4. Is the assignment clearly written and referenced? - Management
Safety
You have been asked to develop a Safety Management System (SMS) for harbour operations. Design an appropriate SMS and discuss how the government will ensure necessary services and procedures are in place in relation to the provision of safe harbour operations within a port structure.
You will need to:
Explain the strategy you used to source literature relevant to the assignment.
Discuss why an SMS is required and how it can improve safety outcomes.
Have a clear understanding of what is contained within an SMS and how its effectiveness can be monitored.
Describe various arrangements that can be used to ensure government safety expectations are being met.
3,000 words
Safety
You have been asked to develop a Safety Management System (SMS) for harbour operations. Design an appropriate SMS and discuss how the government will ensure necessary services and procedures are in place in relation to the provision of safe harbour operations within a port structure.
You will need to:
Explain the strategy you used to source literature relevant to the assignment.
Discuss why an SMS is required and how it can improve safety outcomes.
Have a clear understanding of what is contained within an SMS and how its effectiveness can be monitored.
Describe various arrangements that can be used to ensure government safety expectations are being met.
3,000 words
The criteria to be used in this assessment are as follows: 1. Has the student undertaken a critical evaluation of
literature relevant to the assignment?
2. Does the student demonstrate a clear understanding of
the subject matter?
3. Has the question been adequately addressed and key issues identified?
4. Is the assignment clearly written and referenced?
1. Analyse and adapt management practices to improve operational efficiency.
2. Apply theoretical and practical knowledge to improve port safety outcomes.
3. Demonstrate an ability to research topics and apply learning to current port operating practices.
Attachments area
Notes on
JND517
Harbour Operations and Services
Module 6: Ports - Risk Assessment and Safety Management Systems
Pic. Source: The Australian Port Marine Safety Management Guidelines - 2019
PAGE 1
Module 6
Ports - Risk Assessment and Safety Management Systems
Risk Assessment
‘Risk’ is the chance of something happening that can have an impact on your objectives. A risk
is often specified in terms of an event or circumstance and the consequences that may flow from
it. Risk is measured in terms of a combination of the consequences of an event and their
likelihood.
Please note the emphasis on:
impact on objectives
occurrence of event or circumstance
consequences that flow from the event of circumstance
likelihood of event or circumstances of happening
To understand the level of risk that exist within a port, an overall assessment needs to be
undertaken of all aspects of the business, covering some or all of the following elements:
Technology – Failure of electronic systems, power and data supply, infrastructure
technology and communications.
People – accidents and injury, unacceptable behaviour, loss of corporate
knowledge, skills and training.
Financial – legislative compliance, fraud and corruption, business disruption and
ability to fund development.
Environment – cargo operations, sea level rise, marine pollution and dredging.
Working environment – work related risks (working at heights, enclosed spaces),
manual handling and traffic management.
Cargo Operations – Equipment, dangerous cargo and security.
Navigational safety – towage, pilotage, grounding, collision, mooring.
There are basically two category of risks that a port company needs to consider:
1. Strategic risks - the risks associated with future business plans and strategies. This
includes risks to the viability and sustainability of the company arising from changes to the
business environment with respect to the economy, law and regulation, markets and
customers, environment, technology and the political and social landscape such as:
PAGE 2
- Structural changes in markets and global trends impacting on business plans and
strategies.
- Insufficient development of organisational capability and effectiveness.
- Ineffective strategic management of an asset portfolio.
- Inadequately developed brand strategy.
- Government policy impacting on sustainability.
- Inability to access financial resources to implement business plans and strategies.
- Inability to develop integrated transport infrastructure
2. Operational risk - a risk arising from the conduct of business activities. This includes
potential loss arising from inadequate or failed internal processes, business systems or
human error, and from external events, such as:
- Loss of revenue base.
- Shipping, cargo handling and security incidents (e.g. collisions, groundings, security
breaches, etc.).
- Non-compliance with governance obligations including internal obligations (financial
management and governance practices) and external obligations (legislative,
regulatory and contractual).
