White Gloves free essay sample

I tossed my head back and snickered as my companion made jokes about what I had recently said. The word is articulated â€Å"the-it-er† not â€Å"thee-ate-her†. My companion and I were discussing what to do throughout the end of the week when I understood how much culture I had absorbed from the spots I had lived before Virginia. My excursion starts on the hot sandy sea shores of California. I felt as though the second I was conceived, my family gathered up our sacks and moved. Arizona. I recollect the sand trails secured with iron fillings, snakes and bugs covering up in the scant patches of grass. My Velcro shoes kicked up puffs of residue as I conquered the long path from my home to kindergarten in isolation. Texas’ moist air made my garments stick to me as mosquitoes amassed the air above me. My sticky hands held firmly to my dad’s shirt as I looked up at the tall stepping stool inclining toward the stage that I would before long bounce off. We will compose a custom paper test on White Gloves or on the other hand any comparable subject explicitly for you Don't WasteYour Time Recruit WRITER Just 13.90/page â€Å"Thump, thump.† All I could hear was the sound of my hands hitting each rung on the stepping stool. I looked down from the stage and a surge of dread and energy struck me. â€Å"Zip on,† I shouted down to the group. â€Å"Zip off,† reverberated back. I jumped into the air and a yell of dread got away from me before I understood I was in no peril. As I came nearer to the furthest limit of the line, my dread vanished behind me. I at long last wound up here. Mild-mannered and holing up behind my wild bolts, I ventured out into brilliant lights sparkling on the football field, my clarinet firm next to me. The music began and I watched the white gloves make note of my initial steps. At that point I could see the absence of trust in the young lady with the Velcro shoes, damp hands, and raucous locks blurring ceaselessly with the last note.

Super Tuesday Definition - Date and States That Vote

Super Tuesday Definition - Date and States That Vote Super Tuesday is the day on which an enormous number of states, a considerable lot of them in the South,â hold their primaries in the presidential race. Super Tuesday is significant on the grounds that an enormous number of agents are in question and the result of the primaries can hoist or end a competitors chances at winning their partys presidential designation later in the spring.â Super Tuesday 2016 wasâ held on Tuesday, March 1, 2016. Republican Donald Trump and Democrat Hillary Clinton developed with the most number of agents on Super Tuesday 2016, pushing both toward their possible designations at that years shows in Cleveland, Ohio, and Philadelphia, Pennsylvania. Twelves statesâ hold primaries or gatherings on Super Tuesday. Voters in those statesâ go to the surveys around one month after the first-in-the-country Iowa gathering are held.â Super Tuesday 2016 wasâ the first presidential essential day under Republican National Committee rules intended to give expresses that vote later in the year more impact in the selection procedure and at the GOP show in Cleveland, Ohio, in the mid year. Why Super Tuesday Is a Big Deal The votes that are thrown on Super Tuesdayâ determine what number of agents are sent to the Republican and Democratic national shows to speak to their separate contender for the presidential assignments. In excess of a fourth of the Republican Partys delegates are typicallyâ up for snatches on Super Tuesday, remembering for the top prize of 155 delegates in Texas. In excess of a fifth of the Democratic Partys delegates are available to all that day. As such, more than 600 of the 2,472 complete Republican agents to the partys national show are granted on Super Tuesday. That is a large portion of the sum important for the designation - 1,237 - available for anyone in a solitary day. In the Democratic primaries and caucuses,â more thanâ 1,00 of the 4,764 Democratic representatives to theâ partys national show in Philadelphiaâ are in question on Super Tuesday. That is almost 50% of the 2,383 required for the designation. Super Tuesday Origins Super Tuesday began as an endeavor by southern states to win more prominent impact in the Democratic primaries. The main Super Tuesday was held in March 1988.â Super Tuesday 2016 Delegate Rules Under the Republican Partys new guidelines, expresses that hold their primaries and councils on March 1 through March 14â awarded delegates on a corresponding premise rather than champ take-all. That implies no up-and-comer can almost certainly win enough delegates to make sure about the assignment before late-casting a ballot states get the chance to hold their primaries. The standard is intended to forestall states fromâ trying to jump each other for impact and consideration during the primaries. Rundown of States Voting on Super Tuesday The quantity of states holding primaries and assemblies on Super Tuesday 2016 wasâ larger than in the past presidential-political race year, in 2012. Just ten states held primaries or councils on Super Tuesday in 2012.