil, metals, fuel, energy and so on †¢Changes in world stock markets b. Inflation: With the increase in Inflation there will be an increase in the level of prices of products and services over a specific period of time. As a result the firms will have to incur higher costs of operations. This will be also due to the increase in wages of the employees. c. Interest Rates: Interest rates are the charges levied by the banks for lending a loan. Increase in Interest rates will directly influence the business as businesses borrow money from the banks from time to time. Increase in interest rates will lead to higher interest expense: Businesses will have to incur higher costs to repay the loan. Interest rate changes also affect customers who in turn will affect the business. In case of increase in interest rates the amount that individuals need to pay to borrow the money will increase thereby, reducing the demand for large products in the market. Further, if the interest rates decrease then the charges on a loan to buy larger items like cars, electrical equipments are likely to fall. As a result, a large number of people might be willing to buy such items. There will be a sudden increase in the demand for the products offered by such businesses. How to cite Business Environment in Fiji, Papers

Patient Intake Process free essay sample

Understanding the patient intake process and how it works may very well lead to strategies that will improve patient intake efficiency. Basically, the patient intake process is gathering and retrieving information for new and established patients. This process can vary from office to office, but can be time consuming. Updating established patients usually has the patient to look over their information and update. The new patient will have pages of paper work to fill out. This will include their demographic information, medical history, and insurance information. After these established patients update and new patients finish their paper work, someone from this office will need to transfer this information to an electronic medical record. The smaller the practice, the more time consuming. When professional nurses are performing their nursing responsibilities and the clerical responsibilities of the facility, everything in the office will suffer, because this nurse will be doing the job of many. We will write a custom essay sample on Patient Intake Process or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page (Valerius, Bayes, Newby, Seggern, 2008). Many believe that the electronic medical record is the key to, not only to the patient intake process, but also a facilitys ability to give efficient, safe, and quality care. The Christus Santa Rosa Patient Intake Center (PIC) is staffed by nurses 24 hours a day, 7 days a week. These nurses are specially trained in admissions criteria. This admitting service, manned by professional nurses, offers high-level clinical expertise. With these nurses on duty around the clock, they are able to quickly take care of inpatient and outpatient admissions and transfers. These nurses handle all admissions to any of the facilities in the Christus Santa Rosa health system. This is all these nurses do day in and day out. This makes their jobs easier in that they are not expected to assist a doctor, or do anything that has nothing to do with the patient intake process. The PIC has proven that the patient intake process is more efficient if this is the sole job of the nurses. In the past, the patient intake process could be the job of whoever was available to do it; there was no one special hired for this job. Recently it has been proven that patients are moved more swiftly through to the primary care giver or even admitted as an inpatient when the patient intake process has been handled by people who were hired for only the patient intake process and have no other responsibilities (Patient intake center operates 24-7, 2009). There is another one of these centers, also in Texas. This patient access intake center (PAIC) is aiming to be Understanding the patient intake process and how it works may very well lead to strategies that will improve patient intake efficiency. Basically, the patient intake process is gathering and retrieving information for new and established patients. This process can vary from office to office, but can be time consuming. Updating established patients usually has the patient to look over their information and update. The new patient will have pages of paper work to fill out. This will include their demographic information, medical history, and insurance information. After these established patients update and new patients finish their paper work, someone from this office will need to transfer this information to an electronic medical record. The smaller the practice, the more time consuming. When professional nurses are performing their nursing responsibilities and the clerical responsibilities of the facility, everything in the office will suffer, because this nurse will be doing the job of many. (Valerius, Bayes, Newby, Seggern, 2008). Many believe that the electronic medical record is the key to, not only to the patient intake process, but also a facility ability to give efficient, safe, and quality care. The Christus Santa Rosaaâ‚ ¬Ã¢â€ž ¢s Patient Intake Center (PIC) is staffed by nurses 24 hours a day, 7 days a week. These nurses are specially trained in admissions criteria. This admitting service, manned by professional nurses, offers high-level clinical expertise. With these nurses on duty around the clock, they are able to quickly take care of inpatient and outpatient admissions and transfers. These nurses handle all admissions to any of the facilities in the Christos Santa Rosa health system. This is all these nurses do day in and day out. This makes their jobs easier in that they are not expected to assist a doctor, or do anything that has nothing to do with the patient intake process. The PIC has proven that the patient intake process is more efficient if this is the sole job of the nurses. In the past, the patient intake process could be the job of whoever was available to do it; there was no one special hired for this job. Recently it has been proven that patients are moved more swiftly through to the primary care giver or even admitted as an inpatient when the patient intake process has been handled by people who were hired for only the patient intake process and have no other responsibilities (Patient intake center operates 24-7, 2009). There is another one of these centers, also in Texas. This patient access intake center (PAIC) is aiming to be a call does it center for the 13 hospitals that are the Texas Health Resources. This center attempts total customer satisfaction and collecting point of service bills has increased. This PAIC also has automated phone calls to patients that will leave a message for the patient to either go online, to a secure site, and enter their information or to call an 800 number. This, in itself, will shorten the wait time that the patient will experience when they come for their appointment at the physician office or the hospital for a specific procedure. The patient will also be able to use these resources to register for an appointment with the physician or the hospital. This center had not quite worked all the kinks out at the time of printing. They were still unsure of what would happen if a patient was unable to pay or if the patient was not reached for preregistration. If the patient is unable to pay or has an outstanding balance they will be able to use an online tool that will help the patient to communicate with the financial staff at the hospital. If a patient is unable to pay an outstanding balance, they will not be registered for any elective procedures. The communication tool will be used to alert those in the hospital, who in turn will suggest to the patient that maybe they should fill out the forms for indigence. If approved for assistance, the patient can have their outstanding balance reduced or even wiped clean (General OneFile Web, 2011). Understanding the patient intake process and how establishments can be better prepared for patients when they arrive for appointments and procedures can only lead to better customer satisfaction. Patients will be more likely to return to a facility if their needs are taken care of in a more timely manner. Hiring people to take care of retrieving and updating patients medical records instead of overwhelming someone with other responsibilities can only improve office moral and patient satisfaction. References General OneFile Web. (2011, February). Patient intake center aims to improve patient satisfaction. Retrieved from http://find. galegroup. com/gtx/infomark. do? contentSet=IAC-Documentstype=retrievetabID=T004prodid=ITOFdocld=A158160474source=galesrcprod=ITOFuserGroupName=appolloversion=1. 0 Patient intake center operates 24-7. (2009, June). Hospital Case Management: The Monthly

