The Masculine and Feminine in Shakespeare’s A Midsummer Night’s Dream

Since time immemorial, men and women struggle against each other because of the issue on power, control and domination. William Shakespeare’s A Midsummer Night’s Dream similarly depicts men and women who are at odds due to their differing beliefs and values.Through the characters of Theseus, Hippolyta, Oberon, Titania, Egeus, Hermia, Demetrius and Helena, Shakespeare represents that the feminine is struggling against the authority and domination of the masculine and the masculine is maintaining its authority and domination over the feminine. This essay attempts to explain how Shakespeare accomplishes to characterize the feminine and the masculine through the men and women in the play.A Midsummer Night’s Dream illustrates that women attempt to go against male domination in the story but they are almost always controlled by men. Examples of feminine disobedience to the patriarchal rule are demonstrated by Hermia, Titania, Helena and Hippolyta.At the start of the st ory, Hermia does not follow his father Egeus’ decision for her to marry Demetrius. Instead, she chooses Lysander because she loves him. She resists his father’s right to decide whom to choose for her future husband. She would rather choose to live as a nun or to even die for breaking the Athenian law than to be married to Demetrius. When she was brought by her father into the presence of Theseus, she speaks these words:So will I grow, so live, so die, my lord,/ Ere I will yield my virgin patent up/ Unto his lordship, whose unwished yoke/ My soul consents not to give sovereignty. (I.i. 79-82)These words reveal the beliefs of the feminine that they would rather choose other options like being a nun or being sentenced to death than to suffer being with a man they do not love. It also expresses the belief that the woman alone has the right to decide whom to allow dominion over her.Similarly, Titania queen of the Faeries does not yield to her husband’s wish to make a â€Å"changeling boy† who was given to her by an Indian King to be his page. Titania stands by what she wants and she resolves that she will take care of the boy especially that the boy’s mother who is already was her loyal follower.So she tells her husband Oberon, â€Å"And for her sake I rear up the boy, / And for her sake I will not part with him† (II.i. 136-137) and she defies the masculine authority of Oberon. Titania’s decision and actions relate that even if a woman is married to a man, it does not mean the wife will submit to everything the husband wants.On the other hand, Helena complains on the limitations of women, â€Å"We cannot fight for love, as men may do; / We should be woo’d and were not made to woo./ I’ll follow thee and make a heaven of hell,/ To die upon the hand I love so well† (II.i. 241-244).She resists moral conventions that only men can pursue after the women. She follows Demetrius even if he drives him away from him. She bluntly tells Demetrius: The more you beat me, I will fawn on you./ Use me but as your spaniel, spurn me, strike me,/   Neglect me, lose me; only give me leave/, Unworthy as I am, to follow you. (II.i. 204-207).Helena and her actions exemplify women who are liberated and who wants to be equal with men in terms of expressing their feelings to the one they love.Lastly, Hippolyta is a symbol of a woman who fought against male aggression but was conquered. In Act I Scene 1 of the play, Theseus, Duke of Athens, mentions about winning over Hippolyta’s love with his â€Å"sword† and by inflicting her with â€Å"injuries† which could mean that Hippolyta, queen of the Amazons has been defiant against the masculine authority of Theseus before he became triumphant.And even though she is already betrothed to Theseus and does not say anything more about the wedding, it is uncertain if she heartily agrees to it. Despite of this, Hippolyta is an example of a w oman who is courageous to fight. Unfortunately, she is also an example of the feminine that is usually defeated by the masculine. Her fate is also what happens to Titania.

