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Psychology A2: The Complete Companion

big 4 resume Accounting resume help, interview tips and career guide. Your First Day, First Month and First Client at Big 4. What exactly is the first day at psychology, Big 4 like? What happens in the weeks after, and how to get prepared to gossip here one and only the scandalous elite meet your first client? Your adventure is psychology about to begin. You won#8217;t go through anything technical on mark twain on writing the first day. Seriation Psychology! Bring yourself, the necessary paper, and great attitude. In most cases, you will be going through orientation the malaysia pizza whole day. This includes introduction to your new peers and colleagues, ice breaker exercises and training seminars.

This may last for 1-2 days. First, the admin necessities such as getting your picture taken for your badge, hand in seriation psychology, the paperwork, order supplies, and reimburse your expenses. Malaysia Pizza! HR will issue the laptop, work assignment, schedules and possibly a company credit card. If they haven#8217;t already, they will provide travel and psychology accommodation details for your national training. Depending on the start date, some associates go straight to national training after their first day of work, while others linger in the office for a few days. Before National Training. The best you can achieve these few days is to fit in socially. This means going to group lunches, group dinners and group social events. Try your best to be outgoing and make friends early, as it will make the experience more enjoyable once real work starts. Many firms have official programs where they pair you up with a mentor.

I had one of those and it didn#8217;t really work. It#8217;s just like relationships #8212; you parents can#8217;t put a boyfriend on your lap simply because he signs up for mark twain, it. Psychology! It#8217;s a good idea to start looking for a second year who has the serial experiments potential to psychology be your true mentor. If you know someone from Biography Essay school working there, it would be the best. Otherwise, anyone friendly with a bit of things in common would be a good start. This should be a person whom you feel comfortable asking any questions with. First years across the country take part in seriation, 1-to-2-week national trainings held in big cities such as Atlanta, Boston, Chicago and Essay Dallas. Hundreds of people get trained in any given time although in most cases they are divided into groups of 20-30. They get together again in team building activities and social events in the evening. The most (and probably the only) important to do is to seriation learn about the firm#8217;s accounting software and auditing methodology. Specifically, on how to cell count use the seriation psychology audit database, practice documenting your work and go through various case studies.

There will be some team building exercise and depending on the group you are with, could be quite fun, lame or a complete waste of time. The trainers are usually seniors and serial position effect experiments managers. They are often approachable and helpful, and try their best to make things fun #8212; a mission impossible I have to say. My suggestion during the training week is to take notes. It helps to retain the information much better, and practically, if your trainer (and later on, the audit in charge in seriation psychology, your team) sees that you make the effort in taking notes, they are more willing to help and answer questions that you may have. Most people zoom out during the actual training, then wake up at extravagant meals and malaysia hut parties afterwards. Don#8217;t go too wild and show up late, hungover, unshaven and without shower the next day. Psychology! I heard crazy stories of on writing drunk trainees hitting on managers and falling over company yacht.

If you aren#8217;t a drinker, you should still go occasionally in order not to look socially awkward. Life is miserable without a friend in Big 4. Depending how busy your office is, you may get assigned to a team right away and sent off to a client site. Otherwise, you remain unassigned and report to the office. I suggest that you show some initiative early on by offering to help. Don#8217;t creep up on people every morning and beg for work though. People warned you of dreadful hours and you are still excited for the first job.

Typically you will be given a keycard or ID badge for access to the client#8217;s building. For big clients, there is a room for the audit team with printer, a quiet place and use of coffee machine. For smaller clients though expect to crowd around a table#8230; Look on the brighter side #8212; nothing is permanent in public accounting #128578; Reach for seriation, the Star: 5 Ways to Become Top Performer in Big 4. You are super pumped to start your new job. Now, what are the qualities to viable cell count become the top performer in Big 4? Is it through hard work, butt kissing, or pure luck? Here is seriation psychology my finding after talking to Big 4 seniors and mangers who have consistently been rated 1 or 2 in their firms. Everyone agrees that Big 4 is a stressful place to work. Life as first year is pretty intense, but as you approach your second year, you don#8217;t have excuses of a newbie anymore and count it will be worse with mountains of things on your desk staring at you. The thing is, the more you worry about it, the less you get it done. What you can do is to stop the vicious cycle.

Divide the work into smaller, doable tasks. Tackle one small task at a time. Completing one round of tasks means you get some major work done, and it#8217;s a great feeling. It#8217;s the psychology same strategy for any big challenges #8212; such as the CPA exam, when tackling one study unit at Convergence and Technology, a time is the best way to go. Seriation! 2. Improve Efficiency with Technology. In my previous job, I went through an excellent training on on writing how to manage Outlook.

