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A Standard Business Plan Outline [Updated for 2017] This article is part of our Business Planning Guide a curated list of our articles that will help you with the planning process! Start from the very beginning understanding that your business plan ought to be specific to british colonists america your business needs and objectives. Every business ought to have a plan, but not every business needs a full formal plan with carefully crafted summaries and descriptions. Social Networks Essay. If you dont have a specific immediate need to show a formal business plan to a banker or investor, then you are probably better off doing just a lean business plan , for colonists in north your internal use only. To make the best impression on banks and investors, your business plan should be presented in the standard business plan format. Your business plan should present what a banker or venture capitalist expects to nursing see, in the order they expect to see it in. Following a standard business plan outline will keep you on track, and in north america, save you from botching your best chance at Social and Social Media Essay getting your business funded. Want to just skip ahead and in north, download our free business plan template? Just click here. I dont recommend writing the plan in the same order you present it as a finished document. For example, although the executive summary comes as the first section of a business plan, I recommend writing it after everything else is done, so you know exactly what appears in the rest of your business plan.

Likewise, although the management summary is usually presented toward the end of a finished business plan, it might be an easy place to start writing. And some people prefer to start with a mission statement, or strategy summary. Translate. Others like to focus on the numbers first, so they start with a sales forecast or spending budget. Start where you like, and get going. A healthy business planning process will always involve circling back often to check results and revise as necessary. If you have the british, main components, the order doesnt matter that much, but whats presented here is the sequence I suggest for did albert accomplish a standard business plan. In this article, I will cover the following: You can click each of the above links to jump directly to that section. See an example of a completed business plan here, and learn even more about writing a business plan here. Write this last.

Its just a page or two that highlights the points youve made elsewhere in your business plan. Its also the doorway to your planafter looking over your executive summary, your target reader is either going to throw your business plan away or keep reading, so youd better get it just right. Summarize the america, problem you are solving for customers, your solution, the target market, the japanese, founding team, and financial forecast highlights. Keep things as brief as possible and entice your audience to learn more about british colonists america your company. Describe the problem that you solve for essays your customers and the solution that you are selling. It is always a good idea to think in terms of customer needs and customer benefits as you define your product offerings, rather than thinking of your side of the equation (how much the product or service costs, and how you deliver it to the customer). Sometimes this part of the plan will include tables that provide more details, such as a bill of materials or detailed price lists, but more often than not this section just describes what you are selling and how your products and services fill a need for your customers. British Colonists In North. You need to know your target marketthe types of customers you are looking forand how its changing. Use this section to Essay discuss your customers needs, where your customers are, how to reach them and how to deliver your product to them. British In North America. Youll also need to know who your competitors are and translate, how you stack up against themwhy are you sure theres room for you in this market?

Use this section to outline your marketing plan, your sales plan, and the other logistics involved in actually running your business. Youll want to cover the technology you plan on in north america using, your business location and japanese, other facilities, special equipment you might need, and your roadmap for getting your business up and british colonists in north, running. Finally, youll want to translate essays outline the key metrics youll be tracking to make sure your business is headed in the right direction. This section is an overview of who you are. It should describe the organization of your business, and the key members of the management team, but it should also ground the reader with the nuts and british colonists, bolts: when your company was founded, who is/are the nursing definition, owner(s), what state your company is registered in and where you do business, and when/if your company was incorporated. Colonists In North. Be sure to include summaries of invasion, your managers backgrounds and british in north, experiencethese should act like brief resumesand describe their functions with the company. Full-length resumes should be appended to Issues the plan.

At the very least this section should include your projected profit and british, loss and cash flow tables, and a brief description of the assumptions youre making with your projections. Finally, if you are raising money or taking out loans, you should highlight the money you need to launch the business. Listen to Tim Berry discuss lean business planning: 2.3 Validation of Problem and holistic nursing, Solution. 3.2 Target Market Segment Strategy. British. 3.5.1 Competitors and Alternatives. 4.3 Location and Facilities. 5.0 Company and Management Summary. 5.1 Organizational Structure. 5.5 Company History and Ownership. 6.3 Projected Profit and Loss.

6.5 Projected Balance Sheet. Cash flow is the translate, single most important numerical analysis in a business plan, and a standard cash flow table should never be missing. Most standard business plans also include a sales forecast and british, profit and loss statements. Social Networks Media Essay. I believe they should also have a separate projected balance sheet, projected business ratios, and market analysis tables, as well as personnel listings. I also believe that every business plan should include bar charts and pie charts to illustrate the numbers. Size your business plan to fit your business. Remember that your business plan should be only as big as what you need to run your business. British America. While every business owner should have an ongoing planning process to help them run their business, not every business owner needs a complete, formal business plan suitable for submitting to a potential investor, or bank, or venture capital contest. So dont include outline points just because they are on a big list somewhere, or on this list, unless youre developing a standard business plan that youll be showing to someone who expects to and Social see a standard business plan. Consider lean business planning writing a business plan doesnt have to be a long, painful process.

Instead, you can use the Lean Planning method to british get started easier and finish faster. Lean Planning will help you start your business in a way that improves your chances of success. This methodology is baked into LivePlan . Dont make common mistakes. Ive seen thousands of business plans, good and bad, and I can tell you that avoiding these common business planning errors will put you far ahead of the curve. Sample business plans: Over 500 free sample business plans from various industries. Uri Bronfenbrenner. Business plan template: This fill-in-the-blank business plan template is in the format preferred by banks and colonists, the U.S. Small Business Administration (SBA).

How to start a business: An easy-to-follow six-step process for starting a new business. LivePlan: Easy cloud-based business planning software for Resolving Alienation Essay everyone. British Colonists In North America. This online software includes expert advice, built-in help and more than 500 complete sample business plans. Business plan consulting: Were here to give you the tools to write your business plan on your own. But, sometimes its nice to have a professional guide you through the process. Let an expert MBA create a business plan for your business in did albert einstein accomplish five business days. It have really helped me a lot, I `m currently busi with starting my own company that will take the world by storm and I really need someone who is not scared to invest on me since I don`t have cash. what is the first thing you would do to start a business. what are the british colonists, highlights of making a business plan? im thinking about starting A business. The Small Business Administration has a great tool for people who are preparing to japanese invasion open their own businesses. The Small Business Planner can be found at: It has a great step by step guide on how to british america prepare for invasion and open a business as well as additional tips on writing your business plan.

Thanks for this information. The information and the sample plans really continue to boost my energy and excitment over colonists in north starting my new business venture. Japanese Invasion. That#8217;s great. We love to hear about someone excited about Entrepreneurship! Good luck to you and your new business! I#8217;m going to join HSBC young entrepreneur Award and they require a outline limited to british colonists in north 1000 words. If I use your outline model, it will be so long, won#8217;t it ? The outline is essays, completely customizable in business plan pro. You can add topics, delete topics, rename topics and colonists in north, move topics. You might also find some of uri bronfenbrenner, our resources on writing a business plan for a competition to be helpful.

Specifically: Read Tim Berrys white paper about business plan competitions. British Colonists In North America. Thank you for holistic definition your question. Palo Alto Software. Thank God I found what I was looking for. how to do business plan for spectacles and eyeware company? This is a question we get quite a lot Ashwini. Colonists In North America. #8220;How do you write a plan for __specific type of business___#8221; We have created the website as a resource for people to get the information they need to write their business plans or help in the course of their business. We don#8217;t write business plans here. We aren#8217;t a consulting company. Resolving Issues. We write business planning software that walks you through writing your business plan step by step and helps you with the colonists in north america, process of planning your business. On the bplans website you can find resources that will help you in creating a business plan for an eyeware company, but most likely, you won#8217;t find a sample plan for that exactly. You#8217;ll find the translate, tools to write that plan yourself. I hope this was helpful, and good luck in your venture!

Very good guide i#8217;m doing a business plan course and america, I found it very helpful I am useing it and its helping a lot very greatful for your site. Regards and best wishes for the future from Malta. THE BUSINESS PLAN SAMPLES GAVE ME A CLEAR UNDERSTANDING OF THE PRINCIPLES NEEDED IN ORDER TO PREPARE MY BUSINESS PLAN FOR A HALFWAY HOUSE DRUG REHABILITATION PROGRAM THAT I PLAN TO START. THANKS! Thanks for uri bronfenbrenner briefing on british america business plans.Learned something from you.Surely i will visit again for more information. If you do a search on the website for SWOT you#8217;ll find several articles on did albert the subject. Hope that helps!

You can search on the website for some examples of complete business plans. Hope that helps! Thank you for your assistance it has really made my work easier.I wish there were avenues for people to send in their questions on the subjectfor help as to how to prepare a business plan of a specific nature. There are several resources, some even here on this website. Colonists America. You can locate the japanese, Expert Advice tab at the top of the page or by doing another Google search for forum#8217;s designed to assist people looking for specific help.

There are also consultants you could look into, like Masterplans. British Colonists In North America. Thanks a great deal for your guidelines on uri bronfenbrenner writing business plans. British America. This site is holistic, 100 times better and british colonists in north, educative compared to other publications. I would be grateful if you could send me a copy or draft of any real life small/medium size business plan for Resolving Essay any income generating business in the retail industry. Very helpful thanks#8230; I#8217;m in preparation of british colonists, a Business Plan for a small scale enterprise for a financial company catering financial products and services.

Any creative and holistic nursing, innovative ideas are encouraged for my creation of Business Plan. I just started an LLC and my biggest hang-up in writing my business plan is my financial forecast. Any suggestions would be greatly appreciated! I am looking into it along with a partner to start a company that imports stand-up comedians to british colonists a certain area. Holistic. This company will be based on british colonists america only two persons putting money into the company and be working on a very low budget.

I have been looking over the sample plans but none of Networks and Social Essay, them seem to in north fit to what I am looking at. Is there anybody out there who could point me in the right direction on how to make my business plan for such a small agency? It would be great if you knew of a good template that I could go by. Any help would be great. Thanks and good luck to you all out there. There are many free sample business plans available here at uri bronfenbrenner, browse through the list and you should find something that suits you. This is more of a question than a comment. The business plan outline is very helpful, but #8230; it#8217;s usually conceived for those who want to start a new business. America. My question is for did albert einstein advice on what to do with a business plan for revitalizing a dormant business in colonists in north the tourist industry in Indonesia.

Here are the particulars: an Indonesian firm owns two big river boats that used to take tourists (mostly from Issues, Europe and Japan) on river explorations. That has stopped because of financial mismanagement. In North America. I now have the essays, opportunity to revive this business, but it needs investment for rehabilitating the colonists, boats, reviving the market, adjusting what is and can be offered to holistic nursing tourists, etc. I have no own capital, but the expertise to run something like this. It needs investment which can be in british colonists in north america the form of direct investment or a loan from a bank. WHAT WOULD BE THE MAIN POINTS OF A BUSINESS PLAN that I couold show to private investors or banks?

I can be reached at Resolving Alienation Essay. Calculating the british america, value of japanese, your business is colonists america, vital if you are trying to find investors, apply for a loan, or sell your business to a potential buyer. Resolving Alienation Issues Essay. The Premier Edition of colonists in north america, Business Plan Pro includes detailed valuation tools that can help you determine a solid business valuation and translate essays, create a professional investment offering. Showcase the true value of your business with more advanced spreadsheets that describe the sources and uses of cash for any new or existing business. Business Plan Pro Premier Edition is recommended for an existing company. British Colonists In North America. The premier edition has advanced financials and can can forecast out up to ten years and in detail for up to two years.

Make sure you maximize the full value of your business by using this option, which is only available in the Premier Edition. Hope that helps! Palo Alto Software. business plan is a guiding principal to the entrepreneur because it explains the journey of the organisation from the Social, day of start and how it will carry on with its activities. with the recent competition organisational running needs to british colonists in north be systematic and this can be done with help of the business plan. in order for the organisation to succeed,its like some body traveling and he needs vehcle for traveling and so applies to uri bronfenbrenner entrepreneur he needs the british america, vehicle which is the business plan. Translate Essays. Hi, excellent article about business plans, I#8217;m currently starting a new business and writing the business plan is one of the british in north america, starting points for me to secure investment. Also the fact that you say that you don#8217;t necessarily need to follow the structure reassures me, as I won#8217;t be needing to but felt a little unsure about doing so. I am a painter and have been in the painting business for about twenty years. I was instrumental in Networks and Social Essay the starting up of the first paint company I worked for.

The steps were very basic and we made a lot money#8230;. The tools of the traid were purchased and british in north, we advertised our serviceses by canvesing neighborhoods and leaving our business cards. Now I would like to start this buissness for myself and I neeed to know how to write an effective business plan and/or a proposal to acquire more funds to uri bronfenbrenner start up. Colonists. I have purchased some of my equipment and a van, however, I still have some very cost oriented obsticals to did albert einstein accomplish overcome and I need some help. Anyone who has been in this business knows that the painting business is very lucrative and can be rewarding on colonists america many levles. I am not only good at what I do, I also like it. Is there really help out there for the minority start-up businessman? Im starting my own buisness, but right now I dont have. the japanese, capital to fund my project. Colonists In North. it will be a beauty supply based buisness and the. Translate Essays. area I found to run it will be perfect for this project. it has other buisnesses being built in this area, and british colonists in north america, the customer potential is great. Here is a great resource for getting the capital you need to start your business. Another great resource can be your bank.

Ask them about a small business loan. How to Get the Financing for Your New Small Business: Innovative Solutions From the translate, Experts Who Do It Everyday. British Colonists In North. Author: Fullen, S. Resolving Alienation Issues. Hello John S. Brown, Sr., Busines Plan Pro does a great job of helping you write a business plan for start-up funding. Colonists In North. Palo Alto Software. Dear Sharon Fisher, We have resources built into Business Plan Pro to help you get funding. Uri Bronfenbrenner. For example, some businesses choose to start by british colonists, bringing in investors for start-up funding, while others go to a bank for a business loan. Business Plan Pro has resources built in for both approaches (the SBA loan application for bank loans, the Venture capital Database for investment sources). Palo Alto Software. Issues Essay. i am want to establish to our own buisness in kashmir . plese suggest what plan suit for me .when i have not such fiancial position to develop a big buisness . In North. I want to set up a business of providing my clients with a door to door service of automobile Oil / Lub change while they are relaxed at home or office. Can some one help me with a Business / Marketing Plan. I need a professional Plan to holistic convince my bankers for british in north america finance and also possible investors interest in the project. SOS

Honestly, you may not find a sample plan that will exactly match your business model. You may find several that are close or related. What is important is that we include sample plans as idea generators and examples, not as plans that you can actually print and Social Networks Essay, turn in to a bank. All sample plans included are real plans. British Colonists. You may use them as a starting point, but even if one exactly matches your type of nursing definition, business, it will still have different start-up costs, location, management team and market research information. What is important is that Business Plan Pro will work to develop your own plan, for your specific business. In North. The Windows software package Business Plan Pro is an what did albert excellent tool for developing a business plan. I hope this was helpful!

Palo Alto Software. I wish you could create a downloadable page in application form style. It is always worthwhile to british in north america take time assessing your business plan before you commence a new project or company: mistakes which could prove costly in practice can be eliminated painlessly on paper! Remember that a Business Plan and what did albert einstein, your Marketing Strategies Plan are quite different, and british in north, don#8217;t forget your cashflow forecasts, profit and loss projections, start-up capital, ongoing capital, buy-out plans and expansion plans, bank financing and sales training! Setting up business on paper is quite a venture! Wow#8230;This has helped me out so much on my business plan. Your guide-line helps#8230; Hi, I#8217;m writing a business plan for Business class, and Social Networks Essay, it is in north america, a prety rough task. Japanese Invasion. Easy for me because my plan is based on averages and similarities between businesses. In my textbook though, it is mentioning things that are needed in a business plan, but I am finding it really difficult to see what is the most important information to colonists in north america take from the paragraphs. Another thing is, I am pretty confused on how to start writing a business plan, and how it should look.

I can#8217;t find any samples of business plans! I can only find outlines. I really like this outline the most because it goes into detail, but I#8217;m thinking that each different headline would have to be a different paragraph or page.. Holistic Nursing. or is it points? I#8217;m lost, please get back to me, thanks! it seems to be helping me. Colonists. Business Plan Pro includes 500+ sample plans. Realistically you may not find a sample plan that exactly matches your business model. You may find several in your industry that are close or related. It is important to understand that we include sample plans as idea generators and examples, not as plans that you can actually print and turn in to a bank. All sample plans included are real plans. You may use them as a starting point, but even if one exactly matches your type of business, it will still have different start-up costs, location, management team and market research information.

Business Plan Pro will guide you through the japanese, process with a flexible outline of about four dozen topics organized into chapters, topics, and subtopics, with links to british colonists america the proper tables and charts. Each topic has a split screen option that explains what should be covered, and where to find the information. With the click of a single button, you may view an definition example of what that topic will look like in the finished business plan. I hope this information was helpful. British In North America. Palo Alto Software. Quite helpful am going to have a try for uri bronfenbrenner my very important business plan, lets see how it goes and will report back immediately. I need a business plan for a ongoing patchwork shop can anyone help me thanks in in north america advance. Just a small question, I#8217;m 20 and want to buy a business for 200k what chance do i have with the bank? i would like to einstein accomplish start a corier business where do i start or get same help to.make business plan. i found this bussines plan is helpfull for me to british colonists pepare my bussines plan.

I think u should offer a sample on japanese invasion how to write a business plan, rather then just having a outline. I think u should offer a wide selection on colonists how to write a business plan, rather then just having a outline. Are there plans that can be used by holistic nursing definition, the debt buying / collection industry?? I am on the works of starting up a Wilderness Camp for youth who want ot learn about our culture and stuff. I am really enjoying it alot and it#8217;s getting me a brief description of how and america, where to run my business.My main goal is to teach children about races and we aren#8217;t so different so with this. It has really dug into my heart and made me reach out to so many different races.And to me, all races are vone. I am on the works of starting up a Wilderness Camp for youth who want ot learn about our culture and stuff. I am really enjoying it alot and it#8217;s getting me a brief description of how and where to run my business.My main goal is to teach children about holistic nursing races and we aren#8217;t so different so with this. It has really dug into my heart and made me reach out to so many different races.And to me, all races are one.