â Here are the states that hold primaries or assemblies on Super Tuesday, trailed by the quantity of representatives being granted to the gathering shows: Alabama: 50 delegates in question in the Republican essential, 60 delegates in question in the Democratic primaryAlaska: 28 delegates in question in the Republican councils (the 20 delegates in question in the Democratic gatherings are granted on March 26, not on Super Tuesday)Arkansas: 40 delegates in question in the Republican essential, 37 delegates in question in the Democratic primaryColorado: 37 delegates in question in the Republican assemblies, 79 delegates in question in the Democratic caucusesGeorgia: 76 delegates in question in the Republican essential, 116 delegates in question in the Democratic primaryMassachusetts: 42 delegates in question in the Republican essential, 116 delegates in question in the Democratic primaryMinnesota: 38 delegates in question in the Republican gatherings, 93 delegates in question in the Democratic caucusesOklahoma: 43 delegates in question in the Republican essential, 42 delegates in question in the Democratic primaryTennessee: 58 delegates i n question in the Republican essential, 76 delegates in question in the Democratic essential Texas: 155 delegates in question in the Republican essential, 252 delegates in question in the Democratic primaryVermont: 16 delegates in question in the Republican essential, 26 delegates in question in the Democratic primaryVirginia: 49 delegates in question in the Republican essential, 110 delegates in question in the Democratic essential

5th Grade Theme Essay Samples - Find Essay Ideas That Will Be Right For Your Student

5th Grade Theme Essay Samples - Find Essay Ideas That Will Be Right For Your StudentThe best option for a 5th grade theme essay sample is to simply use the resources that are already available to you. However, if you need help deciding which essay topic is right for you, read on.The essay samples available online are excellent for getting an idea of what it takes to write the perfect essay. There are many, many options available and you can get a lot of good information by just browsing through them. The secret is to know which resources are right for you so you can get started without a lot of effort.The first place to start is your own school - your fifth grader should be a happy five-year-old kid. Your student has a life to lead and the most important thing you can do for her is to introduce her to the world of writing. That is where the educational experience starts.Then you have to find the right class. You should ensure that your student doesn't feel too pressured by you and th e teacher to decide on a topic and then write an essay about it. Also make sure that your student's teachers support your decision.Essays that aren't well-received by a class can even cause problems in the classroom. Everyone wants their opinions to matter and you don't want your student to get any negative feedback just because you didn't take the time to decide on a topic for her topic essay. Remember that these are very young students and you want to make sure that they have plenty of opportunities to express themselves.The next option is to consider hiring a freelance essay writer or a writing teacher. There are many professional writers who will work with the parent or guardian of a student and turn the assignment into a polished essay with a quality writing experience. However, many of these services will charge you a little more for this service than you would normally be expected to pay for.So when you take a look at the big picture, you will see that choosing a good essay t opic can be easier than you think. Just choose a topic that is interesting and is relevant to your student's life.Also keep in mind that there are many good essay samples that can show you how to properly structure an essay. Just remember that you don't have to spend a lot of money to get a great essay - a good teacher or freelance writer can make it happen!

Prodigy and Protege Commonly Confused Words

The noun prodigy refers to a highly talented young person or to a wondrous event. The noun protà ©gà © refers to someone whose training or career is advanced by an influential person. Examples Everybody hates a prodigy, detests an old head on young shoulders. (Erasmus)​Abraham Lincoln was a protà ©gà © of Henry Clay, the Kentuckian who had orchestrated the great Missouri Compromise of 1820-21. Practice (a) Stephen Sondheim, a _____ of Oscar Hammerstein II, composed the lyrics for West Side Story and Gypsy.(b) Gary Burton, the one-time teenage _____, is still an astonishing master of the vibes after 40 years. Answers (a) Stephen Sondheim, a  protà ©gà ©Ã‚  of Oscar Hammerstein II, composed the lyrics for  West Side Story  and  Gypsy.(b) Gary Burton, the one-time teenage  prodigy, is still an astonishing master of the vibes after 40 years.

