Child writing paper
Cause And Effect Topics List
Sunday, August 23, 2020
Friday, August 21, 2020
Cast Away Movie Essay Example
Cast Away Movie Paper In the film Cast Away, I was keen on Chucks change between his correspondence procedure from before he was abandoned on the island and his relational abilities when he got back. Being abandoned on an island for a long time, having nobody yet a volleyball to converse with would obviously effectsly affect how anybody would introduce themselves when they returned. I saw that in the start of the film, Chuck had adequate correspondence ability and had the option to interface well with individuals from his own way of life and with those of different societies since his Job made them travel regularly. Be that as it may, when he returned, he was uncertain and pulled back while he was around his loved ones, not so much sure what to do around such huge numbers of individuals without a moment's delay. Before somebody has correspondence fitness, they must have the option to work on conveying by sending messages and utilizing the five stage listening process; however he conveyed numerous messages, he couldnt get anything back. From the reflect and relate course book, (page 164) it clarifies that these are expected to frame and keep up able listening aptitudes so your ready to adjust youre listening reason for various circumstances and experiences. He was at that point a capable communicator previously, nonetheless, he was restricted to the information that he had once he was on the island and he wasnt ready to advance in his relational abilities. Without having the option to realize how to react, it made it increasingly troublesome when his companions were collaborating with him; he wasnt so sure how to react. Another piece of listening is getting input and learning whats suitable in your way of life. We will compose a custom paper test on Cast Away Movie explicitly for you for just $16.38 $13.9/page Request now We will compose a custom article test on Cast Away Movie explicitly for you FOR ONLY $16.38 $13.9/page Recruit Writer We will compose a custom article test on Cast Away Movie explicitly for you FOR ONLY $16.38 $13.9/page Recruit Writer At the point when you speak with others, you get negative or positive criticism that you need so you can figure out how to utilize the input usefully to dapt your own listening abilities to your way of life; For Chuck in Cast Away, he was restricted to whatever he envisioned Wilsons reaction to be and he couldnt get any criticism to assist him with building his listening aptitudes. The explanation that its so critical to have consistent input isn't just for training, yet additionally for you to see how all correspondence is evolving. For instance, utilizing the word wiped out methods being influenced by physical sickness, however it can now additionally be utilized to communicate something that is insane or cool. While he wasnt ready to completely impart for the four years that he was on the sland, he experienced some other difficulty with figuring out how to manage misery. He was feeling desolate and disconnected on the island and couldnt fgure out how to appropriately manage enthusiastic administration. In the content, (page 129) it discloses to us that passionate administration is one of the most significant elements for compelling relational correspondence. It influences our enthusiastic articulation and how we experience things. Since he felt that he expected to deal with a portion of the misfortune he was feeling from his better half and other family, he made Wilson; somebody that he could communicate his inward contemplations to and to not feel so desolate on the island. In the content it additionally communicates the significance of feelings and how they have been created in content just situations. We share and impart our enthusiastic encounters by feeling catching. Since feeling catching is so significant, when Chuck felt detached on the island and wasnt ready to share his feelings, he made an individual that he could converse with. In the start of the film, it shows him comforting his companion whose spouse is debilitated. He clearly has had those sorts of connections where he could share his feelings before he was abandoned. At the point when he gives just desserts to he end of the film it shows him again partaking in his companions misery and saying 'sorry' for not having the option to be there for him. He had those sort of issue himself while on the Island feeling desolate and detached, he felt despondency for the loss of his better half and back home. Alongside his failure to completely communicate, he couldn't partake in social examination (clarified on page 40 in the content). Where had the option to watch and perceive our own activities and contrast them and others. This importantly affects ourselves and how we connect with individuals, seeing individuals we need to resemble and following their models. Clearly Wilson didnt respond back to him and he wasnt ready to observe what is socially worthy in an ordinary situation. Due to this when he was brought back and was at his invite home gathering, he wasnt sure the proper behavior around others and rather Just remained for the most part quiet. Due to his equipped relational abilities from previously, he had a great deal of significant connections and images. Images are utilized ordinarily in the film, questions that have significance to him while hes on the island and ones that he finds back home. The watch that Kelly gave him is utilized continually all through the film. It was critical to him to keep it on a similar time zone back home, despite the fact that it broke on island, and the image it held of his better half, which he would take a gander at while he nodded off in the caverns. It was a significant image that spoke to the misfortune he felt for a friend or family member and I had a feeling that it was something that propped him up while he was on the island. The bundle was another image utilized in the film, he painted the drawing it had on his pontoon and he didnt open it all through the four years he was there. He even spared the container lastly got it to where it should be transported. There are other representative things all through the film like Chucks