Fantastic, CJ! Good luck!! Palo Alto Software. British Colonists. My daughter has started her business successfully. Anyone of japanese, you who could use a great website, professionally developed should take a look at the link provided ( and discuss your needs with her. Her designer is awesome, her translator is great and her client#8217;s websites successfully generate the traffic necessary to succeed. My wife had 4+ experience in medical billing. she as team leader in one of the in north, leading medical billing in chennai. currently she left job. she want to doing business in medical billing. I am also support her. please give suggesion to me for start a medical billing business with less investment. Hello Tim, I#8217;m looking for a business plan for my vision which is helping women, women from jail, battered and hurt, how would I write a business plan for this. Networks And Social Media. Im impressed the summary will assist me especially because i am sourcing funding from my local bank in colonists in north america Nairobi Kenya. Social And Social. I do not have any examples but I have viewed a few different business plans that are in different industriess and vary in size.

A Business plan does not have to be a huge task although the bigger the business, the more in in north america depth the business plan should be. I have heard of people that have written their bp#8217;s on cocktail napkins. If you are just starting out and want to uri bronfenbrenner work from home to begin with write down your plan. You aren#8217;t going to just sit on your couch and british colonists in north, have work fall in your lap, are you? How are you going to get the work? Do you already have customers lined up? How much money are you going to have to invest?

Do you need to buy equipment? Are you going to have to nursing definition hire help? These are some of the basic questions that you can write down and america, the answers are your business plan. Maybe you could start by writing the Social and Social Media Essay, answers to the questions above and british, then sit down and japanese invasion, ask yourself some more questions and colonists america, then answer them. After you have compiled a list of questions and answers organize them by using the Outline. The bottom line you can#8217;t use someone elses business plan.

It has to did albert be for you and your business alone. Someone else may have answered all of those questions differntly. Be unique. If you find you just can#8217;t figure it out, hire someone to do it for you and if you do figure it out maybe you could open a business that writes business plans for other people. Oooh that sounds like a good idea I gotta go!

I have something I want to colonists in north america write:) Geek in the Woods. Nursing. sir, iam vishnu doing btech in college of engg perumon,kerala,india.i have ablog named as above.iam very much interesting in business u pls give me some business articles and i will post that in my blog,in that way i can understand others abt wat business they will look like. all in all i have no plan for this, in fact i searchin also for plan. I have been writing business plans for a while now, for myself and others. British Colonists In North. Wondered if any one knows about and Social Media Greek business plans, as I have to colonists in north convert mine to the market I live in, which is Greek spaeking. If any one Knows please email Uri Bronfenbrenner. where does the SWOT anyalsis fit in? Under Market Anaysis or Strategy? i need to start up a training fascilitie for training technical personell for two companies and a comprehensive repair and service workshop. no capital but willing and good technicians to venture in america with me. What. please help i have the training college but have to sumbit businees pplans to take over the fascilitie. please help me. with a good business plan. We have established an IT company in India. Our focussed technology is Oracle Apps ERP. British Colonists In North. We have a good development centre in translate essays India and also offices in USA. Can anybody help me in preparing a Road Map for our business for the next 3 years? Thanks.

One thing I notice is british america, that a lot of translate, these people asking for help with business plans have trouble with their grammar and colonists america, communication skills. These are VERY important for a business plan. A business owner should be able to clearly communicate what their business does, why they are a good investment opportunity, and how goals will be reached. I#8217;m not trying to destroy anyone#8217;s dreams, just inject a dose of reality. Ive read an article on entrepreneur#8217;s website about Creating a Sales Forecast by mr Berry. It also mentions that you can find an existing product similar to your product and looking at their sales and uri bronfenbrenner, base your sales on that. But, how and colonists america, where would I find info on how much sales units a similar product in the industry has? Is their a website I could go to Issues in order to find this info? Thanks for the info, as a rapidly growing company any help with procuring investment and customers is always welcome, your newsletters have helped me in more ways than one and nudged me in the right direction, and i am indebted, as you have certainly helped my business grow. when experiance get in one folder in an organized way it gives knowleges for other who do not have experiance for the situation. what i have got here is this. i have no experiance in business planning before, but know i`m with enormous knowledge about planning because of british in north america, bplanning. This Site Really help my Business Reports. Did Albert. I want to start up my own business and need to write a business plan for a medical diagnostic company but i don#8217;t have a clue as to how to america go about this. pls can you help?

This is holistic nursing definition, quite educative and revealing. It is quite helpful and a good guide for developing economies like ours, nigeria. i have liked the tips.please increase content or acess to your samples. I am trying to get a business/charitable project off the ground. I am sophomore in colonists college so I have very little experience, but I know exactly what I want to essays do. Any tips on starting? I can#8217;t believe this is colonists, a free site! not even a registration is required to access all of the valuable resources and information! this is by far the best website I#8217;ve ever visited.

Thanks a lot and keep it up. i am 40 years old. i am writing a business plan on a water processing and distribution business to be located in the assin district in the central region of ghana where we shall initially supply, then the whole region, country and in the near future the west africa subregion. can anyone come to my aid with sponsorship for translate the initial capital. anyone willing to sponsor this project can kindly contact me on I wanted to british in north start a Family Entertainment Center.. none of the sample plans are really helping me#8230; help please! If you have any experience in this industry. Thanks.. thanks#8230;the info was really beneficial for me#8230; HI.I AM VERY INTERSTED ABOUT ISSUE OF SETTING UP BUSINESS PAN.DONT LET PEOPLE KNOWN WHAT YOU WANT TO ACHIEVED BUT LET PEOPLE SEE WHAT YOU HAVE ACHIEVED BECUSE THESE PEOPLE MAY BE DIFFICUTIES ON YOUR WAY. I need a business plan for a simple laundry shop can anyone help me thanks in me.. mail to me I really want to run a restaurant for my own. However i am afraid to run it in a bad situation of Global Crisis. Few of people are eating outside so my plan must be delay. What I want to say to everyone is that, i have do research for some source from many websites but the best website i have met is uri bronfenbrenner, this website.It is a very good website that i can get lots of informations for preparing myself for my business, restaurant. It is amazing the this website is free#8230; Therefore is there is someone one to give me some advide for running a restaunrant please contact me through email: i would like to start up a business on colonists in north america broiler production,because i do not have sufficient funds to start it,i am required to provide a business plan in order to be assisted with finance,can you please send me a logical way to write a business plan,what comes first and Resolving Alienation, what comes last? awesome im doing a competition with school and this really helped because ive been assigned with the job of writing a business plan! im 13!

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Your business plan is a living thing. there is seen a obstacles and unseen..the planner should keep in mind and forward accordingly ,,I think -in my limit knowledge- the shown article gap or bridge to understand more what is require..its right way to start or helpful. Planning is an important component of strategic Business management.Thank you for sharing the plans for in north america starting a business.I agree with you. After you have your plan, you will need leads and Media Essay, then tools that help you track your leads and test your market. There#8217;s a simple and inexpensive way to do this that can benefit your business greatly and save you a lot of british colonists america, time. Click on my icon to find out more. Click here to Social and Social join the british in north america, conversation ( ) Have something to say about this article? Share it with us on: Bplans is owned and operated by uri bronfenbrenner, Palo Alto Software, Inc., as a free resource to help entrepreneurs start and run better businesses. 1996 - 2017 Palo Alto Software. All Rights Reserved | We're Hiring! Try the #1 business planning software risk-free for 60 days.

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Pourquoi Lady Macbeth se suicide-t-elle ? Maitre de conferences de litterature anglaise, Universite Lumiere-Lyon 2. Libres cahiers pour la psychanalyse. Pages : 138 ISBN : 9782848350950 DOI : 10.3917/lcpp.013.0115 Editeur : In Press A propos de cette revue Site de la revue. Sommaire des nouveaux numeros. ALERTES EMAIL - REVUE Libres cahiers pour la psychanalyse. Votre alerte a bien ete prise en compte. Vous recevrez un email a chaque nouvelle parution d'un numero de cette revue. Erreur lors de l'enregistrement de votre alerte. Vous avez deja enregistre cette alerte.

Vous pouvez gerer vos alertes depuis le menu Mon Dans ce monde ou la nature meme du temps est viciee, toute action est vouee a la futilite et a la nullite : aucune autre des tragedies de Shakespeare que Macbeth ne va aussi loin dans laffirmation de cette vanite. C onfronte aux interpretations psychanalytiques des ?uvres litteraires, le critique est toujours mal a laise et souvent reticent. British In North! La critique moderne nous a habitues depuis des decennies a recentrer notre attention sur laspect artificiel des personnages, les personnages comme artefacts, comme pures creations dun esprit, et a ne pas ceder a la tentation de les considerer comme des etres humains de chair et de sang, attitude facilement decrite comme anthropomorphe. Social! Ce recentrage sur lartificialite du personnage a dabord pris la forme dune attention accrue portee au texte : analyser tout ce qui est noir et blanc sur la feuille de papier, oui mais imaginer ce qui peut se trouver derriere, au-dela des mots, dans ce hors-texte ou nous avons limpression detre entraines malgre nous, ne peut etre que reverie sterile, puisque le dramaturge a choisi de ne rien nous donner de plus : le personnage est reduit a une liste de mots, et cest tout. In North! Cette ecole, a sa naissance, sopposait a la grande tradition de la critique de lepoque victorienne pour laquelle les personnages etaient des etres quasiment vivants quil etait legitime detudier du point de vue de la psychologie, tradition dont le plus eminent representant dans le monde de la critique shakespearienne fut Bradley [1] [1] A. Uri Bronfenbrenner! C. British Colonists In North! Bradley, 1851-1935, Professeur de poesie a Oxford. What Accomplish! . Plus tard, cest le structuralisme qui vint conforter ce refus de sinteresser a la psychologie des personnages. Colonists! En 1928, Propp [2] [2] V. Japanese! Propp, Morphologie du conte, 1928. America! avait deja popularise la notion dactants, selon laquelle un personnage doit setudier non pas pour ce qui fait sa particularite, sa singularite, mais au contraire pour ce qui le rend universel a linterieur de schemas que lon retrouve dans toutes les formes dhistoires, schemas qui forment la structure profonde de tout recit humain : le litteraire est, en quelque sorte, reduit a la narratologie. Invasion! Pour Greimas, qui a tire les consequences des idees de Propp, un personnage (mot que, dailleurs, Greimas recuse pour ses connotations anthropomorphes) est un sememe , cest-a-dire un ensemble de semes ou dunites de sens ; il nest quune machine a produire des enonces, et il est dote par son auteur des caracteristiques necessaires aux actions que ce personnage doit entreprendre ou subir en scene : par exemple une apparence physique, une personnalite, une identite ; tout le reste, que ce soit vetements, allure, langage, accent, particularites physiques ou psychologiques, tout ce qui a ete omis par lauteur, ninteresse que le metteur en scene ou lacteur, qui vont devoir donner chair au personnage. British! La representation theatrale apparait des lors dune certaine facon comme moins pure que le texte de la piece, puisquelle oblige a compromettre la rigueur du texte par la necessite materielle de representer, et donc detoffer, ce sememe autosuffisant.

Ces travaux sont dune importance capitale pour montrer que lesprit humain ninvente pas des histoires infiniment renouvelees, mais se contente en fait dadapter un petit nombre de schemas qui semblent se retrouver dans tous les pays, dans tous les temps tout le reste netant quhabillage. Invasion! Cela dit, le spectateur qui va assister a une representation de Macbeth ou le lecteur qui sort les ?uvres completes de Shakespeare de sa bibliotheque neprouvera quun interet tout relatif a ces exercices de deconstruction de la piece : tout au plus ce type de critique pourra-t-il lui prouver quil aurait aussi bien pu sinteresser a une multitude dautres ?uvres, theatrales ou romanesques, dont la structure narrative sous-jacente est exactement la meme. Colonists In North! Ce qui interesse le lecteur ou le spectateur, cest au contraire la specificite dune ?uvre, limpression de reel quelle donne, cest la complexite, la particularite, en bref tout ce qui est unique dans une ?uvre ; le plaisir du contact avec la litterature ne peut bien evidemment se reduire au demontage dune structure. And Social Media Essay! La recherche theorique dans ce domaine peut sans doute ajouter au plaisir intellectuel du lecteur ou du spectateur averti, mais certainement pas causer lenchantement. Les exigences du structuralisme rigide sont finalement assez faciles a repousser, du moins si on british colonists in north se place dans le siege du spectateur ou du lecteur, qui eprouve bien evidemment le desir humain dexpliquer : la notion de personnage comme sememe ignore ce desir de comprendre pourquoi, de chercher des enchainements logiques dans les attitudes et les actions et, tout naturellement, daller chercher des explications profondes au comportement du personnage, non pas dans son positionnement sur une grille actantielle, mais dans les raisons qui peuvent etre enfouies au plus profond de lui-meme. Or, un personnage de theatre est une construction bien particuliere par rapport a un personnage de roman. Japanese! Remarquons tout dabord que nous sommes en train de comparer des ?uvres de taille differente ; un gros roman comme Notre-Dame de Paris de Victor Hugo compte 180 000 mots, et un roman de Dickens peut en comporter le double. Colonists In North America! Par comparaison, la plus longue des pieces de Shakespeare, Hamlet , natteint pas 40 000 mots et Macbeth se contente da peine plus de la moitie de ce chiffre. Invasion! Le roman offre a son auteur lampleur necessaire pour mieux expliquer, mieux creuser, mieux justifier ; la piece de theatre, plus rapide, plus nerveuse, ne peut rivaliser sur ce plan : jamais Racine ne fera jeu egal avec Proust dans la complexite exprimee. Colonists America! Dautre part, une particularite du roman je parle la du roman en general, meme si des cas particuliers sen ecartent, la nature de lart etant que les normes et les conventions sont en permanence remises en question est la presence dun narrateur, ou instance narrative, qui decrit, qui explique, qui justifie.

Rien de tel au theatre, ou la notion meme de narrateur pose probleme. What! Depuis la disparition du ch?ur antique, et en dehors de quelques tentatives isolees, tout commentaire doit necessairement passer par un personnage, et est en quelque sorte mis en perspective par ses conditions denonciation ; toute interpretation dun personnage devant necessairement etre presentee par un autre personnage lui-meme integre dans laction, dans une situation particuliere et unique, cette explication est immediatement soupconnee davoir un role dans lintrigue ou de nous en apprendre plus sur le personnage qui la donne que sur lobjet de sa remarque : quand il parle de Lady Macbeth, Macbeth nous en apprend-il plus sur elle ou sur lui-meme ? Bref, pour toutes ces raisons, le personnage de theatre nous est particulierement opaque. British America! Et pour ces memes raisons, la tentation est forte de sinteresser au hors-texte pour completer ce texte qui est a la fois si emoustillant par les vides quil laisse apercevoir, et si decevant dans lexplication quil en donne. Uri Bronfenbrenner! Au theatre plus encore quavec les autres genres litteraires, nous avons limpression quil existe un ailleurs, que cette vue etroite que nous avons sur la scene est reductrice, quil doit se cacher autre chose quon ne veut pas nous montrer, en coulisse ou derriere le rideau. British In North! Et lacteur lui-meme nous encourage dans cette illusion : comment pourrait-il jouer un role sil ne savait rien de la veritable nature du personnage ? Comment construire un personnage en scene si, a toute question posee par le comedien, la reponse est immanquablement : Votre question na pas lieu detre, car ce que vous voulez savoir nexiste pas. Uri Bronfenbrenner! Comment jouer Hamlet si on british colonists in north america ne connait pas son age, dix-neuf ans, comme certains passages de la piece le laissent supposer, ou une trentaine dannees comme cela apparait a un autre moment [3] [3] Dans la scene du cimetiere (Hamlet, Acte 5, scene 1). Holistic Definition! ? Comment jouer Lady Macbeth sans savoir si elle a ete mere ? La ou le critique litteraire crie au psychologisme, lacteur voit une necessite de son art. La tentation devient meme irresistible si lauteur est Shakespeare : le dramaturge elisabethain excelle a titiller notre curiosite, a semer des indices qui semblent mettre un corps et un esprit sur ces creations purement intellectuelles, purement mecaniques diraient certains structuralistes, que sont ses personnages, meme les plus secondaires. British Colonists! Dans ses pieces de la maturite, Shakespeare habille ses moindres personnages, serviteurs, confidents, assassins, soldats, de lapparence de la vie, il les individualise bien au-dela du necessaire ; que dire alors de ses personnages principaux, qui acquierent une personnalite totalement convaincante ; lanthropomorphisme simpose alors comme une evidence. Definition! Cela explique sans doute pourquoi les personnages shakespeariens ont ete sans cesse expliques encore et encore, revisites, reinterpretes, reutilises dans les domaines les plus divers, transplantes dans dautres formes dart comme sil etait possible decrire la suite de leurs aventures : de la piece Rosencrantz et Guildenstern sont morts de Tom Stoppard [4] [4] Rosencrantz and british in north america Guildenstern Are Dead, 1967. Holistic Nursing Definition! , entierement construite autour des deux comparses de Hamlet , a lindustrie hollywoodienne qui semble ne jamais se lasser de transposer a lecran le corpus shakespearien, de Coriolan charge de messages politiques contradictoires dans les annees 1930-40, a la transformation de Caliban en porte-drapeau des intellectuels caribeens dans les annees 1960 : la liste est quasiment sans fin des reinterpretations, nouvelles explications, justifications renouvelees des personnages shakespeariens.

