Saturday, January 25, 2020

Developing Emergency Action Plan for Gym

Developing Emergency Action Plan for Gym Understanding emergency procedures in fitness environment An emergency response system is crucial for ensuring a safe environment for members, users, and staff, as well as being a very sound practice for managing risk. With health and fitness facilities, an emergency response system must be established to offer the highest reasonable safety level for users and staff. Emergency gym procedures are the established plans that are instigated if an emergency occurs. It may be simply a power outage, or more seriously a medical emergency, a fire or even a weather-related scenario. Gyms must have an emergency action plan (EAP) in place so that all the occupants at the time will be able to act effectively if required. What Would You Do? If a gym clients is seriously injured, or worse, dies in front of you while they have been exercising. What would you do? The question usually comes as a complete surprise to existing and new instructors. Unfortunately, the notion of folks dying or being injured while in an exercise environment is rarely addressed by the gym management, or by employees. Therefore, when it does happens, which it will one day, the gym is in chaos as basically nobody knows what procedures to follow. Gym Emergency: Typical Scenario This is what usually happens when procedures are obscure. The gym staff are not clear about what to do, panic may ensue. The front desk operator telephones 911 (or the police). The gym management may performs CPR/AED. Members are afraid to help or do not wish to be involved. While this scenario is generally what happens, it is that the instructor/trainers not knowing that is particularly disturbing when seconds and minutes are crucial and can save a life. The reasoning here is that on the whole the gym staff do not know a gym’s emergency procedures, regarding say, a heart attack. Even if they do know the procedure, how many instructors are CRP/AED certified? Why Many Gym Managements Don’t Know EAP? It is assumed that instructors who are CPR/AED certified already know what to do. They do not want to scare away new instructors. The gym has no procedures in place for emergencies (other than â€Å"call 911†³). It has not occurred to the manager/owner that clients may experience heart attacks there. Chain of Command Every gym should have a chain of responsibility which is deployed during an emergency. Emergencies can happen at any moment. There will be occasions when the person in overall charge will not be in the premises. That is why a chain of responsibility is essential, as the next person becomes in charge of the emergency. Activation of EAP The individual in charge at the time should make the call to activate an EAP. If a medical emergency has occurred, then those who are trained in CPR and emergency aid must remain with the patient. The person in charge at the time will coordinate the staff and gym personnel as to what they must do while the plan is in activation. Location of Equipment All gyms should have emergency equipment to hand. This must include a first aid kit, a telephone, fire extinguisher/s and sometimes an automated external defibrillator (AED). Every person that works in the gym must know where this equipment is available. Posting of Emergency Procedure Gyms should have an EAP poster in a visible position in order that all the information is easily available in case of an emergency. This should list the chain of command, the location of emergency equipment, and other relevant information. People do not really think clearly in an emergency, and having an EAP poster with all relevant information can save a lives when time matters most. Managing the Risks The management of risk refers to those practices and systems that gyms should establish to limit their exposure to any potential liability or financial loss. In the health club and fitness industry, risk management refers to the practices, systems and procedures by which a gym can reduce the risk of an employee or a client coming to harm (injury or death). Risk management involves practices that are preventive (such as pre-activity screening and correctly maintaining equipment) to practices that can be considered a reaction to unexpected events (such as emergency response systems). It must be acknowledged that the various types of health and fitness facilities do markedly vary, from the unsupervised to medically supervised clinical exercise centers. Gyms and exercise facilities often serve varied aims and clients, they do or don’t have organized programs, and also may or may not employ staff that are qualified. Management should use the local medical personnel or healthcare professionals to help develop an emergency response program. Local emergency medical services (EMS) can help a facility to develop a response program. Gyms and facilities can also engage the services of a physician, a registered nurse, or a certified emergency medical technician to assist in the development of their response program. An emergency response system should consider any emergency situations that may occur. Among these are medical emergencies that can be foreseen in regard to moderate or more intense workouts, such as hypoglycemia, a heart attack, a stroke, cardiac arrest or heat illness, and injuries that are in nature orthopedic. The response system should also consider other potential emergencies not specifically caused by physical activity, such a chemical accident, fire, and a range of weather and natural disaster events. An emergency response plan should consider explicit steps and instructions on how the emergency situation must be dealt with and including the roles that 1st , 2nd , and 3rd responders to an emergency will play. Additionally, an emergency response plan must indicate clearly the locations of emergency equipment (e.g., telephone for 911 and contact info for EMS, locations of the emergency exits, and the access points for EMS personnel), and also the steps needed to contact local EMS. It is preferable to physically rehearse the emergency response system at least twice per year. Medical Emergencies at the Gym Exercise brings so many health benefits, and