vehicle and the keys that despite everything held his folding knife; which represented the amount Kelly thought about him and how significant their relationship was. Without having the option to take part in social correlation, it could effectsly affect his self-idea and his confidence. Self-idea is manufactured dependent on social correlation, similar to when you like how well you speak with others or if youre contrasted well and others. Your self-idea can be founded on various things like media, family, or companions. Since he wasnt around any of these things, he was adhered attempting to recollect how he used to be. He may consider himself to be the individual that he utilized previously, yet on the island he had changed such a great amount of and in page 42 of the content, it depicts how its difficult for us to change the manner in which we trust ourselves to be. The entirety of his associations for those four years were single direction, having the option to convey messages however getting nothing back, he wasnt ready to see how he was changing in self-idea. With respect to his better half Kelly, she was encountering misfortune and she wasnt even sure if Chuck was alive or not, she needed to proceed onward from their relationship. Simply keeping up a relationship with somebody whos continually around you can be troublesome and there are numerous relationship methodologies that need to occur so as to keep up a solid relations ip n . Ot course Chuck woul d nave to be really present in the relationship at all to truly look after it. Despite the fact that they plainly had a decent relationship when he left Kelly despite everything cherished him when he was brought back, they had been isolated for such a long time that she had created different connections when he was no more. She had gotten arried and had a little girl. Throw then again had just her as a primary concern as a sentimental accomplice, yet that is on the grounds that he realized she was alive and he hadnt had the option to build up some other connections while he had been distant from everyone else on the island. Concerning his different connections that he had all through the film with his companions he wasnt extremely ready to manufacture or keep up associations with his companions either. As I referenced before he had a cozy relationship with his companion whos spouse was wiped out. While Chuck was gone his companion lost his significant other and he wasnt ready to be there for him while he lamented. Theres a scene in the start of the film that shows Chuck at a Christmas supper with loved ones where hes cooperating with them and making Jokes. Its great correlation with the supper he has with his companions when he gets back. Previously, when he was around his family, he realized how to cooperate with them and he had close to home connections. At the other supper it gives him standing discreetly while everybody collaborates around him. It makes it clear that theres currently space among him and every other person. Watching this film I saw how his correspondence capability weakened rom the second he was abandoned on the island and how it influenced his life once he got back. Without the consistent practice and utilization of our relational abilities we cannot keep up our aptitudes or progress with them. Movement in correspondence is significant in light of the fact that things are continually changing and we have to figure out how to change and adjust to tuning in and building connections. You must have a two-path correspondence to completely comprehend others, however your own correspondence also. The film exhibited legitimate correspondence and demonstrated the significance of connections and keeping up your correspondence capability.
Sunday, July 12, 2020
Research Proposal Writing Services
Research Proposal Writing ServicesNot all research proposal writing services offer the same quality service. One good service will give you the best return on your investment. You should be aware of this before you choose a service provider. Here are some key indicators to look for in a good service.Service quantity. This is the first thing to keep in mind when researching a service provider. The service you receive from a particular research proposal writing service will directly impact the size of the project. They will need to be able to handle projects that are more detailed, and larger projects that will require more effort. In the end, the quality of the work should reflect the quantity of work required.Service cost. If the service you are seeking is provided for free, or at a minimal fee, make sure the cost is reasonable. You should always seek out a service provider that offers you a range of services, rather than a list of services. It is possible that if you only pay for on e service, you will get fewer benefits. So be sure to get an idea of the total cost of the service before you begin.Company's overall reputation. Find out what other companies have to say about the company and its research proposal writing services. You should also ask about the company's reviews in different forums like business and in the academic world.Social media profiles. You will be able to find out how the company handles complaints and reports of customer dissatisfaction. Try to find out if they have a good track record of reliability and whether the company's employees are treated fairly and courteously. How often do customers have problems with customer service?Capabilities. Find out how you can reach the right personnel if you need to. This is very important since it will help you avoid taking on a difficult situation, even if the service seems to be good.If you are in the process of hiring a research proposal writing service, consider the above factors to find the best one for your needs. This will allow you to hire the right service at the right price. Do not let price play too large a role in your decision, since it can influence the quality of your final output.The above is just a small portion of the research proposal writing services you should consider before you choose one. Do not forget to talk to employees of the service before you hire them. This is very important since this is where you will learn a lot about the service and its reputation in the industry.