It cost my firm $399 for each participant (and we filled a big room), so you can imagine how well-regarded this method is. The main takeaway is effective time management using the seriation #8220;4D#8221; system. Incoming emails are divided into 4 categories: Important + urgent Important + not urgent Unimportant + urgent Unimportant + not urgent. And Technology! Then, assign action appropriate to seriation the categories: Do the important + urgent Delay (file to task list) the important + not urgent Delegate the unimportant + urgent Dump the unimportant + not urgent. This system has vastly improved my productivity at work and beyond. I encourage that you find a way to Convergence and Technology Essay efficiently manage your outlook in seriation, terms of email, appointment, to-dos and followups. This way, you can multitask with ease, a crucial skill to excel in professional service environment such as in public accounting and finance. Serial! Now that you work well under stress (point 1) and are incredibly efficient (point 2), people take notice and request to put you on their teams. You#8217;ll be really busy, and this is great for your long term career, so don#8217;t be jealous of the few who are constantly unassigned. Instead, I suggest the opposite seriation psychology, and get more involved in other capacities within the firm. Volunteer to Biography campus recruiting events such as Meet the Firms, take part in seriation, resume screening and interviewing, lead firm community initiatives, find opportunities to help on sales pursuits, and take advantage of new opportunities and cell count stretch assignments.

As you move on to seniors and managers, there are other unique opportunities such as the international assignments. It isn#8217;t for everyone, but it#8217;s worth to explore. Before we get too excited, accept the fact that we are human beings and can#8217;t work 24 hours. So, don#8217;t be afraid to seriation psychology say #8220;no#8221;. Malaysia! It is easier said than done, but we have to seriation psychology understand what our limits are and what we can feasibly accomplish at the level of quality that we typically deliver. Under-promise and over-deliver, and build your brand one audit at a time. People have different ways to achieve success, but all paths centralize around key themes of hard work, perseverance, dedication, and ability to multi-task and prioritize seamlessly. Viable Cell! The same rules apply whether you aim for the corner office in Big 4, or for C-level positions in Fortune 100.

All the best! Paving Your Way to Big 4 International Assignment. Seriation Psychology! One attraction of in Internet and Technology Essay working in a global firm is the opportunity to work overseas for a few years without disrupting your career. At the Big 4, they are known as international assignments. Are you ready for that?

Timing of the International Assignment. Big 4 international assignment, also known as international rotation, is arranged when there is a need of technical skills in overseas offices. Because they mostly want US GAAP expertise, only seniors and above are qualified, with most going at manager or senior manager level. The terms of your global mobility contract is usually negotiated between home country, host country, and possibly also the client. Your home office pays a minimum expat benefits, such as basic relocation and storage expenses. The better your industry and skills match with what is required in the host office, the more likely they will pay for extra benefits. This may include housing (rent and agency fees), full relocation expenses, meal allowance, education allowance for children, and assisting your spouse to find work in the host country. The higher your level, the higher the benefits. Given the seriation nature of work, there are more international rotations in assurance than in tax and hut advisory. There are exceptions, of course.

My husband John started at seriation, Financial Advisory Services at PwC at girl your only source into the scandalous, the New York headquarters. A few months into his job, he was sent to Tokyo for a 6-month international assignment. Psychology! He stayed at the Imperial Hotel for the entire time and experiments ate so much sushi (on company#8217;s account) that he got food poisoning#8230; It was however very tedious work. There was a reason to send him there. There are two types of international assignments: strategic and non-strategic.

Strategic Rotation: The Pros. Strategic means value-add in the eyes of the firm, but they try to align your interest. This means the opportunity also matches your industry and technical expertise. For strategic assignments, the firm will take care of you in the host country and make sure you come back to broadly what you want to do. You may express your preference in terms of location, but for seriation, top performers willing to be placed in mark, any office to add the most value, the psychology firm has the most incentive to keep you happy with a generous expat package and a good position when you return to Essay the US. International assignments are great personal experience, and may help your career, particularly after the seriation psychology Big Four.

The experience is invaluable from viable cell a resume perspective and shows to your firm and prospective employers you are willing to take risks for the right opportunities. Strategic Rotation: The Cons. This isn#8217;t for everybody, especially those with family and kids. At the same time, some people have a hard time integrating back to the US office after a couple of years. Lots of client and staff turnover may have happened in past 2 years, and you may not be able to get back to your client and your team. Seriation Psychology! These are more random temporary relocations without much strategic value to malaysia pizza hut the firm, nor do they offer long-term career development. John#8217;s Tokyo assignment mentioned above is psychology non-strategic. On Writing! If you are able to seriation return to your own team after a few months, it could be a cool experience and an interesting stint to mention in the resume. However, you do run a risk of doing random, mundane and tedious work all day, with local staff whom you don#8217;t click. Malaysia Pizza! For most people I talk to, the seriation compensation remains the same, with adjustment due to the difference in cost of effect living.

For strategic assignments, the adjustment is usually favorable. For example, if your children need to attend expensive English-speaking schools in the host country, the firm will pay for that. You may be given a driver and housekeeper if that is the seriation local custom. Gossip Your One And Source Of Manhattan's! For tax, you won#8217;t be better or worst off. The firm pays your actual tax, then calculate the portion you need to seriation psychology pay them using a tax equalization mechanism. Position! HR personnel specializing in seriation psychology, expat arrangement will take care of this. Gossip Your One And Lives Elite! Does Big 4 International Assignment Accelerate My Path to Partnership?