Lady Macbeth a-t-elle porte et nourri des enfants ? Je citais plus haut cet exemple dune question que toute actrice jouant le role pose ou a envie de poser, mais qui ne recoit pas de reponse univoque dans la piece et qui, en consequence, a deja fait couler beaucoup dencre. British In North! La question est tellement fondamentale quelle est devenue emblematique de cette approche critique qui cherche a approfondir la psychologie des personnages. Japanese! Des 1946, L. Colonists In North America! C. Holistic Nursing Definition! Knights mettait en garde contre cette illusion en modifiant cette question pour en faire ressortir les limites, sous la forme : Combien denfants avait Lady Macbeth ? , dans son essai du meme nom [5] [5] L. Colonists In North America! C. Nursing! Knights, How Many Children Had Lady Macbeth ? . British America! . Social! La reponse, bien sur, est que nous nen savons rien, Shakespeare nayant pas souhaite nous renseigner meme si cela ne nous empeche pas dy reflechir. Dune part, Lady Macbeth semble bien avoir eu des enfants, puisquelle nous dit quelle a allaite et quelle sait ce que cest que daimer un enfant que lon a au sein [6] [6] I have given suck, and america know / How tender tis to. Translate! ; Macbeth, impressionne par sa resolution, lui dit quelle ne devrait mettre au monde que des enfants males [7] [7] Bring forth men-children only british in north america, (Acte 1, scene 7. Nursing! , sans quon sache bien si cela implique que son epouse est encore fertile ou sil sagit simplement dune image. British Colonists In North! Mais plus tard Macbeth decrit son pouvoir royal comme la possession dune couronne infertile et dun sceptre sterile [8] [8] Fruitless crown , Barren sceptre (Acte 3, scene. Japanese! , comme sil navait pas de descendants ; il est possible que Macbeth se refere tout simplement a la prophetie des sorcieres qui lui ont annonce que son successeur serait Fleance, le fils de Banquo, et non ses propres enfants mais, dans ce cas, on british colonists in north america comprend mal quil ny ait pas une seule allusion dans la piece a ces hypothetiques enfants de Macbeth destines a etre prives de leur heritage. Social And Social Essay! Enfin, lexclamation ambigue de Macduff apprenant que toute sa famille a ete passee par le fil de lepee par Macbeth, Il na pas denfants [9] [9] He hath no children (Acte 4, scene 3, vers 216. In North! , est souvent consideree comme confirmant la these de la sterilite du couple Macbeth, quoique dautres lectures aient ete proposees [10] [10] Certains critiques ont imagine que Macduff pourrait. Translate Essays! . Freud lui-meme preferait cette lecture de la piece, considerant que le fait pour Macbeth detre sans enfants et pour sa femme detre sterile pouvait etre considere comme la punition de leurs crimes envers la saintete de la generation , conforme a lesprit de la justice poetique fondee sur le talion [11] [11] Freud, Linquietante etrangete , 1919 ; in in north Connaissance. What! . America! Mais il nous faut reconnaitre et Freud est le premier a le faire quil ne sagit ici que dune interpretation hasardeuse du document, basee sur une reconstruction de la vie des personnages hors texte . Japanese Invasion! Et il reste, de toute facon, a concilier cette sterilite avec les declarations anterieures de Lady Macbeth sur son experience de mere.

Freud suggere que lincapacite du couple Macbeth a engendrer pourrait etre a lorigine de levolution des personnages apres le meurtre de Duncan ; mais il ecarte bien vite cette hypothese. British In North! Le fait que Holinshed, la source de Shakespeare pour cette piece, ne mentionne pas cet element nest pas en soi un obstacle ; mais, par contre, Freud est arrete par le faible laps de temps au cours duquel se deroule la tragedie : alors que chez Holinshed le regne de Macbeth dure dix ans, ce qui fournit une duree pendant laquelle une esperance denfants constamment decue pourrait user la femme et entrainer lhomme a un defi furieux (p. Translate! 156), Shakespeare ramasse sa tragedie en un temps tres court, que Freud estime a une semaine, ce qui, pour lui, exclut ce type devolution : Le temps manque , ecrit-il. Colonists In North America! Freud admet bien evidemment que la concentration du temps est necessaire a leffet dramatique et nest pas choque quun dramaturge lutilise, mais ne laccepte que la ou il ne trouble que la vraisemblance, mais non quand il supprime lenchainement causal (pp. Invasion! 156-7). British In North America! Ces remarques de Freud nous entrainent au c?ur du debat sur ses lectures de Shakespeare. Japanese! Pour le critique daujourdhui, Freud mele les intuitions fulgurantes, qui vont en un trait jusquau c?ur du probleme, et ce qui risque de nous apparaitre, avec le recul du temps, comme des naivetes : la critique litteraire a evolue, les outils theoriques mis a notre disposition egalement, et il serait mal venu de reprocher a Freud de navoir pas connu des notions de critique qui nont vu le jour que plusieurs decennies apres ses reflexions. Le temps manque : cest egalement la reaction du lecteur quand il entend Othello, marie depuis quelques jours, se plaindre de ce que Desdemone ait eu rendez-vous mille fois avec Cassio depuis la ceremonie. British Colonists! Cest dailleurs a propos d Othello que la notion du double schema temporel ( double time scheme ) a ete theorisee : les critiques sont arrives a la conclusion que le dramaturge, qui ecrivait exclusivement pour la scene [12] [12] Rappelons en effet que Shakespeare necrivait pas ses. Invasion! , pouvait en fait mener son intrigue suivant deux schemas temporels distincts, un temps court et un temps long qui ne sexcluent pas mutuellement.

Le spectateur est entraine par le flux de la representation, son attention constamment fixee sur le moment present, sans quil ait le loisir de reflechir et de comparer differents moments de la representation ; tout lart du dramaturge, du metteur en scene et des acteurs est de lui interdire le recul, si bien que Shakespeare peut, a certains moments, hater le deroulement de sa tragedie et a dautres donner limpression quOthello et Desdemone sont un vieux couple deja bien installe. Colonists! Le lecteur, au contraire, ne peut pas avoir la meme perception, le meme rapport a la piece : il est au calme dans son cabinet de travail et il peut a loisir interrompre sa lecture pour reflechir, ou revenir sur un passage anterieur, et sapercevoir de la manipulation. Alienation Issues Essay! Voila une notion qui nous parait aujourdhui simple, mais qui navait pas encore ete theorisee a lepoque ou Freud analysait Macbeth , et qui aurait pu lui permettre de ne pas en rester a lexcuse du manque de temps pour interrompre la sa reflexion. Car Freud etait, cest une evidence, sur la bonne voie : la meilleure preuve en est que son article sur les raisons du suicide de Lady Macbeth est aujourdhui encore reproduit dans les editions recentes de la critique sur Macbeth . In North! Quun clinicien comme Freud se soit interesse aux causes dun suicide est comprehensible ; dautant plus quon a fait remarquer que le medecin qui accompagne Lady Macbeth annoncait la figure du psychanalyste moderne, a lecoute, le carnet a la main ( Je vais noter tout ce quelle dira pour mieux fixer mon souvenir ) [13] [13] I will set down what comes from Resolving Alienation Essay, her, to british in north satisfy my. Social Media Essay! . Colonists America! Plus profondement, Freud a etabli lidee, aujourdhui acceptee, que les grandes ?uvres litteraires disent une verite qui depasse leurs auteurs et quon y trouve en germe des idees que la psychanalyse moderne a pu developper par la suite : le poete precede le psychanalyste, selon la formule de Jacques Lacan. Le fait que Freud se soit interesse a deux aspects du personnage de Lady Macbeth, dune part a son suicide et dautre part a la fameuse question concernant sa maternite evoquee plus haut, est revelateur. Resolving Essay! Le rapprochement entre ces deux aspects du personnage, que Freud ne lie pas explicitement, nous offre probablement la clef du personnage. In North! Cette sterilite de Lady Macbeth, dans une piece ou Macbeth cherche a tuer Fleance, fils de Banquo, ou il fait assassiner tous les enfants de Macduff, et ou ce meme Macduff a du etre arrache avant terme aux entrailles de sa mere [14] [14] Macduff was from holistic definition, his mothers / Womb / untimely rippd . In North! fait partie dun ensemble qui nest comprehensible quau niveau de la totalite de la piece, et non pas en se concentrant sur le personnage de Lady Macbeth.

La piece tourne tout entiere autour de la notion de sterilite, reelle ou recherchee. Resolving Alienation Essay! Il sagit la dune serie semantique, dune isotopie presente dans le texte, qui lui donne sa forme et qui prend le dessus sur la psychologie individuelle des personnages. British Colonists America! Les meres nont (peut-etre) pas eu denfants, et si elles en ont eu, comme Lady Macduff, cest pour les voir se faire assassiner [15] [15] Acte 4, scene 2. Translate! . British In North America! Les actions, dans cette piece, sont elles aussi vouees a la futilite et a la vacuite, naboutissant pas. Japanese Invasion! Ou, plutot, si, elles aboutissent mais ne servent a rien. Colonists! Macbeth tue pour obtenir la couronne ; or il est conscient des sa premiere rencontre avec les sorcieres que cette action est inutile puisque la prophetie na pas besoin de lui pour se realiser : Si le hasard veut que je sois roi, eh bien le hasard peut me couronner sans que je bouge [16] [16] If Chance will have me King, why, Chance may crown. What Did Albert Accomplish! . British In North America! En dautres termes, Macbeth tue pour rien. Remarquons dailleurs que ces sorcieres, dont la fonction premiere semble etre de prophetiser, sont en fait les Parques : a six reprises elles sont nommees dans la piece the translate, Weird Sisters ; si le sens du mot weird , en anglais moderne, a devie, il nen demeure pas moins quen vieil anglais le mot weird signifiait le destin, et que cette connotation du mot etait encore sensible a la Renaissance [17] [17] Le mot anglais weird partage une origine commune avec. British! . Japanese! Les trois s?urs sont liees au temps quelles maitrisent, puisquelles representent le destin, et que simultanement elles le nient, puisque le destin est par definition ecrit davance ; elles peuvent, nous dit Banquo, voir dans les germes du temps et reveler quelle semence levera ou ne levera pas [18] [18] If you can look into colonists in north america, the seeds of definition, time / And say. British Colonists In North! , image organique qui envisage les actes comme des etres vivants et qui, par le vocabulaire de la graine et de la germination ou de son absence, lie de facon frappante la sterilite feminine et la sterilite de laction. Dans ce monde ou la nature meme du temps est viciee, toute action est vouee a la futilite et a la nullite : le meurtre de Duncan etait inutile, nous lavons vu ; le meurtre de Banquo egalement, puisquil ne devait etre que le pere du futur roi, et non couronne lui-meme ; et lattentat contre Fleance est voue a lechec puisquil est contraire aux propheties. Japanese! Aucune autre des tragedies de Shakespeare ne va aussi loin dans laffirmation de la vanite de laction. British America! Alors que le roi Lear vit dans une sorte de vide temporel et que Hamlet finit par sen remettre a la Providence divine, Macbeth, lui, militaire qui a vecu toute sa vie dans laction, ambitieux qui a cru conduire sa carriere de main de maitre, meurt convaincu de linutilite et de la sterilite de toute action humaine ; peu avant sa disparition, il se declare persuade que la vie nest qu une histoire contee par un idiot, pleine de fureur et de bruit et qui ne veut rien dire [19] [19] It is Media Essay, a tale / Told by british colonists in north america an idiot, full of uri bronfenbrenner, sound and. British Colonists America! . Cest lenchainement meme de la logique temporelle, de la suite naturelle des actions qui disparait dans cette piece : les adultes ne se reproduisent pas, ou donnent naissance a des enfants qui ne seront jamais adultes a leur tour ; les morts reviennent, alors qu il fut un temps ou, quand la cervelle avait jailli, lhomme mourait et tout etait fini [20] [20] The time hath been / That, when the Social and Social Essay, brains were out. British Colonists America! . Issues! Aucune surprise donc a ce que dans cette piece ou laction ne peut, nous lavons vu, quetre sterile, Lady Macbeth ne puisse cueillir les fruits de ses actes.

Macbeth tue en sachant que le meurtre est inutile, puisque son couronnement est deja inscrit dans les graines du temps ; Lady Macbeth tue egalement, bien que son but ne soit pas le resultat de cet acte, mais se situe au-dela, peut-etre au-dela du plaisir. Colonists In North America! Rien detonnant donc a ce que Lady Macbeth aille jusquau bout, jusqua laneantissement. Holistic Nursing! La logique que nous cherchons dans les motivations des personnages ne sy trouve pas. Colonists America! Ce que Lady Macbeth veut atteindre nest pas un but logique, un objet ou un etat qui viendrait couronner son combat et lui assurerait des lors une satisfaction totale. Holistic! Lady Macbeth ne cherche rien en particulier, elle nest quune illustration de la forme que prend la pulsion de mort dans cette tragedie. British Colonists! Si Lady Macbeth se suicide, ce nest pas a la suite dune pathologie psychologique, mais parce quelle est un personnage dans une piece ou cest ainsi que cela se passe.

Nous ne trouverons pas la reponse uniquement dans le personnage de Lady Macbeth, aussi riche soit-il, aussi fouillee sa psychologie soit-elle, mais dans une prise en compte de la totalite de l?uvre et de ses themes. Social Networks Essay! Sans vouloir en quoi que ce soit revenir a laridite de lapproche structuraliste, force est de reconnaitre que letude de la psychologie dun personnage isole est souvent deconcertante si on in north america ne le replace pas a linterieur dun ensemble, a linterieur de son monde quest l?uvre, qui fonctionne dune facon qui lui est propre. What! Cest sans doute la une clef pour notre comprehension de Lady Macbeth, non pas personnage totalement individualise qui contiendrait en elle-meme toutes les reponses aux questions que nous pourrions nous poser a son sujet, mais expression, parmi dautres, de la specificite du monde de la piece. Lauteur dune ?uvre litteraire, voire dune ?uvre dart en general, nest pas totalement maitre de sa creation sil lavait ete, Shakespeare nous aurait probablement donne une Lady Macbeth mieux construite, plus logique, mieux motivee, mais infiniment moins complexe, et dont nous aurions, finalement, vite fait le tour. In North America! On a ecrit que le poeme en sait toujours plus long que le poete. Japanese Invasion! Cest quen effet, pour le critique contemporain, le texte lui-meme a un inconscient, qui par definition echappe a lauteur. British Colonists America! Lidee quune ?uvre litteraire puisse etre travaillee de forces inconscientes souleve bien sur des problemes, sur lesquels je ne reviendrai pas ici.

Et bien evidemment, un texte ne peut avoir dinconscient au sens ou on uri bronfenbrenner lentend pour un sujet parlant ; ce que lon veut dire par la est que le texte fonctionne comme linconscient. Colonists America! Tout texte possede un savoir propre qui ne depend pas de la volonte ni des choix de lenonciateur et qui remet en cause la notion de maitrise de lecriture par lauteur. Uri Bronfenbrenner! Cet inconscient peut se definir comme un savoir du texte sur lui-meme, savoir qui nest accessible, et encore sans garantie, quaux termes dune analyse que lon dira dans ce cas litteraire [21] [21] Patrick Badonnel, Claude Maisonnat, La nouvelle anglo-saxonne. Colonists In North America! . Issues! Freud avait raison de chercher dans les ?uvres de Shakespeare linspiration et la confirmation de ses hypotheses ; mais, limite par les approches critiques de son epoque, son regard restait confine aux personnages individuels quil etait tente de considerer comme des patients en chair et en os, sans apercevoir la coherence qui apparait quand on in north america prend du recul et quon accepte denvisager chaque ?uvre individuelle dans son ensemble. A. Holistic Nursing Definition! C. British Colonists In North! Bradley, 1851-1935, Professeur de poesie a Oxford, auteur de Shakespearean Tragedy , 1904. V. Holistic! Propp, Morphologie du conte , 1928. Dans la scene du cimetiere ( Hamlet , Acte 5, scene 1), le Prince raconte quil a bien connu le bouffon Yorick qui la porte mille fois sur son dos et dont le crane est maintenant en terre depuis vingt-trois ans au dire du fossoyeur.

Rosencrantz and colonists in north america Guildenstern Are Dead , 1967. L. Definition! C. British Colonists In North America! Knights, How Many Children Had Lady Macbeth ? in uri bronfenbrenner Explorations , Chatto and in north Windus, Londres, 1946. I have given suck, and Alienation Issues Essay know / How tender tis to colonists in north love the nursing, babe that milks me. British America! (Acte 1, scene 7, vers 54-5). Uri Bronfenbrenner! Les references a la piece Macbeth sont a ledition de Kenneth Muir, The Arden Shakespeare, Methuen, Londres, 1970. Bring forth men-children only america, (Acte 1, scene 7, vers 72). Fruitless crown , Barren sceptre (Acte 3, scene 1, vers 62-3). He hath no children (Acte 4, scene 3, vers 216). Certains critiques ont imagine que Macduff pourrait, a ce moment-la, parler de Malcolm, qui vient de lui apporter la nouvelle, et non de Macbeth.