The Legalization Of Marijuana And The United States

The Legalization of Cannabis The legalization of Cannabis in the United States is an extremely hot topic in the current media. Currently, 23 states and D.C. have laws to legalize use of Cannabis (NORML). Cannabis is also known as marijuana, dope, pot, grass, weed, head, Maryjane, doobie, bud, ganja, hashish, hash, bhang (Cannabis). Cannabis is now the third most popular recreational drug in America, this is behind alcohol and tobacco. It has been used by 100 million Americans (Cannabis). Since the legalization of Cannabis is such a hot topic in the United States, this issue is highly debated. Both sides of the argument work towards making educated decisions for their stances. By collecting both sets of data, we can progress towards†¦show more content†¦Decriminalization policies towards cannabis is starting to show up throughout the country, challenging the Controlled Substance Act. This act is a statute that gives the federal government ability to arrest when a manufacture, importation, possession, and use and distribution are founded for the federal arrest. This also states that the federal court’s medical provisions for cannabis are irrelevant in a federal prosecution case (Cannabis). Decriminalization is the lesser penalties for the crime. Most states that are decriminalizing cannabis have drug education, treatment, and civil fines. This is all in place of incarceration or criminal charges for the scant amount of cannabis (Galvin). Economic Implications of Cannabis Legalization: In Colorado, the Economic Implications seem to be extremely positive for the state. Licensed, regulated cannabis stores earned almost one billion dollars in 2015. The taxation collection was over one hundred and thirty five million dollars. These numbers do not even include income tax, property tax, or tax revenues. Colorado has also noticed an increase of tourism since the legalization of cannabis. From the reports, it is noticeable that the implications for the Colorado economy are extremely positive (Colorado). Medical Implications of Marijuana Legislation: Cannabis is primarily used to make the user

Comparing Basketball And The Basketball Association

WNBA vs. NBA Basketball is one of the most popular sports played and watched nationwide and global. Shooting, dribbling, crossing someone up, and even dunking has caught the eye of many people around the world. Many basketball players start at young age playing at a local recreation or YMCA (Young Men’s Christian Association) to build their skills and IQ of the game. This sport also consists of two genders: male and female. One of the top associations in American sports today is The National Basketball Association (NBA) and the Women’s Basketball Association (WNBA). The association of women’s basketball and men’s basketball is almost equivalent. This essay will analyze the differences and similarities of the two sports and associations. The following differences and similarities will be analyzed throughout the essay: rules, monetary differences, and gender. The rules of the game of basketball vary between men and women. The National Basketball Association has twelve minute quarters, yet the Women’s National Basketball Association has ten minute quarters. On the other hand, both associations have the original twenty four second shot clock. In addition, both the men’s professional basketball and women’s professional basketball have the same rules that consist of the following: walks, double dribble, illegal screens, charging fouls, clear path fouls, bonus, overtime, jump ball, over the back fouls, and even goal tending. Even though both associations have the same rules andShow MoreRelatedOutline Of Figueroa s Framework1621 Words   |  7 Pagescontribute to shaping the overall joint effect. They show the different functions that reinforce, create, remove and eliminate barriers within a sport. 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He is truly a leader with few simple rules which help him to build a successful team and become one of the famous tr ainers in the basketball history. As the WestRead MoreSituational Leadership: Commissioner Adam Silver Impact on the NBA793 Words   |  3 PagesChief Executive Officer (CEO) in such an organization? The working environment is a diversified, multicultural, multiethnic, racially charged atmosphere (Price Wolfers, 2010, p. 1859). The organization under my microscope is the National Basketball Association (NBA). Price and Wolfers (2010, p. 1885) found that the NBA have achieved high levels of racial equality across key working relationships. Adam Silver is the current Commissioner of the NBA whose responsibilities include maintaining racialRead MoreThe U.S. Soccer or Football1437 Words   |  6 PagesWorld Cup and the 2009 Confederations Cup. Though extremely popular in European countries, soccer took a long time to gain momentum in the United States because Americans put more money and attention into other sports like baseball, football, and basketball. Soccer eventually became popular in the 1970s, but then lost popularity again when the National League went bankrupt. U.S soccer started when the English settlers came to populate America. The game was originally played across an entire town withRead MoreNcaa Football Vs. Basketball Game1631 Words   |  7 PagesImagine sitting down in the comforts of your home, relaxing on the couch, and eating your favorite junk food while playing your favorite video game. What if you re actually playing as yourself on the newest NCAA football or basketball game. Wouldn t that be awesome? Believe it or not it didn t seem that awesome when Ed O Bannon, a former UCLA power forward, had a realization. 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Quality Improvement in Gastroenterology-Free-Samples for Students