It depends. Most strategic international assignments are jobs with large clients, which is always helpful in your track record within the Big 4. If the client is not only big, but also complex and generates lots of revenue, it is the best one you can get. If you are lucky enough to work under a popular partner in the host office, even better. On the other hand, if your client isn#8217;t meaningful and psychology you work under an unknown partner in a small office, you are better off just getting to a big market in the US (New York, Chicago, Silicon Valley). From there, get on a high profile client and on writing work as hard as you can. If you like the idea of traveling, working with large clients give you enough opportunities to seriation psychology travel to their regional offices. Short trips to many different places could be a more interesting experience than one big international assignment. How to Increase Your Chance of Success. Okay. You still want to do it. What should you do?

1. Strive to Essay be Top Performer. Your are normally eligible to apply with an above-average rating, but those rated a 1 or 2 have the highest priority for strategic assignments. Once you hit senior (or second year for high performers), discuss with your performance development coach, who can get additional information from seriation psychology HR. 3. Make Your Business Case. If you are interested in a specific country or region, identify the strongest industry there. For example, if you are interested in a Hong Kong rotation and banks are the highest-profile clients there, you should start manage your career and get financial services experience. The better you prepare, the twain on writing stronger your business case by seriation the time you are eligible to apply. Position! 4. Brush up the Local Language. Many offices are fine with English alone, but some do prefer you speak (and even read) the local language. Again, it could only help your case. 5. Stay in Contact with Your Colleagues in Home Office.

This is what you should do after getting the assignment, but very important. Keeping regular contact with your team and colleagues in your home office will help your transition back to the US much easier. Simple gestures such as emailing to psychology say hi, sending Christmas cards to important people, and pizza hut dropping by seriation psychology the office whenever you are back to your home town for of Queen Essay, vacation#8230; there are many ways to keep people from forgetting you. Best of luck to your exciting adventure! How to Prepare for psychology, Informational Interview over Lunch.

Let#8217;s say you met a Big 4 senior manager at Essay, a networking event, and through persistent follow ups, you are finally invited to have lunch with her near the office. You really want to turn this into an opportunity at the firm. How do you make the psychology best use of it? Informational Interview over Lunch. 1. Identify Common Topic(s) in Advance. First, this is a lunch. I bet the mark on writing senior manager wouldn#8217;t want to talk about accounting principals and latest changes in GAAP. You can let her choose a topic, but it#8217;s better if you can initiate a conversation.

During the follow ups, you should have done something right to lead to this lunch. Most likely you two have something in common #8212; Did you come from the same town? Do you have common friends, favorite movies, kids, dogs, etc. These are all great places to start the conversation. Seriation Psychology! You never know the true purpose and outcome of Biography Elizabeth this meet up.

It could simply be a nice gesture on her part, or this could be an informal first interview. In any case, present yourself as a likeable person. Psychology! Everyone wants to hire cheerful, easy going and positive people as colleagues. Also, as a client-oriented business, the Big 4 looks for Convergence in Internet and Technology Essay, candidates who can carry a good conversation with clients. The last thing you want to do is getting too nervous. Seriation Psychology! It looks awkward, and gives a bad impression that you are thinking way ahead of yourself.

3. Be Prepared to Talk about Your Career Goals. Assuming she is older than you, it#8217;s pretty normal for viable cell, her to ask about your career aspiration. Be prepared to say something for medium to long term. You should definitely express your desire to work in her firm. For Big 4, the standard would be the seriation psychology training, exposure and prestige. You can also talk about the count desire to continue your career in seriation psychology, audi, tax or whatever you are doing right now. A good way to take pressure off your shoulder is to turn the table and ask for in Internet and Technology, her advice. After expressing your interest in the firm, ask for seriation psychology, general advice of experiments getting into the firm as an psychology experienced hire (assuming you are one), or any specific tips you would like to get for your own situation. You can also ask for her experience and how she came to be successful. A subtle flattery is fine. You can end the lunch by offering help.

It could be anything e.g. helping her to follow up on the vet you mentioned earlier. The main purpose is to create a reason to contact her at a later date, and at the same time leave a great impression as a helpful and likeable person. What are your suggestions? Please share your thoughts in the comment section below. Big 4 CPA Bonus, Reimbursement and Perks at a Glance. You will be getting $5,000 upon passing of the twain CPA exam within the first year of joining your firm. The amount is lower if you take longer to psychology complete it. Most Big 4 will give you $3,000 if done within the second year, and $1,000 if done within the gossip here into the scandalous lives of manhattan's third year. If you pass the exam before your first day of work, you will receive the CPA bonus 1-2 months after the start date. Here are the exact wordings on the CPA bonus: We offer significant incentives to those who obtain their CPA or other primary credential early, as well as reimbursement and psychology educational programs to help you achieve this goal.

For those taking and Convergence and Technology passing the CPA exam prior to starting or within your first year in seriation psychology, Assurance or Tax at the firm, you may be eligible for a $5,000 bonus.#8221; $5,000 award to Campus hire Associates joining KPMG with CPA exam passed, or who pass all parts of the CPA exam within 1st year of Biography employment or CPA exam eligibility, whichever is later. $3,000 award to psychology Campus hire Associates who complete and pass the CPA exam during their second year of employment or CPA exam eligibility, whichever is later. We provide upfront reimbursement for mark on writing, one certification review course and associated exam registration fees for first-time exam takers for seriation, required certifications. We also offer a professional certification bonus to reward you for attainment of mark twain on writing required professional certifications early in your career.#8221; (CPA exam bonus information not available on Deloitte#8217;s page) Other CPA Related Perks, Sponsorships and Reimbursement. 1. Exam Fee Reimbursement. Also, the application and seriation exam registration fees are covered as well. Effect Experiments! Most Big 4 will pay whether you pass or not, but they will only reimburse your first attempt of each part of the exam.

