A government is a system of institutions and practices that are put in place to manage and regulate the affairs of a state or community. Governments are responsible for maintaining order, protecting citizens and their property, and providing for the common good. They also play a key role in shaping the policies and laws that govern society and ensure that the needs and interests of the people are taken into account.
There are many different forms of government, including democracy, monarchy, dictatorship, and communism. The form of government that a country has can have a major impact on the rights and freedoms of its citizens, as well as the level of prosperity and stability of the nation.
In a democracy, the people have a say in how they are governed through the process of elections. Elected officials, such as presidents and legislators, are responsible for making decisions on behalf of the people. In a monarchy, power is held by a single person, typically a king or queen, who inherits their position through birthright. In a dictatorship, one person or a small group holds complete control over the government and makes all decisions without input from the people. And in a communist government, the state owns and controls the means of production and distribution, and there is no private property.
Governments also have various branches, each with its own specific responsibilities. The executive branch is responsible for enforcing laws and policies, the judicial branch interprets the laws and resolves disputes, and the legislative branch makes and passes laws. These branches work together to ensure that the government operates effectively and efficiently, and that the rights and freedoms of citizens are protected.
Overall, the role of government is to provide for the common good and ensure the safety and well-being of its citizens. It does this by creating and enforcing laws, providing public services, and working to promote the prosperity and stability of the nation.
‎The Advanced Scrub Practitioner Role: A Student's Reflection (Education) (Report) on Apple Books
Advancing roles within both nursing and allied health professions have provided a greater access to medicines. For this assignment I will attempt to reflect on my role as an Advanced Scrub Practitioner and how I have developed into the role personally and professionally, the reflective model I will use for this will be Borton, What, So What, What Now Borton 1970. Just before I leave I ask the patient if they have any questions. These being Professional, Legal, Contractual and Self, Professionally the Nursing and Midwifery Council 2008 states that Nurses must provide a high standard of practice and care at all times and they must recognise and work within the limits of their competence they must also keep their knowledge and skills up to date throughout their working life. The ASP role has developed over time and has become more accepted in the UK.
DON'T TAKE OUR WORD FOR IT The course structure has been designed to build upon learning from previous modules as you progress, which I found helpful. Step 3 - Report writing stage A report is written by a QA team member, including input from the RCS review panel, to be presented to the Quality Assurance Operational Group QAOG. The Peri-Operative Care Collaborative 2007 refer to an Advanced Scrub Practitioner as being a registered peri-operative practitioner providing competent and skilled assistance under the direct supervision of the operating surgeon while not performing any form of surgical intervention. Placement Opportunities Our Advanced Clinical Practice module is situated within your own clinical area and is where you evidence 200 hours of advanced clinical practice. You are also accountable to the patient and owe a duty of care to them Bernthal 1999. To access the apprenticeship route you must be working in a healthcare setting with relevant registration and be sponsored by your organisation. For example assisting with surgery.
The advanced scrub practitioner role: a student's reflection.
Part of that was due to old-fashioned thinking when I trained that females did not undertake this; it was almost a traditional taboo Milligan 1999. He then got an internal shunt and filled it with heparinised saline, the internal shunt will maintain cerebral blood flow whilst the blockage is removed Garden et al 2002. Cutting and coagulation is achieved by the use of electricity, the electricity passes through the diathermy machine where it is converted into a high frequency alternating current, which then produces heat. I still feel that I perform better within the forward wait area. We focus on advanced competence in physical assessment, symptom and sign analysis, evidenced-based therapeutics, patient-centred care, communication and ethics.
We currently meet our patients in the forward wait area before they are brought to the anaesthetic room. The plan has been devised to provide direction and support related to the identified topics within the practice competencies, ensuring they receive theoretical support linked to the practice experience. Before prepping it is important that we check the patient is not allergic to the prep for obvious reasons, however one thing I did not know until I was on my Advanced Scrub Practitioner course was that you should not use iodine based products on pregnant women or women who are breast feeding. Mr Green then got 3 vascular clamps ready, these were to clamp above and below the atheroma and the bifurcation too. I much prefer the greater dimension gained from face to face, the chats that occur during a break.
Mr Green clamped the artery and inserted the shunt without a problem, we then had to remove the plaque from the walls of the artery, this again was a tense moment for me as I had to keep the suction on to suck up any small pieces that came away, I also had to squirt heparinised saline into the operative site to stop it from drying out. Since Dewey's simple claim 1938, cited by Rolfe 2001 that 'we learn by doing and realising what came of what we did', many other authors have advocated and adapted this mantra Rogers 1983 cited by Rolfe 2001, Gibbs 1988. She also highlights that intraoperatively acquired pressure sores may not be recognised, as in the immediate postoperative period skin changes may not be apparent. One of the problems with this is lack of planning. As Sutton 2003 suggests, nurses should only take on these tasks or dual roles if they feel confident and understand fully the ramifications of their actions. Carrying out this new role would have an impact on the Nursing Staff, they will have an increased duty of care for the patient and also a greater amount of accountability and responsibility.
Planning patient care can also reduce a patient's risk of developing pressure sores Hartley 2003 nerve damage or compartment syndrome Malik et al 2009. I have learnt so many new things that are not just relevant to the advanced role but also relevant to my current role as Anaesthetic and Surgical Team Leader. Fortunately, there is a great deal of financial support available to help students meet the cost of their study. This revolves around the levels of trust and how trust is affected when the client knows more about the practitioner. However Rogers 1983 disagrees and states that practiced based learning is the most effective way of learning a new skill. You are assessed through a written 4,000-word proposal for a research, audit or evaluation study, which is worth 100% of the module marks and should be submitted in week 13.
On a personal level I have in the past cut sutures and applied dressings when junior doctors have been called away; equally I have assisted in draping patients when junior doctors have been delayed. Mr Black had already undergone a pre-operative assessment with a Doctor who will have taken a history from Mr Black, then examined him and listened to his heart and lungs and more than often send off blood investigations Ellis et al 2003 and consent him for his operation. I have done this on many occasions. . However in order to undertake these roles they must have specific training and qualifications in order to undertake certain skills that a Scrub Practitioner would not be able to undertake. Share this: Facebook Facebook logo Twitter Twitter logo Reddit Reddit logo LinkedIn LinkedIn logo WhatsApp WhatsApp logo I qualified as an Operating Department practitioner in September 2005, since qualifying I have worked hard to consolidate my training and look for ways in which to develop my career. The evidence shows that preoperative visiting reduces patients' stress Fyfe 1999, Pittaway 2004 and allows the practitioner to assess and plan the patient's care intraoperatively and aide wound healing Fyfe 1999.
However the PCC 2003 identifies that non-medical practitioners must be aware that when functioning as a first assistant they would be held by law to standards of care expected from medical staff. Cutting and coagulation is achieved by the use of electricity, the electricity passes through the diathermy machine where it is converted into a high frequency alternating current, which then produces heat. I explained that I was not formally trained to carry out certain tasks, but that If I followed a course then I would become trained. This innovative approach to developing your dissertation enables you to demonstrate how acquiring mastery impacts on your clinical practice. In the author's view the introduction of advanced roles such as the ASP gives nurses the opportunity to remain in theatre by providing an extended, highly skilled service with an emphasis on patient care.
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