- Major injury or death of persons, or significant liability or loss arising from use or failure
of assets or attributable to operations.
- Environmental damage attributable to assets/activities.
Once all such risks have been identified, they need to be rated to determine the level of attention
required to minimise their possible impact. The following table provides a practical example of
identifying the risks, categorising them and assigning their control ratings.
Risk
#
Risk Category Potential Risk Description
Control
Rating
Residual
Risk
Ranking
A Governance Failure to maintain a high-performance
culture
B Governance Government policy impacting on
commercial focus.
C Governance Non-compliance with legislation,
regulation or contractual obligations
D Business
Development
Inadequate monitoring of changes in
trading conditions / external
environment
E Business
Development
Unable to properly position itself in
relation to major projects
F Port Operations Shipping incidents such as collisions,
groundings, environmental spills, etc.
L
M
L
L
M
H
PAGE 3
Risk
#
Risk Category Potential Risk Description
Control
Rating
Residual
Risk
Ranking
G Port Operations Port security breaches and poor
emergency response
H Infrastructure Ineffective strategic management of
infrastructure assets
I Infrastructure Liability or loss arising from use or
failure of asset
J Infrastructure Failure to resume normal operations in
the event of failure or loss of critical
business assets/operations
K Human
Resources
Inability to replace lost workforce skills
L Human
Resources
Major injury or death to persons arising
from use of assets or attributable to
operations
M Environment Environmental damage attributable to
assets/activities
N Information Failure of information technology
O
Marketing
Poor customer relationship management
and service delivery
P
Finance
Inadequate financial management
practices
S – Severe H – High M – Moderate L – Low
Risk Assessment Table – Port Operations
A numerical rating can further be applied to the risk level, if more details are required to support
the Low/Medium/High/ Severe rating.
Identified risks can be mitigated to some extent with the implementation of suitable control
measures. These control measures need to be taken into consideration as they will assist with
risk reduction and be used to identify the residual risk rating that exists for each category.
The following is an example of some control measures that could be associated with shipping
operations.
- Pilot Code of Conduct in existence
- Pilot accreditation is updated every 5 years
- Pilots and masters are accredited for competency
- Periodic medical check-ups for pilots
- Implementation of OH&S policies and procedures
- Pilot training schedule prepared
M
L
M
M
L
S
M
L
L
L
PAGE 4
- Weather stations established along key locations.
- Advanced electronic navigation systems in use
- Routine maintenance of navigational aids
- Port operating parameters established
- Tug parameters established
- Pilotage risk analysis undertaken
- Criteria for port closure due to weather condition established
- 24 hours surveillance of port areas
- Emergency plans established and tested on an annual basis
- Formal passage planning process in existence
- Pollution response plans established and exercised
- VTS in operation
Once the control measures are identified, a residual Risk Rating can be determined. This is the
final level of risk, taking into consideration all the control or mitigating measures that have been
implemented.
It is the residual Risk Rating that will need to be considered carefully to determine what additional
measures may be required to reduce a particular risk rating to an acceptable level.
References:
The Australian Port Marine Safety Management Guidelines: https://uploads-
ssl.webflow.com/5b503e0a8411dabd7a173eb7/5cf74059eb10023f18f657d3_The%20Australian%20Port%20Mari
ne%20Safety%20Management%20Guidelines.pdf
Guidelines for Port and Harbour Risk Assessment and Safety Management Systems in New Zealand
https://www.maritimenz.govt.nz/commercial/ports-and-harbours/documents/Port-harbour-risk-assessment.pdf
Australian Standard ISO 31000:2018. (For New Zealand, Standard ISO 31000:2009 is still valid)
https://www.iso.org/standard/65694.html
https://shop.standards.govt.nz/catalog/31000:2009(AS%7CNZS%20ISO)/scope?
https://www.complispace.com.au/blog/governance/new-risk-management-standard-iso-31000-changes-need-
know/
Safety Management Systems (SMS)
Having identified all the known risks, a safety management system (SMS) can be established
that ensures all the policies, procedures, work instructions and processes are in place and being
followed. The overarching SMS will cover all the operations such as maintenance, asset
management, security, cargo operations, marine operations, etc., with individual sub-systems
supporting the main structure.