A Brief History of the Cherokee Indians essays

A Brief History of the Cherokee Indians essays The Cherokee Indians first lived in Tennessee. The name Indian first came from Christopher Columbus, who thought that America was part of the Indies, Asia. The first person to come across Indians was Hernando de Soto, in 1540. In wintertime, the Indian men wore long sleeved shirts, loose-fitting leggings, and moosehide moccasins. Women wore skin dresses tied at the waist and long, fitted leggings. Indians would hunt deer, elk, moose and buffalo. They would also eat rabbits, raccoons and birds. The women would sometimes make a stew with the meat. They also ate berries, nuts, fruit and beans and corn. Indian houses were made of stone, wood, skins, twigs and mud. There were wigwams; tipis, earth and grass covered houses. The tipis were made of buffalo skins. The tipi would protect the Indians from the cold winters. They always faced the tipi towards the east because the winds came from the west. The Indian children liked to have toys, their fathers and grandfathers would make small bows and arrows, sling shots and bean shooters. The girls liked to string berries to make a necklace; they made dolls out of grass, pine needles and bark. The boys would practice target shooting when they were old enough to prepare for when they would hunt. The Indians worshipped the sun, the wind and the rain. They celebrated places on earth that were important to the Indian people, such as a mountain, a lake or a valley. The Indians believed animals including birds were also people, just like the tribes. Indians knew a great deal about nature, they believed that a job was well done only when the spirits had been thanked. They had dances and festivals to help make their crops grow. Sequoyah was a great Cherokee Indian. Sequoyah was born in 1776 at a village called Tuskeegee. He was the first man to create a writing system for the Cherokees. Sequoyah never learned the English alphabet so he began to make up symbols that could make words. He could not...