moreover is beneficial to people with many medical conditions that include heart disease and Myocardial infarction (heart attack). The risk of a sudden medical emergency is ever present, and medical emergencies may occur before, during and after exercise. For vulnerable people, exercise may precipitate an emergency at the gym which can emanate from many different medical conditions like diabetes or high blood pressure, heart disease, and also a poor physical condition, or obesity and so on. For example, if an individual experiences pressure of the chest during or after an exercise session, they must call an ambulance to ride to the hospital irrespective of whether the person is on medication for blood pressure or has had three prior heart attacks, if they are 22 years of age, or seemingly fit and healthy. What to do in an Emergency Let us assume that you are an instructor in a gym which has no clearly visible emergency procedure, or none that you are of. Perhaps one day you will hear a PA system announcement asking: â€Å"Is there a doctor or nurse in the building?† that is usually a sign that something quite bad has happened. You might or might not hear those words over the PA. All clubs are different. If you feel that an emergency is occurring, whatever you may be doing, should be dropped and then head to the emergency location to assess the situation. Do not assume that someone else will do it. If you are instructing at the time, make excuses and go yourself. After arriving, these basic steps should be followed. If a person collapses, then immediately inform emergency medical services and also care for the person according to the guidelines of the American Heart Association CPR or similar authority. If there is an automated external defibrillator (AED) available, then utilise it. Every instructor or trainer and gym management personnel are encouraged to at attend a basic CPR course. CPR techniques are easy to learn and they carry a very low risk of transmission of any disease to a provider if hands-only CPR is used or one of other modern protocols that de-emphasize giving rescue breaths mouth-to-mouth. The training will help to prepare one to deal with a clear medical emergency such as collapse and in particular, the loss of pulse. Many medical emergencies begin with much less clear signs or symptoms. Chest pain is perhaps the most prevalent symptom of a cardiac emergency, although people often describe what they are feeling as tightness or pressure. Discomfort or sensations in the jaw or neck, the arms, the upper abdomen or back, may also be linked to a cardiac event. Even without any chest discomfort, a shortness of breath, may well be a heart attack symptom or other medical emergency. This is a common feeling at a gym even for healthy individuals during or immediately following exercise. The thing to watch for is whether the shortness of breath seems dis-proportionate to the situation or if it is lasting longer than normal. Unfortunately, several other possible causes may be associated with a cardiac event such as, lightheadedness, nausea and sweating amongst them. Again, the rule of thumb is to look for what may seem out of the ordinary under the circumstances. Strokes are also a medical emergency which requires immediate response. While strokes are less usually thought of as being associated with exercising, the symptoms and signs of a stroke include: a sudden headache, difficulty with finding words language comprehension confusion speech is slurred un – coordinated movement and numbness a tingling or a weakness particularly on one side of the body or face. What actually constitutes a real medical emergency is often a challenging judgment call, and if one is in doubt then it’s better to send the person immediately to an emergency department and let the professionals assess. Occasionally, people might prefer to visit an urgent care or their doctor’s office, but those facilities will usually not have the necessary resources to assess or manage a real emergency and so should be consulted for routine health care and what are clearly minor issues. Some may wish to avoid the expense or drama of calling an ambulance. Bear in mind that if a person is really having a heart attack or a stroke, the minutes count, and the time elapsing from the start of the event to treatment will determine the extent of damage to heart muscle or to the brain – elapsing time can dramatically alter outcomes. If CPR is Necessary Keep calm Perform CPR /use the AED (if you are CPR/AED certified) Have a staff member call 911 and also contact the gym manager/owner, regarding the incident Perform CPR ( or AED) until the paramedics arrive Instruct a staff member to get the member’s club file to give to the paramedics on their arrival (this file should contain contact info, the medications of the person and such like, important info for paramedics). Assign a member of staff to wait outside the premises, to escort the paramedics inside and to the emergency location on their arrival. File an incident report Common Gym Related Emergencies Occasionally an athlete may experience a potentially life changing injury, such as to the head or a severe neck injury, eye injuries, or similar. However the majority of sports-related injuries will be bone and soft tissue injuries like strains, sprains, dislocations and knee injuries. Most of these injuries will absolutely require treatment, but it may not be necessary to call for an emergency response. On the whole, apart from the very serious health emergencies which may never even happen in your presence, most injuries that are gym and exercise related are avoidable. Remember the golden rules to follow, and hopefully almost all injuries will not occur on your watch. Warm –up Stretching (both pre- and post-exercise ) Hydration Nutrition Rest Bear in mind that a body operates like a machine, yet it requires diligent maintenance such as correct nutrition, stretching and rest. Too much of a good thing, or overworking the body is always inadvisable and regularly leads to negative results. Remember to know your own limits and also those of the clients, meaning listen to your body and hopefully the incidence of injury will be greatly diminished.

