Final Class Project Case Study Example | Topics and Well Written Essays - 1750 words

Final Class Project - Case Study Example To add on this, it is through documentation that patient response is reflected. On the contrary, the current case lacks documentation from the patient nurse. Here, the nurse testifies that she only had handwritten notes. Furthermore, in her testimony, the nurse says that she did not document any vital signs during the 2 hours of being informed by the patient’s wife and the time the patient is pronounced dead (Guido, 2009). Evidently, the case lacks documentation and this is likely to affect the final outcome. 2. Was negligence there on the part of the nursing staff in the care of this patient? In the case under study, it is evident that the nursing staff showed negligence in the course of duty. The patient nurse is negligent due to failure to document information on the patient. In her evidence, she testifies that she did not have any documented records on vital signs between the time of being informed and the time the patient is pronounced dead (Guido, 2009). As such, it is c lear that no information was available on what went on during the 2 hour period. Additionally, the nurse failed to assess and monitor the patient’s situation after she informed the physician that the patient was bleeding. Given that the patient’s health status could change gradually or suddenly, it was vital for the patient nurse to keep monitoring the situation. On the other hand, the office nurse failed to act as a patient advocate. Here, it is evident that this nurse did not follow up the case to see if the surgeon responded after she informed him. More so, the nurse does not call to check the patient’s progress (Guido, 2009). She only passes the information to the surgeon and that’s it as far as she is concerned. Consequently, it is evident that the nursing department displays negligence while on duty. 3. How does the obvious contradiction in the testimony between the patient’s hospital nurse and the office nurse and the physician’s acco unt of what happened affect your decision in this case? From the case, there is obvious contradiction between the two nurses’ testimony and the physician’s account. This shows a failure to communicate accurately while on duty. There seems to have been lack of communication between the three and hence all are liable to being sentenced for negligence while on duty. Normally, different nursing departments ought to be in constant communication to find the best way possible of helping the patient. This is not the case here. The patient nurse does not keep in touch with the physician to update him on the patient’s situation. Whereas the patient nurse testifies of having informed the physician of the patient’s condition on time, it takes two hours before the physician responds (Guido, 2009). Essentially, the contradiction indicates failure to communicate by all parties involved. 4. What standards for documentation did the patient’s nurse breach? Standards for documentation in nursing entail provision of patient information for communication purposes. Nursing documentation, as a valuable tool, supports effective communication on the patient’s progress for providers. In this particular case, the patient nurse breached these standards. The nurse fails to document the patient’s progress (Guido, 2009). Furthermore, nurses are responsible for their own actions while on duty. As such, documentation forms part of the responsibility. On the contrary, lack of documentation in the case means that the patient’

Toyota to move from Torrance to Texas; Automaker plans to create new Essay

Toyota to move from Torrance to Texas; Automaker plans to create new American headquarters with jobs shifting to Dallas area - Essay Example However, the company now does not import its vehicles and 75 percent to its branded cars sold in the United Sates are manufactured there. Most of them are manufactured in Toyota plants in Texas, Kentucky and Mississippi. There is a reason that could have led the Toyota Company not to use Los Angeles as a manufacturing point. These are: the distance from the market; and the distance from the inputs. Locating a manufacturing firm near its market helps in lowering the transportation cost of the output. With such companies, the monetary weight of output is more than the weight of the input thus the firm locates manufacturing points near its market (Hirsch and Undercoffer, 1). As is suggested by the observer, the move that shows that Toyota is trying to avoid high taxes in California is true. This is evident from the article. It is stated that, Perry visited California so as to recruit companies. He contends that 50 California companies have planned to grow and move to Texas as it offers a business climate that is better than California. The author of the article also states that, â€Å"Toyota could also save money in an environment of lower business taxes, real estate prices and the cost of living† (Hirsch and Undercoffer, 2). With the communication technology today, the Toyota Company should not feel compelled to relocate its headquarters closer to its manufacturing facilities. This is because technology enables companies to operate even when there is distance between its headquarters and the manufacturing point. The managers of the Toyota Company are able to run it even from another location. There are also other factors that may hinder Toyota Company from relocating its headquarters such as the cost of moving, the quality of life in the new location, the cost of living and the cost of operation in the new area (Busch, 1). However, the location of a