Freud, Linquietante etrangete , 1919 ; in Resolving Issues Connaissance de linconscient , Gallimard, 1998. Rappelons en effet que Shakespeare necrivait pas ses pieces pour la publication, mais exclusivement pour la scene. Colonists In North America! Si certaines pieces furent publiees de son vivant, parfois dans des editions piratees, il fallut attendre 1623, soit sept ans apres la mort de Shakespeare, pour que ses ?uvres completes soient publiees. I will set down what comes from Resolving Alienation Issues Essay, her, to british in north america satisfy my remembrance the translate, more strongly (Acte 5, scene 1, vers 31-3). Macduff was from in north, his mothers / Womb / untimely rippd (Acte 5, scene 7, vers 15-6). If Chance will have me King, why, Chance may crown me without my stir (Acte 1, scene 3, vers 144). Le mot anglais weird partage une origine commune avec le verbe allemand werden , devenir. If you can look into definition, the seeds of colonists, time / And say which grain will grow, and japanese which will not (Acte 1, scene 3, vers 58-9). It is in north america, a tale / Told by japanese an idiot, full of colonists in north america, sound and did albert fury / Signifying nothing (Acte 5, scene 5, vers 26-28). The time hath been / That, when the in north america, brains were out, the Social, man would die / And there an colonists america end (Acte 3, scene 4, vers 77-9). Patrick Badonnel, Claude Maisonnat, La nouvelle anglo-saxonne , Hachette, 1998, p. Holistic Nursing Definition! 60. utilise des cookies a des fins de statistiques. British In North America! Ces donnees anonymes nous permettent ainsi de vous offrir une experience de navigation optimale. Japanese Invasion! En continuant votre visite vous acceptez de recevoir ces cookies. British Colonists In North America! Vous pouvez toutefois les desactiver dans les parametres de votre navigateur web. Media! En savoir plus.

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The One Page Business Plan Company. Created by The One Page Business Plan Company, this simple business template covers only the key areas entrepreneurs need to Resolving Issues address to start a business: their vision for the company, mission for america, why the uri bronfenbrenner business exists, objectives for setting out goals, strategies to make the business successful and action plans indicating what work needs to be done. Unlike complicated business plans, boring blocks of text are not required bullet points will do. Are you the visual type? Look no further than Angela Bowman#39;s One-Page Visual Business Plan. Based on the principles of the Business Generation Model Strategyzer app, Bowman#39;s One-Page Visual Business Plan uses sticky notes to help you creatively craft an in north, out-of-the-box business plan. To create a One-Page Visual Business Plan, start by and Social separating a single page into british colonists in north america, different sections or columns, such as company information and customer segments. Write down your ideas or responses on a sticky note, and then stick it on the corresponding section. You can also color-code the sticky notes for better organization. Then, if your plans change, you can easily remove a note, move it around or add new ones to japanese better fit the direction in which your business is headed.

SBA Build Your Business Plan Tool. The fact that the U.S. Small Business Administration (SBA) has an online tool to help users craft business plans will come as no surprise to british in north america anyone who has investigated the SBA#39;s offerings before. The agency has a wealth of free planning, financing and consulting tools and resources, both online and through available consultants. The SBA#39;s online tool for business-plan creation allows a user to japanese invasion enter information on a Web interface that is tied to that user#39;s account.

The administration says this is british in north america, intended to be a live plan that can be referred to and changed as the company#39;s plans progress. The SBA encourages entrepreneurs to use their generated plans to discuss their company#39;s prospects with SBA advisers like those available through SCORE and holistic definition, the Small Business Development Center. The SBA#39;s tool is british colonists in north america, available online at no cost. Greg Go, co-founder of online finance community Wise Bread, is a big believer that entrepreneurs who are just starting out don#39;t need lengthy business plans. Holistic Nursing? What they actually need, he said, is an internal working plan to get started. The internal working plan consists of four simple questions that make up the simple business plan: What is america, your product or service?

Who are your customers? When will things get done? When are bills due, and when do you get paid? To guide entrepreneurs in Resolving Issues, completing their four-question business plan, Go provides a simplified way of answering each question in his blog post on the subject. Editor#39;s note: If you#39;re looking for information to help you with writing a complete business plan, use the questionnaire below to have our sister site provide you with information from british colonists in north america a variety of vendors for japanese, free. Updated on May 1, 2015.

Additional reporting by Business News Daily staff writer Sara Angeles.

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cne resume maryland Official Beach Sponsor. The 2017 OR Manager Conference will feature four Keynote Speakers who will engage, inspire, and delight you with their experiences and colonists america, lessons learned throughout their lifetimes. And if thats not enough, Keynote Speaker sessions at the OR Manager Conference also count for additional contact hours! Changing the Equation: The Future of Your OR and PACU in the Ever-Changing Healthcare Environment. Johns Hopkins Bloomberg School of uri bronfenbrenner, Public Health. Monday, October 2. After this session youll be able to: Summarize the in north america, major Federal and State Policies driving value-based purchasing of health care.

Discuss and japanese, interpret the key financial levers in the US healthcare system and their implications for british america academic medical centers and clinicians. Review the ever-changing healthcare landscape and what may be coming in the future. Invasion? Understand your role in the future of healthcare. Why this is important: Healthcare costs have far outpaced predictions of the past, and british colonists in north, with so many questions looming in 2017, its critical for perioperative leaders to be prepared to move their businesses forward. How did we get here? What will the next 5, 10, or 20 years look like for translate the healthcare landscape?

How are we going to survive change? The new generation of america, healthcare workers will be responsible for translate transforming the colonists america, industry into the value based system that it was always intended to be for Resolving Issues Essay the ultimate customer, the patient. Colonists In North? Join us as Dr. Chin summarizes the major Federal and State Policies driving value-based purchasing of healthcare and shares his insights on the key financial levers in the current US healthcare system and their implications. Ditch the Drama! Hard-Wiring New Mindsets and Accountability in Your Staff. President Founder, Reality-Based Leadership.

Author, Reality-Based Leadership and The Reality-Based Rules of the Workplace. Tuesday, October 3. After this session youll be able to: Apply strategies to reduce emotional waste resulting in improved quality metrics. Recognize behavior that enables teamwork and improved patient care.

Implement leadership tools that hardwire accountability in holistic, your organization. Understand the cause(s) of drama in your workplace and in north america, how to change the mindsets of your staff. Why this is did albert einstein accomplish, important: Old patterns of leadership thinking are no longer sufficient for todays changing healthcare landscape. Cy Wakeman, President and Founder of Reality Based Leadership, notes that drama is at an all-time high the british colonists in north america, average person working in the OR and PACU spends over two hours per day in drama. Therein lies the newest challenge for leaders how do we motivate our teams to Networks and Social create amazing and safe patient experiences, great outcomes, all the in north, while keeping staff engagement high and drama low? In this keynote, new tools for coaching and accountability will be revealed, empowering leaders to work through learned helplessness, rally their teams, and create the organizational alignment necessary to deliver extraordinary patient care. The Magic of Customer Service: Training Your Staff for Excellence.

President, Snow Associates. Former Walt Disney World Company Executive. Tuesday, October 3. After this session youll be able to: Discuss the four critical elements of essays, service excellence.

Develop tools for helping your team see the healthcare experience through the eyes of your customers. Understand customer expectations and approaches for exceeding those expectations. Determine mechanisms for involving your team in ongoing service improvement. Why this is important: Nurse leaders have numerous customers. In a single day, you interface with staff, physicians, other health care leaders, patients, families, and even in some cases, a board of directors. How can you view situations through their eyes, and use that perspective to create a culture of colonists in north, excellence in your organization? Providing world-class service in a healthcare setting is not simply a matter of smiling staff who say please and invasion, thank you. World-class service is an all-encompassing approach to making excellence business as usual, involving every member of the organizations team. Developing a brand that identifies you and your team as providers of unparalleled customer care will give you the edge to be successful in the new normal health care environment.

Join Dennis Snow, former Walt Disney World Company Executive, as he provides a how-to program for creating a service-driven culture. Batten Down the Hatches: Engaging Your Team in Stormy Times. Speaker, Trainer, and Consultant, Catalyst Consulting, LLC. Author, 6 Shortcuts to Employee Engagement: Lead Succeed in a Do-More-with-Less World and SHIFT to Professional Paradise: 5 Steps to Less Stress, More Energy Remarkable Results at Work. Wednesday, October 4.

11:15 a.m. 12:15 p.m. After this session youll be able to: Understand the importance of transformational leadership as a means to improved engagement. Communicate with your staff in british, a way that everyone feels empowered. Create a system of Resolving Alienation Essay, shared responsibility for engagement. Deeply connect with your team so that you all feel re-energized and more motivated. Why this is important:

Stormy times are ahead. Health care is transforming right before our eyes. As an OR leader, you are doing more with less, adapting faster, and managing uncertainty on british colonists in north, the fly. Networks Media? How are your direct reports holding up? Are they adjusting quickly enough to keep up with the changing healthcare landscape? Transformational leaders work with their team to boost morale and increase engagement, as well as inspire a vision to guide change.

In our closing keynote, fellow nurse, Vicki Hess, MS, RN, CSP, will equip you with the tools to successfully engage your team. In North? You and your team will be ready to japanese transform in the storm. Founder and President. Press Ganey Associates, Inc. Quality Services Manager. Margaret Mary Health. Sony Healthcare Solutions. CES - Clinical Professional Development and Manager Eye Surgery, Laser Eye Center. UnityPoint Health Des Moines.

Christopher Blackwell, PhD, ARNP, ANP-BC, AGACNP-BC, CNE, FAANP. Associate Professor Coordinator, Adult-Gerontology Acute Care Nurse Practitioner Programs. College of Nursing, University of british, Central Florida. UPMC Presbyterian Hospital. Member Board of Directors. Columbia Club of the Palm Beaches, Inc. Director Surgical Services, Operations and Service Lines Group. Associate Chief Operating Officer. Los Robles Hospital (HCA) Brenda Burk, MSN, BSN, RN, NEA-BC, CNOR. Director of Surgical Services.

Lake Norman Regional Medical Center (CHS) Associate Chief Nurse, Perioperative Services. Beth Israel Deaconess Medical Center. Chief Medical Officer and holistic nursing definition, Associate Professor, Trauma and General Surgery. University of Kentucky Healthcare. Certified Registered Nurse Anesthetist.

Norton Audubon Hospital. Johns Hopkins Bloomberg School of british colonists america, Public Health. Allan Joseph V. Translate Essays? Cresencia, MSN, RN, CPN. Clinical Nurse II. Children's Hospital of Los Angeles. Senior Administrative Director, Perioperative Services. Massachusetts General Hospital. Patricia M. DeFrehn, MBA, BSN, RN, NEA-BC. Vice President, Perioperative Services. Baylor University Medical Center. Christina Dempsey, MSN, MBA, RN, CNOR, CENP, FAAN.

Chief Nursing Officer and SVP. Press Ganey Associates, Inc. Senior Director, Nursing. Tri City Medical Center. Administrative Director of Perioperative Services. Vanderbilt Medical Center.

Administrative Director, Surgical Services. Administrative Director Surgery Anesthesia. Ohio Health Grant Medical Center. Infection Prevention Coordinator. Rochester Regional Health - United Memorial Medical Center. Mary Jane Edwards, MSHA, CNOR, FACHE. Surgical Services Education Coordinator. Henry Ford Macomb Hospital. Director of Data Security. Adventist Health System. Director, Global Clinical Solutions.

Michelle C. Fortune, MBA, BSN, RN, CAPA, FACHE. Vice President Perioperative Services - Metro. Carolinas Healthcare System. Jessica Geddings, BSN, RN, NE-BC, CSPDT. Director of Surgical Services. Citrus Memorial Hospital. Cheif Nursing Officer.

Ohio Health Grant Medical Center. Medical Director of Perioperative Services. Temple University Hosptial. Charlotte Guglielmi, MA, BSN, RN, CNOR. Clinical Manager Perioperative Education. Beth Israel Deaconess Medical Center. Director of Surgical Services. Norton Audubon Hospital. Sullivan Healthcare Consulting.

Author, 6 Shortcuts to Employee Engagement: Lead Succeed in america, a Do-More-with-Less World and SHIFT to Professional Paradise: Catalyst Consulting, LLC. Director Surgical Services and Anesthesia. Vanderbilt University Medical Center. Director, Clinical Performance Improvement. Medtronic Integrated Health Solutions (IHS), Americas. Senior Patient Safety Analyst IV. Enterprise Administrator, Perioperative Services. University of Kentucky Healthcare. Director, Spine and Total Joint Center. Sky Ridge Medical Center.

Banner Health Northern Colorado Chief Executive Officer. Cindy L. Kildgore, MSHA, BSN, RN, CNOR. Vanderbilt University Medical Center. Beverly Kirchner, BSN, RN, CNOR, CASC. Chief Experience Officer (CXO)

Susan Klacik, BS, AS, FCS, CHL, CIS, ACE, CRCST. Association for the Advancement of Medical Instrumentation (AAMI) Chief Quality Officer. Lincoln Surgical Hospital. Director of translate essays, Perioperative and Endoscopy Services. Lehigh Valley Health Network. Administrative Director, Surgical Services. Jane Kusler-Jensen, MBA, BSN, BSM, RN, CNOR.

Vanderbilt University Medical Center. Chief Clinical Officer. Lincoln Surgical Hospital. Nursing Practice Specialist. Massachusetts General Hospital. Medical Education Specialist. Olympus America Inc.

Capstone Leadership Solutions, Inc. Associate Hospital Director/VP, THVI, Perioperative, and Maternal Child Health. Temple University Health System. OR Business Manager. Business Director, Perioperative Services. Baylor University Medical Center. Carol Pehotsky, DNP, RN, CPAN, ACNS-BC, NEA-BC. Associate Chief Nursing Officer, Surgical Services and Senior Director, Surgical Nursing, Main Campus.

PCM of Perioperative and Endoscopy Services. Lehigh Valley Health Network. Manager, Human Resources Department. UPMC St. Margaret. Nursing Director: Post Anesthesia Care. Massachusetts General Hospital. Director, Clinical Performance Improvement. Medtronic Integrated Health Solutions (IHS), Americas.

Senior Director Perioperative Services. NYULMC's Hospital for Joint Diseases. Director of Perioperative Services. Stony Brook Medicine. Executive Vice President and Principal.

Patton Healthcare Consulting. Jennifer Schwartz, MSN, BSN, RN, CNOR. Regional Perioperative Director. Kaiser Permanente Southern California Region. Assistant Vice President Perioperative Services - Metro. Carolinas Healthcare System.

Patricia C. British Colonists In North? Seifert, MSN, RN, CNOR, FAAN. Independent Cardiac Consultant. Director, Nursing Leadership Institute. Florida Atlantic University. SVP Clinical Operations.

United Surgical Partners International. Vice President, Revenue. Baptist Memorial Health Care Corporation. Hospital Associate Director of Operations, Surgical Services. Stony Brook Medicine.

Senior Management Engineer. Beth Israel Deaconess Medical Center. Former Walt Disney World Company Executive. President, Snow Associates. Deborah Spratt, MPA, BSN, RN, CNOR, NEA-BC, CHL. Director, Surgical Services.

Rochester Regional Health - United Memorial Medical Center. Cynthia Spry, MA, MSN, RN, CNOR, CBSPDT. Independent Clinical Consultant. Director of Clinical Operations. Lowry Surgery Center.

Nurse Manager, Urology Gynecology. Capstone Leadership Solutions, Inc. VP - Education, Regulation, and Compliance. STERIS Instrument Management Services. Gina Throneberry, MBA, RN, CASC, CNOR. Director of Education and Clinical Affairs. Ambulatory Surgery Center Association (ASCA) Perioperative Business Manager. NYULMC's Hospital for Joint Diseases.

CEO and Head Coach. Values Coach Inc. Director, Surgical Services. UPMC St. Margaret. Director, Surgical Outcomes, Research, and Education. New York Presbyterian Hospital/Queens.

Author, Reality Based Leadership and The Reality-Based Rules of the Workplace and President and holistic definition, Founder, Susanna S. British Colonists America? Walsh, BSN, RNFA, CNOR, CSSM. Perioperative Services Manager. Vanderbilt University Medical Center. Sr. What? Clinical Consultant.

Ansell Healthcare Products LLC. Director of Business Development Planning. Boone Hospital Center. Director, Patient Care Services. Norton Institute for Nursing. David Wyatt, MPH, BSN, RN, NEA-BC, CNOR. Associate Operating Officer, Perioperative Services and Associate Nursing Officer, Surgery Patient Care Center.

Vanderbilt University Medical Center. Operations Research Manager. Massachusetts General Hospital. OR Manager Conference is your time to meet with perioperative leaders from around the country to swap stories and share leadership tools. Dont miss these fun networking opportunities with your colleagues: OR Manager Conference 30th Anniversary Kickoff Party. Monday, October 2nd.

The official kickoff to the OR Manager Conference is british, your first look at the vendors in einstein accomplish, the Exhibit Hall while enjoying hors doeuvres, drinks and british colonists in north, time to connect with old and new colleagues. Play the Build Your Dream OR Contest using the official mobile app while making new connections with your peers and solutions experts in the perioperative industry. One ticket is included with your registration. Guest tickets are available through Registration. Morning Motivational Meetup! Tuesday, October 3rd. Enjoy some energizing snacks with fellow attendees to get you ready for all of Tuesdays breakout sessions! This networking break will be in the Exhibit Hall, and will feature CEs presented by exhibitors and the OR Manager Conference Poster Gallery. Tuesday, October 3rd.

OR Manager will be recognizing excellence in perioperative services management with the OR Manager Achievement Awards. These awards are nominated by your colleagues and peers, selected by the OR Manager Conference Planning Committee and uri bronfenbrenner, OR Manager Advisory Board, then presented to british colonists in north deserving individuals who have performed exceptionally in his or her management position. Join your colleagues on October 3rd for the presentation of the Awards and to Networks and Social Media congratulate the in north, winners, then continue the celebration in the Exhibit Hall during the Dessert Reception! *The OR Business Manager of the Year Award will be presented at uri bronfenbrenner the 2018 OR Business Management Conference. Meet the colonists in north america, Poster Session Authors. Youll have the opportunity to translate essays meet Poster Session authors, one-on-one, to get the answers to in north america your questions on Tuesday, October 3rd. Refresh, Relax, Recharge! Afternoon Break. Before the evening Keynote on Tuesday, be sure to recharge your educational vigor with healthy refreshments and bites, CEs presented by invasion exhibitors, and visits to british colonists the Poster Gallery.

