Thursday, February 13, 2020

Zoning ordinance of Dearborn city in Michigan, USA Research Paper

Zoning ordinance of Dearborn city in Michigan, USA - Research Paper Example The ordinance included size of the open spaces required, density of population and required parking spaces for avoiding traffic congestion (Municode, â€Å"City Of Dearborn Zoning Ordinance†). The zoning ordinance was adopted in the year 1993. It was further amended in 2011. However, a code enforcement officer was not available with the municipality of Dearborn (Municode, â€Å"Zoning Ordinance†). The Dearborn Zoning Board of Appeals consists of: †¢ Christopher Gibbs – Chairperson †¢ Stephen Gedert - Vice Chairman †¢ Kenneth Gusfa – Secretary †¢ Gary Jefferson, and Susan Binder – Commissioners Technical Advisors: Bill DeBiasi - Assistant City Attorney; Thomas Paison - Zoning Administrator; Stephen Guile - Commercial Services are also included in the Board of Appeals. The meetings of the board are conducted on the third or fourth Thursday of every month in the City Council Chambers at City Hall (City of Dearborn, â€Å"ZBA Meeting Minutes†). Thesis Statement The discussion intends to highlight the information relating to zoning ordinance of Dearborn city in Michigan, USA and the related purposes of the various zones. The discussion will also attempt to analyze a particular case and identify the kind of violation made with regard to the specifications of the ordinance.

Saturday, February 1, 2020

Summary response paper Essay Example | Topics and Well Written Essays - 500 words - 2

Summary response paper - Essay Example in Durham Regional Hospital where educational events were held for the purposes of instructing the hospital staff on the aims of RRT as well as the criteria for calling a rapid response. Further, the critical care unit (CCU) got trained on ways of assisting floor nurses asses and stabilize patients as well as on the means of communicating with physicians through Situation, Background, Assessment and Recommendation (SBAR) method (Critical Care Nurse, 1). After education and update of policies, the RRT process was implemented and then later evaluation and review of the outcomes of the process. The review results indicated that the Rapid response calls had a significant increase while a decrease in the number of code blue calls. The findings facilitated the creation of action plans with a focus on safety and education. Additionally, according to the findings of the survey, there should be supplies that lead to standardized box placed at the bedside of every RRT call. Consequently, staff and patient satisfaction was on the rise as outcomes improved (Critical Care Nurse, 1). The aim of the program is to advocate and initiate enteral nutrition for critically ill patients within 24 to 48 hours as means of improving outcomes (Critical Care Nurse, 1). Feeding into stomach normally leads to suboptimal enteral intakes due to the feedings being held for gastric residual volumes (GRV) or can also lead to patient intolerance due to ileus. The shared governance committee decided upon the use of an Electromagnetic Placement System (EMPS) to achieve safe enteral access beyond the pylorus. Postpyloric feeding is advantageous since it leads to greater enteral nutrition delivery to patients, as there are minimal interruptions of feeding (Critical Care Nurse, 1). Collaborative efforts also led to the establishment of a training program together with hands – on opportunities for bedside placement of the tube by the nurse. Furthermore, additional online support was availed on the