Alcoholism: Alcoholic Beverage and Life Essay

Why do people drink alcohol? To reduce stress, to relax, to show off, or due to peer pressure. One of every thirteen adult drink alcohol. According to the article ‘FTC report cites improvement in alcohol industry self-regulation, â€Å"Fourteen million American suffered health, psychological, social, and genetics problem due to excess drinking of alcohol† (federal trade commission). It has caused a serious problem in the society. Even after executing the law of no drinking and driving, these drinking and driving problem has been frequently seen in the society. Many people has involved in sever accident and also, has lost their precious life. Many people who don’t drink has also been the victim of these alcoholic problem. I decided to choose alcohol addiction as my topic because I was also once a victim of alcohol. Different plans has been made in by the government and other social service organization to control the drinking habit of the person. Since alcoholism has been a serious problem in the present society, the government and other organization has been executing different laws and regulation to control it. One of the major step is establishing the rehabilitation center. The article ‘alcoholism and drug rehab’ stated that, â€Å"Research studies have found that certain approaches to addiction treatment and aftercare works better than other. This approaches in establishing a rehab center can help a lots of citizens† (Recovery Connection). The phrases â€Å"addiction treatment and after care works better† refers that alcoholics rehabilitation is given more priority to the government to reduce the alcoholism. This kinds of plans are frequently executed by the government to help the citizens and to create safe society. Other several laws like no drinking in public areas, age regulation (drinking restriction until the person is 21 years old), ID checking while buying liquor, time to time investigation to make sure that all these rules are followed strictly are run by the government. All this above are the plans and laws used by the government to control the alcoholism. I had been a victim of alcohol by the habit drinking it excessively due to peer pressure. I was living a very luxurious live. I had a wonder job, happy family, and reputation. But one small mistake changed my life. My friend name Anthony bao said, â€Å"Hey! There is a hard drinks in our home inside cupboard. You want to try. It taste really good. There is no one on my home right now† (bao). This small incident occur when I was 16 years old. I taste the liquor that day for the first time in my life and forgot those moments for 4 years. And again I started to drink when I was with my friends. It taste sweet. I started liking it and every day I started to drink a little bit. I got habituated with it and addicted to it. I was kicked out from my house. I lost my job. Eventually I started spending all the money I earned and saved. I act like a homeless. Nobody was willing to help me looking at my condition. I faced a lots of trouble reading the situation. In this way, I faced horrible situation due to alcohol addiction. I overcome the problem with the help of my friend who showed me the right path. He fine the way for me to be a good guy. He admitted me to the rehabilitation center, where I develop my habit and came out as a good guy. My friend name Azam khan said, â€Å"This is the best I can do for you. This is one of the best place I can leave you to develop your habit† (khan). He helped me in the very bad situation where I could develop into a very good person. I was first given very high amount of alcohol to drink, but eventually they reduce the amount and finally stopped it. For the first time in the life I felt good about myself. I felt like I just woke up from the worst dream. I appreciated my friend’s believe that I can be good again. When I sometimes look back to my life, I feel shame on myself. I was back to the good guy again. I showed my sobriety. Therefore, my parents forgave me, my good friends were back with me, and I got a same position job. I started living a wonderful life. During this struggle of life, I learned a valuable experience after this incident. I went to such a terrible time in my life. I shortly got addicted to alcohol, it harmed me for a long time, and it took me a long time to recover. I wish it was just a bitter dream. But still I am trying to forget it as bitter dream. It was such a long process of recovery on the life, but I end up with learning a valuable lesson. I realize that I was living my life as a dead person. All my friends, parents, and relatives used to hate me. I was just living a disgusting life. I said to myself, â€Å"wow! Such a wonderful life I am living right now. A while ago, I was hated and today I am loved by all. Thanks to god. † One famous actor Brian welch, â€Å"In 2005 Brian’s life changed when he experienced a dramatic conversion to a non-alcoholic person. He was addicted to alcohol and then sought solitude in order to cleanse himself of addiction. He credits God with his rehabilitation† (welch). It was just a wonderful moment after I got rid of alcohol. He shared his experience about how he was sought himself and addiction. He gave a credit to the god for helping him to get rid of alcohol. He could never imagine being in that condition again. In this process of life I learn the valuable lesson that alcohol is a poison. I wish even my bad-wisher would not have to live such kind of life. After a long hard treatment, I got a positive result after the recovery within a very short time comparing to other people. Many people were surprised and happy that I recover from that world of alcohol pretty fast. One of the instructor said, â€Å"I was really surprised when I saw him making a gradual progress about ignoring alcohol. Some people takes years and years to completely stop it, but I am glad he made in such short time of eight months†. After I was released from the rehab center, I came as totally as a new person and with new life. I really started appreciating that my life has been changed and everything is back to normal again. I loved the life without conflict with friends, family and no humiliation. Since I showed the positive result I was really happy. According to the casa palmera, â€Å"more than 43% of people have trouble with changing the alcoholic’s habit within less than three years† (alcohol rehabilitation statistics). This above quotation argues that fact that people in US who are send to victim of alcoholism barely show the positive change in very short period of time. It has been a serious problems for the government and many families who have been going through miserable condition due to the alcohol addiction to their family members. My family and I myself was lucky to get out of this horrible addiction in a very short period without being any late. This was one of the best feeling I got. In this way, I showed very good result and improve myself then other people. Therefore, to share my short life with alcohol I decided to choose to write the essay about this alcohol addiction. I was lucky enough to get rid of it now and live a wonderful life. I highly appreciate the hard work and believe of my family, friends, and instructor from rehab center. I would suggest people to never, even by mistake, drink the alcohol. It ruins your life, your money, your reputation, and pretty much everything. People can do their part by showing sobriety, making friends after really knowing them and never falling in the trap of friend circle if they have a bad influence. Credits to: â€Å"Alcoholism and Drug Rehab FAQs. † Alcoholism Treatment and Drug Rehab Related FAQs. N. p. , 2 July 2011. Web. 26 Feb. 2013. Bao, Anthony. â€Å"How I started drinking† personal, 1 February 2007. 26 Feb. 2013. â€Å"Federal Trade CommissionProtecting America’s Consumers. † FTC Report Cites Improvements in Alcohol Industry Self-Regulation. Federal Trade Commision, 9 Sept. 2009. Web. 26 Feb. 2013. Khan, Azam. â€Å"How he helped me improved† personal, 2 may 2008. 26 Feb. 2013. Welch, Brian. â€Å"10 Celebrities Who Overcame Their Addictions. † – Beliefnet. com. Beleifnet, n. d. Web. 26 Feb. 2013. â€Å"866-768-6719 Why Casa Treatments Location Admissions. † Casa Palmera. N. p. , n. d. Web. 26 Feb. 2013.