2. Review Course Payment. The Big 4 has direct billing with Becker and you will be given the self-study course. One of the Big 4 gives you the choice of Wiley CPAexcel as well. Seriation! If you have already paid for the review courses, you should be able to negotiate a higher signing bonus equivalent to this amount. The understanding is that Big 4 auditors can only be promoted to manager after they pass the CPA exam, and normally, they expect you are done by the time you become senior. 4. Special Bonus to Elijah Watt Sells Award Winners. Each year, the American Institute of Certified Public Accountants honors a number of individuals with the Elijah Watt Sells award for the highest cumulative scores on count the Uniform CPA Examination. PwC awards a bonus of seriation psychology $20,000 to any PwC staff member who receives this prestigious industry recognition.#8221;

I found this in the PwC annual report. Twain On Writing! I heard (but wasn#8217;t able to confirm) that Deloitte and EY don#8217;t have this bonus. Psychology! According to the standard rule, you are entitled to viable cell count the above bonuses and perks if you work for the firm for at least a year (check the disclaimer in your offer letter or contract). What You WON#8217;T Get Immediately after Passing. In Big 4, you don#8217;t get a salary raise right after passing the exam, but you will likely receive a bigger salary bump at the next annual review.

2. Automatic money transfer into your account. You need to take the psychology initiative to contact HR, fill out the necessary paperwork and provide proof of your passing. Processing time can range from a few weeks to a few months #8212; please expect 2-3 pay cycles before you get it. Convergence In Internet Essay! 3. Tax exemption of seriation psychology any sort. This bonus is Biography of Queen taxable. Period.

CPA Bonus in psychology, Local and mark Regional CPA Firms. For mid size to large regional CPA firms, you can expect a bonus of $1,000-2,000. Some firms may choose to offer a salary raise, or even a promotion. The amount largely depends on the size and seriation location of the firm. You may be able to negotiate the serial effect reimbursement of exam fees and review courses as well.

These benefits are repayable if you leave the firm within a certain period, typically within 1-2 years. For small and local CPA firms, you will get a pat on the back. Not too sure about the bonus though. Salary increase is always negotiable#8230; You don#8217;t need to study for psychology, this gruesome exam ever again! For Your Further Reading. How to talk your employer into paying for your CPA exam CPA exam preparation tips. Big 4 Accounting Dress Code: at Convergence Essay, Training, Office and Client Site. You are about to start your career in the Big 4. Lots of things are going on your mind.

What to bring, how to dress#8230; Is There a Big 4 Accounting Dress Code? There isn#8217;t an official #8220;dress code#8221;, but most public accountants dress in seriation, a certain way. There are slight variations across the cities in the US, and the style could be quite different in countries, especially those in Europe. In this post, we focus on hut the everyday office wear in the US. You may be told to dress business casual, but I would go a tad more formal, with a tie and a suit. In my opinion, it is prudent to be slightly overdress than underdress. For women, it#8217;s hard to seriation generalize.

I would say dress respectfully, with an gossip girl only into of manhattan's outfit that looks good enough in front of psychology partners. Viable Cell! You will be shipped out of town for national training for a couple of weeks. Psychology! Trainings are done in an informal setting and gossip your only into of manhattan's elite there are parties at night. The trainers are seniors and seriation psychology first year managers, and the rest are your peers. This is definitely business casual. Dress Code in cell, Office and Client Site. After the seriation training, you will start working either at Biography of Queen Essay, the client site of at the office. In a typical office in the US, people usually go with simple button down dress shirt, dress pants, and dress shoes. For first or important client meetings, you may want to see how your manager dress on psychology the day, but typically you might want to dress up a little bit #8212; with a tie and gossip here one and only the scandalous lives elite full suit.

Junior auditors spend most of their time in seriation, the field in client#8217;s offices. For everyday work at the client site, business casual is usually fine. Having said that, depending on the client#8217;s corporate culture and style of your manager, you may have specific instruction to dress otherwise. I have a friend whose general rule for his team is to wear #8220;at the level#8221; of the client#8217;s CFO. No matter what the guideline is, it is prudent to have a tie and malaysia pizza hut suit ready for any ad hoc meeting with the company#8217;s management.

Rule number one is to seriation adapt to the culture in which you work. This is true for only the scandalous of manhattan's elite, any job anywhere in the world. If the culture only calls for button down dress shirts and slacks, then do that. If it#8217;s your first day of work and you aren#8217;t sure about the culture, try to recall how your interviewers dressed. The juniors, seniors and managers you saw around the office are also good reference. If you are still not sure, stay on the conservative side. It#8217;s pleasing to seriation dress smart with good style and good fit. Count! But you shouldn#8217;t aim to dress #8220;smarter#8221; than your peers in order to psychology stand out. Most people don#8217;t care; for the few who do, it will likely come out as negative.

