Contemporary management Essay Example | Topics and Well Written Essays - 2000 words

Contemporary management - Essay Example The G4S indicated that the outsourcing would have saved the three forces about 100 million pounds over the span of 10 years. The G4S declared that some elements of the police support services can best be managed by the private sector. The three PCCs secured an agreement in an earlier meeting with the three commissioners ending negotiations with the G4S. Originally, the three PCCs planned to secure an agreement with G4S for a 10 year outsourcing plan. This plan was established in order to manage a significant funding gap which would have impacted on about 1100 staff (BBC News, 2013). Following the initial outsourcing contract with G4S during the Olympics, significant failures were observed on how the G4S handled the security situation. The G4S was not able to deliver the contracted 10,400 security guards for the Olympics and this represented their failure as a private contractor. There is still however a possibility for discussions with the G4S on how police support can be secured and improved by outsourcing police support services to the private sector (BBC News, 2013). Most of the PCCs however have reconsidered the outsource plan and did not believe in the prospects of outsourcing for them. Nevertheless, outsourcing does present with major possibilities in relation to savings for the three PCCs in terms of their policing budget (BBC News, 2013). Based on the above article, the prospect of outsourcing in the UK is discussed, especially in the light of work backlog and funding deficits. The decision to outsource jobs and work often falls on the manager who is burdened with the establishment of efficient services while still maintaining the profitability of the company (McIvor, 2005). In the case of the UK, outsourcing would refer to the outsourcing of work to private companies. The need to outsource mostly comes from the shortage of personnel or the shortage of funds. In the above case, the work outsourced included joint IT and human resources (McIvor, 2005). Th e backlog for this work has been significant, but on closer inspection, these can be effectively relieved through outsourcing. This is the point of outsourcing – finding the least expensive way of efficiently managing myriad tasks which the current staff cannot accomplish (McIvor, 2005). In the end however, after much consideration, the outsourcing plan was abandoned by the three PCCs, this after they realized that the outsourcing plan may not be for them. Despite their refusal to proceed with the outsourcing plan, the potential benefits of outsourcing are still undeniable. Outsourcing has become one of the most financially-viable options for many businesses and corporations (Pyndt and Pedersen, 2006). In the UK, their public services are considered to be a major socio-economic and political force because it affects most citizens and it employs millions of these citizens while also raking in billions of pounds in profit. In recent years, the UK has been successful in outsourc ing various public services, mostly from private corporations in the hope of efficiently managing waste disposal, children’s homes, adult social services, education, border control, and prisons (Williams, 2012). The outsourcing of public services has now gained momentum in the UK with more and more counties considering the outsourcing of the police and security services. Outsourcing is based on contractual arrangements between customers and supplier/s for the

Deep Vein Thrombosis PowerPoint Presentation Example | Topics and Well Written Essays - 1250 words

Deep Vein Thrombosis - PowerPoint Presentation Example Immediate concerns with a diagnosis of DVT are stroke and pulmonary embolism, as the clot in his leg could break off and cause either of these potentially fatal situations. Mr. Roberts denies any chest pain, shortness of breath, fever, or headaches, indicating he is not currently at risk for these concerns. DVT Cause It is important to understand the cause of Mr. Roberts’s DVT to prevent future clots and to increase positive outcomes of his treatment. One of the biggest causes of DVT is surgery. Often times, surgeons can damage venous walls or intercellular matrix, releasing clotting factors and causing DVTs (sloc.org). Mr. Roberts has not had any recent surgery indicating that this is probably not the cause of his DVT. DVT can also be caused by obesity and a sedentary lifestyle (sloc.org). Mr. Roberts’s BMI indicates that this is probably the cause of his DVT. In order to prevent future DVTs, Mr. Roberts should be counseled about increasing daily physical activity, mak ing modifications to his diet, and the use of his hypercholesterolemia medication. Another potential cause of Mr. Roberts’s DVT is his hypercholesterolemia. Increased lipids in the blood can form clots, which can lodge in the deep veins of the extremities and cause a DVT in some cases (sloc.org). Mr. Roberts’s DVT is probably exacerbated by his discontinuation of his hypercholesterolemia medication, as this behavior would increase his lipids and potentially add to previous clots or form new ones. In addition to his treatment regimen, Mr. Roberts should be counseled on the dangers of quitting his hypercholesterolemia medication without consulting medical personnel. Treatment Regimen There are two parts to Mr. Roberts’s treatment regimen: initial treatment and maintained treatment. The purpose of the initial treatment should be controlling Mr. Robert’s partial thromboplastin time (PTT) and his INR while attempting to dissolve the clot in his leg. To achieve this, heparin is given initially in a bolus dose at 80 units/kg. After this initial bolus dose, Mr. Roberts will be on a maintenance dose of heparin at 16 units/kg. For Mr. Roberts, this means a 7000 unit bolus dose and a maintenance dose of 1640 units/hour which will continue for ten days. These doses were developed based on formulas posted on the accompanying powerpoint presentation, and were based off of calculated dosage weight (surgery.ucsf.edu). During these ten days, Mr. Roberts’s PTT needs to be monitored every 6 hours until 2 consecutive in-range tests are performed. Adjustments to the dosage can be made based on the provided chart. Once in range, PTTs need to be done every 24 hours. After ten days, Mr. Roberts should be evaluated and hopefully can discontinue his heparin regimen. The maintained treatment portion of Mr. Roberts’s treatment regimen is warfarin. When beginning warfarin, an initial INR needs to be taken in order to calculate an accurate dose. Ba sed on Mr. Roberts age, BMI, and use of hypercholesterolemia medications, 3mg was decided as an appropriate starting dose. Mr. Roberts’s INR should be measured daily and I have recommended an at home testing device. Mr. Roberts dose will need to be adjusted to make sure his INR falls in the target range of 2-3. Mr. Roberts will continue the warfarin daily until he can successfully maintain an INR of 2-3 without it. This should take between three and six months, but could potentially take longer