OR Manager s Night Out: Discovery Cove Beach Luau at uri bronfenbrenner SeaWorld. Tuesday, October 3rd. Get your flip flops ready and america, break out Social Networks and Social, your sunglasses! The OR Manager Conference is hitting the beach! Enjoy the Floridian sunset with your toes in the sand among your fellow colleagues in beautiful Discovery Cove at SeaWorld.

Take your mind off the hard work you put in during the day and relax to some Caribbean music while enjoying dinner, drinks and entertainment including live dolphins! Tickets include a full buffet dinner, drinks, and colonists in north america, dessert. For your entertainment, meet with our animal ambassadors to uri bronfenbrenner hold tropical animals, such as parrots and sloths. Please note this reception is not included in your registration and must be purchased as an add-on ticket. Official Beach Sponsor: Continental Breakfasts and Networking Lunches. Discuss the latest perioperative developments over breakfast and lunch at OR Manager Conference. Breakfasts Monday-Wednesday and Lunch on Monday and Tuesday are included in all Value Package registrations. Breakfast and Presentation presented by. Morning Walk and british america, Talk. Thinking, walking, and did albert accomplish, talking are all linked!

Join your fellow attendees and colonists america, a member of the OR Manager team for a walk and uri bronfenbrenner, talk to get your day started on the right foot! This is our modern take on roundtable discussions. Youll be able to get some exercise while meeting other perioperative leaders who share the same challenges as you. Bring questions raised during sessions, concerns from your OR, and hot topics to discuss with your peers. View the Digital Poster Gallery Here. The OR Manager Conference Poster Gallery provides a forum for presenting completed research or in-progress research with preliminary results. In North? It is an opportunity to present research, performance improvement projects, or clinical practice innovations visually using graphs, illustrations, or photographs. We strive to promote communication and collaborative research among nurses, provide a setting for exchange of information and lessons learned, and Essay, explore advances in colonists in north america, perioperative clinical practice. Posters in the Exhibit Hall.

Posters will be on display in the Exhibit Hall during all Exhibition hours. The dates and Social Networks and Social Media, times of british colonists in north america, Poster Sessions, during which poster authors will be available to translate answer any questions, are below. Tuesday, October 3rd: 1:00 p.m. 2:00 p.m. Tuesday, October 3rd: 3:30 p.m. 4:30 p.m. Beginning Monday, October 2, conference attendees may review the posters and take an online quiz for 10.0 CE credit hours. Login details will be distributed via email on October 2. If you need assistance accessing the e-poster gallery, please contact Taylor Shaw at america 301-354-1751. An Innovative Approach to the Orientation of the what did albert, Novice Nurse to the Operating Room. Rosemarie Hevner, RN, MBA, CNOR, Professional Development Director, Perioperative Services, Tufts Medical Center. Patricia Wencis, BSN, RN, CNOR, Clinical Instructor, Operating Room, Tufts Medical Center.

Clinical Redesign: Improving Quality, Reducing Waste - Surgical Kit Redesign. Sherri Witkins, BSN, RN, CNOR, Patient Service Manager Children's Perioperative Department, Yale New Haven Hospital. Abstract: Purpose/objectives: The goal of in north, this QI initiative was to eliminate unneeded surgical instruments from the surgical field. Strategies for uri bronfenbrenner implementation. April Bennett, RN, Surgical Services Unit Nurse Manager, Bonner General Health.

Joanne Filch, RN, OB Unit Nurse Manager, Bonner General Health. Tracy Autler, RN, Director of Quality , Bonner General Health. Pam Schillar, CRNA, Nurse Anesthetist. Code Stork: An Emergency code at Bonner General for a laboring mother in distress who requires an british colonists america, emergency caesarean section and japanese invasion, cannot wait until the Operating Room (OR) crew can respond. Revise current code stork policy and implement a process improvement to achieve a positive outcome from an british america, emergent situation. We are a Critical Access Hospital in rural North Idaho with a 4 room OR that does not have an in house call crew outside of the hours of operation. Many Pregnant women in did albert, North Idaho elect to deliver at home or outside of a medical facility. In a three month period BGH received two newborns born outside the facility that were in dire need of british, resuscitation.

One of the infants survived, sadly the other did not. Internally, we experienced an intra partum fetal demise and questioned ourselves if the outcome could have been better if we were able to perform the necessary C-section faster. Each night, the OR crew has a surgical suite set up for an emergency C-section should one occur during the invasion, night. By continually practicing and british, training we are becoming more comfortable during every emergent obstetric situation. We hold a debriefing after each case, or drill, and identify any gaps or opportunities and essays, grow with them. September 2016 Code Stork delivered a healthy baby boy with Apgars of 8 and 9. Decision to incision 10 minutes. December 2016 Code Stork delivered a healthy baby girl with Apgars of british colonists, 6 and 9. Decision to incision 10 minutes.

January 2017 Code Stork delivered a healthy baby boy with Apgars of 9 and 9. Decision to incision 7 minutes. Comparison of the Pressure Relieving Abilities of a Standard Operating Room Surface and a Standard OR Surface With a Static Air Overlay. Debra L. Japanese Invasion? Fawcett, PhD, RN, Director of Infection Prevention, Eskenazi Health. Lenora Maze, RN, CNS, CNS Surgical Care, Eskenazi Health. Abstract: A Pressure injury acquired in the operating room (OR) is british, not a new problem and accomplish, is expensive with an in north america, estimated cost of between $44,000.00 and $128,000.00 each.

It is imperative that we identify how well OR surfaces actually decrease or redistribute pressure for Resolving Alienation Essay the surgical patient. 1. There will be no difference in colonists in north america, the interface pressures between a standard operating mattress and an operating room mattress with a static air overlay. 2. There will be no difference in the pressure redistribution of the standard operating room mattress and the pressure redistribution of the operating room mattress with a static air overlay? Creating Mindfulness through the Continuum of Care for Children with Special Needs. Jennifer Simonetti, MSN, RN, CPN, Perioperative Nurse Educator, Magnet Program Director, Cohen Children's Medical Center. Sharon Goodman , MA, RN-BC, CPNP, Pediatric Service Line Nurse Educator , Cohen Children's Medical Center.

Ann Shea , BSN, RN, Nurse Manager, ASU, PST, MRI, Cohen Children's Medical Center. Helen Landers , MSN, CPNP, Nurse Practitioner, Pre-Surgical Testing, Cohen Children's Medical Center. Abstract: Statistically, one out of six children is diagnosed yearly with special needs. Some neurobehavioral diagnoses associated with children with special needs are, Autism Spectrum Disorder, Attention deficit disorder, and sensory integration disorder. Head banging, hand flapping, rocking, humming, and self-inflicted pain are common coping mechanisms utilized by children with special needs. These coping mechanisms increase in its intensity and frequency when in unfamiliar and over stimulating environments. Partnership with physicians and nurse practitioners in outpatient sites facilitated the initiation of this program.

Through the use of invasion, education, awareness, desensitization, social stories, and planning this unique population was better prepared for colonists in north their hospitalization and/or surgery. Press Ganey scores for staff addressing personal needs after implementation continued to increase and what did albert einstein, the average length of british america, stay for children with special needs decreased from 4.5 days to 2.60, representing a 1.9 day decrease. Throughout the program patients are afforded golden opportunities to customize and individualize the care provided prior to entering into the hospital setting. This empowerment helped place control back into the patients and Resolving Alienation Issues, caregivers hands to colonists america ensure that they receive the and Social Essay, individualized care necessary to meet all of their unique needs. Critical Service Line Merger: The Importance of colonists america, Sustainability and Cultural Competency. Ebony Mitchell, MSN, RN, RN II, Houston Methodist. The scope and size of healthcare's social and environmental impact represent tremendous opportunities for one of the most complex and definition, continually transforming industries to improve cost efficiencies, patient safety, and quality.

Sustainability, a competitive imperative, has been expounded upon by british colonists in north Lubin and Esty (2010) as being the newest business megatrend that balances and holistic nursing, simultaneously optimizes the economic, environmental, and colonists, social impacts of organizational operations. Nevertheless, a unique challenge to effectively implement sustainability exists as organizational leaders attempt to invasion effectively organize structures that align organizational, departmental, and individual activities around system wide strategic goals. Increasing mobility of the global population coupled with constantly changing demographics warrants recognition of the importance of in north, ensuring some type of sustainable cultural competence in healthcare organizations. Uri Bronfenbrenner? Without a sustainable culturally competent and inclusive healthcare environment at every level, patients and customers lack respect for british america providers and commonly verbally complain, and uri bronfenbrenner, negatively rate their hospital experience on surveys, (Goodman, 2014). British America? Mergers create opportunities to reposition organizations, however, the effectiveness of repositioning is Social Networks and Social, only apparent when successful integration of physicians, clinical, and administrative teams as well as the cultures of different entities, effectively occurs at the service line level. This poster showcases how a successful merger is best accomplished and sustained when management engages in cultural competence and encourages such among staff. Dashboard Data Analytics Results in Optimal Patient Outcomes and Cost Savings. Linde Kramer, MA, BSN, RN, CNOR, NE-BC, CSSM, Director Operating Rooms, NYU Langone’s Hospital for Joint Diseases. Joan M Spear, MBA, RN, CNOR, CRCST, Clinical Consultant, JMS Consulting.

Abstract: Bundled payments stipulated under the Centers for british colonists Medicare and Medicaids Comprehensive Joint Replacement program, provided the opportunity to improve planning and Social Networks and Social Media, communication for every patient undergoing Joint Replacement in this facility. Colonists America? Physician leadership in the Department of Orthopedics was challenged by facility administration to deliver positive results of quality patient care using innovative concepts through the continuum of preoperative, intraoperative, and nursing, post-operative interventions. Nursing ceased the opportunity to embrace the same innovative techniques for preoperative planning huddles. Collaboration has resulted in achieving patient safety through real time communication with all stakeholders in the loop. In addition, a decrease in hospital costs using value based initiatives over a 4-year period was realized. Identify two important contributions of preoperative patient planning huddles in total joint procedures. List two reasons to use prospective analytics for preoperative patient planning.

Describe the value of having access to surgeon provided procedure information for preoperative planning in all areas i.e.; sterile processing, radiology, vendor/s involved, operating room. Decreasing the Incidence of Peri-Operative Venous Thromboembolism. Pamela O. Turner, MSN, RN, CNOR, Director of Nursing for Perioperative Services, NYCHHC- Jacobi. Maria Castaldi, MD, Assistant Professor of british colonists, Surgery at translate essays Albert Einstein School of Medicine, NYCHHC- Jacobi. This collaborative pilot project was initiated through data received from the colonists in north, American College of Surgeons National Surgical Quality Improvement Program,(ACS NSQUIP) The NSQIP data immediately showed us we had a high rate of VTEs in our surgical patient population. We formed a multidisciplinary focus group and used the ACS NSQIP best practice guidelines to develop our own protocol to identify and decrease these events. The protocol and tool were developed to Social Networks and Social Media Essay evaluate all general surgical patients and to british colonists classify them either as: high, moderate or low risk for VTEs. Several strategies were utilized in making this project successful.

The choice of Resolving Issues, using the Caprini Scale Risk Assessment form, the colonists in north america, development of a standard script for all the providers to use in English or in Spanish and the development of a follow up telephone survey was conducted to holistic nursing definition the general surgery patients that received the in north america, VTEP. The survey results are encouraging. Data through five months (Nov. 2016 March 2017) gathered through follow up phone calls revealed the following results: 96% of the patients were contacted (179 /186), 89% deemed high risk, 94% of high risk received pre-operative Heparin. 99% (145/147) of the patients reported that the indications, risks and benefits of VTE were explained well or very well.

98.5% felt that safety and well-being is a priority based on peri-operative discussions. Did Albert Einstein? During this time frame there were no incidences of VTE. Driving an british in north, Exceptional Pediatric Experience. Deborah C. What? Gigliotti, MBA, RN, CAPA, LSSGB, Nurse Manager, Christiana Care Health System. Susan Pugliese, DDS, RN, Vice Chair Department of OMFS/HD, Christiana Care Health System. Abstract: Background [plan]: The Roxana Cannon Arsht Surgicenter delivers intraoperative dental care to british colonists in north over 350 children annually. Preoperative anxiety in the pediatric patient is a very common experience. Although all children are vulnerable to stress, preschool children and toddlers ages 1 to 6 years seem to be the most vulnerable. (Banchs et al, 2014).

Preoperative anxiety manifests in different ways, from Social and Social Media, shivering and crying to fighting and trying to escape leading to a stressful experience for the patient, the parent and the healthcare provider. In North? Interventions to reduce a childs preoperative anxiety include use of uri bronfenbrenner, distraction techniques and sedative premedication (oral midazolam). Colonists In North? Though oral midazolam has strong safety and Resolving Alienation Issues, effectiveness records, studies show conflicting results related to quality of emergence, discharge times, and postoperative behavioral disturbances. (Rosenbaum et al, 2009). Distraction strategies have been shown to be effective at reducing preoperative anxiety in children. (Yip et al, 2011) Our medical director had a positive experience using motorized cars at another institution and as a result motorized cars were purchased as a more interactive distraction strategy. Effects of Knowledge Management in Hospital Nursing Organizations on Outcomes of Nursing Performance. Eunju Lee, PhD, RN, Professor, College of Nursing, Keimyung University. Abstract: Objectives: This study was conducted to investigate effects of implementation of knowledge management (KM) on outcomes of nursing performance. Green Means Go: Safer PACU Transitions. Amy Kohl, MSN, RN, CCRN, Nurse Manager, Christiana Care Health System.

E. Chris Skinner, MSN, RN, CAPA, Assistant Nurse Manager, Christiana Care Health System. Lauren Speakman, MBA, BSN, RN, CCRN, Perioperative Practice Coordinator, Christiana Care Health System. Susan Volk, MSN, RN, CPAN, CCRN, Staff Development Specialist, Christiana Care Health System. Abstract: Background Information: Medication safety is often cited in literature, along with strategies to reduce medication errors. PACU uses an order set, tailored to the needs of the post-surgical patient, including high-risk opioid medications that are administered by british colonists carefully trained PACU nurses. Once PACU discharge criteria are met, the japanese invasion, RN is expected to discontinue the colonists, orders in the electronic documentation system. Baseline data shows that only translate, 76% of PACU order sets are discontinued prior to the patient leaving PACU. These medication orders could potentially be executed outside of the PACU setting, impacting patient safety. Carol Schneider, MSN, RN, CCRN, CPAN, Nurse Manager ENC and british in north america, Menino PACU, Boston Medical Center. Abstract: Lateral Violence, bullying, and essays, incivility continue to america be serious issue in healthcare.

It is an age old problem and unfortunately still remains prevalent in todays healthcare workplaces. In July of 2015 the Resolving, American Nurses Association (ANA) issued a position statement regarding incivility, bullying, and workplace violence. How Does Your Perioperative Leadership Fit into Your Organizations Episode of Care Model Plan? Kathleen Wright, MSN, RN, Director, Population Health, Premier, Inc. Mary Pat Gilligan, DNP, Executive Director, Perioperative Nursing, TriHealth. Abstract: Under the new Episode of british america, Care payment model, payments are structured to better align incentives to promote high-quality and efficient care. Holistic Definition? Healthcare providers are still paid fee-for-service (FFS), but they are held to a greater level of british in north america, accountability for the total cost and Resolving Essay, quality of care delivered to british america their patients across the episode. Implementing a Culture of Safety in Surgical Services at UPMC St. Invasion? Margaret. Dawn Vocke, MSN, MBA, RN, CNOR, Director, Surgical Services, UPMC St. Margaret.

Mary C. America? Barkhymer, MSN, MHA, RN, CNOR, Vice President, Patient Care Services Chief Nursing Officer, UPMC St. Japanese? Margaret. Abstract: Changing culture is one of the most challenging endeavors an british colonists america, organization will encounter. Implementing a culture of einstein accomplish, safety in british, surgical services involved organizational commitment, multidisciplinary teams and japanese invasion, focused interventions. Various strategies were used to in north america engage staff and essays, create an british colonists in north america, increased awareness in safety issues and processes. Five educational sessions were held including using evidence based practice, developing teamwork, employing a just culture, reporting events and what did albert einstein accomplish, debriefing. Physicians, nurses, surgical technologist and sterile processing staff participated. Motivational posters of staff were created along with a patient safety video involving staff. In North America? Through data collection and analysis, process errors were identified and Social, remediated. In North? Outcomes were communicated to einstein accomplish the multidisciplinary teams and leadership. There has been increased staff and physician engagement in a culture of british colonists america, safety as evidenced by the results of the 2016 Culture of Patient Safety Survey.

Implementing a Tiered Huddle System to Resolving Issues Gain Momentum in Continuous Improvement, Patient Safety, and Flow. Stacey Wood, MSN, RN, CPN, Nursing Department Director, SDS/PACU, Children's Mercy Hospital. Kelly Stamps, MSN, RN, CNOR, Lean Quality Improvement Coordinator, Children's Mercy Hospital. Abstract: Purpose/objectives - Patient safety, efficiency and engagement are essential components in any successful healthcare institution. British In North? The development and implementation of Issues Essay, a tiered huddle system within Children's Mercy Hospitals Perioperative Services has drastically improved these components, supporting our patient-centered care model - Patient-Centered: Every Action, Every Day. Improving Satisfaction Scores for the Pediatric OR: Utilizing a New Mobile Application to colonists in north Enhance the Family Experience. Kara Dobson, BSN, RN, PCCN, CNOR, Circulator, Orlando Health. Hamish Munro, MD, Pediatric Anesthesiologist, Orlando Health. Abstract: The use of mobile technology is increasing in healthcare. With pressure to be more transparent, hospitals are being urged to improve communication utilizing this technology, however the operating room is often excluded from this process. For parents awaiting the outcome of a surgical procedure, this is an extremely stressful time.

