Friday, February 14, 2020

Michigan Liquor Control Commission Research Paper - 1

Michigan Liquor Control Commission - Research Paper Example Shipment consolidation- small orders are integrated so that big loads can be carried in one carriage. Implementing shipment consolidation decreases the freight rates due to negotiation and bargaining power because of economies of scale. Freight rates are also dependent on the warehouse. The shipment consolidation and a consolidated warehouse decrease emergency deliveries. Value added services- the firm should implement an electronic scanning system and to replace error-prone paper-based information collection system; hence saving time in the supply chain. Any increase in the cost of packaging the goods can be offset by a reduction in transit costs. Inventory carrying costs- The inventory carrying costs will reduce because the number of inventories stored at a central warehouse will be fewer than that stored at the regional warehouse. Moreover, consolidation enables the just in time system to be feasible; hence reducing inventories and cutting costs. Effect of third party/ private warehouse facilities on warehousing costs handling costs, storage costs and fixed facility costs- the third party provider will cause the overall costs of fixed facilities, handling and storage costs to reduce due to economies of scale. The coordination work among the warehouse owners also reduces the administrative costs that include fixed costs. By consolidating multiple client freight, the transportation costs are also reduced. Decentralization- the firm should have a decentralized DPR where the products reach the customers fast through their supply chain. A centralized system requires more time before the products are accessible, and may lead to the groceries getting spoilt or rotten. Decentralized- decentralized customer relationship collaboration enables the firm get feedback faster and easier from their customers. A centralized system may not be easily accessible for the customers. Decentralized- a decentralized LCS enables the

Saturday, February 1, 2020

The role of nursing in a mas casualty event Research Paper

The role of nursing in a mas casualty event - Research Paper Example Acts of terrorism, disease outbreaks and natural and man-made disasters can occur anywhere at any time. Some of the disasters for which for which we must be prepared are avian influenza outbreaks, violent storms, bombing, floods, fires and transport accidents. Whatever may be the form of such casualties, in case there is always a need for nurses various services to comply with the crucial needs of such an event. In Zwirn et. al., The International Nursing Coalition for Mass Casualty Education has expressed that every nurse, on graduation from an entry levels, must have knowledge and abilities to respond to emergencies of various forms, and also that if you or your staff are unaware of any such knowledge, then you must work to acquire any such, before you are asked to respond to any emergencies. (Zwirn, et. al., 2006) In short, it is intended that nurses, without the aid to usual medical support, must be able to react in a mass casualty or emergency, affecting a larger group in unusual circumstances. At Columbia University, excellent instructive programs have been developed including the Mailman School of Public Health National Center for Disaster Preparedness and also at the Saint Louis University School of Public Health the Institute for Biosecurity and in last but not the least the certification at the Vanderbilt University School of Nursing called the Mass Casualty Education (Nursing Emergency Preparedness Education Coalition, 2007). Disaster Education All sorts of medical and ethical and social trainings must include the preparedness activities. As stated by Veenema (2003) a number of useful materials can be found at the Federal Emergency Management Agency's website (FEMA), information provided at this website includes disaster fact sheets and special material is available for parents, health professionals and teachers also to guide them as to how to speak to minors about terrorism and casualties. This material is also useful in preparing you and your family to prepare for such incidents. These materials particularly discuss the measures necessary after the very crucial seventy two hours of the emergency, particularly when the possibility of state aid and local help is low. (Veenema, 2003) As volunteers and nurses it is essential that we must know that how available resources at the event of a calamity can be made use of efficiently. To counter such emergencies, it necessary that we must be aware of our society's susceptibilities and also realize the calamity plans and other practical societal activities for instance mock drills. Such experiences are highly useful if we are the first responders in any event, and what if the available persons are the only trained disaster-trained personnel, and how ones behavior would vary if we are to permanently offer our services as caregivers. (Congressional Testimony, 2006) Recognizing Potential Threats Usually nurses are the first trained professionals, to which people approach in the event of some form of casualty. Although most of us haven't experienced disorders that may be regarded as bioterror weapons, it is essential t