Wednesday, May 20, 2020
The Human Resource Information Systems Essay - 1796 Words
Because of dynamism and constantly evolving technology, today HR managers need to be aware of the technology that will increase effectiveness of their company. Human resource information systems (HRIS) were first introduced at General Electric in the 1950s, but since then it has come a long way. HRIS has gone from a basic process to convert manual information keeping systems into computerized systems, to the HRIS systems that are used today. Human resource professionals foresaw the possibility of new applications for the computer. The idea was to integrate many of the different human resource functions. The third generation of the computerized HRIS is a feature-rich, broad-based, and self-contained HRIS. It provides HR professionals with the time needed to direct their attention towards more business critical and strategic level tasks, such as leadership development and talent management. HRIS provides an opportunity for HR to play a more strategic role, through their ability to gene rate metrics, which can be used to support strategic decision-making (Lawler Mohrman, 2003). The current generation of HRIS automates and devolves routine administrative and compliance functions traditionally performed by corporate HR departments and can facilitate the outsourcing of HR. More recent research shows greater use of HRIS in support of strategic decision making by HR. With an appropriate HRIS, HR staff enables employees to do their own benefits updates and address changes, thusShow MoreRelatedThe Human Resources Information System978 Words à |à 4 Pages The Human Resources Information System, ââ¬Å"is a framework that gives you a chance to stay informed concerning every one of your workers and data about them. It is generally done in a database or, in a progression of between related databasesâ⬠(Human Resource Information Systems, n.d.). Itââ¬â¢s very important for an HR director to be knowledgeable of this information, because maintaining a business will produce a ton of data, both identified with the business and identified with yourRead MoreHuman Resource Information System And Human Resources Essay2170 Words à |à 9 Pages1. Human Resource Information System is also known as Human Resource Management System, which is the integration of information technology and human resources through Human Resource software. The system enables Human Resource activities or processes electronically occur. Human Resource Information System is a technological solution to help corporates to solve human resource activities through software. Activities include human resources, accounting, management and payroll. The software also helpsRead MoreThe Human Resource Information System1260 Words à |à 6 PagesThere are many things to consider when choosing the right Human Resource Information System (HRIS) for an organization. However, it is important understand that human resource information systems require different computer-based systems to run an HRIS. The purpose of this paper is to examine database management systems (DBMS) used with HRIS systems. The paper will evaluate two top-tier database systems, specifically, Oracle Database 12c and IBMââ¬â¢s DB2. Next, the paper will identify the advantagesRead MoreThe Human Resource Information Systems Essay1190 Words à |à 5 PagesINTRODUCTION There are so many different Human Resource Information Systems (HRIS) available to choose from that a company can pick and choose what features and programs they need for their business. Companies range big and small and each business needs different options to run their business. Castle s Family Restaurant is looking into implementing an HRIS and they have asked our company to research and suggest programs that will benefit them as a company. Per the initial assessment of the businessRead MoreThe Human Resource Information System758 Words à |à 4 Pagesthat this system does not have all of the ERP product that other human resource information system may have. The second that was research was Kronos. This is an electric system that does different tasks when it comes to human resources, and payroll. This system was founded in 1977. Kronos is a monitoring system that keeps a full track of employeesââ¬â¢ time and attendance. It helps companies control labor cost, minimize compliance risk and manage talent with ease. When it comes to the human resourceRead MoreThe Human Resource Information System1475 Words à |à 6 PagesThe Human Resource Information System (HRIS) teams work with the performance of tasks such as bookkeeping, employee performance and trainings, ordering, payroll, maintaining former, current, and potential employees information, and upholding policies and guidelines. Human resource managers use information systems to help in their daily duties of handling the above mentioned duties. Human Resource managers develop and analyze the many functions and determine the type of Human Resource InformationRead MoreA Human Reso urce Information System Essay1390 Words à |à 6 PagesINTRODUCTION A human resource information system (HRIS) is defined as a computer based application for assembling