Friday, January 17, 2020

Jet blue case study Essay

The United States airline industry includes roughly 600 companies with combined annual revenue of approximately 170 billion dollars (bts.gov). The major companies include American, Delta, and United Continental (bts.gov). There are air operations of express delivery companies such as FedEx and UPS. This industry is highly concentrated with the 10 largest companies accounting for more than 75 percent of industry revenue (bts.gov). The global airline industry generates about $500 billion annually (tbs.gov). The major international companies include Air China, Deutsche Lufthansa, Air France-KLM, Japan Airlines, and British Airways (bts.gov). Discussion Questions 1. Discuss the trends in the U.S. airline industry and how these trends might impact a company’s strategy. Trends in this industry are numerous. This discussion will include the price of jet fuel, on-time performance, security, and cheaper substitutes. Oil price volatility is the leading player in airline strategy (jetblue.com). Fuel is probably the most significant element in an airline’s base cost (jetblue.com). The new fuel price average for the year 2012 is around 129.7 dollars per barrel (jetblue.com). The impact of this year’s fuel bill for the global airline industry is upwards of 32 billion dollars (jetblue.com). The causes for delays and cancellations of flights are reported monthly to The Bureau of transportation Statistics (bts.gov). On time performance has many factors; a few of these factors are air carrier delays, late arriving aircrafts, security delays, extreme weather, and equipment (bts.gov). Air carrier delays are within the airline’s control. This area includes maintenance/crew problems, aircraft cleaning, baggage loading, fueling, and such (bts.gov). A late arriving previous flight†¦ Read Full Essay View as multi-pages