Lee-Enfield Rifle in World War I and II

Lee-Enfield Rifle in World War I and II The Lee-Enfield was the primary infantry rifle used by British and Commonwealth forces during the first half of the 20th century. Introduced in 1895, it was a magazine-fed, bolt-action rifle that replaced the earlier Lee-Metford. Constantly improved and enhanced, the Lee-Enfield moved through a multitude of variants during its service life. The Short Lee-Enfield (SMLE) Mk. III was the principal rifle used during World War I, while the Rifle No. 4 version saw extensive service in World War II. Variants of the Lee-Enfield remained the British Armys standard rifle until 1957. The weapon and its derivatives continued to be used around the world. Development The Lee-Enfield traces it roots back to 1888, when the British Army adopted the Magazine Rifle Mk. I, also known as the Lee-Metford. Created by James P. Lee, the rifle utilized a cock-on-closing bolt with rear locking lugs, and was designed to fire the British .303 black powder cartridge. The design of the action permitted easier and faster operation than similar German Mauser designs of the day. With the shift to smokeless powder (cordite), problems began to arise with the Lee-Metford as the new propellant caused greater heat and pressure which wore away the barrels rifling. To address this issue, the Royal Small Arms Factory at Enfield designed a new square-shaped rifling system which proved resistant to wear. Combining Lees bolt-action with the Enfield barrel led to the production of the first Lee-Enfields in 1895. Designated .303 caliber, Rifle, Magazine, Lee-Enfield, the weapon was frequently referred to as the MLE (Magazine Lee-Enfield) or the Long Lee in reference to its barrel length. Among the upgrades incorporated into the MLE, was a 10-round detachable magazine. This was initially debated as some critics feared that soldiers would lose it in the field. In 1899, both the MLE and the cavalry carbine version saw service during the Boer War in South Africa. During the conflict, problems arose regarding the weapons accuracy and a lack of charger loading. Officials at Enfield began working to address these issues, as well as to create a single weapon for both infantry and cavalry use. The result was the Short Lee-Enfield (SMLE) Mk. I, which possessed charger loading (2 five-round chargers) and vastly improved sights. Entering service in 1904, the design was further refined over the next three years to produce the iconic SMLE Mk. III. Lee Enfield Mk. III Cartridge: .303 BritishCapacity: 10 roundsMuzzle Velocity: 2,441 ft./sec.Effective Range: 550 yds.Weight: approx. 8.8 lbs.Length: 44.5 in.Barrel Length: 25 in.Sights: Sliding ramp rear sights, fixed-post front sights, dial long-range volley sightsAction: Bolt-actionNumber Built: approx. 17 million Short Lee-Enfield Mk. III Introduced on January 26, 1907, the SMLE Mk. III possessed a modified chamber capable of firing the new Mk. VII High Velocity spitzer .303 ammunition, a fixed charger guide, and simplified rear sights. The standard British infantry weapon of World War I, the SMLE Mk. III soon proved too complicated for industry to produce in sufficient numbers to meet wartime needs. To deal with this problem, a stripped down version was designed in 1915. Dubbed the SMLE Mk. III*, it did away with the Mk. IIIs magazine cut-off, volley sights, and rear-sight windage adjustment. British forces with their SMLE Mk. IIIs in the trenches during World War I. Public Domain During the conflict, the SMLE proved a superior rifle on the battlefield and one capable of keeping up high rates of accurate fire. Many stories recount German troops reporting encountering machine gun fire, when in fact they had met trained British troops equipped with SMLEs. In the years after the war, Enfield attempted to permanently address the Mk. IIIs production issues. This experiment resulted in the SMLE Mk. V which possessed a new receiver-mounted aperture sighting system and a magazine cut-off. Despite their efforts, the Mk. V proved to be more difficult and costly to build than the Mk. III. World War II In 1926, the British Army changed its nomenclature and the Mk. III became known as Rifle No. 1 Mk. III. Over the next few years, Enfield continued to improve the weapon, ultimately producing the Rifle No. 1, Mk. VI in 1930. Retaining the Mk. Vs rear aperture sights and magazine cut-off, it introduced a new floating barrel. With tensions in Europe rising, the British began searching for a new rifle in the late 1930s. This resulted in the design of the Rifle No. 4 Mk. I. Though approved in 1939, large-scale production did not begin until 1941, forcing British troops to begin World War II with the No. 1 Mk. III. While British forces in Europe deployed with the No. 1 Mk. III, ANZAC and other Commonwealth troops retained their No. 1 Mk. III*s which remained popular due to their simple, easy to produce design. With the arrival of the No. 4 Mk. I, British forces obtained a version of the Lee-Enfield that possessed the updates of the No. 1 Mk. VIs, but was heavier than their old No. Mk. IIIs due to a longer barrel. During the war, the Lee-Enfields action was utilized in a variety of weapons such as jungle carbines (Rifle No. 5 Mk. I), commando carbines (De Lisle Commando), and an experimental automatic rifle (Charlton AR). Post-World War II: With end of hostilities, the British produced a final update of the venerable Lee-Enfield, the Rifle No. 4, Mk. 2. All existing stocks of No. Mk. Is were updated to the Mk. 2 standard. The weapon remained the primary rifle in the British inventory until the adoption of the L1A1 SLR in 1957. It is still used by some Commonwealth militaries today, though it is more commonly found in ceremonial, reserve force, and police roles. The Ishapore Rifle Factory in India began producing a derivative of the No. 1 Mk. III in 1962.