1. We have casual Fridays that allow khakis and jeans, but my managers and above always wear suit. Should I do that? Yes, this could be one exception. Try to find out the reason #8212; do the managers wear suits because of frequent client meetings, but is this the Essay preferred style of upper management? I would probably dress something in between #8212; a tad more formal than the usual casual friday outfit (i.e. Seriation Psychology! no jeans, but khakis and a shirt with nice cut and gossip here your only source into lives fabric). As you pass your first year, you may dress more like the managers if you wish to.

2. Seriation Psychology! I love wearing vest suit and I wonder if it#8217;s appropriate in pizza hut, the office? If you are a new hire, I would say no, simply because you don#8217;t want to be called #8220;the vest guy#8221;. People may think you are trying too hard to seriation psychology impress. Serial Experiments! If it were me, I would take it down a notch to a regular suit with a tie, or dress pants with blazer, or something just a step above #8220;business casual#8221;. Alternatively, if you can#8217;t live without your vest, maybe once in a while, on special occasions, it#8217;s ok. 3. I look really young and I might look more better with a full suit in seriation, the more #8220;mature#8221; style. What do you think? I suggest to pick a more conservative color (this usually means the darker color), or go for a slightly more upscale look, but I wouldn#8217;t go all the way to a full suit in malaysia hut, the old style. You can#8217;t carry the suit well with a young face.

Worse, you#8217;ll look like a clown. As you will be joining the batch with other 22 year olds, I wouldn#8217;t worry about looking too fresh. Colleagues and clients expect you to be young as a first year associate. 1. Be yourself but stay within the code. 2. Seriation Psychology! Dress to impress but don#8217;t over experiments dress.

3. If you want to stand out, stand out seriation psychology as a professional who does excellent work, not one who dresses uniquely.

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Seriation psychology

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Reaction Paper On Outreach Programs Essays and seriation psychology Research Papers. Reaching out to the community Resource: Future Educators hopes to broaden its mission with ambitious outreach programs . BY . Stephanie Shapiro December 27, 1998|By SUN STAFF Port Discovery is designed to be more than a place to climb a tower or build a wind-driven machine. It is also aspiring to be a place where disadvantaged children will have opportunities for learning and cultural enrichment, where exhibits will be tied to school curricula and where visitors can learn where to pursue their interests. Art museum , Children's museum , Community 875 Words | 3 Pages. President Noynoy Aquino proposed the mark twain on writing, Kindergarten plus 12 or the K+12 program to catch up with the rest of the world having a 12-year basic . education cycle. However with all the issues on education the seriation, country still has, I express disapproval with President Aquinos plan of strengthening the Philippine education system through the in Internet and Technology Essay, Kindergarten plus 12 or K+12 program . Frankly, President Aquino has good reasons on psychology proposing this program as the additional years can help as a preparation for the next chapter.

Benigno Aquino, Jr. Pizza Hut. , Corazon Aquino , Education 1308 Words | 4 Pages. ? REACTION PAPER Last summer term, in relation to our subject Business Policy and Strategy, our professor required our class to . Seriation Psychology. attend a seminar about the programs being held by a non-government organization, which is the Development Action for Women Network (DAWN). At first, I dont even know that an organization like this exists and malaysia pizza I dont have any idea on seriation what is it all about, or what are the activities it is engaged into. Before going to the seminars venue, I had a presumption that it will. Better , Filipino people , Human rights 877 Words | 3 Pages. ?A REACTION PAPER demonstrates comprehension of the assigned readings and contain a critical and thoughtful . reaction to the reading. Reaction should make up the count, majority of the seriation, Reaction Paper . Make sure that your paper is in the form of an essay with an introduction, body and conclusion. a) Focus on an aspect of the reading that you will argue pertains to some issue or idea Does the reading support, undermine or come into tension with previous issues or concepts? Explain why it is significant. Academia , Copula , Predicate 974 Words | 3 Pages. Volume 1, Issue 1 By: Michelle Mitchell 12/04/2010 Final Reaction Paper Which would you recommend for Desktop . Serial. Publishing? I loved working with Microsoft Publisher, rather than Microsoft Word. Publisher was so much more fun to seriation work with. It had a lot more of a variety to work with.

For instance, it has different page designs and layouts. Viable Count. Also, in my opinion, Microsoft Publisher is a lot easier to psychology work with. I find myself getting confused and Biography of Queen Elizabeth not knowing where things are in Microsoft. Microsoft , Microsoft Office , Microsoft Office 2010 1347 Words | 5 Pages. REACTION PAPER It is said that effective teacher will use both assessment and psychology evaluation regularly to improve student . learning and to guide instruction. Indeed, both have pivotal roles in the teaching-learning process yet, somehow they do differ in many ways. Assessment and evaluation measure whether or not learning and/or learning objectives are being met. One could look at assessment and evaluation as the position effect, journey (assessment) versus the psychology, snapshot (evaluation). (Sue Watson, 2009) Assessment requires.

Assessment , Curriculum , Education 1873 Words | 6 Pages. Francis Dale O. Convergence And Technology Essay. Ambrocio WFR-5 Reaction Paper for ACLE Every semester, the University Student Council(USC) holds one of psychology, . their priority programs which is the Alternative Classroom Learning Experience. It is popularly known as ACLE in the UP academe. It often follows a theme that would encourage UP students to Convergence be aware of what they can do for the country. The University Student Councils Education and Research (EdRes) Committee is the psychology, one that spearheads the event.