https://uploads-ssl.webflow.com/5b503e0a8411dabd7a173eb7/5cf74059eb10023f18f657d3_The%20Australian%20Port%20Marine%20Safety%20Management%20Guidelines.pdf
https://uploads-ssl.webflow.com/5b503e0a8411dabd7a173eb7/5cf74059eb10023f18f657d3_The%20Australian%20Port%20Marine%20Safety%20Management%20Guidelines.pdf
https://uploads-ssl.webflow.com/5b503e0a8411dabd7a173eb7/5cf74059eb10023f18f657d3_The%20Australian%20Port%20Marine%20Safety%20Management%20Guidelines.pdf
https://www.maritimenz.govt.nz/commercial/ports-and-harbours/documents/Port-harbour-risk-assessment.pdf
https://www.iso.org/standard/65694.html
https://shop.standards.govt.nz/catalog/31000:2009(AS%7CNZS%20ISO)/scope?
https://www.complispace.com.au/blog/governance/new-risk-management-standard-iso-31000-changes-need-know/
https://www.complispace.com.au/blog/governance/new-risk-management-standard-iso-31000-changes-need-know/
PAGE 5
The following is an example of a Marine Safety Management System.
The main elements of this particular system are:
Deed of Agreement or Government Licence
Pilotage SMS
Pilotage Code
Port Procedures Manual
Navigation and Dredging Plan
Incident Management System (IMS)
Risk assessments
Vessel Traffic Services (VTS) Manual
Compliance
Deed of Agreement - describes the arrangement between the port authority and government and
outlines how marine safety will be maintained. It covers pilotage, VTS, emergency management,
navigation aids and the enforcement of navigation regulations. This type of document is used in
Australia by state government agencies to assign certain safety aspects of port operations to
port companies to ensure an appropriate level of safety is maintained.
Pilotage SMS – Provides a range of policies and procedures that are required to be followed to
ensure pilotage is conducted in a safe and effective manner. It may consist of the following
elements:
➢ Administration
o Manuals
o Procedures
o Work Instructions
o Forms
o Reference Documents
➢ Accidents/Incidents
o Reporting
o Register
o Recommendations from investigations
➢ Non-Conformances Register
➢ Pilots
o Personal details
o License details
o Training
PAGE 6
o Medical reports
➢ Fatigue Management System
o Policy
o Procedures
o Work instructions
➢ Pilot Equipment
o Portable piloting units
o Communications Equipment
o Safety Equipment
➢ Risk
o Pilotage Risk Assessments
o Vessel Risk Assessments
o General Risk Assessments
➢ Port Information
o Passage Plans
o Non-Navigable Areas
o General Information on port areas
➢ Floating Plant
o Tugs
o Pilot Vessels
o Lines boats
Pilotage Code – This document describes in detail the pilot licensing arrangements, pilotage
exemption requirements and what is required for pilots to retain their licenses in terms of
frequency of pilotages, operational and medical checks.
Port Procedures Manual – Describes the operating parameters for a port such as tug
requirements, shipping parameters, pilotage planning and execution of emergency procedures.
VTS Manual – Provides details about the operation of a vessel traffic management system and
contains a full set of procedures and work instructions on how the VTS should operate.
Compliance checks – As with any system, there is a need to ensure that those who are subject
to the requirements of a safety management system are actually complying with its contents.
This would typically need to be demonstrated during the periodic external independent audits
conducted by a third party or government agency.
PAGE 7
Navigation and Dredging Plan – This is a document that describes the frequency of hydrographic
surveys and how they will be conducted, how berth, channel and swing basin depths will be
maintained and what marine infrastructure may be required for the future port development.
Incident Management System (IMS) – All incidents happening within the port should be recorded
in an IMS so that an appropriate incident analysis can take place and necessary steps taken to
improve safety outcomes and minimise the likelihood of a similar occurrence in future.