and processing data related to the human resource management (HRM) functions. As in other types of information systems, an HRIS consists of a database, which contains one or more files in which the data relevant to the system are maintained, and a database management system, which provides the means by which users of the system access and utilize these data. The HRIS thus contains toolsRead MoreHuman Resource Information Systems1086 Words à |à 4 PagesHuman Resource Information Systems Use the Internet to research and evaluate two (2) commercial HR database systems for your organization. Evaluate the advantages and disadvantages of each system and, based on your knowledge of human resources and database systems, propose one (1) package that would fit the needs of your organization. The two Human Resource Information Systems (HRIS) that need to be considered in this analysis are the SAP Business All-In-One, a completely configured suite ofRead MoreHuman Resource Information Systems ( The )2897 Words à |à 12 PagesHuman Resource Information Systems (HRIS) HRIS stands for Human Resource Information System. Essentially, an information system is a tool utilized by companies and organizations to improve the quality of the workplace and the efficiency of output that an employee may produce or in other words, an electronic supervision system. (Periysamy, M. N., Amsa, A) There are multiple categories of HRIS systems which may then be simplified into more specific types of systems within each category. For exampleRead MoreHuman Resource Information Systems2522 Words à |à 11 Pagespublic administration are carried out. They are the building blocks of accountability. In a growing number of organizations human resources are now viewed as a source of competitive advantage. There is greater recognition that distinctive competencies are obtained through highly developed employee skills, distinctive organizational cultures, management processes, and systems. Increasingly, it is being recognized that competitive advantage can be obtained with a high quality work force that enables
Wednesday, May 6, 2020
The Expansion of America to the West - 1314 Words
As the 19th century continued, America expanded away from the east coast, across the Mississippi westward. After many western states joined the Union, hundreds of thousands of pioneers migrated to the new territories, which shifted the majority of the countryââ¬â¢s population to the West. With so much uninhabited and unorganized land available, the desire for more land brought aspiring pioneers to the frontier. As enticing as the idea was, something else was persuading many people to migrate westward. Manifest Destiny became a widely used concept amongst future pioneers. This concept stated that God wants you to migrate westward over the entire country to expand and enhance its political, social, and economic influences. Many middle-class citizens held this belief and was the driving force in Americas expansion. In 1862, Congress passed the Homestead Act and the Pacific Railway Act that would help aid settlers in their plight across the Plains. These acts used public lands to achieve significant national ambitions of western migration and the construction of the transcontinental railroad. In 1862, the Homestead Act was passed into law. The act stated that any American citizen could file an application and for a small amount purchase 160 acres of government land. The only stipulation was that you must inhabit the land for the next five years. The Plains provided ample amount of land for farming and livestock, but settlers found the different climate would require newShow MoreRelatedManifest Destiny And Westward Expansion Essay1447 Words à |à 6 Pages1) OUTLINE: I. Topic sentence. Manifest destiny and westward expansion was a tremendous key component to the growth of the nation economically because of the impact it had on native americans, women empowerment, and expanding the population of the country. II. Significance of topic. Americans looked towards the western lands as an opportunity for large amounts of free land, for growth of industry, and pursue the manifest destiny. III. List of evidence related to topic. The railwaysRead MoreManifest Destiny Essay788 Words à |à 4 Pagesas a belief, in the 19th century, that North-America was destined to stretch from coast to coast and that the expansion of the U.S. throughout the American continents was both justified and inevitable. It is responsible for changing the face of America and creating a new nation (Lubragge, 1809-1900). North-Americaââ¬â¢s westward expansion was due the American belief ââ¬Å"that the strength of American values and institutions justified moral claimsâ⬠¦Ã¢â¬ , land west of the Mississippi River ââ¬Å"were destined forRead MoreThe Expansion of America and The Homestead Act of 18621180 Words à |à 5 Pagesthe 1840ââ¬â¢s America was becoming a world power to be reckoned with. In order for the country to keep up with the increasing amount of people and become more powerful, the US expanded westward. After the War of 1812 a lot of Americas attention went into exploration and settlement of all of the territo ry to the West, which