Albert Einstein Flashcards Example for Free (#11)

Albert Einstein Who called him public enemy number one? Why? Hitler, because he didn’t help build the atomic bomb so he wanted to make Einstein look like he betrayed Germany What president did he write a letter to and why? Roosevelt, to warn him about Germany planning to build an atomic bomb When did he win a nobel prize and what for? 1922 and for his photoelectric theory How old was he when he built a 14 story house of cards? Einstein was a pacifist, which meant†¦ He doesn’t believe in solving problems with violence When and by who was he asked to be president? How many wives and children did he have? What did he say Americas worst disease was? Why do we not know his dying words? They were said in German, the nurse in the room was American What inspired him to be a scientist? A compass he got when he was young, fascinated by the invisible force moving the hand When was he born and when did he die? Born – March 14 1879 Died April 18th 1955 Why did he charge money for his autographs? So he could donate the money to charity What magazine voted him person of the century? He loved sailing†¦ why was this ironic? When he came to America what did he work as? A professor in Princeton NJ, made $10,000 a year Thomas Harvey for 20 years, kept it in his car trunk He had an abdominal aneurysm, refused surgery and bled to death We use cookies to give you the best experience possible. By continuing we’ll assume you’re on board with our cookie policy We will write a custom sample essay on

Please write a 2,5003,000 word research paper incorporating MLA Essay

Please write a 2,5003,000 word research paper incorporating MLA documented information from the five primary sources you have abstracted that evaluates an Amer - Essay Example We are the microcosm of the culture that shaped and is shaping our lives. Although we exhibit our own culture everyday through our actions and thinking, it is hard to talk about or explain it because it already seem second-nature to us. For example, Americans celebrate Independence Day to commemorate the end of war and oppression, celebrate Thanksgiving with roasted turkey, and celebrate Halloween with kids going door to door for the "trick or treat" - all these are part of the American tradition. Americans are also pro-democracy, and will go to a great extent to fight against tyranny. These traditions and beliefs all seem very natural to an average American that most go about them without question or resistance. They are just the way they are, and they represent the status quo. Our culture defines and dominates us as result of a lifetime of socialization through many cultural institutions (Pearce, 1999). Socialization is important for a culture to survive, so it can pass itself from one generation to the next generation. A culture needs to perpetuate itself and preserve the society and its identity, and it does this by conditioning its members that the culture is natural, normal, good and in their best interests (Pearce, 1999). Children are sociChildren are socialized by their parents or caretakers to behave in a way that is pleasing and socially acceptable. At an early age, they are subjected to authority, to control, to conformity, according to society's beliefs and practices. In the same principle, teenagers follow the same socialization process but modelling from friends and peer groups rather than from parents. Women too have been socialized to act, think and feel as second-class citizens by the generally paternalistic society, although the advent of feminism is slowly changing this. Lastly, poor people and the ethnic minorities have also been socialized to feel and believe that they are economically and culturally inferior compared to the dominant educated, affluent majority. In our lifetime, we are exposed to many different cultural institutions such as schools, churches, the media, the arts, and others. These institutions shape the way we think and the way we communicate. We conform to social conventions that were thought to us by these institutions. Conventions can be any commonly agreed forms of behavior, dress, art, literature or film, etc (Pearce, 1999). For instance, we label a girl who wears a miniskirt, a cleavage-revealing top, high heels and full make up, as a slut. We do so because there is a common understanding in our society about how a slut should dress, and we agree to that understanding. Since childhood we have been conditioned to understand how the world of adults is like. Parents give their children toys that actually are smaller versions of adult objects such as playhouses, dolls, cars, kitchen utensils, appliances, toy guns and many more. All these toys, with the exception of educational toys, mean something and they all present to the child how modern adult life is played (Barthes, 1954). The toys are conditioning and preparing children to accept adult life, and not merely entertaining them. For instance, girls are given dolls and playhouses to play with, which is in fact a way of

Outline and differentiate the covenants that God made with Noah, Research Paper

Outline and differentiate the covenants that God made with Noah, Abraham, Moses, and David - Research Paper Example He was also to trust in God for the providence of a sacrifice, of which He provided the ram. Abraham was also to believe in the promises God had made to him concerning becoming a father of great nations. When asked to sacrifice his son, he was to believe that God would provide the sacrificial lamb on the day of the covenant. Noah on the other hand, had to believe and trust that God would keep His word, when he said that he would protect him and his family from the flood. He believed in God and sealed a covenant with him in that God would not punish humankind anymore with rain and floods. In this case, Noah, his family and the animals were the chosen community for the covenant. David’s promises were in two parts, whereby, Part 1 was fulfilled before David’s death, while part two had a later fulfillment. Section one of the first promises to be fulfilled before David died was; "I have been with you where ever you have been and I have cut off all your enemies from before yo u. Now I will make your name great like the names of the greatest men of the earth." (Verse: 9). Looking at 2nd. Samuel 8; 13, we can see that King David did have a great name among the nations. Therefore, this promise of God came true. Noah was promised that he and his seed was to be blessed. They were to be provided for, and under no circumstances was God to punish them anymore with rain or floods. These promises are known as the Davidic Covenant. Reeves 1comments that, ‘It is described in 2nd. Samuel chapter 7. In the overall purpose of God, it is equal in its significance to the Abrahamic Covenant. The Tabernacle was still at Gabion. David has made a tent for the Ark to stay in. 2nd. Chronicles 1;4 it says, â€Å"Now David had brought up the Ark of God from Kiriath Jearim to the place he had prepared for it, because he had pitched a tent for it in Jerusalem." David wants to build a house for God and God says on 2nd. Samuel chapter 7 verse 4. In verse 8, God reminded David of his humble beginning. He reminds him of his previous life when he was following the sheep. It does not take a great deal of imagination to understand what the job of following the sheep involves. God promises to make David’s name great like the names of the greatest men of the earth. It was easy for David to believe Him based on His past faithfulness in fulfilling the promise. God made a great promise, establishing the Davidic Covenant, which had present and eschatological implications. Looking at 2nd. Samuel 8; 13, we can see that King David did have a great name among the nations. 2 Part 2 begins with verse 10; "I will appoint a place for my people Israel." He would add more land to the nation. Again, chapter 8 points to the fulfillment by describing David’s conquests over surrounding nations. Section three is also in verse 11 where God had "caused you to rest from all your enemies" again we read of this in 1 Chronicles’ 23;25, "The Lord, the God of Israel , has granted rest to his people and has come to dwell in Jerusalem forever." It is important to know that the Lord did fulfillment those promises to David because they validated those sections of part two of the covenant, which would take place after his death. The Lord says to David "When your days are over and you rest with your fathers, I will raise up your off spring (Note it is singular) to succeed you, who will come from