Literature review Example | Topics and Well Written Essays - 500 words

Literature review Example ke your feelings out in an email, saying something like, â€Å"You haven’t responded yet,† or â€Å"You ignored my first email.† Just maintain an extremely polite tone throughout the entire email thread. Showing that you’re friendly and that you understand how busy your contact is a good way to keep him or her interested (and not mad). Sending a follow-up email every day doesn’t show you have gumption or passion, it shows you don’t respect a person’s time. The general rule of thumb is to give at least a week before following up. Any sooner and it might come off as pushy; let too much time pass and you risk the other person not having any clue who you are exactly. I typically start off with an email every week, and then switch to every couple of weeks. If you’ve followed up a few times and still haven’t heard back, it’s worth directly asking if you should stop following up. After all, you don’t want to waste your time, either. I’ll sometimes say, â€Å"I know how busy you are and completely understand if you just haven’t had the time to reach back out. But I don’t want to bombard you with emails if you’re not interested. Just let me know if you’d prefer I stop following up.† Most people respect honesty and don’t want to waste someone’s time, and they’ll at least let you know one way or another. I once had someone trying to sell me something that I was remotely interested in but that was nowhere near the top of my priority list. Every week, he’d send me a new email quickly re-explaining what he sold—as well as a suggestion for good pizza to try around the city. Why? He had seen a blog post where I mentioned I’d eat pizza 24/7 if I could, and cleverly worked that into his follow-up. It made him stand out in a good way, and as a result, we eventually had a call. The lesson: If done well, a little creativity in your follow up can go a long way. If you’re following up about a job, try Alexandra Franzen’s tips for giving the

E-Procurement Assignment Example | Topics and Well Written Essays - 250 words

E-Procurement - Assignment Example This will lead to a reduction in the cost of procurement. This would lead to less time being used for this process. The manager would have more time to spend on other company business rather than being tied up with immaterial purchases. No orders may be lost because it would result in less paper being used in the process. This system would also help to reduce the number of late deliveries. Qatar Petroleum would computerize its procedures so that there will not have to be too many manual interventions. In this way the company may be able to deal with many suppliers instead of a few. The system could compare prices and determine which is best. The company may also be able to benefit from quantity discounts in this way The procurement system could be so set up that orders are triggered from the inventory system as soon as the re-order level is reached. This system would notify someone that an order needs to be made urgently. Transactions are automatically approved based on business rules and so there is no detailed approval process. The order will be transmitted through a central hub. Everything stage of the process would be done online. An e-procurement system is a must for a company that is seeking to reduce the cost of purchasing. Companies are on an ongoing drive to reduce cost and this is one sure way to do so. Qatar Petroleum can benefit from implementing this