Frequently they are left waiting behind the red line and in the dark. We sought to improve parental satisfaction and make the unbearable wait bearable. At Orlando Health Arnold Palmer Childrens Hospital, the EASE (Electronic Access to Surgical Events) app has been used for over 3 years to communicate to families while their child is in surgery. One-way messages, in the form of japanese invasion, texts, pictures and videos are sent once the child is asleep, and approximately every 30-45 minutes thereafter. Additional family members who cannot come to the hospital can also receive updates. Colonists America? This mobile communication frees the family from the invasion, confines of the waiting room while still following, step by step, the progress of surgery. To determine if the in north america, use of the app influenced Press Ganey scores, we retrospectively analyzed eight communication and satisfaction related questions, comparing those who participated in EASE to those who did not. A total of 360 responses saw an average increase of 4%.

A survey of the nurses sending messages revealed that this was a faster, more reliable, more efficient and nursing definition, more enjoyable method of communicating with the family than the traditional phone call or in-person visit. Our experience with the EASE app improved patient engagement for colonists in north america the nurses and increased Press Ganey scores, all the while improving communication, increasing satisfaction and transparency and reducing the anxiety of parents in the surgical waiting room. Improving Specimen Ordering Process. Cherisse M. Davis, MSN, RN, Business Operations Director Perioperative Trauma Services, University of Utah Health. Abstract: Purpose: Accurate anatomical pathology specimen test ordering can be a challenge for uri bronfenbrenner OR staff. Persistent issues with specimen ordering necessitated a practice change at our institution.

A clinical task group comprised of scrubs and circulators were tasked to colonists in north america develop an translate essays, improved practice standard. British Colonists America? Principles from human factors research were applied to uri bronfenbrenner design and british colonists, implement safety in our electronic records (EMR) specimen ordering process. Content: These safety designs included simplifying, clarifying, and correcting the EMR ordering screens. Despite the improved safety design, persistent issues continued specific to breast tissue specimens. Staff missed documenting essential information required to holistic definition calculate cold ischemic tissue time. British Colonists? In 2015, the College of uri bronfenbrenner, American Pathologists revised the fixation rule requiring tissue acquisition specimens should be immersed in fixative within one hour of the biopsy or resection to avoid false negative results. Improving Throughput for Perioperative Services with Customized Patient Education. Catherine Awad, RN, MHA, CNOR, PMP, Process Improvement Manager, Perioperative Services, University of Chicago Medicine. Lisa Sandos, AS, Health Literacy Program Manager, Diversity, Inclusion and Equity, University of america, Chicago Medicine. One of the biggest reasons for case start delays in the OR is late or unprepared patients. Additionally, a significant number of cases are cancelled or delayed due to a patient eating prior to essays arrival, taking medication they shouldnt, or arriving too late.

The biggest cause of these lies with the instructions the patient receives prior to british Surgery. Holistic? At the start of this project, there were no standard instructions and the documents that were handed out are unprofessional and reflected bad on the institution. We created a standard set of Pre-Surgery or Procedure documents for all surgery and procedure patients. These would be printed and given to patients at the time of scheduling. Documents needed to be customized and selected for each patient. Materials needed to be editable and latest updates available immediately.

The materials need to be available through our EMR (EPIC) and be linked to our patient portal (MyChart). Materials must be available in non-English Languages. My Surgery Folder includes: A. British In North? Arrival Information including arrival time, location, directions to check in and closest parking location (if needed) B. My Surgery Guide. 1) The Days and Weeks Before Your Surgery. 2) Getting Ready What to Expect. 3) Personal Items at the Hospital. 4) The Day Before Surgery. 5) Checklist Before Surgery.

6) The Day of Surgery. 7) Getting Better After Surgery. C. Resources at University of Chicago Medicine. D. Travel Guide for Visitors. E. Procedure Specific Instructions. F. Translate Essays? Food and Drink Instruction including bowel prep. G. Anesthesia Appointment Instructions including Medical History Form.

Ease of use for in north staff. Integrated with existing processes. Security meets HIPAA requirements and security standards. Audit of communications to Social Networks and Social Media Essay patients within EHR. Increasing OR Utilization Using Machine Learning and Mobile Technologies to Build Smart OR Block Schedules that Improve Access, Utilization, and Revenue. Sanjeev Agrawal, MA, President, Healthcare CMO, LeanTaas. Ashley Walsh, MHA, Perioperative Business Manager, UCHealth.

Abstract: Perioperative business managers feel significant pressure to meet the needs of surgeons and nursing staff while balancing operational targets (utilization, access, revenue). Current block schedule management approaches, which often rely on intuition and tribal? rules, make it challenging to allocate OR time fairly and efficiently to surgeons. UCHealth solved this problem by leveraging predictive analytics and british in north america, big data. In this poster presentation, we explain how we improved OR utilization and productivity with actionable dashboards, secure and Social Networks Essay, convenient mobile block exchange, and colonists in north america, smart block schedules that ensure the right surgeon gets the japanese invasion, right OR at the right time. Integration of BDV Clarity with Epic to Improve OR Documentation Workflow. Anna Hooker, MBA, HA, MS, Perioperative Business Manager, LMC SCLHS. 1. British In North America? Improve perioperative workflow: a. Decrease manual information input by RN in the OR.

b. Decrease staff error due to labeling and information transferring. 2. Japanese? Eliminate HIPPA compliance issues: a. Eliminate to patient information transferring to colonists in north external devices such as flash-drive, CD. b. Access anywhere through secure VPN (Virtual Private Network) 3. IT (information technology) and EMR (electronic medical record) integration: a. Customization of the interface improve staff satisfaction and efficiency in OR. Current state of essays, our EPIC usage involves a lot of time consuming and unsecure practices including the inability to save videos and pictures taken during the america, procedure to the EMR.

Pictures have to holistic nursing definition be printed and labeled by a nurse, then sent to the medial records, where it is scanned into the EMR. The video has to be transferred onto an external device such as flash-drive or CD. 1. Hardware installation (completed) 2. Software implementation within PACS, EPIC, servers (current stage) 3. Colonists In North America? Staff training on the usage of the hardware and software (partially completed) 4. Implementation of the new features which includes display of the on-line schedule changes, time-out, real-time physician remote view. 5. Physician training on the features such as media repository services, as well as usage of Clarity on other devices. Implementation of the Clarity system will allow us to improve and what did albert, streamline our current OR workflow. It will fix current issues, such as loss of the patient record due to mislabeling and misplacing. Additionally as we are striving to be an epicenter for in north a colorectal robotic program the Clarity system would allow us to japanese invasion share robotic surgery technique remotely through the teleconference function without physically bringing people into the OR.

Keeping Connected: Using Technology to Engage, Educate and Monitor Your Patients to Improve Outcomes and colonists in north, Prevent Readmissions. Cindy Mahal, MS, BSN, BS, RN, CNOR, VP Surgical Services, Advocate Health Care. Flo Kiokemeister, MSN, BSN, RN, Project Manager, Advocate Health Care. Abstract: The purpose of the poster is to educate perioperative leaders on japanese invasion, how technology can assist in the entire surgical experience. In North? From improving outcomes to what accomplish preventing readmissions utilizing simple smart phone technology that engages patients in mapping out their care pathways. We will highlight our colorectal program and british colonists in north america, the results of the project as well as the patients perceptive on essays, the utilization of the technology. This interactive app engages the patient every step of the way from british colonists in north america, when to do the uri bronfenbrenner, CHG bath, monitor hydration status to how much drainage are you experiencing from your ileostomy. British In North America? By managing the patient pathway and uri bronfenbrenner, building in simple algorithms we reduced the readmission rates as well as calls to the surgeon because we stayed connected with a smart phone.

We experienced a reduction in LOS, readmission rate and a decrease in british america, cost per case as well as an increase in patient engagement. See how utilizing main stream technology can help in your OR. Leveraging Barcode Scanning to Analyze and Reduce Returned Items in the Perioperative Space. Sutton E. Murray, Financial Analyst, Massachusetts General Hospital. Purpose/Objectives: This process improvement effort seeks to identify and address the large number of items unused in surgical cases and uri bronfenbrenner, returned with the case cart. We expect a reduction in in north, the number of returned items to improve efficiency with inventory ordering and japanese invasion, stocking, case pick, and budget health. Content: To accurately gauge the scope of our returns problem, we created a methodology for barcode scanning returned items prior to in north being sent to Central Sterile Processing and Supply (CSPS). Translate Essays? This took place over ten days that were staggered to ensure we captured scans for all days of the colonists america, week (Monday through Friday) on japanese, two separate occasions.

Supplies in the return bins were documented prior to being sent to CSPS from the british, OR. The returned items were then matched to Resolving Alienation Issues the surgical case to british in north identify opportunities for improvement. Strategies for Implementation: Changes resulting from the returns scanning process will be reviewed and rolled out through the Operating Rooms End of Case Committee, in uri bronfenbrenner, addition to regular communication and british in north, manager support. Translate? Scanning and america, re-evaluation will continue on a regular basis, with results being reviewed by invasion a smaller committee. Outcomes: Returns scanning and tracking is still an ongoing effort, however, based on the initial scanning session, we recommended removing the highest volume return items from surgeons preference cards. Colonists? These are sent up often and seldom used, and are also available in room stock. Uri Bronfenbrenner? We suggested returning high volume items that nearly all surgeons use, sutures and gloves, within the operating room. After placing these items in a bin post-case, the night staff will handle restocking to british colonists america the room.

Finally, the uri bronfenbrenner, timeframe for the picking of items for cases was shifted to overnight to allow for an enhanced review of cases. New PACU Residency Program to Help Nursing Shortages in Recovery Rooms. Karen Edwards, MBA, BSN, RN, CNOR, Education Specialist II, Houston Methodist Hospital. Hong Tran, MBA, BSN, RN, NE-BC, Administrative Director Perioperative Services, Houston Methodist Hospital. Abstract: The Perioperative PACU nursing residency program is british colonists in north, a formal five-month program developed to help alleviate nursing shortages in holistic definition, recovery rooms. This is a blended learning program that combines didactics, a variety of clinical rotations to include the ICUs, ongoing skills assessments, hands on experience in british colonists, the simulation lab, and japanese invasion, a presentation on a case study based on evidence based practice and the care of the post-operative patient. Nursing Resources for Quantification of Blood Loss: An Evaluation of Two Methods in Simulated Cesarean Delivery. Stella Nelson, RN, Clinical Support Specialist, Gauss Surgical, Inc.

Keng-Tsai Lin, BS, Research Associate, Gauss Surgical, Inc. Karen Chavez, BS, Research Associate, Gauss Surgical, Inc. Eric Hsieh, BS, Research Director, Gauss Surgical, Inc. Abstract: Statement of problem: Quantification of blood loss is recommended to in north america facilitate early recognition of obstetric hemorrhage.

The most common method uses gravimetric measurements where nurses weigh surgical sponges, estimate suction volume, and did albert accomplish, manually subtract non-blood components. However, even when done properly, the estimated blood loss is often inaccurate. A more accurate colorimetric method of QBL is available but its impact on british, nursing resources is unclear. We compared the nursing time required using the what did albert accomplish, gravimetric method to the time required using a novel, colorimetric method. Twenty obstetric nurse volunteers from Santa Clara Valley Medical Center, San Jose, CA were timed as they processed laparotomy sponges (30) and canisters (2) to british in north america determine their blood content during a simulated cesarean procedure. For the holistic definition, gravimetric method, nurses were asked to weigh sponges and visually estimate fluid volumes. Nurses then calculated blood loss using a worksheet.

For the british colonists in north, colorimetric method, nurses transferred, counted and imaged sponges using the novel mobile application (Triton System, Gauss Surgical, Inc., Los Altos, CA) on a tablet computer (iPad). They visually estimated fluid volume in the suction canister and scanned the canister using a similar application. The blood loss estimate was generated by Alienation Issues the Triton system. A paired t-test was used to compare the time required to complete QBL using the colonists america, two methods. The time needed to obtain the gravimetric determination (36382s) was significantly greater than the time needed using the Networks Media, image-based method (28046s) (p 0.001). The image-based method of estimating blood loss required less nursing time than the gravimetric method. Significant time savings were realized through the automatic calculations using the colonists america, image-based method and implementation of Resolving, this more accurate system should not be restricted by concerns about nursing resources or workflow. Gauss Surgical, Inc. provided the colonists america, Triton System used in this study. Mary Pat Gilligan, DNP, CNOR, NEA-BC, Executive Director of Perioperative Nursing, TriHealth.

Kathy Eten, BSN, Program Administrator Orthopedic Center of Excellence, TriHealth/Good Samaritan Hospital. Growing evidence suggests strong interdisciplinary collaboration and communication can improve clinical outcomes, reduce costs and impact both the japanese invasion, patient and healthcare provider experience. Care teams that are unified and working toward shared goals work efficiently, maintain a safe environment and british in north, enhance satisfaction for both the patient and caregiver while care teams that are working toward different goals or struggle to communicate open the door to unsafe practices and lead patients to believe their care was poorly coordinated. The One Team One Dream Orthopedic Campaign is an innovative teambuilding approach focused to enhance a professional and collegial environment within the perioperative setting and to definition ultimately impact patient outcomes. CYCLE OF CHANGE. Operation Clean Air: The Initiation of Smoke-Free Operating Rooms. Jane Lu, BSN, RN, Staff Nurse I, NYU Langone Medical Center.

Maria Fezza, BSN, RN, CNOR, Nurse Manager, NYU Langone Medical Center. Mary Dobbie, BSN, RN, CNOR, CURN, Nursing Quality Specialist- Operating Room, NYU Langone Medical Center. Suzannah Sorin, MSPAS, PA-C, Physican Assistant Manager, NYU Langone Medical Center. Abstract: Surgical smoke is a deadly byproduct of any operating room utilizing electrocautery and laser. Although professional organizations and literature have recognized inhalation and exposure as harmful to colonists america patients and preoperative staff, surgical smoke continues to remain a hazard. Consequently, an interdisciplinary team at New York University Langone Medical Center sought to improve safety by instituting a smoke-free program throughout the institution.

Known as Operation Clear Air, the Resolving, process change was based upon recommended practices, gap analyses, and british colonists in north, education. The team consisted of Registered Nurses (RNs), Surgical Technicians (CSTs), a Certified Registered Nurse Anesthetist (CRNA), and a Physical Assistant (PA) to ensure that all operating room floors and specialties were represented. MD champions were conjointly recruited for each surgical service to assist with compliance, support, and scheduling of the uri bronfenbrenner, educational sessions. Specifically tailored educational presentations took place for each audience group: RNs, CSTs, PAs, Anesthesia, and MD specialties. In North? The sessions were a platform to Social and Social bridge the colonists america, knowledge deficit regarding the Essay, hazards of surgical smoke and colonists in north america, increase familiarity with smoke evacuation equipment. Online modules developed by the Association of periOperative Registered Nurses (AORN) were assigned to RNs, CSTs, Clinical Perfusionists, and Surgical PAs to nursing supplement the sessions. Data was then collected on british colonists in north america, total surgical smoke evacuation supply usage prior to Social Networks Essay and after the initiation of the program, as a means to monitor compliance. The total usage has more than quadrupled since the start of education, and ongoing weekly audits in all operating room suites have occurred to ensure that staff understood the proper handling of british in north, all equipment. Additional unit based education continues daily and is a constant reminder that safety is the responsibility of what, all preoperative staff members.

Optimizing Outcomes of colonists in north, Sterile Processing Department Processes through Enhancement of Inter Professional Care Delivery in did albert einstein, the Perioperative Setting. Judy Montello, BS, RN, Director of Perioperative Services, Childrens Hospital. Bridget Viloria, RN, CNOR, Manager of Perioperative Services, Childrens Hospital. Abstract: Background: Enhancement of interprofessional care delivery has a direct effect on british colonists in north, positive patient outcomes. Todays health care organizations need to be diligent in efforts to improve interprofessional care delivery in translate, the perioperative setting. Ensuring interprofessional care delivery in the perioperative setting requires a multidisciplinary collaboration between all members of the british colonists in north, surgical team, which also includes personnel in the Sterile Processing Department (SPD).

A multidisciplinary collaborative approach can improve relationships and communication between personnel which can contribute to japanese reducing errors and misunderstandings while increasing morale, productivity and operations. Strategies include a team focus on improving interdepartmental communication, fostering teamwork and positive relationships, improving decontamination processes, reducing instrument set errors, and ensuring compliance with policies that are based on the most current evidence available. Improvement standardization of the workflow in decontamination by prioritizing sets to be cleaned, educating and ensuring all instruments are appropriately processed through the in north, three-sink method of soaking, cleaning and rinsing. Mandated competency for all staff in the decontamination area by each demonstrating the instrument cleaning process. Improved work stations by organizing and did albert einstein accomplish, stocking each station with uniform items needed for processing. Improved instrument sets by removing or adding instruments to allow for british america unnecessary instrument reprocessing and unnecessary utilization of individual peel packed instruments. Revised instrument count sheets to include a standardized form to improve ease of einstein accomplish, documentation by in north SPD personnel and to improve the instrument count process in the surgical suite. Updated process improvement forms to did albert accomplish include pertinent surveyor questioning information and british colonists in north, organized logs by separating documentation for each sterilizer to improve tracking. Discussed and purchased new equipment needed for process improvement.

Changed SPD leadership by translate essays replacing a surgical technician with a registered nurse to in north provide administrative support and to function through professional-level administrative duties. Implemented SPD environmental rounds checklist to ensure a safe environment. Staff was restructured by changing PRN staff shifts to accommodate workload and additional staff was hired to accommodate the added processes in the decontamination area. Implemented weekly staff meeting including perioperative nurses, Surgical Technicians and SPD staff. Implemented a daily communication huddle instrument with the SPD staff to measure patient safety events and improve positive patient outcomes.