Thursday, January 9, 2020

Nursing Professionalism Essay - 1675 Words

What is Nursing Professionalism? Cathy Soto Nursing 408 Transitions in Professional Nursing Linda Jacobson 9/21/2011 Abstract According to Maister (1997) true professionalism means the pursuit of excellence, not just competence. Nurses must be competent in their pursuit of excellence. According to the American Association of Colleges of Nursing Position Statement, rapidly expanding clinical knowledge and mounting complexities in health care mandate that professional nurses possess educational preparation commensurate with the diversified responsibilities required of them. Preparation of the entry level professional nurse requires a greater orientation to community-based primary health care and an emphasis on health†¦show more content†¦We all have a voice in how our jobs are done and ways to improve them. We just need to get them heard. Life changing events had a great impact on me becoming a nurse. In 1992, my husband was suddenly diagnosed with colon cancer. We had two small children, and I only worked as a hostess in a buffet. He was the sole bread winner of the household. He had a colo n resection and then underwent a year of chemotherapy. After he was diagnosed, I decided I needed to have a job that could support my family in the event my husband would not be able to care for us. I enrolled in college to pursue a nursing degree. I thought why not nursing its a respectable job and they make decent money. It took me a long time to get through my prerequisites. I had some stumbling blocks to get over along the way. In 1993 my father in law passed a way exactly a year the day my husband had his surgery, he died of colon cancer. In 1995, my husbands cancer reoccurred, I lost my father to cancer and we also lost my brother in law to colon cancer. Then in 1996, we buried one of my step brothers, who was 23 years old, he died in a motorcycle accident. One would think that after seeing so much death in such a short period of time why would I still want to be a nurse. But I was determined to be a registered nurse. After getting into the program, the more I becameShow More RelatedProfessionalism In Nursing1297 Words   |  6 Pagesno harm†. The history of nursing initially begins with Florence Nightingale. Before her era nurses had a tarnished reputation (Glasper, 2017). They were poorly educated and incompetent people. Nurses such as Mrs. Bedford Fenwick wanted to change the image of nursing. They did this by leading a campaign for professionalism. Which led to the culminated Nurse Bill receiving is royal assent in December 1919 (Glasper, 2017). July 27, 1921 was the official opening of the nursing register, there are currentlyRead MoreProfessionalism in Nursing2404 Words   |  10 Pagesprofessions in which professionalism is of the highest reputation, and nursing is among them. In the area of nursing, there is much importance to be placed with the improvement of professionalism within the profession. Nursing is a profession that depends on practitioners to perform in a way that characterized the goodness of the wider discipline, as all nurs es are in a position of accountability and responsibility. This essay will further look into the topic of professionalism in nursing, the role of aRead MoreNursing Professionalism And The Profession Of Nursing1308 Words   |  6 Pages Nursing, at its inception, was a service provided mostly by women. Far from a profession, it was considered a vocation; often a mere extension of the wife/mother role. Nurses were perceived as servants to the physicians with little power or ability to function independently. The predominant male presence in medicine, lack of formal education offered to nurses, and the subservient nature of the work significantly hindered its professionalization. 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It is fortunate to knowRead MoreProfessionalism in the Workplace of Nursing Essay698 Words   |  3 PagesIn a highly respected profession such as nursing, professionalism is an important element to staying employed and setting one’s self apart from the rest of the applicants when competing for a potential job. By definition professionalism are the qualities and traits that describe a professional. While knowledge is crucial in any profession, according to an article published by the University of Kansas (2012), â€Å"all medical professionals must strive to retain those hu manistic qualities integrity, respect

Wednesday, January 1, 2020

Apple s Supply Chain Management - 1261 Words

Apple supply chain management is based on its ability to quickly adapt to change. Apple strong supply chain leads the company to have a competitive advantage over its competitors. Apple is very fast to deliver products with high demand. Apple is considered one of the highest and best performing supply chain around the world. This report was written to learn best practices of Apple Supply Chain and apply them to Walmart 32nd St. I discovered that Apple’s supply chain is very simple and efficient. Apple does not spend a lot of money on storage since they produce as demand comes and distribute products the fast as possible, this helps the company to reduce inventory costs. Apple is a sustainable company that recycles its products and†¦show more content†¦Recycling is a big part of the supply chain management process and it also help to reduce costs. Apple threats are the competitors, constant innovation and technology. Apple continues to innovate and to ensure that all r esources are updated to have and produce the best quality products. There are over 1 billion of Apple products that are use around the world, with the iPhone being the most popular product. Apple Current Supply Chain Overview Sourcing Manufacturing Warehousing Distribution Return Sourcing: Apple source materials from different providers. Apple manufactures its products in China, then the products are shipped through UPS and FEDEX that handle online sales, and supply warehouses around the globe. Apple has multiple distribution centers from retail stores to network carries. Manufacturing: Apple manufactures its products in other countries where labor is cheaper. Apple uses innovate technology that makes labor easier, quicker and at lower costs. Warehousing: Apple orders are based on need, and online orders are separate and usually shipped as they are ready, online order do not require a warehousing. Distributions: Apple products are sold by other distributors, more than 30 % of sales revenue is generated through network carrier distribution centers. Apple has retail stores distributed around the U.S and the world. Return: Apple succeed is due to its flexibility to letShow MoreRelatedApple s Supply Chain Management Process876 Words   |  4 Pages Apple’s supply chain management process is one of the most popular and interesting process. Apple’s continuous strive to be a leading edge technological company in the market gives them the upper-hand to its suppliers. An article written by Eva Dou and Lorraine Luk on WSJ Digits on November 20, 2014 explains the power Apple has on its suppliers and some detrimental effects the power has left on the supplier. At Apple, they have a strict process on how they release a product and the advertisementsRead MoreRunning Head : Apple Inc.1637 Words   |  7 PagesRunning head: APPLE INC. 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