had been expanded by the Louisiana Purchase. Families of pioneers traveled westward and found new communities through what is now called the Midwest. Westward expansion occurred forRead MoreEssay On Manifest Destiny1551 Words à |à 7 PagesManifest Destiny was a widely spread belief that settlers in the United States should expand across North America. It was the belief that fueled the westward expansion. The westward expansion led to many other events in and around the United States. Before Manifest Destiny and the westward expansion the French and Indian War and Revolutionary War took place which allowed America to declare independence. Manifest Destiny was a big influence on the evolution of transport and technology. Before weRead MoreManifest Destiny1555 Words à |à 7 PagesTransportation Manifest Destiny was a widely spread belief that settlers in the United States should expand across North America. It was the belief that fueled the westward expansion. The westward expansion led to many other events in and around the United States. Before Manifest Destiny and the westward expansion the French and Indian War and Revolutionary War took place which allowed America to declare independence. Manifest Destiny was a big influence on the evolution of transport and technology. BeforeRead MoreThe Westward Expansion Of The United States960 Words à |à 4 PagesThe Westward expansion began for the United States with the Louisiana Purchase in 1803. For $15 million dollars, President Thomas Jefferson purchased from France 828,000 square miles, including most of 14 current states, thus doubling the size of America. Jefferson now had the land, but how to populate it was another story. On a three year expedition, Lewis and Clark were sent by Jefferson to explore the lands to get a better understanding of the geography and resources of the West. During the 1830sRead MoreThe Lewis And Clark Expedition1424 Words à |à 6 Pages On May 14, 1804 in the eastern city of Saint Louis, William Clark and Merry-weather Lewis set of on the westward adventure that would change America as we know it today. Their journey began on the Mississippi River, those rapids would propel Lewis and Clark into the Corps of Discovery. Across the vast land that these men would soon travel l ived the many native-american tribes. The Native people hunted freely across their western lands, lived their life as one with the ground they so carefullyRead MoreManifest Destiny Essays694 Words à |à 3 Pagesdefense for U.S. territorial expansion. It is the presumption that God had destined the American people to at divine mission of American movement and conquest in the name of Christianity and democracy. In order to understand manifest destiny we must first find itsââ¬â¢ origin. John Oââ¬â¢Sullivan first initiated manifest destiny into America in 1845. This New York editor wrote the phrase that captured this mood when he attempted to explain Americanââ¬â¢s thirst for westward expansion he wrote: the fulfillmentRead MoreAP Us History DBQ977 Words à |à 4 Pagesperiod of time between the late 19th century and early 20th century, America was going through significant changes. After a revolution in Cuba against the Spanish, as well as the Americans starting the Spanish-American War, the Americans received several territorial concessions from their defeated opponent. Thus, America started on the path to imperialism, gaining several more territories in a short amount of time. Such an expansion in the late 19th century and early 20th century was mostly a continuationRead MoreThe War of 18121132 Words à |à 4 PagesWar of 1812 The War of 1812 was started by America due to British encroachment on three fronts, trade restrictions imposed by the British, the increasing alliances of the British with Indian tribes blocking American expansion West, and due to British interference with merchant class ships in the Atlantic. The war was fought in the Great Lakes region between America and Canada, near New Orleans in the Gulf of Mexico, in the Atlantic trade routes, and around Washington DC. The British had always
Work & Organizations for Contradictions Management- myassignmenthelp
Question: Discuss about theWork Organizations for Contradictions Management. Answer: Introduction: Work and the role of its within the society has become the theme of substantial commentary of public and a matter of debate in the recent years. Some people are of the belief that work world has been changing so methodically and at a rapid speed that individuals might start considering themselves pioneers of the new historical era (Brown 2015). Some says that the job idea is becoming old-fashioned and that the factor of job security has become illusionary. Changing work nature and contradictions facing management In better describing the work nature, and possibly in gaining better control over the ways people work, it is first essential in understanding and consider the full assortment of the forces shaping the work and the ways forcing are changing. With the augmented expansion of the factor of technology along with the globalization of the organizations, the age of information has been causing a alteration within the work