Question: Discuss about the hand hygiene based on PDSA Model Quality Improvement in Gastroenterology Health Care Centre. Answer: Introduction Quality and safety management is crucial in the context of prevention of infections within an acute healthcare setup. The quality management here refers to taking care of the overall aspects of healthcare which are pivotal in maintaining an aseptic condition within the care setting. For the current study we have taken into consideration hand hygiene which helps in reducing the chances of infection within a hospital framework. The focus has been narrowed down to the application of the project initiative within the Gastroenterology Healthcare centre, Toronto upon the Plan DO Study Act (PDSA) model. The paper discusses the issue in more detail focussing upon the importance of hand hygiene and relation of the same in ensuring health improvements within the concerned department. The study further elaborates the role of the nurses in ensuring the efficiency of the aforementioned processes. Description of issue Hand hygiene has been described as the single most effective method of infection prevention (CDC, 2002; World Health Organization [WHO], 2009). The cleaning of hands before, after and during surgical processes is crucial in the prevention of infection through the spread of microorganisms. As commented by Septimus et al. (2014), increased use of hand hygiene equipments have been seen to reduce the incidents of infection spread within healthcare centres. Some of the disinfectants which could be used over here are soap dispensers, alcohol based foam dispensers, paper towel dispensers. The statistical figures showed a 24 % reduction in the healthcare associated infections after the implementation of the disinfection process on a regular basis. This resulted in saving approximately 27 % of the cost of antibiotics (Moraros, Lemstra, Nwankwo, 2016). In the present context, precautionary measures must be taken in dealing with patients suffering from gastrointestinal issues. The staff may encounter exposure to pathogens such as Clostridium difficile, vancomycin resistant enterococci (VRE), carbapenam resistant enterobacteriaceae (CRE). In this respect, rigorous cleaning of the environment with EPA-registered hospital disinfectant has been seen to eliminate some of the microbial agents such as C. difficile which have been known to result in acute gastric infection in individuals (Jones et al., 2016).The aspects of hand hygiene have been further discussed with respect to the PDSA model. The model has four active components such as Plan, Do, Study and Act. The application of the model helps in evaluation of the different steps which could be taken for improvement of quality within the Gastroenterology health care centre. The different steps of the model have been represented with the help of flowchart as follows: What are we trying to accomplish? How will we know that change is an improvement? What changes can we make that will result in improvement? Evaluation of the current scenario through the PDSA model helps in the identification of the problem situation. The goal is to improve quality of services delivered within the Gastroenterology healthcare units through implementation of hand hygiene methods. In this respect, the hand hygiene practices have been promulgated as the cornerstone of preventing infection by IPAC Canada. The improvements brought about by the implementation of such methods can be measured using survey analysis. The reduction in the rate of infection after the application of the cleaning methods could be compared with that of situation before the application of the control methods. The figures so obtained provide an overview about the various loopholes and gaps within the delivery of the care services. The gaps could be further improved with the application of stricter control measures which enhances the quality of the care services. Application of hand hygiene based on PDSA The PDSA model is based upon the objectives of learning through planning, executing the plan, study the gaps in the processes and act accordingly for the mitigation of the gaps. The models have been discussed in more details below: Plan (P): Will implementing sufficient standards of hand hygiene enhance quality care within the gastroenterology wards of the hospital? Will sufficient staff education about the disinfection process help in reducing the rate of infection? What are the necessary standards and guidelines which have to be implemented for achieving success in the above outcome? Do (D): The healthcare team need to do planned activities for bringing about the change Study (S) Did the planning go right? Was optimum education regarding the disinfection process given to the staffs? Were adequate policies and programs followed for the implementation of the objectives within the gastroenterology healthcare centres? Act (A): Based on the results obtained from above interrogation, the gaps or the loopholes are identified which the team could further work upon. Strength of the model There are a number of strengths of the PDSA model such as collective problem and solution ownership. As commented by Smiddy, O'Connell Creedon (2015), the collaborative mode of working helps in building positive relationship between team members. The PDSA model helps in empowerment