Risk assessments – A full range of risk assessments for all aspects of marine operations will be
undertaken and documented. A major component of this section is pilotage risk assessments
that lay the foundations for the pilotage safety management system. As previously described, a
risk assessment can take many forms however the outcome, although presented differently,
should be the same in each case.
A more recently adopted method for pilotage risk assessments is the ‘Due Diligence Safety
Review Process which looks at each element of pilotage within a port and determines whether
sufficient measures are in place for selected critical operations.
The below example describes a due diligence process.
------------------------------------------------------------------------------------------------------------------------------
Due Diligence Safety Review of Pilotage Service
CONTENTS
1.0 Objective
2.0 Background
3.0 Method
3.1 Port Inspection
3.2 Generative Interviews
3.3 Stakeholder Workshop
3.4 Threat Barrier Modelling
4.0 Pilotage Time Sequence Model
5.0 Threat Barrier Modelling
5.1 Grounding and Allision with Wharf Structure
6.0 Findings and Recommendations
PAGE 8
1.0 Objective
The objective of this project is to complete a due diligence safety review for the provision
of pilotage services. The outcomes of the review will feed into the Pilotage Safety
Management System.
2.0 Background
The marine facility consists of a jetty with one bulk loading unit capable of delivering cargo
at 1,500 tonnes per hour. It is located in deep water and exposed to easterly weather that
can cause the facility to be closed to shipping.
Vessels approach the berth from an east or west direction, depending on wind direction,
and moor alongside with a minimum of 6 lines ships lines at each end.
The facility can accommodate vessels up to 250m in length.
3.0 Method
The method adopted for this review is based on the due diligent common law safety case
approach developed for the review of pilotage services. This process includes the
application of the hierarchy of controls consistent with OH&S legislation (elimination,
substitution, isolation, engineering/design, training and administration) based on the
balance of the significance of the risk versus the effort required to reduce it.
3.1 Port Inspection
An inspection of the general port area and facilities was completed in May 2019
3.2 Generative Interview
A number of generative interviews were completed with marine pilots to determine a first
cut assessment of the key issues associated with the provision of pilotage services. The
issues identified were further tested with a broader stakeholder group at a workshop that
included regulators, port authority and facility operator representatives.
3.3 Stakeholder Workshop
As a way of testing for completeness of the assessment the workshop group reviewed a
typical pilotage both functionally and on a geographic basis. That is, a functional review
was completed by considering the tasks undertaken by a pilot during a typical pilotage:
passage planning, boarding the vessel, pilotage etc. A geographic assessment of the
area was completed to test for location specific issues. The issues raised and the nature
of the existing and possible further precautions were documented.
PAGE 9
3.4 Threat Barrier Modelling
For issue/s identified as credible and critical a threat barrier diagram was developed. Threat
barrier diagrams describe the threat and hazard scenarios (initiating events) that can lead
to undesired outcomes. Existing barriers to threats were then identified and positioned
appropriately. Further possible barriers were then considered. This type of modelling is
particularly useful in showing barriers that have an effect on multiple threats. It can be
compared to James Reason’s ‘Swiss Cheese’ model but has a more useful due diligence
focus.
4.0 Pilotage Time Sequence Model
The following time sequence model was developed for the provision of pilotage services. It
identifies where the existing and possible further precautions would / could act.
MPE – Master/ Pilot Exchange (of information)
Note: There are three policy decision points with regard to the provision of pilotage services.
1. The first is a port specific vessel arrival policy which specifies the parameters of a
vessel which can enter the port, and if so, under what conditions (tide, weather,
day/night, etc) the pilotage can occur.
2. For each vessel that satisfies condition 1, the acceptability of the actual pilotage
conditions at the time of entry needs to be assessed and a go/wait decision made.
3. For each vessel that satisfies condition 2, once on the water, the actual conditions are
determined whether the pilot should attempt or abort the navigation to the berth.
PAGE 10
5.0 Threat Barrier Modelling
The key issue with the provision of a pilotage service at this port is allision with the wharf
and a threat barrier model was developed to represent the credible threat scenarios,
existing barriers and possible future barriers that could be considered.