Several UP Diliman organizations. Advertising , Advocacy , Education 743 Words | 3 Pages. ? Reaction paper for p.e 3 Kathleen b. Irenea BSIT Every human has a responsibility to protect . Cell. nature, so I make it a point to seriation psychology fulfill this by doing little things that could somehow help in reserving our natural resources. Thats why Im glad that our school participate yearly in hut, RUN FOR PASIG. THE DAY BEFORE THE RUN: Its 7:30 pm, still im at our laundry room scrubbing my uniforms when angelas (my classmate) texted me anu oras tayo mag kikita kita. Makati City , Manila , Metro Manila 832 Words | 4 Pages. Chris, now a single father, continues doggedly to seriation psychology pursue a better-paying job using every sales skill he knows. He lands an internship at a prestigious . stock brokerage firm, and although there is no salary, he accepts, hopeful he will end the program with a job and a promising future.

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Essay on psychology the Early Warning Scoring System (EWS) The Early Warning Scoring System (EWS) was developed by Morgan et al in Biography of Queen Essay, 1997 with the aim of providing a simple scoring system which could be readily applied by nurses and doctors to help identify patients developing critical illness.Early warning scores have been developed to facilitate early detection of psychology, deterioration by categorising the patients severity of illness and prompting nursing staff to request a medical review at specific trigger points utilising structured communication tools whilst following a definitive escalation plan.(Mitchell IA, McKay H, Van Leuvan C, et al. Cell. 2010). The observations in this scoring system should include six simple physiological factors; heart rate, respiratory rate, temperature, systolic blood pressure, oxygen saturations, level of consciousness. The use of early warning tools has been recommended by the Critical Care Outreach report published in seriation, 2003 and later advocated in the National Institute in Clinical Excellence (NICE)Clinical guidance 50 Acutely ill hospital patient suggesting these tools enhance equity in Biography of Queen Essay, care by ensuring timely recognition of all patients with potential or established critical illness and their treatment by individuals with appropriate skills, knowledge and experience to treat the patient effectively. Psychology. The purposes of the EWS are to ensure to assess the patients accurately with the Convergence Essay clinical parameters which should be followed by calculating accurately and documenting the changes of EWS on seriation psychology the observation chart. Accurate communication is necessary to escalate the patient deterioration.

Timely and appropriate intervention should be carried out following protocol will minimise the in Internet risk, improve patient safety and experience, it also important to record the response to the changes of EWS in seriation psychology, patient documents. Aim and Importance of monitoring Early Warning Score. The Department of Health (DH) has recommended the use of early warning systems as best practice for clinical observations since the cell count publication of Comprehensive Critical Care'(DH 2000). National Confidential Enquiry into psychology, Patient Outcome and Death (NCEPOD 2005) further approved this recommendation to emphasise that every inpatient should have an viable cell, early warning score recorded. NICE (2007) stated: Staff caring for patients in acute hospital settings should have competencies in seriation psychology, monitoring, measurement, interpretation and prompt response to the acutely ill patient and they should be assessed to Convergence in Internet Essay ensure that they can demonstrate them. The EWS should be calculated as part of initial and ongoing vital signs assessment and to psychology be connected with appropriate communication between medical, nursing and other health professional staff. The main aim of EWS is to achieve appropriate and adequate medical review. A consensus on acceptable physiological parameters for an individual patient and provide a monitoring plan that will prompt medical review where required (NICE 2007). Early Warning Scores are the here only into elite signal for acute deterioration in clinical condition'(Gao 2007). The policy and guidelines are modified to psychology create a standardized approach to Convergence and Technology the assessment and recording of vital signs to assure timely and prompt intervention when patients require medical intervention. Early recognition of critically ill patients can improve patient safety and may even lower hospital mortality (Godhill 1999). In order to identify the critically ill, many scoring systems have been developed (Gao 2007). Psychology. These scores use periodic observation of physical signs, including vital signs, carried out by nursing staff. These parameters are used to calculate score, and a response is required if the predefined threshold is exceeded.

Catastrophic deterioration of of Queen Elizabeth, patients is frequently preceded by seriation, documented deterioration of physiological parameters (Sax 1987]. Failure of clinical staff to respond to deterioration of physiological function and to increase levels of Biography Elizabeth Essay, medical intervention will put patients at risk of cardio-respiratory arrest. The physiological variables which can be assisted clinically remain the fast and the simplest way for patient evaluation. The modified early warning Score (MEWS) is a physiological scoring system that can be used as a useful screening tool to seriation psychology predict the high risk patients who have high probability to develop cardio respiratory arrest among the critically ill patients.(Carberry 2002). The National early warning score (NEWS) provides the basis for Convergence in Internet and Technology Essay a unified and systematic approach to first assessment of acutely ill patients and a simple track and trigger system for monitoring clinical progress for all patients in hospitals (RCP 2012). Improving patient safety has been in focus in the recent decades, a goal that can only be accomplished through systematic change. One organized approach is the Rapid Response System (RRS), an effort to bring intensive care knowledge outside the walls of the unit. It bridges across specialties and seriation psychology, hierarchies and malaysia, aims to seriation psychology centre care on the deteriorating patient before irreversible harm occurs. The implementation of an RRS is an evolution that reinforces the importance of paying attention to basic vital signs, a system that empowers the staff with direct access to critical care expertise and cell, reduces the seriation cardiac arrest and hospital mortality. Severe sepsis was the condition more identified by this system It may sound simple but is in fact a complex intervention, acting on many levels in the hospital structure. Normal vital signs change with age, sex, weight, exercise tolerance, and overall health.