Reflective Analysis Time Management And Nursing Nursing Essay

Reflective Analysis Time Management And Nursing Nursing Essay An event that was meaningful to me as a nurse happened during my clinical time at St. Michaels Hospital when I did not wash my patient before 8:00 am in order to prepare her to go to a plastic surgery appointment later on that day. My patients 10:00 am Heparin administration was delayed by 45 minutes because she was being washed at that time. This event occurred because I did not prioritize the tasks I had to complete during the day properly, and therefore I learned the importance of time management while I work as a nurse on the clinical unit. Besides me, the people who were involved in the event were the registered nurse who I shadowed, my clinical instructor, and my student nurse buddy. At the beginning of the clinical day, while the events happened, I contacted my instructor, my nurse, and my student nurse buddy. The nurse and I sat down to look at the Kardex of patients and wrote down notes on our Personal Organizational Plan (P.O.P.). On the Kardex, my patients condition was the same as yesterday except she would have a plastic surgery appointment later on that day. Usually the patients husband would visit her daily around 9:30 am and provide care which including washing the patient and helping her to perform bowel elimination. My patient preferred that nurses leave them alone while her husband cares to her. On this particular day, the patients husband had an appointment and could not visit his wife in the morning, which meant it was my responsibility to wash my patient early so she could be ready for her appointment. I verbally informed my student nurse buddy that I would need her help to wash my patient but I thought my memory was good enough that I did not have to write down this specific task on my P.O.P. When I met with my patient, I concentrated on measuring her vital signs, completing the initial assessment, nursing activities, and interviewing my patient for the Roy Care Plan assignment as these tasks were originally listed on the P.O.P. I made sure I finished charting by 9:00 am. Once I finished charting, the nurse came up to me to see if I had bathed my patient and I replied no. From the nurses unsatisfied facial response, I realized I should have bathed my patient earlier in advance. My clinical instructor also asked my student nurse buddy and I the reason the patient had not been washed yet. I thought I could have washed my patient after I completed the charting as I knew the patient usually was washed around 10:00 am by her husband. I felt really bad and irresponsible because I did not wash my patient on time and prepare her for the appointment. My intuition told me there must be an essential task I had missed, but I just could not recall what it was since I did not write it down on the P.O.P. I thought my clinical instructor and the nurse must feel disappointed that I did not perform the task earlier as I remembered my clinical instructor stated clearly to check if any of our patients has special orders or tasks to be done at the beginning of the shift. I believe there are ethical and economic considerations to be taken into account about this event. If my patient was still in the process of getting ready while she received a call to go down to the plastic surgery unit, it would create unnecessary wait time for the plastic surgeon and other patients who would see the plastic surgeon later on. In order to compensate for the extra wait time, staffs at the plastic surgery unit may try to rush things and quality of treatment that patients receive may suffer. Staf fs may have to work overtime due to the delay and economic burden would be a result. In addition, delay of administering Heparin will increase patients risk of blood clotting and serious consequences such as pulmonary emboli, myocardial infarction, and deep vein thrombosis may be resulted. This will be considered as maleficence to the patient (Potter Perry, 2009). Moreover, I believe I should be accountable to my patient by providing safe and quality care to my patient which includes washing my patient on time. This belief arises from my nursing teachers constant reminders to us that it is very important to follow CNOs practice standards during practice. The key issue of the event is time management skills for clinical practice. If effective time management strategies were applied to my clinical practice, the chance of this event occurring would have been minimized and my performance of clinical practice will be improved. According to Chater and Litchfields study done on new graduate nurses who work in a neonatal unit at an Australian hospital (2007), five themes: knowing, planning, support, fulfillment, adapting and being flexible can be utilized to help student nurses and new graduate nurses to better manage their clinical time. Firstly, knowing is essential for nurses to manage time on the unit. The reason is if novice nurses do not know the condition of their patients, then they will not know what interventions they need to apply. More time will be spent looking up and learning about how to take care of the patients conditions. Therefore, obtaining nursing knowledge and familiarity with the daily routine care of the unit can help nurses handle their time on unit more efficiently. Having knowledge about the patients condition will also help novices feel less anxious, gain a sense of control, and raise their level of confidence (Chater Litchfield, 2007). Secondly, planning involves thinking about all the tasks which need to be completed as well as how much time each task requires. Proper planning can guide nurses through their day and ensure that important tasks will not be missed. Taking the time to think about required tasks also saves time because it allows the nurse to figure out what resources will be needed to complete a specific task and get everything ready in advance, rather than beginning a task and suddenly realizing something is missing and having to pause to figure it out. Thirdly, new nurses should not hesitate to obtain support from their preceptors and peers. Researching the right knowledge for a patients problem is time consuming but important, so nurses should not be afraid to ask for help since it is in the best interests of the patient. Also, talking to another new nurse peer will aid in continued development of time management skills. Moreover, when novice nurse are able to manage time and are able to complete all the routine care, they gain a sense of fulfillment and accomplishment (Chater Litchfield, 2007). Finally, adapting and being flexible is essential to mastering time management skills. There are always unexpected and unpredictable events that occur during clinical and being able to adapt and find alternative ways to deal with various situations will help nurses feel less stressed when managing their time on the unit (Chater Litchfield, 2007). Besides the five managing themes stated above, prioritizing is a necessary tool for effective time management. Nurses have to prioritize tasks on their route and finish tasks from high to low priority order. For example, when starting a shift, a nurse should decide which patient requires the most care. The nurse can do this by checking in with each patient briefly to say hello but at the same time to assess their needs. After an assessment is done, it can be explained to the patients who do not need immediate care that they will be taken care of shortly while the nurse attends to those with urgent needs (Waterworth, 2003). In addition, nurses should be careful of some priority setting traps. The first trap is whatever hits first which means a nurse responds to tasks that happen first instead of thinking twice and then responding. The second trap is the squeaky wheel, a patient who is able to gather the most attention from a nurse to hear his or her urgent request may not be the one w ho is the most in need. The last trap is waiting for inspiration, nurses should not be wait to be inspirited to complete a task and they should actively think about what tasks have to be done while on unit (Vaccaro, 2001). I learned effective time management strategies to handle my time on clinical and I will definitely utilize the time managing strategies step by step from knowing , planning , prioritizing tasks, gaining support from other nurses, and being flexible with my tasks. My thinking has changed after analyzing the key issue. It now makes more sense to me the reasons that our instructor requires us to finish all the paperwork on Tuesday night even when we feel tired after spending the whole day on unit. In fact, completing the Diagnostic Complications Sheet and Medication sheet correspond to the knowing phase by gaining knowledge about our patients so that we can provide specific care to our patients, feel less anxious, and better manage our time on unit. By filling the detailed P.O.P., this correspond to the planning theme which helps student nurses organize their day and ensure tasks to be performed will not be missed. In my point of view, I would preserve the action that the register nurse comes to check on me to see if I bathed my patient. With this action, she is being responsible to the patient and also she is offering me support to help me take care of the patient. On the other hand, I would definitely change the way I organize my P.O.P and I would follow my P.O.P. with flexibility and do not just focus on the original task I planned for my patient. For example, once I found out my patient has to be washed before 8:00 am, I will write it down immediately so that I will not forget to complete the task. If a similar situation arises again in my practice, I would inform my student nurse buddy that I require her help to wash my patient before a certain time and ask him or her to remind me to finish the specific task in case I forget or become occupied by some other tasks. In term of recommendations, I think there is no better way than to come to the unit with preparation. For example, student nurses can build their well of nursing knowledge by reading the nursing interventions related to a patients specific condition from the Canadian Fundamentals of Nursing and the Medical-surgical Nursing in Canada. Also, Pharmacology for Canadian Health Care Practice can help student nurses build up their knowledge in medication. The more a student nurse comes prepared for their clinical time, the less anxious he or she will be and can apply the five time managing strategies mentioned above to handle their time on unit more effectively.