Allision with the wharf could occur if is vessel is approaching the berth too fast or not at
the correct angle. This would generally occur as a result of adverse environmental
conditions such as tide and wind, or loss of tug assistance. Of particular concern was
the ability to accurately assess wind speed and direction prior to undertaking a berthing
operation. A local weather station established at the wharf would provide accurate and
timely information.
5.1 Allision with Wharf Threat Barrier Modelling
6.0 Findings and Recommendations
A list of issues identified during the assessment process will be provided along with a
number of recommendations that will help to reduce the risk profile of the operation.
PAGE 11
Emergency Preparedness and Response
An important element of a safety management system is the preparation of emergency
management plans. This needs to be exercised regularly and personnel trained in all aspects
relating to the preparedness and response. It is equally important that relationships are
established with external emergency agencies to ensure that they have a working knowledge
about the port and its operations. This will particularly apply to vessels calling the port as the
local fire departments may not be familiar with the vessel layout and complexities associated
with fighting shipboard fires.
There are typically three main types of emergency plans made as part of port operations:
1. The Emergency Management Plan will cover all types of emergencies within the port area.
It could be sub-divided into marine and shore-based responses if considered necessary.
2. The Marine Pollution Contingency Plan (or response plan) will apply to all waters within
the port limits or that are assigned to the port by agreement. This type of plan(s) will cover
oil spills, chemical spills or any other type of pollution that has the potential to damage the
marine environment.
3. The Business Continuity Plans are port specific plans that will provide information on how
to keep the port functioning following a major incident that has a significant effect on the
port infrastructure.
1. Emergency Management Plans (EMP)
The nature of operations conducted at a port will expose the organisation, its employees,
contractors and the visitors to a number of risks. A detailed assessment should be conducted,
in conjunction with emergency management professionals, to identify the major risks and to
determine the actions required in order to ensure an effective response that can be initiated
should an emergency event occur.
It should be noted that port emergency plans should recognise the existence of a local municipal
and/or broader government plans and ensure that they are compatible and able to cope with a
potentially escalating problem.
In general, these plans aim to cover all the hazards and provide information and business rules
for creating responses to a range of emergencies that may affect the port, its employees,
operations, port assets and infrastructure and other port users or stakeholders.
In general, the objectives of an EMP should be to:
- Provide a framework for emergency management. Ensure due process is applied to
emergency planning, namely: prevention, preparedness, response, communication, and
recovery strategies
- Define roles and responsibilities of key personnel and
- Provide current contact details for key stakeholders.
PAGE 12
The following is an example of the general contents of an EMP:
➢ Plan Administration
o Review
o Distribution
➢ Terms
o Glossary
o Acronyms & Abbreviations
➢ Introduction
o Authority
o Aim & Objectives
o Scope
➢ Legislative requirements
o Work health and Safety Regulations
o Navigation Regulations
o Incident Regulations
o Building Requirements
➢ Risk Assessment
➢ Roles & Responsibilities
o All Staff
o Port Control (VTS)
o Emergency Management Team
o Incident Controller
o Emergency Management Core Team
o Other human resources
o Emergency Management Committee
o Media and Ministerial Liaison
o Safety and Hazardous Materials
o Security
o Management Authorities
o Supporting Agencies
➢ Prevention Strategies
o Port Planning
o Buildings and Structures
o Vessels
o Public Events
o Emergency Operations centres
o Evacuation Assembly Areas
o Resources
o Drills
o Exercises
o Training
o Storm Warning
➢ Response Strategies
o Immediate Response
o Response Briefing
PAGE 13
o Communications
➢ Recovery Strategies
o Business Continuity
o Debriefs
o Personal Injury resulting from emergencies
o Counselling
➢ Reference Documents
Probably the most important factor for maintaining the effectiveness of emergency management
plan is by ensuring that all port staff and other stakeholders are aware of its content and what is
expected of them when an emergency occurs. This can best be achieved through conduct of
regular exercises using the plan, which includes interaction with the local emergency agencies.