environment with a requirement in adapting to how and where the employees work (Cohen, Burton and Lounsbury 2016). Technology: Technology like cloud computing, mobility and tele-presence have driven the connectivity across the globe. Employees can work within various locations or on the road and still pool resources. Attaining and sharing of the knowledge 24/7 has become easy and this has been accelerating as the devices of internet are becoming more available within the emerging markets and from more inaccessible locations (Cascio and Montealegre 2016). Workforce Expectations: The thought of going to work has been changing from going to one specific location to having more elasticity in choosing the place of work and when to work. Reports have been suggesting the fact that generation X and Y prefer in having the freedom of defining and dealing with their own issues. More than any other generation, their value towards the balance of work/life is immense. According to Ulrich (2014), organizations require considering this and they need to design their workplace keeping in mind the factors that would attract, retain and motivate the talent. Globalization: Under the present circumstances, globalization is a reality in business. The amplification in technology has been enabling the company in connecting the business/teams across the globe and there has been an increase in the number of teams that has been working cross-culturally. On positive note, working with the diversified teams offers more influential insight into the challenges as people have been gaining various perspectives (Cullen et al. 2014). The main challenge is that the leaders and employees must work efficiently and from a distance for gaining these insights. Dilemmas and contradictions facing management: Most of the managers and the entrepreneurs generally face the same sort of issues in management. Yet their choices are mainly based on the basis of their success. Any business that is being anxious with the productivity factor, the best productive role and the way it fits in into the economic marketplace. Innovate or Converse: There is much significance of innovation, and one needs to focus on fresh applications and new markets. However, the innovation revenues are within the near future. One should get the maximum out of the present business. If one is not investing, there comes a moment where the present business starts declining without the new innovation in taking over the revenues. Support or Lead: It is important to choose where the business would be in the front within the marketplace or would it be happy in supporting others. They are an innumerable of possibilities for each. Product or Service: A universal choice that generally looks simple. Every individual have an idea about the dilemma, but the predicament of tracking the one or the other can be a bit high. As per Parker, S.K. and Bindl (2016), managers do encounter certain contradictions on regular basis. A leader or manager is required in managing through a minefield of contradictions. They need to satisfy the several stakeholders, each with diversified agendas and agendas of opposing nature. This might often result in conflict between the cultural aims and commercial ones. Managers dealing with uncertainty in future of business: Managers need to focus on effective ways in dealing with the uncertainty in business. Preparing for every possibility: Things can go different ways and there might not be any third option. The best a manager can do is to prepare for every possibility that might crop up (Ulrich 2014). It is important in having a backup plan that can reduce stress considerably. Channeling positive thoughts: Uncertainty along with negativity is stated to be two peas in a pod- natural in feeling negative at certain situations. It is within the nature of humans in imaging only the most terrible case scenarios. It would be bets under such circumstances in bringing in some positivity within the doubtful situations. Be ready for accepting changes: Most of the time the motive of stressing people through uncertainty is that they are scared of any sort of change. They believe something unexpected or something new might occur which might be different from what they were supposed to do or perform. Reference: Brown, A.D., 2015. Identities and identity work in organizations.International Journal of Management Reviews,17(1), pp.20-40. Cascio, W.F. and Montealegre, R., 2016. How technology is changing work and organizations.Annual Review of Organizational Psychology and Organizational Behavior,3, pp.349-375. Cohen, L., Burton, M.D. and Lounsbury, M., 2016.The structuring of work in organizations. Emerald Group Publishing. Cullen, K.L., Edwards, B.D., Casper, W.C. and Gue, K.R., 2014. Employees adaptability and perceptions of change-related uncertainty: Implications for perceived organizational support, job satisfaction, and performance.Journal of Business and Psychology,29(2), pp.269-280. Parker, S.K. and Bindl, U.K. eds., 2016.Proactivity at Work: Making Things Happen in Organizations. Taylor Francis. Ulrich, D., 2014. The future targets or outcomes of HR work: individuals, organizations and leadership.