Hospital structures need to be developed to provide systematic approaches to find and treat deteriorating ward patients before their condition becomes irreversible. A standardised early warning scoring system(SEWS)improved the documentation of a range of physiological parameters'(RCP 2012). Failure to serial rescue. Failure to rescue is the inadequate or delayed response to clinical deterioration in hospitalized patients. Rapid response systems are a set of hospital-wide interventions that attempt to reduce failure to rescue by improving patient monitoring on general wards and the reliability of the response to seriation psychology deterioration by a dedicated Critical Care Outreach Team, Rapid Response Team or Medical Emergency Team. The reliability of such systems depends on the faultless functioning of a chain of survival'(Smith 2010) consisting of pizza, high-quality recording of psychology, vital signs, the malaysia hut education and psychology, mind-set of of Queen Essay, staff at the bedside to recognize pathological patterns, the seriation reporting of Biography of Queen, abnormality to the efferent team, a timely and appropriate response by the latter.

Repeated feedback loops are crucial for an effective functioning of the chain (Subbe and Welch 2013).Repeating effective feedback loops can avoid Failure to rescue. Standardisation is the seriation psychology friend of patient safety. National Early Warning Score does not indicate many of the underlying system failures. It is clearly documented that the inaccurate assignation of individual vital sign parameters to serial position the correct EWS weighing group and the calculation of the total EWS is prone to significant error. Some of the psychology Class room studies showed that EWS models based on Convergence in Internet Essay five physiological parameters, around 40% of scores were inaccurately calculated which was most commonly underestimating the patients risk level. The proposed NEWS scoring system, using all seven parameters, it is likely to be even more calculation errors will happen if it is done manually. Accidents and errors happen in all areas of life. Ann McGinley states that introducing a NEWS system will lead to psychology an increased workload on critical care outreach teams as they one of the chain of survivors.

However, using effective early warning systems will help to avoid failure to rescue scenarios and also reduce the need for escalation of care into critical care areas. These early interventions have the capability to reduce hospital stay of the patient, reduce morbidity, increase patient survival. The NEWS is based on the VitalPAC Early Warning Score (ViEWS), which is already started using in the UK. Viable Count. The RCP Working Group did not consider the handheld devices such as iPad touches, which may improve the seriation management of this vulnerable group of patients. These devices can schedule, capture, alert and accurately calculate Early Warning Scores. They can convey the automated messages to senior colleagues and allow to malaysia follow the hospital protocols to the needs of individual patients and specialties. Seriation. They will also improve productivity of all clinicians and provide fully auditable saved data. These are the factors where the paper-based systems fail. The RCP is promoting an approach in serial effect experiments, which patients will continue to suffer the harm which are avoidable. Seriation Psychology. There are some recommendations to viable cell adopt a redesigned paper observation chart which represents a missed opportunity to promote a truly innovative and standardised approach to provide high quality care. Technological development progresses, we have sophisticated apparatus to use and diagnostic tools to guide us.

At the same time, something is lost on the way as principles of measuring and even more importantly, understanding basic vital signs are neglected. Complex patients in general wards stand at risk of unrecognized deterioration which can lead to fatal consequences, something that holds little acceptance with todays enlightened patient population. There is plenty of evidence that serious adverse events occur to hospital patients and that the majority may be preventable. There are variety of tools have been created and implemented in the UK in response to national recommendations in urge of using early warning score systems(NICE 2007) .There are no evidences to support the seriation psychology use of any of these tools (Subbe et al 2007). However, there are many areas experiencing difficulty in using such tools and malaysia, has reported poor compliance (Oakey and Slade 2006). Problems in using different tools and psychology, their reliability and accuracy have also been reported (Subbe et al 2007). Hut. There is evidence that acute illness is exacerbated by seriation psychology, failure to act on recognised changes (Hillman et al, 2001). Analysis of serious patient safety incidents revealed that 11% of deaths were related to in Internet Essay deterioration not recognised or not acted upon (NPSA, 2007). The factors which can fail the process are not monitoring routine observations, not recognising early signs of deterioration, not escalating observations causing concern and not responding to concerns appropriately (NPSA, 2007). The monitoring of urine output is very important in many clinical areas. However, urine output is not always estimated or measured accurately at first assessment.

The symptom of pain must be recorded and responded. Pain and its cause usually disturb physiological factors. These disturbances should be triggered in the scoring system. Especially post operative patients show symptom of pain and they are prone to seriation psychology deteriorate. It may not always generate the physiological disturbances. Including measurement of in Internet Essay, urine output and pain score also will help to recognise patient deterioration. The majority of psychology, patients an pizza hut, adverse clinical event is preceded by early clinical warning signs. However, these signs are frequently not recognized, misinterpreted or not properly treated. In acute hospital settings all clinical staff should have competencies in monitoring, measurement, interpretation and prompt response to the acutely ill patients.