Contents of My Backpack

Although I am only at the beginning of my teaching career, I feel as if I have many things already stowed away in my Dakine green, black, and white plaid backpack. My items are similar to Mr. Goldman’s items in that they have very little to do with the topics that I teach but are able to transform my classroom environment, stay along the guidelines of time management, and allow students to learn at their own pace. The items that I have in my backpack include: a Nerf basketball, wireless mouse, pens and pencils with colorful erasers, 3 ring hole punch, dollar store multi colored star stickers, a small bust of George Washington, and a mustache mug. Not all of these items are essential teaching tools but some of them are used so frequently that I could include them in my curriculum. The Nerf basketball is used just about every day in my math class, it helps me get volunteers for questions, provides a reward to students, and encourages others to be supportive of their classmates. The last two coincide with a game I stole from a teacher in the district high school called ‘Math-sketball’. It’s a simple game where everyone works out the problem on the board and after the buzzer counts down students need to have their answer written on their scorecard. Those students who answer correctly get to line up for a free throw shot with the basketball, students cheer each other on to make the basket and if a student misses, classmates are there with words of encouragement. This mini failure of missing a shot and the support of their classmates to try again next time is important for the students. I teach 6th, 7th, and 8th grade math students in a Resource Room at a middle school. The wireless mouse allows me to use the technology in the room without being plastered to the wall which would allow students to get distracted with other things going on in the room or outside the windows. I am able to keep close enough to my students, check their progress with the material, as well as circulate around the room to keep an eye on drifters. My 3 ring hole punch is one of my best items. I use it to keep myself organized with binders, lessons, units, tests, and other materials, but I also use it to hole punch everything that I give the students. This helps them with their organization but doesn’t stop them from misplacing their homework. I will have to find a reasonable price for microchips that I can attach to homework assignments so it is never misplaced or lost in a locker. The dollar store multi colored star stickers are used as a reward for students who are ready for class, hand in assignments, score well on tests, or help out during the class without being asked. It’s a way to keep the students active and engaged without constantly reminding them to do something or not to do something. I am sure that over my teaching career more items will be put into the backpack and that some items will replaced or taken out of the backpack, but as long as my mustache mug doesn’t crack, chip, or shatter, that will be my staple item, how else will I be able to fuel up during the day?