Macro Economics Domestic Products Rate

Question: Describe about the Macro Economics for Domestic Products Rate. Answer: Source: GDP growth (annual %) | Data. (2016).Data.worldbank.org. Retrieved 22 November 2016 Summary: The GDP rate of Japan: As per the above article it can be mentioned that Macroeconomics is a section of Economics, where global, national or the regional economies can be illustrated. Some of the important economic factors are such as gross domestic product, inflation rate and unemployment rate of a country, governmental expenditure, fiscal and monetary policy, which will be discussed in this study. Year 2010 2011 2012 2013 2014 2015 GDP rate 4.35% 3.11% 2.46% 2.39% 2.612% 2.46% Table 1: Rate of GDP of Japan from 2010 to 2015 (Source: Data.worldbank.org) From the above table it can be observed that the GDP rate of Japan has been decreasing with the rise in time. It can be mentioned that in the year of 2009, country's GDP was negative and the rate was (-1.72%). After that the rate was increased in the year of 2010. Harding Wells (2016) argued that this rate of GDP is constant from the year of 2011 to 2015. Analysis: As per the statement of the article, it can be mentioned that lower GDP of a country has an adverse impact on the consumers, business and the investors. As per the statement of Nohara Miller (2016), with the lower GDP rate, the national income of the country will be decreased. Hence, it can be mentioned that overall consumption of the country has decreased. As a result, it can be mentioned that per capita income will be decreased. The standard of living of the country will also decrease. Purchasing power parity will also be decreased. Aggregate savings and aggregate output of Japan will be declined. On the other hand, it can be stated that stock market indices of Japan and the exchange rate of the country will also fall. With the fall in the GDP rate of the country, the rate of inflation will also decrease. Sato (2016) added that presently, Japan has been suffering from the deflationary situation. Furthermore, it can be demonstrated that overall investment expenditure of the mention ed will be hampered if the rate of GDP will decrease. In addition, it can be added that with the decrease in GDP rate, the production level of the country will be decreased, which in turn refers that the rate of unemployment will be decreased. Topic 3. Source: Unemployment, total (% of total labor force) (modeled ILO estimate) | Data. (2016).Data.worldbank.org. Retrieved 22 November 2016, from https://data.worldbank.org/indicator/SL.UEM.TOTL.ZS?locations=JP Summary: According to the above article, in order to discuss the unemployment rate of Japan, it can be stated that the relationship between the GDP growth rate and the unemployment rate can be illustrated with the help of Okun's law. There is a negative relationship between the GDP rate and the unemployment rate of a country (mainichi.jp (2016). Nevertheless, it can be stated that Japan's unemployment rate has been decreasing with the rise in time. In this connection, it can be inferred that as the rate of GDP has increased from the year of 2009 to 2010, therefore, the country is trying to reduce the unemployment rate (Data.worldbank.org.). Analysis: In this section, it can be inferred that the country's GDP rate will be increased. The employment rate of the country will be increased. Moreover, the wages of the employees will be increased Nohara Miller (2016). Moreover, the rate of inflation of Japan will also increase. The relationship between the unemployment rate and the rate of inflation can be discussed with the help of the Phillips curve. As per the Phillips curve, it can be mentioned that there is a negative relationship between the inflation rate and the unemployment rate. As a result, it can be inferred that the price level and the money supply of the country will be increased. The standard of living of Japan will be improved (Data.worldbank.org). As the rate of unemployment of Japan has been decreasing, therefore, it can be concluded that the production level of Japan has increased. After the year of 2012, the rate of GDP has not decreased massively. AS per the Okun's law, it can be inferred that with the rise in rate of GDP, the rate of employment will be increased. However, it can be criticized that country's GDP rate will be decreased if the rate of unemployment of Japan will go above the natural rate. References GDP growth (annual %) | Data. (2016).Data.worldbank.org. Retrieved 22 November 2016, from https://data.worldbank.org/indicator/NY.GDP.MKTP.KD.ZG?locations=JP Harding, :. Wells, P. (2016). Japan GDP growth rate jumps to 1.7%. Ft.com. Retrieved 20 November 2016, from https://www.ft.com/content/866509c8-1c8e-11e6-a7bc-ee846770ec15 mainichi.jp (2016). Japan's average minimum wage set at 823 yen per hour, biggest rise since 2002 - The Mainichi. The Mainichi. Retrieved 20 November 2016, from https://mainichi.jp/english/articles/20160824/p2a/00m/0na/021000c Nohara, Y. Miller, B. (2016). IMF sees Japanese talent locked in low-paying jobs | The Japan Times. The Japan Times. Retrieved 20 November 2016, from https://www.japantimes.co.jp/news/2016/09/29/business/imf-sees-japanese-talent-locked-low-paying-jobs/#.WDHMJdV97IV Sato, T. (2016). Global Financial Crisis: Japans Experience and Policy Response. frbsf.org. Retrieved 20 November 2016, from https://www.frbsf.org/economic-research/files/Panel_Sato.pdf Unemployment, total (% of total labor force) (modeled ILO estimate) | Data. (2016).Data.worldbank.org. Retrieved 22 November 2016, from https://data.worldbank.org/indicator/SL.UEM.TOTL.ZS?locations=JP