It should be appropriate to the level of care they provide. In house education and training should be provided to all clinical staff to seriation psychology ensure that staff have these competencies. They should be assessed to ensure they can demonstrate them on a yearly basis. Other drawbacks of this system is when there are clear escalation instructions for calling a RRT exist, and the patients meet the criteria, staff do not always make the call. The reasons for failing to follow the pizza protocol are poor communication and prioritisation by the medical team involved, and failure to repeat abnormal observations.

Staffing levels and monitoring equipment availability are the other important factors of timely monitoring observations ( Shearer et al 2012).Staffing level is the main issue found on most of the psychology clinical settings. Deteriorating patients need close observation monitoring which gives more pressure to the nursing staff . As EWS is a vast subject with six physiological parameters, I chose just two parameters; monitoring saturation and respiratory rate. Incorporation of oxygen saturation improves the power of early warning scoring systems. The NEWS Development and Implementation Group (NEWSDIG) recommend that oxygen saturation should be routinely monitored as part of pizza hut, NEWS as oxygen saturations are powerful tool for assessing cardiac and pulmonary function. When supplemental oxygen is seriation required to maintain target oxygen saturations defined for each individual inpatient, it should be formally prescribed (British Thoracic society) but during emergency situation this happens rarely. The introduction of pulse oximetry was a major advance in bedside monitoring, it still has a number of practical drawbacks. Pizza Hut. They are poor understanding of the purpose and correct use of seriation psychology, pulse oximetry among nurses and junior doctors (Attin et al 2002) . The reasons for inaccuracy of Convergence in Internet and Technology, pulse oxymetry are reduced perfusion at the site of measurement, during hypothermia or in shock. Respiratory rate is emphasised and should be recorded graphically unless its position on the chart might conflict with the recording of psychology, another parameter where recording actual numbers might make it clearer (Hogan 2006).Many clinicians under estimate the malaysia importance of respiratory rate though it is an early indicator of disease. Some hospitals report a poor level of respiratory rate recording. Accurate monitoring of respiratory rate will have an impact on the nature and timeliness response to critically ill patients. Abnormalities of respiratory rate are early markers of disease.

This may have an impact on the future incidence of psychology, potentially avoidable unanticipated intensive care unit admission, cardiac arrest, and deaths. A qualitative study of Hogan(2006) found that the respiratory rate was the Convergence and Technology Essay one parameter that was recorded less than 50% of the time. The reasons for not recording respiratory rate included workload, skills training, decision making and a greater reliance on medical devices. Goldhill and colleagues reported that 21% of ward patients with a respiratory rate of 2529 breaths/minute evaluated by a critical care outreach service died in hospital. Patients with a higher respiratory rate have an even higher mortality rate. Seriation. Some recent evidence suggests that an pizza hut, adult patient with a respiratory rate of beyond 20 breaths/minute is probably unwell. An adult with a respiratory rate of beyond 24 breaths/minute is likely to seriation psychology be critically ill. It is very important to in Internet and Technology note that not all causes of hypoxia and hypercarbia result in seriation, an increase in tidal volume and respiratory rate. Opiates which are commonly used in hospitals, can depress the respiratory system and Convergence in Internet and Technology Essay, the respiratory system which response to hypoxia and hypercarbia. Seriation Psychology. In all circumstances the respiratory rate is a useful tool to monitor for an adverse event. Girl Here One And Only Source The Scandalous Lives Elite. There can be alteration in level of consciousness as the respiratory rate may be lowered.(West 1990).

The Royal College of Physicians (RCP) should be complimented for introducing NEWS which helped to draw national attention to that the thousands of psychology, avoidable deaths in English hospitals each year due to Biography of Queen Elizabeth Essay the failure to recognise and respond appropriately to signs of deterioration. Some studies say that the current system is unsafe and expensive. So the NEWSDIG decided to work with the Clinical Effectiveness and Evaluation unit at the RCP, which will help to investigate the options for ongoing monitoring and evaluation of NEWS and a formal assessment of its effectiveness. The implementation of validated scoring systems aimed at the recognition of higher risk patients at point of entry to care may resolve some of the issues raised in the NCEPOD report. At present there is disparity between hospitals(National health service NHS) in the recording and interpretation of basic physiological parameters. The introduction of a standardised NEWS by the RCP will seek to address this. MEWS have been found to be very effective in predicting hospitalisation and in-hospital mortality of medical and seriation psychology, surgical patients presenting to on writing the emergency department. Easily recordable physiological abnormalities and mortality are associated, If we allow interventions to psychology take place appropriately can reduce hospital mortality.

Early warning score based on physiological factors are way patient could be identified. Evidence suggests that many patients are in pizza, hospital for days before they admit into seriation psychology, critical area. NEWS is an opportunity to improve consistent practice in the NHS and it appears similar to ABCDE approach for resuscitation that has been approved by healthcare providers globally. Search our thousands of essays: If this essay isn't quite what you're looking for, why not order your own custom Health essay, dissertation or piece of coursework that answers your exact question? There are UK writers just like me on hand, waiting to help you.

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