References:
Port of Sunderland – Port Emergency Plan.
https://www.portofsunderland.org.uk/sites/default/files/2018-
02/REDACTED%20VERSION%20Port%20of%20Sunderland%20Emergency%20Plan%20New%20issue
%20%28original%29%2001.03.2013.pdf
2. Marine Pollution Contingency Plan (MPCP)
In Australia there are two categories of pollution plans:
1. Oil spill contingency plans
2. Chemical spill contingency plans
The local oil spill contingency plan is always port specific and describes the preparations in place to
respond to an oil spill within the port area. It generally consists of the following main elements:
➢ Introduction
o Authority
o Aim
o Objectives
o Scope
o Legal Responsibilities
o Relevant Legislation
o Delineation of Spill Response
o Oil Properties and Behaviour
o Risk Assessment
o Spill Scenarios
o Vessel Oil Capacities
o Associated Documents
o Reference Documents
➢ Roles and Responsibilities
o State Marine Pollution Committee
o Emergency Management Committee
https://www.portofsunderland.org.uk/sites/default/files/2018-02/REDACTED%20VERSION%20Port%20of%20Sunderland%20Emergency%20Plan%20New%20issue%20%28original%29%2001.03.2013.pdf
https://www.portofsunderland.org.uk/sites/default/files/2018-02/REDACTED%20VERSION%20Port%20of%20Sunderland%20Emergency%20Plan%20New%20issue%20%28original%29%2001.03.2013.pdf
https://www.portofsunderland.org.uk/sites/default/files/2018-02/REDACTED%20VERSION%20Port%20of%20Sunderland%20Emergency%20Plan%20New%20issue%20%28original%29%2001.03.2013.pdf
PAGE 14
o Harbour Master
o Authorised Officers
o Support Agencies
o Incident Management Team
o Incident Controller
o Security Centre and Port Control
o Safety Officer
o Media Liaison and Public Relations
o Planning Section
o Operations Section
o Logistics Section
o Finance and Administration
o All Staff
o Oil Spill Reporting
o Response Participation
o National Response Team
o Protection and Indemnity (P&I) Clubs
➢ Prevention Strategies
o International Standards
o Policy
o Procedures
➢ Preparedness Strategies
o Equipment
o Tier 1 Equipment
o Tier 2 Equipment
o Other Resources
o Oil Spill Resource Atlas (OSRA)
o Incident Control Centre Packs
o Training
o Exercises
o Safe Work Procedures
➢ Response Strategies
o Activation Process
o Immediate Response Actions
• Conduct Initial Assessment
• Appoint Incident Controller
• Report the Incident
• Select an Incident Management Team
• Establish an Incident Control Centre
• Develop Response Strategies
• Consider Safety
o Implement Response Strategies
• Establish Advanced Operations Centres and Staging Areas
PAGE 15
• Applying Dispersants
• Boom Deployment
• Clean Up
• Allowing Natural Recovery
o Other Response Considerations
• Ongoing Monitoring and Sampling
• Briefings
• Oil Spill Trajectory Modelling
• Media Liaison
• Communications
• Administration
• Sourcing Additional Equipment
• Sourcing Additional Personnel
• Waste Management
➢ Recovery Strategies
o Stand down
o Debriefs
o Incident Reports
o Cleaning Equipment
o Investigation
o Business Continuity
o Environment Regeneration
o Cost Recovery
➢ Plan Administration
o Review
o Audit and Compliance
o Distribution
This type of document is very comprehensive and provides considerable detail to those
responding to a pollution incident.
The port plan is structured to dovetail with the state plan which in turn “fits” with the Australian
Maritime Safety Authority’s National Plan for Maritime Environmental Emergencies.
Port plans are designed to handle relatively small oil spills within the port areas and essentially
describe a first strike capability. State plans come into play when an oil spill is of medium size or
if it happens outside a port area, but within the three-mile state territorial limits.
For larger spills and any spill outside the 3-mile limit, the AMSA National Plan will be activated.