SLP internal analysis and SWOT Analysis

Introduction Resource Based View is a modern day management tool that is used in crafting company’s strategy using the available resources and distinctive capabilities. One of the ways of achieving this is the use of Economic Values Added (EVA) or the Economic Rent (Connely, 2010). The EVA is gotten by subtracting the firm’s Net Operating Profit After tax (NOPAT) from the multiplication of the firm’s cost of capital by the firm’s capital i.e. NOPAT – (CAPITAL * COST OF CAPITAL).Advertising We will write a custom coursework sample on SLP internal analysis and SWOT Analysis specifically for you for only $16.05 $11/page Learn More A firm’s competitive advantage is therefore determined by its ability to use the available resources and utilize the core competencies to achieve targeted objectives (Barney, 1991). This paper discusses the various resources and competencies that an organizational can use to achieve compet itive advantage over other firms. Sources Ensuing are two sources that offer information about these resources and competencies that provide a foundation for the formulation of a firm’s strategy. https://www.marketingteacher.com/swot-analysis/. This source highlights on how the firm’s management can use the internal analysis to ensure that it formulates strategies that are based on the internals strengths of a firm. Examples these internal factors are resources such as human capital, patents, skills, goodwill and physical resources such as equipment and buildings. The disadvantage of this source is that the firm only uses internal environment to formulate the strategy ignoring the external environment which presents conditions that a business operates in. https://fba.aiub.edu/Files/Uploads/MGT110043.pdf. In his book, Henry presents the resource based view as a management tool for strategy formulation. Distinctive capabilities are useful in a firm’s competitivene ss since the competitors are unable to duplicate them. The limitations of this source are that it looks at the firm which is established and has heavily invested in research and developments thus have acquired competencies in the specific operation area. Small firms are therefore not able to use these types of resources. Resources Resources are the inputs that a company uses in all the functional areas of its operations to produce the desired output and thus achieve the set target (Comeford Callaghan, 2011). Financial resources ensure that a firm has adequate amount of liquid cash to carry out the operations as well as finance the expected investments. This keeps the firm’s value high since its equity is not composed of large amounts of debt.Advertising Looking for coursework on business economics? Let's see if we can help you! Get your first paper with 15% OFF Learn More Human resources are other important organizations physical resources that ensure that the firm’s operations are of high quality. A workforce that is highly competent will make sure that the firm’s products are of high quality and also the firm employs efficient production methods resulting in low production costs. Technical resources are intangible resources which enhance a firm’s products quality. Advanced technical knowledge in the production process ensures that the firm’s products are preferred over the competitors since they are of superior quality (Barney, 1991). This therefore acts as an important resource that will form a basis of customer loyalty hence boosting a firm’s profitability. Intellectual resources are resources that a firm has acquired through research and development. These include patents and copyrights. Patents ensure that a firm possesses the exclusive right over certain means of production (Barney, 1991). A firm considers patents as important assets since it is able to employ unique production methods to achieve better results than the competitors. Goodwill is resources which a firm bears that make provide a competitive advantage over others. It may be in form of location, first mover advantage or customer loyalty. Goodwill usually puts a firm at a better state than the competitors and usually results in customer loyalty. It is therefore important in formulation of the firm’s strategy since it will ensure that firm strategic location and actions that will make it favorable over the competitors. A firm’s reputation ensures that it bears goodwill and this acts to foster the customer loyalty on the products. Architecture is the ability of a firm to bear different structures and networks that ensure it is well positioned to take on the competition provided by the other market players. Innovation gives a firm the ability to come with new products that are more appealing to the ever changing consumer tastes and preferences. A firm that is able to come up with new products will alwa ys enjoy a competitive advantage since its products will address the consumers presents tastes and preference.Advertising We will write a custom coursework sample on SLP internal analysis and SWOT Analysis specifically for you for only $16.05 $11/page Learn More Conclusion The Resource Based View is therefore and important management tool that is used to formulate a company’s strategy using the internal environment analysis. An internal environment will always provide the controllable parameter that an organization can manipulate to achieve its set targets and objective. References Barney, J. B. (1991). Firm Resources and Sustained Competitive Advantage. Journal of Management , 99-120. Comeford, R., Callaghan, d. (2011). Environmental, industry, and internal analysis. London: Prentice Hall. Connely, D. (2010). Strategy for Internal Environment. Henry, A. (2007). The Internal Environment of an Organization. London: Oxford University Press. This coursework on SLP internal analysis and SWOT Analysis was written and submitted by user Kaylynn Hebert to help you with your own studies. You are free to use it for research and reference purposes in order to write your own paper; however, you must cite it accordingly. You can donate your paper here.