CYBER BULLING A SOCIAL PROBLEM Research Paper Example | Topics and Well Written Essays - 1750 words

CYBER BULLING A SOCIAL PROBLEM - Research Paper Example According to Wanamaker (2012), the abuses from cyber bullying are as hurtful to the victim as physical abuse. In most cases, it has resulted to low self-esteem and to some extent suicide. Cyber bulling is a developing social problem that needs social workers to tackle. Many social workers today are inadequately equipped to handle the issue between students. Because cyber bullying can lead to mental harm, the social workers do not have the right skills for handling the problem properly. Cyber bullying mostly occurs over the Internet hence it has become difficult for staff and social workers to monitor the issue. Since social workers are essential to school mental health services and offer crisis intervention services compared to staff members, they will be important in developing effective and accurate cyber bullying policies. People may claim that cyber bullying has declined, but the more people become aware of the problem they realize that many kids are involved in it. To those kids and teens involved, it has become a game given the anonymity associated with it. The anonymously that the Internet provides has highly encouraged cyber bullying. Due to this aspect of the Internet, cyber bullying has become an online version of teasing and cruelty that usually exists in schools. While the Internet provides anonymity, it also provides a wide range of opportunity to reach, many people as it is open to anyone. Therefore, since many people can access the Internet and the fact that it is difficult to establish who said what, this encourages people to use the Internet to bully others. Education is truly essential when it comes to cyber bullying. While the upcoming Internet-based networking sites might appear to challenge to any user, children and teens do not likely have the maturity of using these sites. The well-educated parents keep

Research critique Essay Example | Topics and Well Written Essays - 2000 words - 1

Research critique - Essay Example ect relevance to meal in Nursing Homes, as it discusses meals in an hospital settings; unlike a similar study on nursing homes meals carried out by Goodman et al (2005) where out of the 34 literatures reviewed only one (the oldest) was dated 1989, all others were literatures published between 1998 and 2004. On the light side however, the literature review was satisfactorily comprehensive, taking into account the different perspectives involved in the research problem. Also, an in depth exploration of the impact of meals and meal services in relation to the wellbeing - health and emotional, of the residents was done, shedding more light, in the process, on meals services as it affects the proper running of a nursing home. The literature review also attempted an overview of the role of nursing homes on the aged population of the society, highlighting the increasing PS. The research study was completed in 2000 and submitted for publication in 2002. I had to remove (2) completely, since it is thus, no longer correct. Also, since we need not compare between Nursing Home types for this critique, I believe sentence (3) too should be removed. Afterall, the paragraph still makes sense (and is complete) without the sentence. I hope you are Ok with these

Analysis of Robotic Technology Research Paper Example | Topics and Well Written Essays - 1000 words

Analysis of Robotic Technology - Research Paper Example However, it is seen that a broad and strict quantitative study for Robot Technology has not been carried out in the past. The basic objective of this paper is to prove the positive or negative impacts of Robot Technology on young students that are studying in different schools. The sample of the research not only contains students studying at different schools but also their teachers and parents. The data are collected using both primary and secondary tools, and results are derived using t-tests to compare means of responses collected from different schools. Performance related, dependent variables are selected, and the use of Robot Technology is taken as an independent variable. The impact of each variable is checked independently, and the results are based on the values of the t-tests. The result of this research indicated that Robot technology had a positive effect on the studies of young students, and their grades showed improvement from the past. The results also show that the m echanism used to assess the result of the study was valid, which conforms to the findings of Barker and Ansorge who studied a similar research topic in 2007. A Roadmap for US Robotics: From Internet to Robotics, vol. 21, 2009. Georgia Institute of Technology. http://www.us-robotics.us/reports/CCC%20Report.pdf Abstract A program by the name Robot Diaries was carried to determine how technology influences the learning of middle school girls. This study is quite relevant to the topic of discussion because it draws on the topic of this report. The robot diaries project was designed to research on the interactions between children and electronic devices that are integrated during their learning processes. Robotics is considered as a vital pipeline for literacy based on technology because of its ability to pull in and inspire students who are often not in accord with the conventional classroom curricula. Apart from the Robot diaries project, other human-robot interactions (HRI) have been carried based on well researched and vigorous scrutiny of developments in the technology field. Vesgos (2008) notes that robots have been successful in setting a common ground in project-based foreign language teaching of children and students, as compared to conventional media (Barker & Ansorge 345). This has been proved by the robotic technologies that have been developed in South Korea that backed by its development in information technology, has in place the world’s electronic learning robot that can be used at home by students and other users.  Ã‚  

