RTT1 Task 2 Jake McKee Western Governors University RTT1 Task 2 Root Cause Analysis (RCA) that led to sentinel event Root cause in this scenario appears to be a combination of things. Most significantly, staff did not safely adjust to rapidly increasing demands of their patient acuity and census. The infrastructure did not allow simultaneous monitoring of two patients in crisis. The department is at high risk of inundation, being staffed with only one RN and one LPN, one secretary, and one emergency department physician. Secondly, balance in the monitoring of high-risk patients was inadequate.
SEC failed at this due to the fact that their product will not operate above 130 degrees F, and that the requirements would not be able to be met without different materials (The Orion Shield Project, 2003). Due to this issue alone, it caused problems with the project, delaying the timeline for completion, increased the amount of resources used and not committing to the stakeholders. Not only did they fail to meet the temperature standard, they also failed to meet the life span expectation. Mr. Allison is responsible for overcoming these technical objectives as project manager of The Orion Shield Project. Ethical Issue: Before even beginning the project, Mr. Allison couldn’t keep his commitment in regards to meeting the temperature requirement.
It is also a problem that does not have many possible solutions, causing it to be the most detrimental to harp seals. Economically the elimination of harp seal hunting will affect the lives of commercial hunters and those who purchase the pelts. This issue is not solely negative as the Canadian Government plans to compensate the hunters with new professional training. Lastly this issue could eventually lead to the extinction of a
For example, there were no longer any engineers left who knew how to build or maintain aqueducts. This meant that when these structures broke they couldn’t be fixed, and so over time there was less provision for clean water. The local population used the stone from the bath houses and other structures to build their own homes as there was less emphasis on public health. The new rulers of Britain did not think it was as important as the Romans had. By 1350 there were some quite serious public health problems in towns, where the lack of fresh water and drainage was a problem which caused the water to be contaminated by other sources and was not healthy to drink.
Other than the chance discovery, another factor that held back Fleming was government funding. After Fleming published his results, the government wasn’t interested in developing it because they thought there was no need for it so with no funding, Fleming decided abandon his research. After his discovery it took Florey and Chain another 10 years to read about it and start the research. At this time, WW2 had broke out which deprived the government of a lot of money as many factories and other places were being bombed, hence Florey and Chain also didn’t get any funding from the british government because penicillin required a range of equipment and people which the government couldn’t provide. Penicillin only came to Britain after it had been mass produced in USA which took another 3 years.
This was only escalated by Charles’ speech impediment which also made him seem weak and impractical, and meant that in the case of an emergency, a solution would always be harder to reach. In the case of military weakness Charles failed to capitalise on the early strengthening of his position after the stalemate of the battle of Edge hill, 23rd October 1642. Although this was the perfect opportunity for Charles to advance to London, he was not decisive enough and the royalists were forced back to Turnham green. Although there were some royalist victories, such as Adwalton moor- 30th June, Roundsway down – 13th July and Bristol 26th July, Charles failed to eliminate problems within the army and therefore couldn’t advance on this success. Charles failed to solve the major problem of neutralism and localism within the royalist army.
Public health officials requested that the government ban trans-fat and reduce sodium levels, but the government made no attempt at changing or stopping the release of fatty foods. At one point the government had ideas of how to control sodium which would save on health care costs and lengthen lives but decided against it due to financial consequences. The government’s inactivity gave way to the increasing level of health issues and obesity in Canadians. Some Canadians realize that they are unhealthy, but don’t realize the food they eat is the cause. Because of the absence of labels most Canadian’s don’t even know the nutritional value of the food they eat.
Due to the excessive amount of conflicts, it was inevitable not to have battles, peace agreements, and to this day Native Americans are not pleased with Caucasian people. The relationship between the natives and the English was definitely a very tense and sensitive matter. Early on in the history of
This is not a minor issue - $1 million won't go very far," he said. "You can now forget about Kakadu. Kakadu is lost, we now have to try and protect areas further west like the Kimberleys." Inhabiting the Kakadu reserve is many rare and protected species and due to the cane toad’s ethnological significance, the voracious eating habits of the animal could result in serious destruction to the environment. The validity of this article is evident and provides an adequate evaluation of the current problem the Kakadu reserve is
To end the potential risks associated with keeping orcas in captivity, there must be a decrease in marine park attendance. Restrictions must also be placed on scientific whaling permits. It is up to those who have attended marine parks, seen orca shows, or work with orca whales, to end this disgusting act of slavery. Orca whales will continue to thrive in the oceans, just as humans do on land, as long as territories are respected. We are aliens to them, and we need to retreat our invasion and hope that their species can