Delegate Specifically

Delegate specific tasks to specific people using appropriate supervision.

So this can't be simply, "keep an eye on Mr. Smith in Room 12." Delegation has to be specific. So we have to define parameters that we're assessing for. We have to define accountability and measurement of those parameters to a specific person who is able to manage that task. In other words, if you have an aide that is going to be taking vital signs you don't want to tell them, "can you please take vital signs on Mr. Smith every 15 minutes because I need to know if she has a transfusion reaction?" Instead you need to say to her, "please take vital signs on Mr. Smith every 15 minutes, I'm looking for a transfusion reaction and I will check the vital signs that you get every 15 minutes to make sure that they remain in the normal range".

You don't want to give a specific parameter to somebody who doesn't know how to interpret that information. So for example, you couldn't tell the aide, "come back and tell me if her temperature goes up." Okay, well her temperature didn't go up but she's hypotensive and tachycardic; you see, that wasn't a good delegation. We need to define specific accountability and specific parameters. By doing so you will decrease your chance of liability, you'll increase accountability for the things that happen with your patients, and you will improve outcomes.

Best wishes,

David W. Woodruff, MSN, RN-BC, CNS, CEN
President, Ed4Nurses, Inc.

Presentasi Prof. William A. Cohen dihadapan Staf dan Dosen UNAI

Fri, 07/25/2008 - 07:00

Siapakah Prof. William A. Cohen? Dr. Cohen is President of the Institute of Leader Arts. He has spoken and given workshops for small groups of managers and executives, and given keynote addresses to audiences of up to 15.000 in size. He has presented on four continents, and executives from more than 50 countries have heard him speak. His academic leader roles have included president of two private universities, and department chairman and institute director at a public university. He has taught in the graduate schools of California and Claremont Graduate University as well as three years with Touro University International, a fully accredited online university.

Dr. Cohen is also a retired major general from the U.S. Air Force Reserve and has held executive positions in several companies including Director of Research at Sierra Engineering Company, Manager of Advanced Technology Marketing at McDonnell Douglas Astronautics Company, and President of Global Associates.

Graduating from West Point, Dr. Cohen flew 174 combat missions in A-26 aircraft in the Vietnam War. His military awards include the Distinguished Service Medal, the Legion of Merit, the Distinguished Flying Cross with three oak leaf cluster the Air Medal with eleven oak leaf clusters.
Among his 53 published in 18 languages and over 100 articles resulting from his research, are the best sellers The Stuff of Heroes: The Eight Universal Laws of Leadership (Longstreet Press, 1998) and The New Art of Leader (Prentice Hall Press 1990,2000). The latter was named a Best Business Book of the year by Library Journal. The former was nominated as one the 10 best management books for the year 1998 by Management General and appeared as number four on the Los Angeles Times best seller list. Both books have been recommended by a host of world class leaders including from the U.S. Congress, astronauts, generals and admirals , presidents of unions and trade associations and CEOs of Fortune 500 companies. His textbooks have been adopted by more than 200 colleges and Universities around the world. His latest book comes from Dr. Cohen being Peter Drucker’s first executive PhD student. His latest book is A Class with Drucker : The Lost Lessons of the World’s Greatest Management teacher. The book has already set a record for the highest foreign rights sales for translation in the history of the 45 year old publisher.

Dr. Cohen’s awards includes the Outstanding Professor’s Award at California State University Los Angeles (1982), the Freedoms Foundation of Valley Forge George Washington Honor Medal for Excellence in Economic Education (1985), and the California state University Los Angeles Statewide Outstanding Professor Award (1996). He was the first business professor honored with the latter. In 1999, he was the first business professor honored with the latter. In 1999, he was named one of four “ Great Teachers in Marketing” by the Academy of Marketing Science from nominees from around the world. In 2002 he received and honorary Doctorate in Humane Letters from the International Academy for integration of Science and Business in Moscow, Russia. Dr. Cohen has served on various city, state, national, corporate, and trade boards and boards of directors. His biography is contained in Who’s Who in America, Who’s Who in the world, and other national and international directories.