Real Life Examples of Fallacies of Racism in a Summary For Essay

Real Life Examples of Fallacies of Racism in a Summary For EssayHave you been looking for a list of real-life samples of fallacies of racism in a summary for the essay? Of course you have, because you hate to waste the time that you have. It is amazing how many of them there are out there, and it really gets you thinking if we have really gone down this road. This is because you know the chances of getting yourself into trouble with the police are very high.Racists are so used to living in a society that they know exactly what they are doing. They know who they are targeting. If you have been one of these individuals, you will probably be ashamed of yourself for a long time to come. It is actually hard for people like this to change, but you will need to make some changes if you want to be accepted again. This is because it will only be up to you if you are not going to succeed.If you do want to give up your racism then the best thing that you can do is to seek professional help. You will find that you have not made the decision that you want to make, and you can use this as an opportunity to see where you can improve. But before you go on and do that you should sit down and write down some examples of real-life samples of fallacies of racism in a summary for the essay. These examples of racism that you will write down can really help you out in helping you in making your decision.The written examples that you will write down will probably be much more powerful than anything that you will ever read from the internet. There is no advertising on the internet, so the only people who know about these samples are the people who have seen them. And people who have seen them are not the same people who write them. The writer does not care about whether the examples that they have written are true or not, they just want you to think that they are true.Examples that are very short and easy to understand are very powerful. When they say that they have hundreds of example s, but if you look at just one example you will see how easy it is to just look at the title and get a general idea of what is written. That is how it works; you look at the title and see how it says it, and you can tell that it is some kind of punch line.So, when you see an example of this kind you will not have to take their word for it. You can check it out for yourself and see what you think. This is how you become smarter with racism, so make sure that you put these examples in your own essay.Examples of this kind of racism are not going to be as hard to find as those examples of racism in a summary for the essay, because these are made by the person who created the example in the first place. You will be able to find them much easier than you would have been able to before. That is why they are so powerful, because they are not written by people who are trying to hide anything.

