Sunday, February 23, 2020

Project planning exercise Coursework Example | Topics and Well Written Essays - 750 words

Project planning exercise - Coursework Example However, on the table the timing is not indicated as it is counted as no work is done on that particular day. Free float is one day. This because the earliest time to complete the activity is day two and the earliest time to start the preceding action is day 3.So they there is an extra fee day floating for the workers to relax for the next activity. In activity C, the latest time to start the activity is day four, the earliest time to start the activity is day four. In this case, the total float is one day. However, the free float is three days. It is a minimal time that the workers would require to embark on activity D. The action begins on day six of the scheduled time. The earliest time to purchase the kits is day five because the workers are free on that particular day. The latest time to buy the tools would be on day six when the activity begins. The total floating time would then be one day. On the other hand, free float only one day before embarking on the purchase of the furniture. Free float is only one day because the activity is not very exhausting so the workers would need minimal time to relax. This activity begins on day eight, and it is required that by day thirteenth, all the activities scheduled for that day is finished. The total float time for the activity is just one day. Free float five days. It is because the earliest time expected to complete the business would be day twelve and the earliest time to start the action would be day seven. This action starts on day thirteenth and is expected to be done by day eighteenth. The total float time one day, free float is five days because the earliest time to begin the activity is day twelve and the earliest time expected to be finished the activity is day seventeen. The activity is expected to be done within seven days. The earliest time to start the activity is day seventeen and the earliest time to finish the activity is day

Friday, February 7, 2020

Does the use of prophylactic antibiotics ensure the prevention of Research Paper

Does the use of prophylactic antibiotics ensure the prevention of surgical site infections - Research Paper Example Several strategies have been suggested to improve antibiotic prophylaxis (AP), including: providing education or individualized feedback to clinicians; establishing multidisciplinary protocols to ameliorate team-level communication; implementing institutional antibiotic prophylaxis programs involving integrated systems to reduce, curtail or control the administration of antibiotics (Gagliardi, Fenech, Eskicioglu, Nathens & McLeod, 2009). With the goal of optimizing antibiotic prophylaxis of surgical-site infections a multidisciplinary approach has been recently revised by Olin (Olin, 2006). The author presents the main points in prescribing, dispensing, and administration practices to achieve 100% compliance with antibiotic prophylaxis, and he cites in particular: initiating prophylactic antimicrobials within one hour of surgical incision, by choosing them according to guidelines, and discontinuing antimicrobial prophylaxis within 24 hours after surgery (Olin, 2006). A crucial issue in antibiotic-based peri-operative prophylaxis is the timing of antibiotic delivery. Although there is a general agreement on recommending antibiotic treatment within one to two hours of incision for patients undergoing surgery, contrasting results demand further research. Several clinical studies continue to be published yearly, aiming at optimizing the timing of antibiotic treatments (Gupta, Hote, Choudhury, Kapil & Bisoi, 2010). The purpose of my assay is to evaluate a recently published evidence-based nursing research aimed to assess the effects of the SURPASS checklist on implementation on antibiotic prophylaxis (de Vries, Dijkstra, Smorenburg, Meijer & Boermeester, 2010). SURPASS is the acronym for SURgical Patient Safety System, a checklist previously developed by the same authors of the study hereby analyzed, which was aimed to increase standardization surgical procedures and patient safety (de Vries, Hollmann, Smorenburg, Gouma & Boermeester, 2009). Research study synopsis and analysis De Vries et al. (2010) performed a retrospective analysis on two cohorts of patients who underwent surgery before and after implementation of the SURPASS checklist, with the specific aim to determine whether the introduction of the implemented SURPASS checklist affected the timing of antibiotic prophylaxis. Importantly, the retrospectively collected data (including those extracted from the electronic patient data management system) were validated by observations, in which actual times of antibiotic administration and incision were recorded. This approach validated the use of electronic records of hospitalized patient management. A total of 772 surgical procedures were included in the study, divided in two cohorts treated with pre- and post-implementation (PI) checklist, respectively. Patient characteristics were listed in Table 1 of the paper. The latter and the use of a PI checklist were independent variables. Dependent variables were the intervals between antibiotics administration and incision (Figure 2 of the paper), expressed as a function of checklist implementation, i.e. in surgery performed before or after checklist implementation. Since in the PI cohort the checklist was actually used in