In addition to his BS in engineering from the United States Military Academy at West Point, he has and MBA from the University of Chicago, an MA and PhD in management from the Peter Drucker School of Management at Claremont Graduate University, and has completed all coursework for a second PhD in psychology. He is a distinguished graduate in residence of the prestigious Industrial College of the Armed Forces in Washington, D.C.

Sdr. Hans S. Mandalas, MBA, alumnus Fekon UNAI memfasilitasi kunjungan Dr. Cohen Ke kampus Universitas Advent Indonesia.
Dr. Cohen didampingi oleh Prof. Nurits Cohen (istri Dr. Cohen), Sdr. Suwanto, MBA.
Dalam kunjungan singkatnya beliau menyampaikan pelajaran yang sangat berguna dengan judul, “How to Apply The Loss lessons and Wisdom of Peter Drucker in School”.

1. What everybody knows is frequently wrong
People frequently make erroneous assumptions, look at the source, if possible, peel the onion to find the originator, don’t believe it until you investigate the situation yourself.
2. You mutbuild your own self-confidence
Prepare yourself for success and avoid fear of failure, Don’t think of any situation as a failure, but rather as a learning experience. Develop expertise outside of your own field, Use positive imagery, Behave confidently even if you are uncertain.
3. If you keep doing what made you successful in the past you are going to eventually fall.
Change is inevitable, stay flexible and be prepared for change, Obselete your own products, create your own future, If you are in business, you must innovate.
4. Approach problem with your ignorance-Not your experience
Solving Problems: Ask questions, Question your assumptions, Consider many different possible solutions and test if possible.
5. You can’t predict the future, but you can create it.
Don’t worry about the future-no one can predict it exactly, Decide on your objectives, Do a situational analysis and look at your resources, Develop a plan, Take action and create the future, adjusting your plan as needed.
6. Workers must be led, not managed
There must be a leader incharge!, Motivate each worker according to the individual and the situation, Ethics and integrity are crucial, Why Drucker admired the military over other organizations, Treat all workers as if they were volunteers, because they are.
7. All businesses must based on Innovation and Marketing.
Implemention of the marketing concept is primary for any business, The objective of a business is not to create a profit, it is to create a sustainable customer, Startegy and Tactics are not the same and poor marketing strategy cannot be overcome by good marketing tactics, Customer pay only for what gives them value and value can only be determined by research and by knowing one’s customer.

Dr Cohen terkesan dengan keteraturan dan kerapihan dari kampus UNAI, dan keramah-tamhan dari stados, setelah menikmati makan siang, dr. Cohen dan rombongan kembali ke Jakarta.

(this article was copied from www.unai.edu ; please refer to its official website for more complete information about Universitas Advent Indonesia - Bandung)

Benefits outweigh risks for air medical crews

By Robert Mitchum and Judith Graham
Chicago Tribune

AP Photo/Paul Beaty A Dupage County Emergency Management worker is comforted near the wreckage of a helicopter crash in Aurora, Ill. Four people, including a 13-month-old girl, were killed when a medical evacuation helicopter crashed overnight in the Chicago suburb of Aurora, authorities said early Thursday.

AURORA, Ill. — For medical professionals who climb on board helicopters hundreds of times a year, the job can mean dark, urgent flights through uncertain landscapes, emergency landings in cow pastures and medical equipment bouncing to and fro because of choppy winds.

But air medical transport also grants its workers the rush of flying above the world and the indescribable feeling of saving the lives of people who might not otherwise have been reached in time.

That is what has kept Mary Jo Dunne, 53, working as a flight nurse for 23 years on more than 2,000 flights with the University of Chicago Aeromedical Network, even as she hears all too frequently of medical helicopter crashes like the one that killed four people in Aurora.

"That will be on my mind when I get in the helicopter because of the loss of people, but I don't think we ever project that as being us," Dunne said. "For a very long time, my thinking has been clear that this isn't an inherently dangerous job. The benefit we're providing the patients should outweigh the risks."