The United States Involvement with the Kyoto Accord essays

The United States' Involvement with the Kyoto Accord essays President Bush states that "the (Kyoto accord) will harm the US economy." The entire European Union has chosen to continue to back to the accord. What is the reasoning for President Bush to withdraw? First, the United States is facing an economic decline and an energy shortage. Most of all, he doesn't want to make a "wrong" decision, that would tarnish his crystal-clear record, and make him look inferior. Our president seems to be looking out more for himself than the people that elected him to the office. The United States should not have withdrawn from the accord, especially since it has the most power on the issue. The Kyoto accord was "designed to limit the gas emissions blamed by some scientists for global warming...It commits 38 industrialized countries to emissions cut of 5.2% by 2010." It specifically targets carbon-rich gasses. The Kyoto accords "needs to be ratified by nations that together account for 55% of global greenhouse gas emissions to have legal status." If America produces roughly 25 percent of all the greenhouse gasses, that will make up a lot of the 55 percent needed to help save our earth and the people that live here. Even with all the European Union states plus Japan, Kyoto only has support from countries responsible for 36% of gases. When will it become obvious to the leaders of the free world that the environment is important? Put all of the political information aside; Bush is trying to save his reputation. He doesn't care about the lives of the people, he cares about the money they produce, and the labor they provide, that is the full extent of his attention. If he can't make money from Halliburton Oil, then any plan that opposes it is pure evil. With the Kyoto accord, it restricts greenhouse gas emissions which will cut profits from Halliburton. Why should he support something that he isn't partial to? He is the President of the United States, and many other countries look to the US for answers and...

Response to classmates Coursework Example | Topics and Well Written Essays - 750 words

Response to classmates - Coursework Example Ensuring employee retention is desirable as it reduces the costs of recruiting, hiring, and training employees (Janovsky, 2009). You, however, did not actually answer the question requiring explaining of the responsibilities of director personnel. I think you meant to say that the director personnel works to minimize turnover costs and ensure hiring of skilled and experienced workers in order to maintain the company’s competitive advantage. I also think that Otto needs to review the current appraisal process, implement a preferred process, and train employees about its use. I do not find any relevance in the first part of the question requiring department directors’ responsibilities. The second part is relevant as it proposes periodic reviews and notifications to employees prior to evaluations. Notifying employees about appraisals enables them to prepare lists of their attributes before the evaluation date (Clarke, 2011). Hiring the right people whose objectives rhyme with those of the organization is one of the best ways of curbing employee turnover (Xiaoyan & Erhua, 2013). I agree with you that other aspects such as proper training, competitive compensation package, and creating a conducive work environment are critical for employee retention. The factors that motivate employees are the primary requirements for encouraging employees to continue serving a company for a long time (Clarke, 2011). You argued that the rate of turnover can be reduced if employees are satisfied with the appraisal form. I think you wanted to emphasize on the both the content of the form and the process of appraisal; however, you concentrated on the process of appraisal that uses electronic form. The content of the appraisal form should cover several attributes to ensure that employees find at least where to fit in. The personnel manager should investigate whether all employees

Make a summary Essay Example | Topics and Well Written Essays - 500 words

Make a summary - Essay Example She narrates how even after a long time writing she would feel empty even after doing research (1). She used would struggle writing, cancel even what seemed sensible at first until when she would decide to write anything after which she would come up with a good write-up. Peter Elbow asserts that the most effective way to improve one’s writing is by doing ‘free writing’ which he explains as the art of writing anything that comes into one’s mind for given period of time a day at least thrice a week nonstop. Though seemingly crazy he says, free writing allows one avoid the extensive editing that writing allows. He challenges readers to consider the many times they have made great speeches even when they had started the speech so poorly. He asserts that this is the principle to powerful writing. He further says that seeking to have a perfectly knitted write up right at the beginning of writing is preparing to kill any possibility of becoming a writer leave alone a great one as it would make one give up on writing The idea brought about by both Elbow and Lamott are a bit new to many of us including me as we have gone through an education system that discourages it as learners are coerced into accepting the existing content without questioning. My experience of trying to use the method in writing school assignments never bore considerable positive fruits. Both Lamott and Elbow agree that the secret to becoming a great writer is simply writing what comes to one’s mind without considerations of whether it is what one wants the readers to see and then editing later. However Lamott unlike Elbow seems to encourage writers to not just write anything about anything but rather to make a coherent line of thoughts. On the other hand, Elbow allows one to write anything including repeating the same word so long as one does not stop writing within the time set for writing. I absolutely agree with the