of team members through common goal synthesis for achieving better clinical outcomes. The PDSA provides a structured environment for the realization of the clinical outcomes (Dai, Milkman, Hofmann Staats, 2015). The PDSA cycles allow the staff to better understand the organizational processes. It promotes a gradual shift in accountability for problems from management to the frontline staff. Limitations of the PDSA model There are a number of limitations of the application of the PDSA model such as loss of momentum due to the removal of a team member. The jumping of the steps of the PDCA cycle may result in adequate learning which fails to address the root cause of the problem (Smiddy et al., 2015). The analysis of the problem situation through PDSA requires unit specific and time sensitive data and is dependent upon human labour for sufficient collection of data. In order to work through individual steps of the PDSA cycle sufficiently longer time is required. Role of the nurse The nurses play a critical role in reducing the rate of infection within a clinical setup by the implementation of sufficient policies and procedures. The influences excised by the nurses within the control of infection can be divided into a number of factors such as intrapersonal, interpersonal and organizational factors. The intrapersonal factors here refer to the level of knowledge, skills along with perceptions or values possessed by the nurses which influence their set of practices. The interpersonal factors refer to the relation of the nurses with their friends, peers and patients which further govern the success of the implementation objectives. The organizational factors refer to the policies norms and culture, which helps in the establishment of the IPAC standards of clinical hygiene and safety. Additionally, inter facility collaboration can promote organizational learning regarding techniques and procedures such as alcohol rub for cleansing hands before, after and during p atient handling, which can prevent spread of infection (Ellingson et al., 2014).The attending nurses need to maintain proper quarantine in dealing with highly infectious cases. They should wash their hands during each step of attending to the patient such as making the bed of the patient along with handing and management of the contaminated soils and articles of the patients. Strength In his respect skill building, peer to peer role modelling have been seen to positively influence the implementation of infection control procedures. As commented by Allegranzi, Sax Pittet (2013), the old and experienced nurses can preceptor the newly enrolled nurses about the disinfection methods and control. The nurses also play a significant role in educating the patients and the respective family members of the patient about the disinfection process. Limitations In a care set up dealing with patients who have been kept in under quarantine, the nurses have to monitor that the family members of the patient are allowed restricted entry. There are similar situations where the nurse has to persuade the family members of the visiting patients to rub their hand with alcohol before they could meet or touch their loved ones (Al-Tawfiq Pittet, 2013). The application of such restrictions often results in heated exchange of words between the nursing professionals and the visitors to the hospitals. Therefore, such ethical barriers limit the potential contributions of the nursing professionals within a care setup. Physicians role In this respect, the physicians attending to the patient can act as a go-to person by the family members of the patient being admitted to the hospital with serious infections. Therefore, they need to practice effective communication skills, where they need to be empathetic in their approach. As commented by Abdella et al. (2014), values and compassion serves as the core factors for ensuring less ethical dilemmas are faced by the practising physicians as per the IPAC hygiene standards. The physicians need to look upon the hygiene standards implied by the nursing professionals and educate the same. They also need to be careful with the equipments for treating patients in the gastroenterological wards. The instruments should be dipped in ethanol after every use. Critical solution by managers In this respect, the managers of the healthcare centres can act as volunteers for the promotion of programs such as antimicrobial stewardship. The antimicrobial stewardship is an excellent tool for improving the clinical outcomes of patients with severe microbial infections by analysing each step from infection contraction to recovery, through constant research into the clinical data and active record keeping (Al-Tawfiq Pittet, 2013). The programs can be also used for educating the staffs for coping with future recurrence of such infections. The implementation of the program can be used for meeting with the loopholes of hand hygiene techniques implemented within the medical wards. The institution wide programs for guideline compliance should be followed by the responsible management for reporting of the cases of infection to the higher authorities, which can help in controlling the rate of infection. Application of PDSA model by managers for controlling the rate of infection in gastroenterology wards Factors Attributes Plan (P) Will implementing antimicrobial stewardship address the loopholes of hand hygiene alone? Will education of the staff in the relevant fields address the issue? What necessary steps need to be taken for the implementation of the program? Do (D) The managers of the