Thursday, April 23, 2020
Medical Military Mobility Essays - Air Medical Services,
POSITION PAPER ON MEDICAL MOBILITY 1. Diverse threats to our nation?s security, both at home and abroad, challenge the Air Force?s medical personnel to develop innovative solutions in order to provide medical support for the wide range of military operations we are facing today. As dozens of small-scale contingencies around the world challenge deployed Air Force medics, the Air Force medical service must rethink its readiness postures to fit this paradigm. By improving training programs, matching professional skill-sets with job positions and providing up-to-date and necessary medical equipment, we can tailor our medical response to better fit the unique circumstances faced during contingency deployments. 2. Medics face diverse and frightening circumstances, requiring more specialized training, as our military increases its participation in nontraditional roles. Potential scenarios could involve weapons of mass destruction, natural disasters, and/or complex technological, political or natural crises. Since each situation is unique, lessons learned from previous disasters will not solve all the problems of a new crisis. However, one tried and true way of better preparing our Airmen for these situations is through consistent and relevant training. Unfortunately, we are continuing to deploy Airmen who lack the required specialty skill proficiencies, battlefield preparedness and equipment training which are vital to our success in the field. According to Captain Elwood Conaway, TNS, Coalition for Sustainment of Trauma and Readiness Skills (CSTARS) program instructor, ?A major contributor to the issue surrounding insufficient medical readiness training for airmen is the fact that, with the exception of Wilford Hall Medical Center at Lackland AFB, TX, the Air Force does not possess any Level 1 academic training facilities to adequately prepare and train members for deployed locations.? 1 In an attempt to remedy this problem, the CSTARS program, located within the University of Maryland?s R. Adams Cowley Shock Trauma Center in Baltimore, was created to provide a 3-4 week trauma course to specific medical specialties in preparation for deployment. This is a step in the right direction, however, 3 weeks of trauma observation at a civilian medical center is not nearly enough time and cannot possibly cover the broad range of diverse situations which will be encountered while mobilized. In order to fully prepare our medics to deploy as effective team members, more in depth training programs must be explored to include not only medical/trauma training in hospitals, but also intense field and arms training, as well as sufficient medical equipment instruction. 3. Many of our forward operating Air Force hospitals are outfitted with outdated, incompatible and unusable supplies and equipment. In many instances, intravenous fluids and sterile and pharmaceutical items had expired before they were needed for use.2 Because most air transportable hospitals are supplied with older generations of medical equipment, many medical personnel have never seen or used the equipment they are expected to utilize in theater. Therefore, extensive training is required after their arrival. To counter these problems, programs must be put in place to take periodic inventory and make quality assessments of war reserve material, review hospitals? inventory lists to ensure the proper items are available in adequate amounts, and take the proper steps to ensure training on relevant equipment is accomplished prior to arriving on station. 4. Besides inadequate training and equipment, many of the deployed medical teams are staffed with persons whose specialty skills either are not current, or do not coincide with the position they are tasked to fill. For example, often times hospitals will have a number of senior active and reserve component nurses that have been involved in administrative functions and have not maintained their proficiency as nurses. Nevertheless, they deploy to provide primary nursing skills. In addition, many enlisted reservists have unrelated civilian occupations and are not proficient in their military skills prior to deployment. Furthermore, we are deploying aeromedical evacuation crew members who have not flown actual missions or are not familiar with certain types of aeromedical evacuation equipment. It is vitally important that we are sending the professionals best suited to fill these positions forward. Measures must be taken to ensure that billets are being filled with those individuals who possess and are current in the skills required to fulfill their roles in the field. To accomplish this, we must put measures in place such as
Subscribe to:
Posts (Atom)