Why we use reflection Essay Example for Free

Why we use reflection Essay It is important that we use reflection in order to further develop our skills in practice. No matter which reflective cycle chosen it is important that you identify what has been learned from the experience, how it has helped, if it is negative, how to overcome the problem in the future, and how it relates to theory and knowledge you have been taught. Reflective practice has been identified as one of the key ways in which we learn from our experiences in practice (Jasper 2003). As a concept for learning, reflective practice was introduced in the 1980’s (Jasper 2003). Boyd Fales (1983 cited in McGuinness 2009) suggests that â€Å"learning from experience can be very personal and, because of this, the process of reflection must allow the individual to address all aspects of each situation encountered†. There are many types of reflective cycle and they are only there to offer a guide and format to reflection. Schon (1983) suggests that â€Å"we can engage in one of two ways; either by reflecting on action, after the experience, or by reflecting in action, during the experience†. I researched many different cycles before selecting the one I thought was right for me. I will explain 3 I could have chosen and then explain the cycle I used and why. Firstly is Gibbs model of reflection (1988) (appendix 1). The pros to using this method are that it is very simple and directional. It splits your work into 6 sections and gives you a very structured essay. However I find it does not give you much help as to what you need to include within your essay. It is very basic and does not expand upon each section. The second cycle is John’s model of reflection (1994) (appendix 2). This model also provides structure and more detailed information of what to include by prompting with suggestional questions. This being said, I found the questions to be a bit lengthy and over complicated reflective practice. The final model was Atkin’s and Murphy’s model of reflection (1994) (appendix 3) I thought that this model was very directional and to the point offering a 5-sectioned essay plan, however it was still too basic for my learning style and therefore I found it best not to use it. For the purpose and intent of this essay I shall be using Driscoll reflective framework (1994). The reason for this is that I found it the most suited for me to follow. His reflective cycle uses just three simple questions as the main body of the framework,  which are then expended upon in greater detail. Driscoll’s framework has since been updated in 2000 (appendix 4). Introduction This reflective essay is based on a negative experience I had as a student operating department practitioner while on placement in anaesthetics. My reason for choosing this experience is that I found it to be a very valuable way to learn what needs to be done in order to ensure the smooth running of an operating department. This particular experience had some good issues to explore. Throughout the duration of this essay I will be using fictitious names for all patients and staff in order to protect anonymity and confidentiality. This is in order to comply with the codes and conducts set out by the health professions council (HPC). Due to word limitation the main focus of this essay will be surrounding the first patient and the complications that arose prior to anaesthesia, such as communication, consent, allergies, and the importance of all of these things. What? a description of the event One morning I came into work and found out I was going to be involved in a urology list that involved 4 patients; 1 female and 3 males, all needing different urological procedures. You would have thought that after the lengthy pathway that a patient goes through before finally having their surgery, everything would run smoothly when getting to theatre. This was not the case on this particular morning. Not one patient was appropriately fit for surgery on that day. We were setting up our anaesthetic room for the morning list. Before sending for the patient you should always see both the anaesthetist and the surgeon, the reason for this is so that the patient is not sitting in the anaesthetic room for longer that they need to be as they may be extremely nervous. Typically theatre lists start at around 9am however on this particular day we had seen neither the anaesthetist nor surgeon so were unable to send for the first patient. At 9.05am the junior anaesthetist, Dr K, came in explaining she had seen the patients however we still had to wait as Dr F, the consultant anaesthetist, had to go and see the second patient on the list as there were concerns with proceeding with his surgery. After explaining this she then went on to brief us about the rest of the patients. The first patient was Mrs. G. Dr K informed us that  this patient told her that she has a latex allergy and comes out in welts when it touches her. It was questionable as to whether or not we should proceed with her surgery. The surgeon then phoned our theatre shouting at the staff, asking who it was that told everyone his patient was allergic to latex. This is because Mrs. G had now told the