Metadeta Essay Example | Topics and Well Written Essays - 500 words

Metadeta - Essay Example To be precise, metadata refers to the descriptive set of information, which is used to explain or clarify the meaning of a particular data resource. The presentation further clarifies that metadata provides information that defines when, how and by whom a specific set of computer was put together or collected. In addition to this, metadata further defines how that data is formatted. In this sense, it can deducted that metadata simply entails a well-designed set of computer data that explains or provides additional information about another data. This information is very important in aiding computer scientists, software engineer and other professionals in getting a thorough understanding of what the content of a particular data set is. A good example metadata is a set of information about an author, title and size of data contained in a particular file. Among the areas where metadata has been increasingly in use is in data warehouses. In addition, XML web applications have also been widely applying the use of metadata in their web content (Turner 88). Chen, Ruey-Shun and Yu, Shien-Chiang. â€Å"Developing an XML framework for metadata system†. ISICT 03 Proceedings of the 1st international symposium on Information and communication technologies (2003): 267-272 print.

Project Term Paper Example | Topics and Well Written Essays - 500 words

Project - Term Paper Example However, it is important to note that this is not the only factor that is considered. This paper shall give an in depth analysis of the factors that are considered before one embarks on a tourist adventure. In essence, the question being answered here is ‘what affects the way one travels?’ This paper shall concentrate on two articles that are relevant to the topic at hand. The demography of societies varies. These changes remain one of the key factors that affect the economic and social life in the world today. This particular article makes an attempt at identifying the chief changes in demography that influence health tourist services’ demand. The article zeroes in on Poland’s situation. This is because the country records the lowest levels of the basic indicators of demography in Europe in recent years. The effect of key aspects was examined through the relationship between the time series of these factors and the demand for health tourism services. After the results were analyzed, it was realized that changes in demography are major factors affecting health tourism in Poland. It was also concluded that the recent upward trend in the demand for the same but with high probability of the demand decreasing. It is evident that the article has a direct correlation on the topic at hand. Thus, it is important to note that using the approach of analyzing demographic changes on the current economic and social processes, inclusive of tourism is narrow. This is because some of the factors are interdependent. Therefore, it is important to note that the factors should be increased. These factors should not be interrelated with demography. Without a doubt, the changes in family patterns influence the demography and in turn tourism. These determine the way a family chooses to spend time with each other their leisure time. Indeed, this is the very bases on which income, gender and other factors lie. This article explores the impact of demographic

Parliamentary reforms in the nineteenth and early twentieth centuries Essay Example for Free