Dunne and other air medical workers said Thursday that the latest accident, which follows a dozen other U.S. crashes in the last year, rattled them emotionally but did not shake their resolve to continue offering a unique and essential service.

"The focus is on the patient. I don't even realize what's going on around me," said Amanda Bostjancic, 28, a pediatric nurse for the intensive-care unit at Advocate Hope Children's Hospital in Oak Lawn.

Dangerous situations do arise, but Dunne said she puts absolute trust in her pilots. When thick ice on a helicopter's windshield forced an emergency landing several years ago, "the pilot had us on the ground before we realized what was happening," she said.

That wasn't the last challenge. "We had a patient on board, so I had to slog through a field full of cows to get to a phone and call a ground ambulance," Dunne said.

Paramedics, physicians and nurses who fly on air ambulances in the Chicago area cited several reasons for their career choice: the challenge of treating critical patients in an extreme environment, the unpredictability of each day's work, the independence of working closely with a small team.

"It's definitely a kind of adrenaline rush," said Cindy Rahilly, clinical operations assistant for the pediatric neonatal transport team at Hope Children's Hospital, who did air transports for about two years. "You're picking up a very critical patient. And because the doctor isn't with you, you have a lot of autonomy."

Dania Lees, 32, said she was obsessed with flying at a young age and got hooked on air medical transport from her first fly-along as a medical student at the University of Chicago.

"The minute I got up there, I said, 'This is what I want to do,'" said Lees, now a physician at Loyola University Medical Center in Maywood. "Not only the thrill of being able to fly, but to go and take care of a patient and fly them back to where you're confident they'll get the care they're going to need."

Dunne said the daily joy of seeing the world from a vantage point few experience is why she still works the 24-hour shifts the job demands even after two decades in the business.

"There isn't a minute that goes by that I don't enjoy flying," Dunne said. "The sunrises and sunsets. The cityscape, the farmlands in snow and moonlight. ... It's breathtaking and beautiful. The theater in which we practice is so beautiful it's beyond belief."

Copyright © 2008 LexisNexis, a division of Reed Elsevier Inc. All rights reserved.

Oncology Nurse

International Medical Corps (IMC)

Relief Organization

Closing date: 31 Oct 2008
Location: Iraq - Baghdad

ESSENTIAL JOB DUTIES/SCOPE OF WORK:

The purpose of the program is to contribute to the strengthening of medical staff‘s technical and managerial capacity and optimize patient outcomes through intensive on the job medical education and professional development.

The Oncology Nurse is required to help increase medical staff access to relevant and effective medical education and professional development nationally through face-to-face, hands-on practical trainings and relevant managerial training.

He/she will be required to support the overall training program in the respective field as well as work with the program leadership to ensure the development of a well trained and integrated clinical and managerial team of Iraqi professionals. This will include the development of a training program and materials and the delivery of the training to professionals in Iraq. Coupled with this, he/she will be required to support development of quality assurance policies and procedures and recommendations to the MOH on national quality standards for personnel and facilities. This may involve engaging the appropriate association and/or developing standards for licensing/credentialing and accreditation.

Duties and responsibilities
1. Curriculum development
2. Facilitation of meetings with MOH officials regarding the curriculum and ensuring final approval by the MOH
3. Development of training manuals and materials
4. Training delivery and oversight of on-the-job programs
5. Trainee evaluation
6. Conduct review of the current clinical specialty systems in place and draft national clinical improvement recommendations
7. Identify and assist medical specialty societies to establish 5 year specialty driven training program
8. Review current quality assurance programs and provide recommendations for improvement and institutionalization
9. Review current quality standards for personnel and facilities and provide recommendations for improvement related to licensing/credentialing and accreditation

QUALIFICATIONS:

(Training/education/experience/physical demands required; provide 6-8 requirements)
- The qualified candidate will be an Oncology Nurse professional with 10+ years clinical experience in providing oncology services
- Training experience of medical professionals is required
- Strong organizational and supervisory skills
- Strong interpersonal skills and the ability to work within different cultural environments
- Honest, hard working and a self-motivated person
- Ability to work within a team structure or in isolation, flexible, and can cope with stressful workloads and working with limited resources

How to apply

Go to IMC website, www.imcworldwide.org

Reference Code: RW_7KAKKS-54

CBFA Program Oficer - American Red Cross (Banda Aceh)

American Red Cross (Banda Aceh)

Advertised: 9-10-08 | ReAlerted: 16-10-08 | Closing Date: 7-11-08 The American Red Cross Tsunami Recovery Program (TRP) had been established to direct the organization’s response to the South Asia tsunami disaster. The TRP activities focus on integrated community recovery and preparedness interventions in tsunami affected countries in Asia and East Africa in collaboration with Red Cross and non-Red Cross partners. Please visit www.redcross.org/tsunamirelief The Indonesia TRP Delegation operates from offices in Banda Aceh, Calang, Lamno. It also has liaison offices in Jakarta, and other areas in Aceh province in collaboration with the Indonesian Red Cross. The American Red Cross seeks dynamic individuals to fill the : CBFA Program Officer (Aceh - Banda Aceh) Responsibilities: To assist the CBFA Program Coordinator overseeing the management and implementation of Indonesian Red Cross (PMI) Community Based First Aid (CBFA) Program To provide timely input to AmCross CBFA Program Coordinator regarding achievement of targets and modification of program objectives as needed To assist the CBFA Program Coordinator to review and provide technical assistance to PMI on CBFA training content and ensure that objectives of training are met To conduct field visits to project sites to collect information and to ensure project activities meet specified objectives To prepare data and information for monthly narrative report to AmCross CBFA Program Coordinator Attendance at meeting in capacity of translator when needed Translation of both written and spoken Indonesian and English languages Submit field trip/training reports in relation to technical assistance with PMI NAD Chapter and branches. Work closely with CBFA Sr.PO to ensure all respective objectives regarding program implementation are met Any other duties as requested by the Program Coordinator Requirements: University degree required, degree in nursing or public health is preferred Familiar with community-based approach Excellent verbal and written English skills required Able to clearly and accurately translate from English to Bahasa and Bahasa to English Ability to work well under pressure and meet deadlines Computer skills, Microsoft Office preferred Experience working with an NGO is an asset Please submit your application and curriculum vitae to put Job title in Subject line. Only applications in English and short listed candidates will be notified. Applications submitted after Oct 17, 2008 will not be considered.

Scoring Stroke Risk

A simple scoring system was recently published defining characteristics of patients with TIA that would increase their risk for stroke within seven days. The method is called the ABCD Scoring System. Scores are assigned for the following
variables:

A - Age: greater than or equal to 60 years = 1 point
B - Blood pressure: systolic greater than 140mmHg, or diastolic greater than 90mmHg = 1 point
C - Clinical features: unilateral weakness = 2 points; speech disturbance without weakness = 1 point
D - Duration of symptoms: greater than or equal to 60 minutes = 2 points; 10-59 minutes = 1 point

Totals:
Less than or equal to 4: the risk of stroke within 7 days is very low (0.4%)
5 points: the risk of stroke within 7 days is 12.1%
6 points: the risk of stroke within 7 days is 31.4%

Now that we know which patients are most likely to have a stroke within a short period of time after TIA, it is time to teach those patients the signs and symptoms of stroke so that they will seek treatment promptly. If your patient presents to the Emergency Department within the first hour of stroke symptoms thrombolytics and angiography may be possible, later presentations limit treatment choices.

From: Rothwell, P.M., et al. (2005). A simple score (ABCD) to identify individuals at high early risk of stroke after transient ischemic attack. Lancet, 366: 29-36.
Best wishes,

David W. Woodruff, MSN, RN, CNS
President, Ed4Nurses, Inc.
www.Ed4Nurses.com