References:
An example of State Plan: Tasmanian Marine Oil Spill Contingency Plan
https://epa.tas.gov.au/Pages/Document.aspx?docid=558
National Plan - Australia National Plan for Maritime Environmental Emergencies
https://www.amsa.gov.au/marine-environment/national-plan-maritime-environmental-emergencies
https://epa.tas.gov.au/Pages/Document.aspx?docid=558
https://www.amsa.gov.au/marine-environment/national-plan-maritime-environmental-emergencies
PAGE 16
Chemical Spill response plans are very similar to the oil pollution plans however the essential
difference is, in Australia, the fire service takes control of the response and the port authority will
only provide assistance on request and only if it has resources that may be useful to the
responding agency. State and national chemical spill response plans are the main documents in
existence.
As you would expect, responding to a chemical spill in the marine environment is a very
hazardous activity that requires a specialised response.
3. Business Continuity Plan (BCP)
Organisations typically work to avert business disruption risks through preventative treatments
and mitigation strategies. Despite all these precautions, the likelihood of disruptive risks
occurring is ever-present. For this reason, it is in an organisation’s best interest to effectively
prepare for the possibility of disruptive risks occurring. This can best be achieved with the
implementation of restoration and recovery processes that will return the company to normal
operations as quickly as possible.
Ports occupy a critical position within the supply-chain of a large number of local, national and
international organisations. Any disruption to the operations would cause pile-on effects which
are virtually impossible to quantify. While ports take appropriate precautions to ensure the
continuity of operations and delivery of the mandate to facilitate trade, even the best-prepared
organisation can at times suffer significant …
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*** In Task section I’ve chose (Economic issues in overseas contracting)"
Electromagnetism
w or quality improvement; it was just all part of good nursing care. The goal for quality improvement is to monitor patient outcomes using statistics for comparison to standards of care for different diseases
e a 1 to 2 slide Microsoft PowerPoint presentation on the different models of case management. Include speaker notes... .....Describe three different models of case management.
visual representations of information. They can include numbers
SSAY
ame workbook for all 3 milestones. You do not need to download a new copy for Milestones 2 or 3. When you submit Milestone 3
pages):
Provide a description of an existing intervention in Canada
making the appropriate buying decisions in an ethical and professional manner.
Topic: Purchasing and Technology
You read about blockchain ledger technology. Now do some additional research out on the Internet and share your URL with the rest of the class
be aware of which features their competitors are opting to include so the product development teams can design similar or enhanced features to attract more of the market. The more unique
low (The Top Health Industry Trends to Watch in 2015) to assist you with this discussion.
https://youtu.be/fRym_jyuBc0
Next year the $2.8 trillion U.S. healthcare industry will finally begin to look and feel more like the rest of the business wo
evidence-based primary care curriculum. Throughout your nurse practitioner program
Vignette
Understanding Gender Fluidity
Providing Inclusive Quality Care
Affirming Clinical Encounters
Conclusion
References
Nurse Practitioner Knowledge
Mechanics
and word limit is unit as a guide only.