Parliamentary reforms in the nineteenth and early twentieth centuries Essay How far would you agree that fear of popular hostility was the main reason why governments enacted parliamentary reforms in the nineteenth and early twentieth centuries? The reform movement first started to achieve mass support in the 1760s; during the years of the French Revolution it even appealed to the members of the anti-reform Whig party but as war with France started, the authorities feared revolution as had happened in France and so used repressive measures in a bid to stamp out these new ideas. It was in 1815 however that the reform movement began to become more significant when widespread unemployment attracted the masses to the idea of reform. But as conditions improved during the 1820s the pressure for reform decreased as Cobbett said, I defy you to agitate a man on a full stomach. The reform movement was not unified nor was it on a national scale. There were different groups urging for changes the most extensive of these were the radicals, such men as Robert Paine. They campaigned for universal male suffrage, annual parliaments, equal electoral districts, a secret ballot, the payment of MPs and the abolition of property qualifications for MPs. There were some more radical that others however and along with little agreement on what should be the best policy of reform they had little success on parliament. There were also calls for reform from more moderate radicals and members of the Whigs that called for measures for more limited reform such as disfranchising the worst of the rotten boroughs and giving representation to larger towns. The lack of reform prior to the 1832 Act can be explained by the lack of unity of the reformers and their less that significant support in the country but more importantly the Tories anti-reform majority in parliament and the small number of pro-reform Whigs and radicals. The economic slump of 1829 and an increase in poor harvests caused unemployment and distress for many working class families and thus made them more susceptible to reformist ideology. This period saw the reform movement revived by such radicals as Cobbett and Hunt; the BPU, a reform organisation was also founded by Thomas Attwood which provided a pressure group aligning the lower and middle class people this provided the opportunity for others to be created throughout the country during 1829-30 with the middle and working classes increasingly cooperating together; the combination of the two provided a class alliance that the Tories were fearful of. The death of the pro-Tory King George IV necessitated a general election in which the Tories majority was heavily reduced and the continuation of Wellingtons government became uncertain with the increase of Whig seats. This was due to the pro-reform attitude of the country especially within the counties and open boroughs. The election saw the return of Henry Brougham in a seat for Yorkshire; he was more popular in the country than any Whig leader and had promised to initiate parliamentary reform. With the reform movements continued support, other agitation began to emerge in the country. The Swing Riots of Southern England involved burning hayricks and breaking machinery which they blamed for reducing employment for farm workers. Although easily suppressed, the Whigs, worried of unrest and encouraged by the Tory decline, announced their intention to introduce reform legislation in the Commons; Wellington however continually expressed his belief that the existing system possessed the full and entire confidence of the country. In November 1830 the defeat of the Tory government in the Commons brought an end to their 20 years of rule. This opened the door to the Whigs who had already expressed intention in reforming parliament who formed a minority government. The Whigs aim of producing this legislation was a measure large enough to satisfy public opinion but to also provide resistance to further innovation and to uphold the authority of the Aristocracy and the existing Whig government. Although they wanted to remove the most blatant abuses, they were heavily concerned with preserving as much as possible the social and political status quo. Their strategy was to remedy the grievances of the middle classes thereby gaining their support and dividing the middle-working class alliance of the reform movement which posed huge problems for the government of left unresolved. The Bill made no concessions to the radicals and working classes meaning that post-reform agitation would almost certainly continue. During the Bills progression through parliament, agitation continued. Political unions organised demonstrations, riots occurred in Nottingham and Bristol and further violence seemed possible. This extra-parliamentary agitation only strengthened the Whig governments determination in passing the Bill. When King William IV refused to create more Whig peers to carry the Bill through the Lords, Grey resigned and Wellington took office again. This resulted in the Days of May where nationwide protests and demonstrations made some fearful of revolution; reformers also threatened an economic crisis by withdrawing gold from the banks to stop the Duke, go for gold. With Wellingtons failure at forming a government, and the huge public opinion in favour of reform, the King had no choice but to create these necessary peers the Tory majority in the House of Lords however conceded and the Bill was passed. It can therefore be seen that although reform was intended by the Whigs, there was still fear of an uprising that could have swayed members votes, especially in the Commons. Further parliamentary reform was inevitable the Whigs had recognised the huge public opinion in favour of reform and were now in a majority in the House of Commons. Lord Althorp even warned Grey in 1833 that without popular measures, the Reform Act will lead to revolution. It is therefore clear that the fear of uprisings was still apparent to many even after the Act was passed. Although the next Reform Act wasnt passed until 1867, there was still popular agitation in the country. This especially came from the Chartist movement whose demands would have essentially made Britain into a democracy; their demands were however ignored by parliament largely based on the fact that anti-reformer Palmerston was in charge for much of the period between the Acts. With an increasing number of reform legislation being passed both social and economic the country was becoming more democratic and with this came factors in determining parliamentary reform. As well as radical demands for reform continuing, a new factor of party political opportunism was also present it was in the Conservative parties own interests to pass the Second Reform Act. As had happened prior to the 1832 Act, 1866 saw economic problems which increased social discontent and fuelled the calls for reform this is evident in the huge surge of membership to the Reform Union and Reform League. In 1866 both organisations one middle class, the other working started working together, creating the same threat that the Tories had feared back in 1830. It was the Liberal party that introduced the first Bill to parliament, with them seeing the opportunity in enfranchising selective members of working class who were already in favour of the party. The radicals backed the Bill but believed that the measure was too limited; many right-wing Liberals however thought the opposite that the Bill would enfranchise too many of the working class. The Conservatives saw the opportunity of the split ideology and the Liberal party and worked with the right-wingers in defeating the Bill in June of 1866; the Liberal government resigned, giving way to a minority Conservative administration. Despite his own parties opposition to reform, Disraeli introduced his own reform Bill based purely on self-interests in gaining the support of the proposed boroughs to be enfranchised. Moreover, Disraeli also claimed that he intended to destroy the present agitation in the country. As well as party political interests, agitation was still ongoing with radicals and organisations pushing for reform. A peaceful demonstration by the Reform League in London had erupted in violence in July 1966; this, along with further riots, convinced many MPs on the need for reform. Disraelis Bill introduced in March 1867 was more moderate than the Liberal one before it, with the intention that those who opposed the last Bill will accept this one. Rather than it being defeated, Disraeli was willing to make the Bill even more radical than the one prior it was their certainty that redistributing seats would return a Conservative majority that made members within the party support the Bill, along with the radical MPs. It can therefore be seen that self-interests of parties was the main factor in bringing about the Second Reform Act rather than agitation in the country, which was the case during the 1830s. Calls for a secret ballot had been apparent since the late eighteenth century, it was even considered during the Reform Bill in 1831. It wasnt however agitation that led to the Ballot Act of 1872, it was the election of 1868. Violence, corruption and intimidation had occurred as in every election prior but what was surprising was the publicity the election received with journalists commenting on the extent to which violence was a factor. The government set up a committee in 1870 to look into this with their report favouring a system of secret voting. Although the Conservatives apposed such a measure, they saw the opportunity in getting radical support so pushed ahead with the Bill. Intimidation still continued even with an increased electorate and secret voting it simply meant that candidates had to spend more to win over the voters. Secret voting did however mean that voters would not necessarily vote for the candidate they had received money from; this, along with radical calls for reform, urged governments of the time to act. The 1883 Corrupt and Illegal Practices Act passed with both Conservative and Liberal support it limited the expenditure of elections (fell by three-quarters in the 1885 election) and in turn reduced corruption and violence. It was parties interests saving them the huge expense of elections that again prevailed over agitation to pass reform. After the 1867 Act, most politicians had accepted that further parliamentary reform was inevitable, even if they didnt support it. It was therefore important to ensure that reform was in the parties interests, as had occurred in 1867. It was again party self-interests that determined the Third Reform Act Gladstone agreed to support moderate reform believing he would gain popularity in the country. A Liberal Bill was introduced in 1884 with the Conservative majority of the House of Lords, led by Salisbury, believing that although an extension of the county franchise would be beneficial to the Liberals, a redistribution of seats would prevent them from gaining a sufficient majority. By this time conflict had reappeared again, not regarding reform but the abolition of the House of Lords. The riots that followed were not on the same level as in 1832 and the government had little to worry about. There was no significant extra-parliamentary pressure for reform, it was the parties acting in self-interest for themselves in trying to pass the Bill that really counted. A compromise was finally reached the Arlington Street compact in which both parties got what they wanted the Liberals an extension of the franchise and the Conservatives the redistribution of seats. With each successive Act making the House of Commons more democratic, the House of Lords remained essentially aristocratic, with many radicals proposing the upper House be reformed. There were repeated calls for the House to be abolished, especially during the Liberals Home Rule Bill, which was thrown out by the Lords. The election of 1906 produced a Liberal majority of over 200 seats, with the Lords still a Conservative stronghold poised to block key Liberal measures in the following years. The Parliament Bill was introduced in 1910, but the Lords were reluctant to pass such a measure that would removed their power of veto. Liberal Prime Minister Asquith therefore urged the King to create more peers to secure a Liberal majority insisting that there was a serious state of unrest among the middle classes that could lead to harming the crown. The Bill was reintroduced to Parliament with the House of Lords finally accepting the proposals in August 1911 rather then see the House swamped by Liberal peers. The 1911 Parliament Act can therefore be seen as very little to do with agitation in the country and more of the fact of the increasing hostility between the Liberal government and the Conservation Lords. Although the electoral system was now more representative of the people than ever before, there were still huge numbers of people who were denied the vote women for example made up half of the population but still had no proper political voice. The system was therefore still criticised, with the Liberal party calling for further reform including manhood suffrage and the abolition of plural voting. It was from the womens suffrage movement that significant pressure on parliament after 1885 emerged. Parliament found it increasingly difficult to ignore calls for reform from organisations such as the National Union of Womens Suffrage and the Womens Social and Political Union, both of which held demonstrations and were increasing in popularity. They began more militant activities including vandalism and attacks on MPs which only helped to alienate potential supporters, it was in fact the more moderate groups that found the greater success. Once again it came down to party politics with the Liberal party in 1905 believing that enfranchising women on the same basis as men would create a majority middle-class, who were more than likely to vote Conservative. The reform movement virtually disappeared during the outbreak of the war, which reinforces the claim that the Fourth Reform Act passed in 1918 was a result of the parties, and not extra-parliamentary pressure. The Liberals and Labour both supported universal male suffrage by now, with the Conservatives apposing the idea at first but hoping such enfranchised men would vote Conservative. Women were also partly included in the act not because of suffragette pressure, but because before the war a majority of MPs favoured extending the vote to them as long as it was in their parties interests. It can therefore be seen that virtually no agitation or pressure was put on parliament during the time leading up to the 1918 Act, it was simply due to the self-interests of the parties with each benefiting from a particular aspect of the Bill.