institution need to negotiate with the higher authorities for bringing about the change Study (S) Does the clinic possess sufficient infrastructure for supporting the implementation of the program? Did the staff possess sufficient knowledge about the antimicrobial stewardship program? Act(A) The management needs to organise sufficient workshops and training programs for educating the staff in the alternate methods of hygiene implementation Table 1: PDSA model applied by the managers for controlling infection rate in hospitals and clinics (Source: Author) Figure1: Antimicrobial stewardship program (Source: Davey et al., 2015) Strengths and limitations of the managers in healthcare wards The managers can influence positive organizational processes along with guaranteeing swift flow of funds through active engagement with stakeholders, for implementation of the some of the hygiene maintenance protocols and devices. As commented by Smolowitz et al. (2015), the negotiations skills of the mangers are particularly important in generating organizational change by focussing more upon the outcomes. The managers can act as preceptors by training the newly recruited staff about ways to improve organizational performance by employing active engagement policies. However, the lack of trained staff and additional funds often delimit the role of the managers. Additionally, organizational disputes often hinder the application of the said objectives and programs. Effectiveness of Registered nurse in establishment of quality improvement initiative The registered nurse can play an effective role in controlling the spread of infection within a clinical set up. Some of the methods which could be applied by the registered nurse are maintaining active documentation entailing the patient record and history (Unroe et al., 2015). The time of recurrence of chronic infections can be noted down by the nurse. As commented by Grol et al. ( 2013), the relapse of chronic infection can often be related to breach of hygiene practices. The registered nurse can prepare a screening chart detailing the steps that needs to be followed for dealing with a patient suffering from highly contagious infection. The registered nurse can take appropriate action to ensure the protection of the patients. The RN can brief the attending physician regarding the immunization of the patient based upon which referral and isolation strategies could be applied. As asserted by Blot, Vogelaers Blot (2015), advocating an aseptic environment and transmission control processes can prevent the spread of infection. In this respect, some of the recommended nursing standards prescribed by NANB play a crucial role in the prevention of infection through transmission. The NANB standards could be discussed in details for understanding the role played by the registered nurses in infection control. The nursing standards have been four types such as: Standard1: Application of evidence informed measures for control and prevention of infection through microorganisms. The nurse can follow a systematic approach to care by adhering to the guidelines of Public Health Agency Canada. Here, the nurse can track the immunization status of the clients based upon which appropriate quarantine measures could be implemented. This also helps in planning the hygiene standards to be implemented and practised for particular patient population. Standard 2: Application of professional judgement The nursing professional is supposed to take adequate measures for the prevention of chance contamination of the skin and the mucous membranes with microorganisms. Additionally, modification of the practise methods stressing upon the use of personal protective equipments for infection prevention and control can restrict the spread of infection. The use of personal protective equipments such as gloves can reduce the chances of contamination and transmission of contamination (Smolowitz et al., 2015). Standard 3: reduction of risk to self and others through appropriate handling, cleaning, and disposal of materials and equipments. The use of safety devices such as sharp disposal containers, needleless IV systems along with safe disposal can reduce the risk of accidents by checking the spread of microbial agents. In this respect, marking some of the items as single use only can prevent the usage of such articles again. As commented by Murphy (2013), failure in implying with the hygiene standards can be a serious breach of policies and procedures. Standard 4: Use of timely communication strategies with clients and significant others Effective communication of health information to the clients explaining the use of isolation and masks to the patients and the respective family members of the patients can be helpful. As commented by Davey et al. (2015), open communication with the healthcare team can help in the establishment of the safety and hygiene measures. Recommendations for hand hygiene initiative A number of steps could be taken for the implementation of the hand hygiene practices within a care set up. In this response maintaining an aseptic condition is pivotal within the context of an acute health care set up. During the process of handling and management of the patients affected with infectious disease, the nursing professionals need to rub their hands with alcohol everytime after handling such patient population. This helps in the prevention and control of disease through microbial contamination. Additionally, some of the measures which could be implemented over here are provision of sufficient education and training to the health