surgeon, Mr. B, that she did not have a latex allergy. Whilst on the phone Mr. B stated that he wanted the patient to be collected immediately for a prompt start as soon as he got down to theatre. Finally Mrs. G arrived in the anaesthetic room, however when I was running through the checklist with her, asking her several important questions, such as when was the last time you ate and drank, and obviously, do you have an allergies? To which she responded, yes, I am allergic to latex. We could have still cancelled the procedure however now she was in the anaesthetic room the anaesthetist and surgeon were both happy to proceed. This unfortunately was not the end of the complications with this patient’s procedure. When shown the consent form to confirm the surgery she was having done and that she had signed it herself previously that day, she was also consented for a cystoscopy, Mrs. G was unaware that she was also having this and when asked if she was aware of the procedure she told us that she did not know what a cystoscopy was, even though she had consented to the procedure. After finally checking in the patient and making sure she was comfortable and aware, we continued with the anaesthetic induction. So what? – an analysis of the event Whilst Dr K was explaining the complications with each patient I thought of how key communication is within a theatre team. Without that communication all of the patients could potentially have had further problems when finally arriving for their procedure, be it during induction, during surgery or in recovery. Communication is not just important between the staff, but as shown it is extremely important between healthcare workers and patients. For example, it should not have taken as long as it did for someone to find out that Mrs. G had a latex allergy. This should have been picked up during her pre assessment or even when she was admitted to the ward. When patients have an allergy they should always have an extra wristband stating their allergy. (Trust Policy 2010). Many patients suffer from fear and anxiety surrounding anaesthetic procedures, it is therefore important that a clear and effective  communication takes place between the anaesthetist and patient prior to coming to th eatre. If this is done correctly it increases patient compliance and satisfaction (Kindler et al 2005). The most effective form of communication is face to face however, there are many different ways this can be achieved, for example, written forms such as graphs and notes. There are also non verbal forms using body language and touch. It is vital that all patients understand what their procedure is, how it will be done, recovery rate and anaesthetic procedures, regardless of their mental competency. It is vital that you know how to communicate in different forms because every patient deals with stress and nervousness in their own way, some will come in and cant stop talking, some won’t say anything, others will be shaking and others may be experiencing some form of chest pains, low blood pressure and a very fast heart rate. Anxiety levels of patients are much higher when admitted to hospitals, this is believed to be due to the thought of the procedure/surgery and the fear of the pain they may feel post operatively (Clancey et al 2002). Communication between staff members, as well as patients, is continuous, from the moment they enter the hospital, to pre admission, the ward, theatres, recovery etc. All staff are there to aid the patient to a quick and effective recovery. When Mrs. G came down to theatre and was asked about her consent form, I found it appalling that she had not been given this effective communication as every patient is entitled to and deserves the best form of care possible. When consenting a patient, the Dr should inform the patient of the full procedure and explain any doubts, questions or worries that the patient may be feeling as well as explaining the full procedure to them. (Brigden 1998) In Mrs. G’s case this was not done therefore left her confused and slightly nervous. We explained the procedure to her and told her there was nothing to worry about and it was just a routine procedure that is done with the other. This leads me on to the issues surrounding informed consent. It is the legal and ethical right of a patient to direct what happens to their body. In order for their consent to be valid it must be voluntary and they must be considered mentally competent to make the decision. (Brigden 1998). In order for consent to be considered legal and valid it is essential that the patient be deemed competent to make the decision and their consent must be voluntary (Hind and Wicker 2000). When obtaining consent from patients it is essential  that you find out whether they have any individual needs and priorities, such as religions beliefs, occupation or other factors that may affect their treatment. For example, Jehovah witnesses will not accept any form of blood transfusion as it is not recognised in that religion. If however the patient is deemed to be incapable of making an informed decision under the mental capacity act e.g. they are unconscious, then it is not, as it is typically assumed, relatives or