High school Essay Example for Free

High school Essay Many people would like to become a cheerleader, however, they are afraid of being stereotyped, and in turn, these stereotypes may affect ones chances of successfully becoming a cheerleader. â€Å"Stereotyping is so common in our society that when you meet someone for the first time you are often stereotyped before you even reach, ‘hello. ’ The way people perceive us can have a profound effect on how we see ourselves† (Mega Essays, 2008). Cheerleading has three common stereotypes as this sport gains in popularity. The first stereotype of cheerleading is a controversy that rages on about whether or not it is a sport. Next, cheerleaders are often times compared to people with unflattering and unintelligent personalities. Finally, there have also been questions about the inclusion of males upon cheerleading teams. Though many examples exist, the three examples listed above seem to be the most challenging stereotypes which keep many afraid of joining the sport of cheerleading. Cheerleading is very popular in middle schools all the way up to the university education level, but unfortunately, several observers often question a cheerleader’s athletic ability. Cheerleaders put in hard work by lifting weights, working up a sweat, and even facing possible injury. These athletes have a strong drive for determination and dedication by practicing at all hours of the day both with their team, and also individually. Some cheerleaders may often say they practice more than the teams they cheer for. So the question arises, why not give them the title and respect they strongly deserve? Independent cheerleaders also compete nationally in addition to high school and college cheer teams; however, many cheerleaders are left pondering whether or not they can gain the attention and recognition they need to officially declare cheerleading as a sport (Ninemire, 2008). Besides the questions of cheerleading as a sport, cheerleaders are often stereotyped from the moment they are met and identified as uneducated ditzy blondes. â€Å"She’s dumb,† â€Å"She’s ditzy,† â€Å"He’s feminine,† and â€Å"They’re snobs† are just some of the stereotypes that are often used. Many people who have been a cheerleader, met one, or have even watched a cheerleading team, have experienced these stereotypes. As stated by Mega Essays, (2008) â€Å"Stereotyping is most often someone’s perception of an individual or a group based on social status, education level, race or even looks. Therefore, why do they constantly defend their sport and themselves? † One of the stronger stereotypes within the cheerleading world is the placement of men on the cheer team. As males enter the world of cheerleading they are immediately labeled as being effeminate. They are faced with society’s overcoming stereotype of a male Barbie figure (Bluestein, 1994). Unfortunately, these qualities often lead to males defending their sexuality. â€Å"Against popular belief, females where [sic] not the founders behind the sport of cheerleading; instead males who were so eager to cheer while watching sporting events created this sport. In the 1890’s the first pep club was organized at Princeton University and it was there where the first organized yell was recorded† (Bluestein, 1994). In many high schools around the world, due to the stereotypes, very few males participate on a cheer squad. â€Å"There are more then [sic] 3,000 high school and college cheerleaders in the United States. 97% of all cheerleaders are female; however, approximately 50% of collegiate cheerleaders are male† (Bluestein, 1994). Over the years, there have been many stereotypes which have agonized and affected the cheerleading world. Some stereotypes of cheerleaders include the comparison of cheerleaders with uneducated ditzy blondes, the assumption that cheerleading is not an actual sport, and should males cheer on a team. Furthermore, one should be cautious when joining this sport because of the amount of rumors, whether true or not. According to About. com (2008), â€Å"Cheerleading has expanded from pom-poms and pep rallies into big business an estimated half-billion dollar industry. In addition to college cheerleaders who joke that they practice more than their football teams, there are also independent cheerleading groups not affiliated with schools, which compete nationally. † Cheerleading has been around since the first pep club in the1890’s and continues to grow and evolve each day. References About. com (2008). Cheerleading: controversy and competition. Retrieved August 22, 2008, from http://cheerleading. about. com/od/cheerinjuries/l/aa103102a. htm Bluestein S, (1994). Male Cheerleading is a sport Serendip. Retrieved August 22, 2008, from http://serendip. brynmawr. edu/exchange/node/1685 Mega Essays. (2008) Cheerleading stereotypes. Retrieved August 22, 2008, from http://www. megaessays. com/viewpaper/78441. html Ninemire V, (2008). Stop the stereotyping of cheerleaders. About. com. Retrieved August 22, 2008, from https://cheerleading. about. com.