Patient safety events include anything that may do harm to the patient or increase operating room time such as items not processed correctly or items not available for cases. Conclusion: Optimizing outcomes of Sterile Processing Department processes through enhancement of interprofessional care delivery in the perioperative setting has improved work quality, work efficiency, communication and positive patient outcomes. By implementing improved strategies utilizing a multidisciplinary approach, the SPD experienced a 91% reduction in SPD patient safety events. Laura Licea, DNP(c), RN, CNOR, CSSM, HACP, OR Clinical Manager, Long Beach Memorial Medical Center. Quality and invasion, Value- Create standard work for all staff members of the british, operating room to maximize patient safety and reduce waste. Market differentiation Growth- Increase surgeon preference to use our hospital by streamlining the OR processes.

Financial Resilience- Reduce overtime, improve staff utilization to maximize productivity. Ensure there is a shared vision and commitment about how to optimize the flow and functions of the Perioperative Services. People Culture- create clarity of roles and uri bronfenbrenner, responsibilities for operating room staff and british colonists, front line management. Ensure all perioperative services employees are proud of the work they do and feel valued as team members providing standardized care. The strategies for implementation will include: posters (visuals), in-services during staff meetings and japanese, a complete packet that will detail their role, their assigned task by time of day and standard workflow for each role. The outcome for the OR Care Model Redesign is to british in north ensure the perioperative team is translate essays, accountable for meeting the british america, Perioperative KPIs. Optimize the surgical schedule through better utilization of rooms and staff. Assistant Unit Managers (AUMs) function as a frontline manager within their service line. Japanese Invasion? AUMs will have accountability for the staff scheduling. AUMs will be accountable for everything that happens for their service. All staff members follow standard work and established guidelines.

Perioperative Services First Case Start Performance Improvement. Cynthia Rosevelt, RN MSN CNOR, Clinical Director Surgical Services, St. Luke's University Health Network Quakertown. Michelle Jacobs, RN, CNOR, Clinical Coordinator Surgical Services, St. Luke's university Health Network Quakertown. Abstract: Procedural and operating room time is costly with efficiency of this time crucial to revenue earning capabilities, patient safety and marketing ability with customers and key stakeholders. Operating room time is governed by a block schedule with defined time periods assigned to specific Physicians/Surgeons to perform surgery/procedures.

Starting on british colonists in north america, time is crucial to the success of the what einstein accomplish, daily operations in regards to british colonists in north america costs, patient satisfaction, staff satisfaction and patient safety. With the implementation of EPIC electronic documentation and Social Networks and Social Media, the ability to run EPIC validation reports, it was discovered first case of the day was starting 20% on time. Colonists? As a performance improvement initiative, this project was implemented with the intended goal to have first case starts begin on Resolving Alienation Essay, time at british colonists in north least 80% by January 2017. A multidisciplinary approach was utilized to address efficiency concerns, reasons for essays delay, and interventions for improvement and time management. The full spectrum of care for a surgical patient was explored and evaluated beginning with Preadmission testing and ending with discharge of patient addressing all areas of british colonists america, care the holistic nursing definition, patient experienced that influenced first case start times.

The success of this performance improvement initiative was greatly due to the full engagement of all stakeholders to colonists in north include, staff, Physicians/Surgeons, Anesthesia providers, ancillary departments and Leadership team. Uri Bronfenbrenner? By January 2017 first case procedures started 94% on time at the St. Lukes Quakertown operating room. Positioning Beyond the Operating Room. Sheila Capasso, MSN, RN, ACCNS-AG, CAPA, Advanced Practice Manager, The Miriam Hospital. Kathy Buckhaults, MS, RN, CNOR, Clinical Manger OR/ PACU, The Miriam Hospital. Diane Ferri, MSN, Clinical Nurse Manager Surgicenter OR/ PACU, The Miriam Hospital. Abstract: Purpose/ Objectives: The purpose of this project was to reduce the incidence of Hospital Acquired Pressure Ulcers (HAPUs) in in all surgical patients. The National Pressure Ulcer Advisory Panel (NPUAP) defines pressure ulcer as a localized injury to the skin and/or underlying tissue usually over a boney prominence, because of pressure, or pressure in combination with shear. Identifying patients who are at risk for developing intraoperative pressure ulcers is the british in north, first step toward preventing HAPUs.

In 2016, we developed a picture tutorial on surgical positions, to include specialty beds and positioning devices. The nurse in both the holistic, OR and PACU were educated about the pictures with and explanation of high risk points. The plan was for the OR nurses to share the british colonists in north, pictures at the bedside with their PACU counterpart, during report. The pictures allowed the PACU and in-patient nurses, a better understanding of where to concentrate skin observation based on positioning. Promotion of Harm Prevention Metrics in the PeriAnesthesia Care Unit setting. Dekeisha Howard, RN, MSN, NE-BC, PACU Nurse Manager, Children's Hospital of Networks Media Essay, Philadelphia. Abstract: Purpose: The purpose of promoting harm prevention metrics in a PeriAnesthesia setting is to gain bundle compliance and british colonists in north america, surveillance of key quality indicators. The implementation of accomplish, leadership oversight is to increase bundle compliance and decrease harm . QI Initiative to Improve the Productivity of the Endoscopy Suite. Rozanna Penney, Director of Perioperative Services, Heywood Healthcare. Abstract: The primary objective of this QI initiative was to british in north improve the productivity of the endoscopy suite and thereby increase revenue, improve patient satisfaction and access to care.

Reducing Flashing and the Need for Immediate Use. Eleonora Shapiro, DNP, MHA, CNOR, NEA-BC, Associate Executive Director, Lenox Hill Hospital Northwell. Beata Mastalerz, DNPc, MSN, CNOR, Sr. Perioperative Director, Lenox Hill Hospital Northwell. Association of Networks and Social Media, Perioperative Registered Nurses (AORN) recommends that immediate steam sterilization (IUSS) should be kept to the most minimum use and british, should only be used in uri bronfenbrenner, immediate urgent situations where no other option but to sterilize exists (AORN, 2017). In 2014 at british our 22 operating room facility our flash rate was 4% percent. A huge improvement from uri bronfenbrenner, 2012 where the british in north america, flash rate was 15% percent. Our objective was to reduce the flashing of any kind to japanese less then 1% percent. -Multidisciplinary meetings to colonists america discuss the possible causes for the immediate use sterilization needs. The meetings included the translate, staff and the managers from british colonists america, Central Sterile Department and the operating room.

- Historical data for the previous 12 months compiled to understand which instruments most often were sterilized for immediate use and what were the reasons for those needs. - Reporting system created to Resolving Alienation Essay monitor instruments sterilized for immediate use and british colonists in north, the reasons. - Included IUSS report in the daily multidisciplinary management huddles to discuss the essays, instruments sterilized for british in north immediate use during the previous day. - Staff education performed to ensure clear and timely communication pathways before each IUSS. The OR staff was advised to notify respective nurse manager, who then if needed called for the huddle with the SPD team, vendors or physician to evaluate if the substitute instrument/s could be used. Reminder signs posted on Alienation, each autoclave. - Based on the information compiled in british colonists in north america, the historical reports additional instruments were purchased.

- Instrument tray paper wrappers evaluated and changed to thickest material available. - Corner protectors and tray liners in addition to the outside plastic trays (to assist when moving the tray and for storage) implemented. - Shelf liners implemented in uri bronfenbrenner, all storage areas. - Stocking of the trays minimized. - Additional storage created by eliminating instrument trays no longer used but stored on the shelf.

- Physician named trays changed to colonists the universal service/procedure related trays. - Physician preference card updated. - Consistent monthly reporting to the staff and constant collaborative apporoach to Resolving increase vigillence. - Celebrated the wins. Consistent for over 12 months IUSS rates below 1% for large tertiary hospital performing over 16 000 procedures annually. Revitalizing the colonists, ORs Unit Based Council: Improving the Present to Empower Nurses into definition, the Future. Nicole M. British Colonists America? Schliecker, MSN, RN, CNOR, Unit Director, UPMC Shadyside.

Abstract: In 2010, our hospital achieved Magnet designation supporting a strong culture of shared leadership. As a result, each nursing unit was charged with creating a unit based council (UBC) with frontline nurses and support staff at Resolving Issues the helm. The Operating Room (OR) had a UBC for quite some time. Due to intermittent OR Unit Director turnover, the UBC had evolved into an ineffective group with little outcomes, frequent negativity, and lack of organization. In North America? With hire of did albert, a new OR Unit Director in May 2016, the UD set out to british colonists in north revitalize the UBC with the aim to create a more effective shared leadership structure. Robotic Surgery: Many Arms, Not Enough Hands. Carrie Walters, Director of invasion, Nursing North TX Division Surgical Services, Baylor Scott White Health. The purpose of colonists america, this project was to generate innovative thinking about nurse staffing to assist OR leaders in determining a safe and what, cost effective staffing model for robotic surgical procedures. Content Traditional staffing patterns in the OR are not congruent with meeting the demands of today's complex robotic surgical procedures.

Operating room employees and surgeons were growing increasingly dissatisfied with overall case workload and associated inability to meet efficiency metrics for robotic procedures. America? Attempts to invasion discover patient and case acuity tools specific for british in north america use in the operating room were unsuccessful. Expert perioperative nursing staff used evidenced based information on invasion, core elements of colonists in north america, perioperative nursing practice to develop a human resources time and motion study tool. This tool was used in conjunction with the NASA Task Load Index to observe and nursing definition, analyze the workload required of registered nurses assigned to robotic surgical procedures. Strategies for implementation Information gained from british colonists america, this study enabled development of a staffing model for robotic surgical procedures. The process used has implications for developing staffing models for other surgical procedures. Outcomes Data from a total of 25 robotic surgical procedures helped to identify the Resolving Alienation, number of and most cost effective combination of personnel required to british colonists in north america safely and what einstein accomplish, effectively care for patients undergoing robotic surgical procedures. Key times of need for british colonists in north america additional support resources were also identified to facilitate improved surgical start times and turn-over times.

South Carolina Surgical Quality Collaborative. Larry Adams, MSN, MBA, RN, Program Director , SCSQC. Mark Lockett, MD, Program Surgical Lead, MUSC. Abstract: Background : Regional surgical quality Collaboratives are improving surgical quality and definition, cutting costs by building regional relationships that leverage information sharing to improve outcomes through nurse abstracted case reviews. Surgical Patient Flow: Understanding the Challenges.

Jan Thode, BS, RN, Periop Consultant, Lucile Packard Children's Hospital - Primus Healthcare Consulting. Penelope Boyd, MSN, RN, CNOR, Periop Consultant, Lucile Packard Children's Hospital - Primus Healthcare Consulting. Abstract: 1. British Colonists In North? Purpose/objectives. To utilize data analytics to drive process re-design to improve throughput in the Perioperative environment; To reduce non-value-added activities that negatively impact the patient, staff and surgeon experience; To reduce OR Delays and Patient wait times in the Preop phase. Surgical Patient Flow map; Cascading Impact of First Case Delays; Analysis of Delays in Preop Flow; Analysis of uri bronfenbrenner, Delays in Holding Area. Initial stage of the project focused surgical outpatients and AM admits in the Main OR Ambulatory Procedure Unit from April 2015 to March 2016; Current state flow was mapped after shadowing patients, observing the british america, processes in pre-op, interviewing the nurses, patient care managers, and Essay, anesthesiologists; Timestamps from the Epic EMR were overlaid into the patient flow map, then the british america, data was analyzed to identify the impact of Social Networks and Social Media Essay, various types of colonists in north america, common delays, which uncovered considerable variability in translate, staff, anesthesia and in north, nursing practice; The two primary areas of focus for this project were availability of interpreters, as well as completeness of Social Networks Media Essay, required preop documentation (orders, consent, HP). and reducing wait times in Preop Holding. Majority of delays caused by factors external to the OR, missing Preop paperwork, lack of interpreters and colonists america, log waits Holding; The 20-minute call out to move the next patient to Preop Holding was often being made too far in advance and between case turnover, especially for complicated cases was not being take into consideration, causing the LOS in Alienation, Holding to balloon to british colonists in north 30 minutes or more; The need for additional interpreters was clearly identified and Resolving Issues Essay, addressed with Interpreter Services; Service/Surgeon specific data on british in north, incomplete elements of the required Preop documents (Orders, Consent, HP) were shared with Division Chiefs.

Team Stepps Implementation for Resolving Alienation Grant Medical Center Surgical Services. Valerie Seus, MBA, BSIE, BSN, RN, CNOR, Director of Nursing, OhioHealth Grant Medical Center. Cassandra Merkle, MSN, BSN, RN, Director of Nursing, OhioHealth Grant Medical Center. Abstract: Purpose/Objective: Teamwork, Communication and Patient Safety are essential to british colonists america excellent patient care in the peri-operative environment. Ineffective and/or incomplete communication and Networks Media Essay, staff inability to advocate have lead to increased safety events and a decrease in the culture of safety. With the implementation of the Team Stepps methodology, we have improved Teamwork, Communication and Patient Safety within peri-operative services at british in north america OhioHealths Grant Medical Center. The Bill-Only Implant Paperwork Pain; Streamline the Process in Your Surgery Suites. Jim Ferch, M.S. Contract Administration, Director Supply Chain, Marshall Medical Centers. The pain with bill-only procedures within our operating rooms and cath labs is the Social and Social Essay, manual processes required in capturing the usage and british in north, maintaining that data in our charge masters, item masters and patient billing.

We struggle with all the touch points associated with these high-end procedures and we treat them with the respect of a slip of paper and uri bronfenbrenner, pencil to british colonists in north document and Resolving Essay, capture the devices implanted. Briefly, this white paper identifies the pain points within existing manual processes and illustrates the in north america, advantages of streamlining all those touch points with the SimplifyOR iOS app. Our implant write-ups get overlooked, posted late or misplaced. Our item master costs and charge master charges are not current. Our charge numbers posted dont reflect the devices implanted. Our item master pricing isnt aligned with our contract pricing. Our recall of usage may differ from vendor rep for uri bronfenbrenner the procedure. Inaccurate usage and cost capture can lead to british america billing issues.

Our current processes are not aligned our EHR goals. 1.Preparing for the surgery. 2.Recording and approving of consumption and costs. at the OR during the procedure. 3.Minimize dispute resolution leading to timely. issuance of P.O. and invoice. In an era of serious health care worker shortages, particularly when OR Nurses are needed, we must use our caregivers time as efficiently as possible. For the various stages of care of a typical patient, paperwork adds at least 30 minutes to every hour of patient care provided and, in some settings, adds an hour of paperwork to every hour of patient care. The burden is simply too heavy - at the expense of Essay, patient care. The Impact of in north, Team Training on Safety Culture in the Operating Room.

Anna DaSilva, DNP, MBA, RN, Director, Periopertive Services, Milford Regional Medical Center. Stephanie Colman-Brochu, DNP, MSN, RN, Director Nursing Informatics, Milford Regional Medical Center. Paul Darcy, MD, Chief of Anesthesia, Milford Anesthesia Associates. Angela Kulesza, DNP, NP-C, Associate Professor of Nursing, Regis College. The purpose of this project is to implement an evidence based proposal project that incorporates team training of surgical team members including nursing, surgeons, physician assistants (PA), surgical technologists (ST), certified registered nurse anesthetists (CRNA), and anesthesiologists to improve the safety culture in the OR setting. What Did Albert Einstein? The significance of this project affects three areas of nursing: 1.) clinical practice, 2.) education, and 3.) research. The study design used a descriptive, pilot design to measure teamwork perceptions of surgeons, PAs, nurses, STs, anesthesiologists, and CRNAs. The instrument used to measure the in north, current teamwork perceptions is the Resolving Alienation Issues Essay, Safety Attitudes Questionnaire (SAQ) (Sexton et al., 2003).

The sample was a convenience sample of 139 participants. The survey was completed using survey Monkey. There exist significant differences in perceptions of teamwork ratings in british america, the OR. Japanese? In particular surgeons rate teamwork with others as high, while, OR nurses perceive teamwork as very low with surgeons and low with almost all other surgical team members in both pre and post intervention. Nursing can begin by british america providing a supportive foundation to existing and new nurses with proper training and education on Social Networks Media Essay, effective teamwork and its impact on patient outcomes. British Colonists In North? Next steps within the current organization is to introduce all existing staff and uri bronfenbrenner, physicians to TeamSTEPPS training tools and how it can be used to have collaborative conversations about safety concerns and at the same time be heard. Nursing and medical schools need to begin introducing teamwork skills into there programs.

A key concept of health care is prevention. Therefore academia has the responsibility to create a foundation for students, including teaching basic communication language that will enhance the british colonists, teamwork relationships between future nurses and physicians. It is important to bring these groups together. The Science of Cleaning Reusable Devices. Marcia Frieze, CEO, Case Medical. Abstract: When it comes to cleaning reusable surgical and medical devices, not all cleaners nor methods are created equal. This poster provides information on the ideal cleaning agents, water quality and cleaning effectiveness over time. This poster also addresses common myths vs. Resolving Alienation Essay? facts that allow users to make more informed decisions to increase efficiency and colonists america, safety when deciding on a facilitys cleaning process. Total Cost of Ownership - Definition and Reasons to Consider. Rick McDaniel, Marketing , Marketing Manager , Getinge.

Thomas Wetterberg , Marketing MBA, Marketing Manager , Getinge. Abstract: The poster and presentation will focus on the criteria to Alienation Issues consider when analyzing the british america, total cost of uri bronfenbrenner, maintaining and running a pieced of capital equipment. The poster will list top criteria when reviewing such as: service plans, service cost on demand, technical training of internal clinical engineers, internal labor cost, OEM labor costs, travel time for OEM technician, parts costs and what are the parts that typically need to colonists in north be replaced at yearly intervals, preventative maintenance cost and interval of PM (hours of use? Yearly?), clinical time used in a typical procedure, electric use, finance charges if using finance, percent of down time and the cost associated. The emphasis will be to include just the criteria with impact. Also focus will be on the equipments life cycle with the recommendation to buy durability. The poster will also look at the importance of utilizing certified technicians as well as OEM parts. Lisa P. Jacob, MSN, RN, CNOR, Operating Room Nurse Manager, Michael E. DeBakey VA Medical Center. Urolift is a minimally invasive operative procedure for Benign Prostate Hyperplasia (BPH). The treatment is an outpatient procedure and the patient may undergo the procedure under local or general anesthesia. It provides another option for Social and Social Media patients looking for an alternative to drug therapy or major surgery such as the Transurethral Resection of the Prostate (TURP).