a care giver that has the right to give consent for them, but is generally two doctors that have the right to make the decision. (Radfo rd et al 2004). This being said in an emergency situation where consent can not be obtained, providing that the treatment necessary is directly linked with what needs to be done to ensure patients safety and health, then you can provide medical treatment to whoever may need it. If, for example, the patient has previously refused treatment and you are aware of this fact, but the case is now deemed emergent, you cannot proceed and must respect the patient’s previous wishes. Once the patient is stable and mentally aware, you must inform them of what has been done and make sure they understand fully. (Kinder et al 2005). Sadly Mrs. G was already nervous about her procedure before she found out she had been misinformed. Also discovering her latex allergy could cause complications to herself and her surgery increased anxiety when she arrived in the anaesthetic room. This sent her heart rate racing. It went from a normal steady 86 beats per minute (BPM) to an irregular 176 bpm. Luckily Dr F is an extremely calm and sensible consultant anaesthetist and knew exactly how to handle that situation in order to keep her calm and lower her heart rate. All of these things should have been explained to her prior to her surgery, or better still prior to her attendance of the hospital. After I reassured her of what she was having done and had held her hand for a while, she finally understood and calmed down, therefore allowing us to proceed. This made me think of how people cope with stress and anxiety, and it showed me that everyone deals with things differently, just by explaining what was happening and having bodily contact with Mrs. G helped her greatly. She was very thankful and happy with the level of care she received in the anaesthetic room. After the list had finished I started to wonder why the world health organisation checklist (W.H.O) was not co mpleted. The W.H.O checklist should be completed at 3 stages during each operation; prior to  anaesthetic induction known as sign in, immediately after induction or just before the incision of skin time out, and finally once the operation is complete before going to recovery sign out. (World Alliance for Patient Safety 2008). One of the questions asked is ‘does the patient have any allergies?’. If the team had completed the checklists prior to the start of the list then the complications should have been located and would have meant that they would be dealt with accordingly. For example, the issues surrounding Mrs. G’s latex allergy would have been able to be avoided if we had known before she was due to come down. It is vital that patients with latex hypersensitivity must go first, in a theatre that has had all latex products removed. It is trust policy that the theatre must be latex free for at least 1-2 hours. As none of this was done it was very questionable as to whether this patient could have her surgery or not. We informed the theatre floor person, who agreed that she thought the risk was too great as patients allergic to latex can go into anaphylaxis. These can all be incredibly dangerous when under anaesthesia. She told us that if the surgeon and anaesthetist decided to proceed then we should complete an incident report form, just in case any reaction was to occur throughout the procedure. Now what? – proposed actions following the event After looking into the aspects of this experience I have found it very useful in furthering my skills and knowledge into becoming an operating department practitioner. The issues surrounding informed consent, patient anxiety, communication between staff members as well as the patients and the surgical safety checklist are all linked together in one way or another. Had all of these been carried out correctly the list would more than likely ran smoothly. However there is no sure fire way to guarantee something else would not have occurred hindering us further. I can use the information I have researched in practice as I now have a better understanding of how the peri-operative department should work. Each member of the team should ensure that these issues are dealt with at the time they arise. They should not be passed around from person to person. It is the staff’s responsibility to make sure the standards and expectations are maintained. Each patient has the right to their own dignity and modesty and should all be treated with respect. Treat patients how you would wish to be treated if you were having  surgery. Each hospital has a set of trust policies that should be adhered to, it is expected that any new members of staff read them so that they are aware of the procedures and standards that should be met. Information about the NHS and its practices can be found in vast quantities in libraries or on the internet. This is also there to provide support and assistance to further your knowledge and ensure correct procedures are carried out. The points previously discussed are just some of the reason it is vital that reflection is so important to health care professionals, it is essential for maintaining a high standard of care.