The assessment may be re-attempted on two further occasions (maximum three attempts in total). All assessments must be resubmitted 3 days within receiving your unsatisfactory grade. You must clearly indicate “Re-su
Trigonometry
Article writing
Other
5. June 29
After the components sending to the manufacturing house
1. In 1972 the Furman v. Georgia case resulted in a decision that would put action into motion. Furman was originally sentenced to death because of a murder he committed in Georgia but the court debated whether or not this was a violation of his 8th amend
One of the first conflicts that would need to be investigated would be whether the human service professional followed the responsibility to client ethical standard. While developing a relationship with client it is important to clarify that if danger or
Ethical behavior is a critical topic in the workplace because the impact of it can make or break a business
No matter which type of health care organization
With a direct sale
During the pandemic
Computers are being used to monitor the spread of outbreaks in different areas of the world and with this record
3. Furman v. Georgia is a U.S Supreme Court case that resolves around the Eighth Amendments ban on cruel and unsual punishment in death penalty cases. The Furman v. Georgia case was based on Furman being convicted of murder in Georgia. Furman was caught i
One major ethical conflict that may arise in my investigation is the Responsibility to Client in both Standard 3 and Standard 4 of the Ethical Standards for Human Service Professionals (2015). Making sure we do not disclose information without consent ev
4. Identify two examples of real world problems that you have observed in your personal
Summary & Evaluation: Reference & 188. Academic Search Ultimate
Ethics
We can mention at least one example of how the violation of ethical standards can be prevented. Many organizations promote ethical self-regulation by creating moral codes to help direct their business activities
*DDB is used for the first three years
For example
The inbound logistics for William Instrument refer to purchase components from various electronic firms. During the purchase process William need to consider the quality and price of the components. In this case
4. A U.S. Supreme Court case known as Furman v. Georgia (1972) is a landmark case that involved Eighth Amendment’s ban of unusual and cruel punishment in death penalty cases (Furman v. Georgia (1972)
With covid coming into place
In my opinion
with
Not necessarily all home buyers are the same! When you choose to work with we buy ugly houses Baltimore & nationwide USA
The ability to view ourselves from an unbiased perspective allows us to critically assess our personal strengths and weaknesses. This is an important step in the process of finding the right resources for our personal learning style. Ego and pride can be
· By Day 1 of this week
While you must form your answers to the questions below from our assigned reading material
CliftonLarsonAllen LLP (2013)
5 The family dynamic is awkward at first since the most outgoing and straight forward person in the family in Linda
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The most important benefit of my statistical analysis would be the accuracy with which I interpret the data. The greatest obstacle
From a similar but larger point of view
4 In order to get the entire family to come back for another session I would suggest coming in on a day the restaurant is not open
When seeking to identify a patient’s health condition
After viewing the you tube videos on prayer
Your paper must be at least two pages in length (not counting the title and reference pages)
The word assimilate is negative to me. I believe everyone should learn about a country that they are going to live in. It doesnt mean that they have to believe that everything in America is better than where they came from. It means that they care enough
Data collection
Single Subject Chris is a social worker in a geriatric case management program located in a midsize Northeastern town. She has an MSW and is part of a team of case managers that likes to continuously improve on its practice. The team is currently using an
I would start off with Linda on repeating her options for the child and going over what she is feeling with each option. I would want to find out what she is afraid of. I would avoid asking her any “why” questions because I want her to be in the here an
Summarize the advantages and disadvantages of using an Internet site as means of collecting data for psychological research (Comp 2.1) 25.0\% Summarization of the advantages and disadvantages of using an Internet site as means of collecting data for psych
Identify the type of research used in a chosen study
Compose a 1
Optics
effect relationship becomes more difficult—as the researcher cannot enact total control of another person even in an experimental environment. Social workers serve clients in highly complex real-world environments. Clients often implement recommended inte
I think knowing more about you will allow you to be able to choose the right resources
Be 4 pages in length
soft MB-920 dumps review and documentation and high-quality listing pdf MB-920 braindumps also recommended and approved by Microsoft experts. The practical test
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One thing you will need to do in college is learn how to find and use references. References support your ideas. College-level work must be supported by research. You are expected to do that for this paper. You will research
Elaborate on any potential confounds or ethical concerns while participating in the psychological study 20.0\% Elaboration on any potential confounds or ethical concerns while participating in the psychological study is missing. Elaboration on any potenti
3 The first thing I would do in the family’s first session is develop a genogram of the family to get an idea of all the individuals who play a major role in Linda’s life. After establishing where each member is in relation to the family
A Health in All Policies approach
Note: The requirements outlined below correspond to the grading criteria in the scoring guide. At a minimum
Chen
Read Connecting Communities and Complexity: A Case Study in Creating the Conditions for Transformational Change
Read Reflections on Cultural Humility
Read A Basic Guide to ABCD Community Organizing
Use the bolded black section and sub-section titles below to organize your paper. For each section
Losinski forwarded the article on a priority basis to Mary Scott
Losinksi wanted details on use of the ED at CGH. He asked the administrative resident