staff regarding the aseptic conditions and methods which could be implemented by them within the care setup. Moreover, evidence based measures along with implementation of the nursing standards (NANB) can reduce the recurrence or breach of protocols of hygiene within an acute hospital and care setup (Melnyk et al., 2014). Conclusion The assignment uses the PDSA model for evaluating the different intervention and approaches implemented within a care set up for establishing sufficient standards of hand hygiene. The application of the model analyses the affectivity of different steps and measures such as team planning of activities along with role-modelling of significant practice methods which prevents future recurrence of such accidents. In this respect, some of the standards of nursing practices can be applied along with promulgation of antimicrobial stewardship can also facilitate in meeting with the demands of health and hygiene standards. References Abdella, N. M., Tefera, M. A., Eredie, A. E., Landers, T. F., Malefia, Y. D., Alene, K. A. (2014). Hand hygiene compliance and associated factors among health care providers in Gondar University Hospital, Gondar, North West Ethiopia.BMC Public Health,14(1), 96. Allegranzi, B., Sax, H., Pittet, D. (2013). Hand hygiene and healthcare system change within multi-modal promotion: a narrative review.Journal of Hospital Infection,83, S3-S10. Al-Tawfiq, J. A., Pittet, D. (2013). Improving hand hygiene compliance in healthcare settings using behavior change theories: reflections.Teaching and learning in medicine,25(4), 374-382. Blot, K., Vogelaers, D., Blot, S. (2015). Central line-associated bloodstream infections: a critical look at the role and research of quality improvement interventions and strategies. InAnnual Update in Intensive Care and Emergency Medicine 2015(pp. 15-24). Berlin: Springer International Publishing, pp.105-369. Dai, H., Milkman, K. L., Hofmann, D. A., Staats, B. R. (2015). The impact of time at work and time off from work on rule compliance: The case of hand hygiene in health care.Journal of Applied Psychology,100(3), 846. Davey, P., Peden, C., Charani, E., Marwick, C., Michie, S. (2015). Time for actionImproving the design and reporting of behaviour change interventions for antimicrobial stewardship in hospitals: Early findings from a systematic review.International journal of antimicrobial agents,45(3), 203-212. Ellingson, K., Haas, J. P., Aiello, A. E., Kusek, L., Maragakis, L. L., Olmsted, R. N., ... VanAmringe, M. (2014). Strategies to prevent healthcare-associated infections through hand hygiene.Infection Control Hospital Epidemiology,35(8), 937-960. Grol, R., Wensing, M., Eccles, M., Davis, D. (Eds.). (2013).Improving patient care: the implementation of change in health care. New Jersey: John Wiley Sons, pp.15-25.. Jones, E. L., Lees, N., Martin, G., Dixon-Woods, M. (2016). How well is quality improvement described in the perioperative care literature? A systematic review.The Joint Commission Journal on Quality and Patient Safety,42(5), 196-AP10. Kamdar, B. B., Yang, J., King, L. M., Neufeld, K. J., Bienvenu, O. J., Rowden, A. M., ... Needham, D. M. (2014). Developing, implementing, and evaluating a multifaceted quality improvement intervention to promote sleep in an ICU.American Journal of Medical Quality,29(6), 546-554. Lavin, M., Harper, E., Barr, N. (2015). Health information technology, patient safety, and professional nursing care documentation in acute care settings.OJIN: The Online Journal of Issues in Nursing,20(2). Melnyk, B. M., Gallagher?Ford, L., Long, L. E., Fineout?Overholt, E. (2014). The establishment of evidence?based practice competencies for practicing registered nurses and advanced practice nurses in real?world clinical settings: proficiencies to improve healthcare quality, reliability, patient outcomes, and costs.Worldviews on Evidence?Based Nursing,11(1), 5-15. Moraros, J., Lemstra, M., Nwankwo, C. (2016). Lean interventions in healthcare: do they actually work? A systematic literature review.International Journal for Quality in Health Care,28(2), 150-165. Murphy, J. I. (2013). Using plan do study act to transform a simulation center.Clinical simulation in Nursing,9(7), e257-e264. Ouslander, J. G., Bonner, A., Herndon, L., Shutes, J. (2014). The Interventions to Reduce Acute Care Transfers (INTERACT) quality improvement program: An overview for medical directors and primary care clinicians in long term care.Journal of the American Medical Directors Association,15(3), 162-170. Septimus, E., Weinstein, R. A., Perl, T. M., Goldmann, D. A., Yokoe, D. S. (2014). Approaches for preventing healthcare-associated infections: go long or go wide?.Infection Control Hospital Epidemiology,35(7), 797-801. Smiddy, M. P., O'Connell, R., Creedon, S. A. (2015). Systematic qualitative literature review of health care workers' compliance with hand hygiene guidelines.American journal of infection control,43(3), 269-274. Smolowitz, J., Speakman, E., Wojnar, D., Whelan, E. M., Ulrich, S., Hayes, C., Wood, L. (2015). Role of the registered nurse in primary health care: Meeting health care needs in the 21st century.Nursing Outlook,63(2), 130-136. Unroe, K. T., Nazir, A., Holtz, L. R., Maurer, H., Miller, E., Hickman, S. E., ... Sachs, G. A. (2015). The optimizing patient transfers, impacting medical quality, and improving symptoms: transforming institutional care approach: preliminary data from the implementation of a centers for Medicare and Medicaid services nursing facility demonstration project.Journal of the American Geriatrics Society,63(1), 165-169.