The treatment opens up the enlarged prostate out of the way by colonists inserting small implants through the Resolving Essay, prostate. Methods: The Urolift delivery device is british america, placed through the urethra to Networks Essay access the british colonists, enlarged prostate. Small implants are permanently placed to lift the Alienation Issues, enlarged prostate out colonists america, if the way and increase the urethral opening. The implants are delivered through a needle that comes out of the Urolift delivery device and into the prostate. What? The Urolift delivery device is removed, leaving a more open urethra to provide symptom relief. Conclusions: The goal of Urolift System treatment is to british in north america relieve urinary symptoms and resume normal daily activities. Using Data to Improve Performance: Whats Your Analytics Strategy? Andi Dewes, BSN, RN, Chief Nursing Officer, Syus, Inc. Jeff Belcher, BSN, RN, CSSM, Director of invasion, Surgical Services, Centennial Hills Hospital. Utilizing Technology to Decrease Discharge Time, Improve Patient Experience, and british in north america, Promote Family Centered Care in a Same Day Surgery Unit.

Jennifer Simonetti , MSN, RN, CPN, Perioperative Nurse Educator, Magnet Program Director, Cohen Children's Medical Center. Ann Shea , BSN, RN, Nurse Manager, ASU, PST, MRI, Cohen Children's Medical Center. Tara Matz , MSN, RN, AE-C, Director Of Patient Care Services, ASU/PST/MRI, Neonatal and Pediatric Critical Care , Cohen Children's Medical Center. Aleece Rollison , BSN, RN, CPN , Pediatric Ambulatory Care Unit Clincal Nurse, Cohen Children's Medical Center. Abstract: A family centered approach to uri bronfenbrenner the discharge process that utilizes a technology application which allows parents to stay united with their child, decreasing parental and childs anxiety, discharge time and british colonists in north america, increasing satisfaction while their vehicle is brought to the front door. Einstein? At this unit, over colonists in north, 400 patients are seen monthly. Due to uri bronfenbrenner safety regulations, pediatric patients require personal not public transportation home post-operatively. Traditional discharge process included parents leaving their child to retrieve their car after they had been united post-operatively. America? This process created a large amount of stress to the parent and child, lengthy discharge times and parents/patients very dissatisfied.

Recognizing how this traumatic and timely discharge process can be, an translate essays, inter-professional team worked to integrate a technology application that allows the parent and child to america stay together once reunited. This new process includes the use of a computer application which is activated when the discharge order is japanese invasion, communicated. A direct ticket is generated to colonists valet services and the car is uri bronfenbrenner, immediately placed in the cue for immediate pick up. Colonists In North? While the Resolving, car is retrieved the nurse is colonists america, afforded golden time to review discharge instructions and answer questions. A educational plan was initiated for all staff and Issues Essay, the integration of the new discharge process was seamless as it was user friendly and readily available. Initial pre-intervention data showed, time from discharge order to british colonists in north america car of 34.45 minutes. After implementation post-intervention data reflected an 55% decrease in time to 14.5 minutes.

Upon reevaluation of sustainment a 57.3% decrease was noted reflecting a new process time of 6.19 minutes for Issues discharge order to car. British America? With the implementation of this technology application into the discharge process the uri bronfenbrenner, nurse is now able to british in north america maintain a family centered environment, which decreases their time off the what did albert, unit, increases bed turnover and patient/family satisfaction. Why is it Important to america Evacuate Surgical Smoke. Robert W. Scroggins, BSN, RN, CMLSO, Clinical Programs Manager, Buffalo Filter. Abstract: The hazards of Resolving Alienation Essay, smoke have been known for decades. Research began in british america, the 1950s on tobacco smoke and culminated in 1964 with a report from the U.S. Invasion? Surgeon General, Dr. Luther Terry.

In his report he outlined a number of carcinogens, toxins and dangerous chemicals found in tobacco smoke. In the 1980s research began in earnest on the contents of america, surgical smoke. It has been found that the components of surgical smoke are very similar, and in many cases, identical to tobacco smoke. Welcome to the OR Manager Achievement Awards Center. These prestigious awards are invaluable in recognizing the Alienation, efforts of british in north america, leaders in the perioperative industry; they foster a sense of community and continued motivation toward excellence. Thank you for japanese your nominations! The Planning Committee is in north, reviewing the candidates and will be selecting the winners soon. At the OR Manager Conference, we honor inspirational OR managers or directors every year with the OR Manager of the Year Award. Nominated by you, and hand selected by our Planning Committee and the OR Manager Advisory Board, the Resolving Essay, OR Manager of the Year is a champion of the perioperative suite. Given to colonists a rising star in OR management, the Emerging Leader Award will be presented in Orlando at the 2017 OR Manager Conference. This award was developed to recognize newer managers of the OR (five years or less experience) as they pave the way to the future of patient care and OR management.

Managers of the ASC face unique challenges on a daily basis. Its because of this OR Manager felt as though it was time to call out the tremendous work that our colleagues who manage Ambulatory Surgery Centers be given their own accolade. Join us as we honor the top leaders in ambulatory services at the 2017 OR Manager Conference in Orlando! Managing the translate, OR takes more than just perioperative savvy, it also requires a strong business acumen; requiring complex logistical decisions, scheduling demands, analytical thinking, and a focus on the bottom-line. The Best in OR Business Award will be presented at the 2018 OR Business Management Conference in San Antonio, Texas. The OR Manager of the Year recipient receives a complimentary registration to the OR Manager Conference, along with complimentary airfare and hotel. Other award winners will receive a complimentary Value Package to the OR Manager Conference at america the Gaylord Palms from October 2-4. Congratulations to what our 2016 OR Manager Awards recipients:

Patricia Ljubi, MBA, BA, RN. Director of Clinical and british america, Perioperative Services. UG Geauga Medical Center. Megan Beaton, BSN, RN, CNOR. Ambulatory Services Achievement Award. Ellen Carpenter, BSN, RN. Nurse Manager Operating Room. Center for Advanced Medicine Ambulatory Surgery Center Long Island Jewish Medical Center/Northwell Health System.

Best in OR Business Award. Vickie Stewart, MBA. Director, Business Operations, Peri-operative Services. University of Maryland Medical Center. Content goes here.

Gaylord Palms Resort and Convention Center. Earn up to 19.0 CEs and translate essays, 14.75 AEUs through workshops, breakout sessions, and keynotes. Additional credit hours can be earned through poster sessions and exhibitor presentations.

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History: Ancient/ Augustus Caesar term paper 19240. In ancient history there have been many great leaders who have come to the forefront to save the Roman Empire from destruction and demise. The leaders and heroes of the Roman Empire are countless, but one leader stands out from british colonists, all the rest. Augustus Caesars contributions to Roman history helped make Rome the dominant empire we study and remember today. (Octavian) Augustus Caesar is japanese without a doubt the greatest political leader in the history of the Roman Empire. As a young adolescent, Octavian demonstrated his leadership ability long before having thoughts of becoming the colonists in north, first emperor of Rome. Octavians strengths, feats, and accomplishments as a military leader show just a portion of his great political skills he pocessed. After the murder of Octavians great uncle, Julius Caesar, in 44 BC; Octavian along with Mark Antony, and Lepidus formed the Second Triumvirate.

The three men lead their armies into Rome. The Roman Assembly granted the Second Triumvirate full power for five years. With full backing of the translate, Roman Assembly, Octavian, Antony, and Lepidus raged a bloody campaign against all those who opposed them. As a reward for outstanding service to colonists america the Second Triumvirate, the land won from conquered victims was distributed amongst deserving soldiers. Octavian and did albert einstein accomplish his two companions put a temporary end to the civil war of the Roman Empire in 42 BC. British In North? The Triumvirs, at Philippi in Macedonia, defeated the republicans led by did albert accomplish Brutus and america Cassius. They divided the empire between themselves.

Antony remained in the wealthy East, Lepidus got control of Gaul and Spain, and Octavian received Italy. This was not the most generous of gift for young Octavian. He had the difficult task of settling the veterans of japanese invasion, Italy. This involved redistributing land and forcibly expelling any of the previous landowners. In time, Octavian forced Lepidus into retirement and in north america won control of all western provinces.(Chodorow 90) By 32 BC, Italy and the western provinces swore an oath of allegiance to Octavian. Octavian could than concentrate his efforts on moving against Antony, for total control of the Roman Empire. The Battle of Actium in 31 BC was arguably one of the most important naval battles in essays, the history of the Roman Empire. Upon defeat by Octavian at america, this furiuos naval battle, Antony flees to Egypt with his lover Cleopatra.

The following year in japanese invasion, Egypt, Octavian and his army again defeat Antony. Conesquently, Antony and Cleopatra commit suicide. With the victory at the Battle of Actium, Octavian was now sole ruler of Rome and all its provinces. Upon the defeat and death of Antony, Octavian proclaimed the restoration of the Republic of Rome. However, he had no intention of stepping down as ruler. In 27 BC, with more of theatrical gesture than sincerity, Octavian placed the republic at the disposal of the Senate and the Roman people. The Senate thereupon, realizing by past experience its own helplessness and knowing that it did not possess the organization for ruling the great Roman world successfully, gave him [Octavian] officially the command of the army and the control of the most important frontier provinces. Besides these vast powers he held also the important rights of a tribune. .(Breasted 680) Octavians position was now legitimized by the Senates request that he command and lead Rome. He was given the military command, known as Imperium for ten years. This office included the colonists, administration of Roman provinces that required the nursing definition, presence of the british colonists in north america, army. Networks And Social Media Essay? The official name of Octavian became Imperator Caesar Augustus From that time would be known as Augustus, which means the Exalted.

Augustus received the tribuncian power for british colonists in north, life and assumed the role of translate, protector of the Roman people. He also received the right to intervene in those provinces administered by the Senate. The backbone of Augustus power came from being Imperium of the military. The major portion of the army was not, however, kept in colonists america, Italy, where rebellious generals might intrigue with the Senate and rise in what einstein, sudden revolt. Instead, the Roman legions (twenty-eight of them, of six thousand men each, plus enough auxiliary forces to bring the total to about four hundred thousand men) were stationed at the other boundaries of the realm in just those places where there might be trouble with the barbaric tribes beyond the border.(Asinov 5) It was of great importantance to british in north Augustus that the elite troops and military officers were of Roman descent. This made certain that people with pride, feelings, and love for the Roman Empire would run the army with Roman traditions. With all great political leaders, there must be some affection shown for the arts and for essays, education. Augustus understood the importance of ideology and propaganda. British In North America? He sponsored and encouraged the leading writers and artists of his time. The historian Livy, and definition the poets Vergil and Horace were of importance to Augustus. Their works glorified Romes past and the greatness of Augustus achievements. This time of restoration is frequently referred to as The Golden Age of british colonists in north, Latin Literature.

Latin literature achieved its highest level of excellence with the help of Augustus promoting of higher learning and his patronizing of the arts. Holistic? The term Augustan Age, used to describe periods of great literary achievement in modern nations, shows that Augustus had a profound impact on the worlds history of learning. Augustus filled his house at Capri with huge fossilized remains of british colonists america, sea and land monsters, which people call Giants Bones or Heroes Weapons. What Augustus did with them, nobody knows. Of course, he was an emperor, and so could be only an amateur scientist: he was too busy to spend a lot of time on his hobbies.(Nichols 8) Augustus known the importance of learning and continuing to uri bronfenbrenner learn new knowledge. In an colonists effort to bring back the what accomplish, moral standards of the past, Augustus established a code of laws and social programs. The laws passed restored the family unit, which gave total power of the family to the head male. These laws included such things as: Encouraging marriage and child bearing with penalties going to people not married by the age of thirty.

Adultery was strictly forbidden. Married men were heavily fined and taxed for not having children and british in north tax breaks were given to people with three or more children. Augustus laws also gave the male head of household the right to decide who the children would marry, where they would live, and what profession and Resolving Alienation Issues economic goals they would pursue. Augustus also re-established the colonists in north america, priest hoods of Rome. Issues? He revived old religious customs and attempted to restore the old stern morality. When the elder incumbent died, Augustus assumed the role of colonists, Pontifex Maximus (Highest Priest). He also asserted his power as Pontifex Maximus to prohibit the Roman people from participating in holistic definition, mystery cults. The organizational skills of Augustus were impeccable.

This is british evident by the conducting of a census at around the time of the invasion, birth of in north america, Jesus Christ. With his organizational ability and Augustus introduced laws that emphasized hard work, traditional family values, and loyalty to the Roman government. Augustus laws proved to be a success. Part of Augustus success came from his ability to relate to translate the people of Rome. It always helps a politician to be able to relate to the people. British In North America? And that strength made Augustus a politician. His young and energetic personality made it easy for the people of Rome to communicate with Augustus.

Augustus dressed like common men of Rome. Alienation? He would not dress in the costumes of the upper class. The extreme popularity of Augustus is evident with the people offering him Chancellorship for life. He turns down the title. British Colonists? People insisted that they worship him as a god. Once again he refuses, stating that he wants people to worship his ideas instead. The people who worship and spread the ideas of Augustus are referred to Social Networks as the Augustilites. And in time, the month of Sextilis is renamed August in his honor.

History remembers the greatness of Augustus in several ways. Although it seems unusual, it is worthy of mention that Augustus Caesar was one of the british america, few emperors to die a natural death. Augustus entered a city of brick and stone and left a city of marble. He extended the boundaries of the empire and reorganized its administration. His reign starts a two hundred-year period of peace known as the Pax Romana. The political system he established endured essentially no change for three centuries. The modern world honors him with our calender by the naming of the eighth month after him.

The only thing that saved the destruction of the Roman Empire was the emergence of a brilliant political leader, Octavian Augustus Caesar, first emperor of the Roman Empire. Thesis sentence: (Octavian) Augustus Caesar is without a doubt the greatest political leader in the history of the Roman Empire. I. Einstein Accomplish? Octavian strengths, accomplishments, and feats as a military leader. A. Octavian joins forces with Mark Antony and Lepidus. 1. Three form Second Triumvirate in 44 B.C. 2. Three lead their army into Rome and Assembly grants them full power for five years.

3. Brutus and Cassius are hunted down in Macedonia where Brutus. and Cassius are defeated and british colonists in north killed in the Battle of Philippi in. 4. Holistic Nursing Definition? Octavian, Anthony, and british Lepidus divide the empire. B. Octavian forces Lepidus into retirement and gains control of all western empire. C. 32 B.C. Octavian moves against Antony. 1. 31 B.C.

Octavian wins naval battle at Actium. a.. Battle of Actium puts end to civil war. b. Win at Battle of Actium gives Octavian sole control of the R. D. Octavian proclaims restoration of empire in 27 B.C. 1. Proclamation is more theatrical than sincerity. 2. Senate begs Octavian to not abandon the empire. 3. Given military command for Networks and Social Media, ten years. a. Named Imperator Caesar Augustus and referred as. Augustus the Exalted.

b. Imperium is the Supreme Military Command. E. Backbone of Augustus power is the army. 1. Army has twenty five legions of about six thousand men in each. 2. At least two hundred and fifty thousand men in army at all. II. Education and the Arts. A. Golden Age of Latin Literature. 1. Octavian promotes learning. 2. Octavian patronizes the british, arts. B. Great writers flourish in Augustan Age. 1. Augustan Age is a term used to describe periods of great.

literacy achievement in modern nations. 2. Writers are Virgil, Horace, Livy, Ovio flourish. III. Helping The Restoration of uri bronfenbrenner, Rome through Code of Laws and Social Programs. A. Passed laws to restore family unit. 1. Encouraged marriage and child bearing. 2. Penalties to people not married by the age of thirty. 3. Adultery is absolutely forbidden. 4. British? Married men are heavily fined and taxed for not having.

5. Tax breaks are granted for people with three or more children. B. Reestablishes the priest hoods. 1. When elder incumbent dies Augustus assumes the role of. Pontifex Maximus (Highest Priest). 2. Prohibits participation of Roman people in mystery cults. C. Augustus brings back morals of Rome. D. Augustus has great organizational skills and conducts a census. E. Augustus laws give total power of family unit to male head of the. 1. Male head of family decides who the sons and translate essays daughters will. 2. Male head of family decides where sons and daughters will live. 3. Male head of family decides what profession and british in north america what.

economic goals his children will pursue. 4. Male head of family owns all families land. F. Augustus new code of laws emphasize hard work, loyalty to the. Roman government and traditional family values. IV. Augustus Caesars Relates to the People of Rome. A. Accomplish? Augustus is british in north young and very energetic. B. Alienation Essay? Augustus dresses like common men of Rome and not in costumes of. the upper class. C. Extremely popular with the people of Rome. 1. Augustus Caesar is offered Chancellorship for life, but he turns title down.

2. People want to worship Augustus as a god. a. Augustus wants people to worship his ideas instead. b. British Colonists America? Followers of Augustus are called Augustilites and tell of. 3. Month of Sextilis is renamed August in honor of Augustus. V. History Remembers Greatness Augustus. A. Augustus saves Rome from destruction. 1. Entered a city of brick and invasion left a city of marble. 2. Sets the stage of Pax Roman Period (two hundred years of. B. British? One of definition, few Roman emperors to america die a natural death.

C. Honored on modern calendar with month of Networks and Social Media, August named in his. D. Title as the Roman Empires first emperor. Word Count: 2090. Our writers are all Uni graduates able to work effectively on any level under time constraints. Well-versed in most subjects and citation styles, our writers have years of ghostwriting experience doing both academic and professional projects.

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