Contemporary Issues In Nursing Leadership In Nursing Practice Nursing Essay

Contemporary Issues In Nursing Leadership In Nursing Practice Nursing Essay Leadership plays an important role in nursing. This essay will define leadership and how leadership qualities relate to nursing practice in order to help nurse leaders to work effectively with in nursing environment. Furthermore, the will discuss how the key characteristics influence followers to work commonly in a group for a specific goal. Moreover, these qualities help them to Leadership is defined as personal skills which can be helpful to influence other people to the leadership benefits. It can effectively take the people in the same direction, sharing the same goals. (Lansdale, 2003). In this way, the important task of a leader is to make an action plan and encourage the team members to achieve the negotiated goals. Leadership is a major concern to the health care system. Its style is based on personal, professional and organisational value system because leaders provide shape to clinical practice with their qualities. Using their own skills leaders can easily address the needs of patients and colleagues. Leadership reflects the values of people, organizations and societies in which the leaders are working. In order to work effectively and to avoid the risk of conflict, the leaders always need to become acquainted with the values and beliefs of the individuals and organisation with whom they are working. (Stanley, 2008). Moreover, a leader uses interpersonal skills and specific behaviour for the purpose of effectiveness within profession. Because of this, the quality of leaders has a crucial role in influencing others. These qualities give them authority to work and develop their strategies effectively. (Daly, Speedy, Jackson, 2010). There are ten essential qualities which influence the work of a leader in a professional environment. First of all, a leader must have integrity which means leader should be honest and trustworthy. As, these key values are necessary to promoting a positive attitude and better performance in staff and colleagues. All staff expects these mandatory requirements from a leader. Besides this, courage to take a leadership risk is crucial to attain excellence. It is the ability to confront risk without fear which is sometimes necessary to get success. A leader may have good ideas and strategies in mind but they can not be effective without any action. This is called initiating w hich is the first step that needs to be taken in order to get the things done successfully. As it is hard task to do, wise use of energy and effort and an optimistic attitude are needed to give role satisfaction in leadership. Along with this, it is very common that rapid success of other colleagues discourage someone easily but positive thinking helps to keep up leaders and their co workers to resolve difficulties. This also ledà ¢Ãƒ ¢Ã¢â‚¬Å¡Ã‚ ¬Ãƒ ¢Ã¢â‚¬Å¾Ã‚ ¢s to remotivation in staff members. Effective leaders never quit easily, instead, they continuously use their efforts for work. (Tappen, Weiss Whitehead, 2004). Balance is another characteristic of leaders. It is essential to make an equal balance between personal and professional life. Paying attention towards the working environment needs to be balanced with attention shown to family and friends, because social activities are as important as professional. The most effective leaders easily balance between work and leisure time. Regardless, there are some stresses in almost every job which puts on work pressure and causes stressful life. In such conditions, leaders should think positively to address the issues and they should act as a role model for others in order to bring about possible solution. (Tappen, Weiss Whitehead, 2004) Self awareness is a most valuable key quality that is essential to motivate other people, because people who can not understand themselves they can not change others. In addition of these, according to International Council of Nursing (Sally, 2007) there are some more key elements that could be helpful for leaders. They should have a vision which could be a dream and it helps them to think strategically and differently from the daily schedule. Along with this, awareness about external environment is also crucial because it might affect the organization, its strategies and future planning. Having, confidence about the work one is doing also count a lot, because it helps to influence others. Knowledge related to political skills is another key value for leaders as it teaches them how to cope with conflicts and how to understand goals, values, expectations and behaviour of others. It is also significant to review all strategies to make any change according to the demand of time. Thereaf ter team work, partnership alliances and effective communication teach them how to work with others to achieve common goals and how it helps them to share new ideas and information with others. (Sally, 2007) All these characteristics of leaders play a vital role in nursing practice. They influence and shape the clinical practice. During clinical practice, leaders confront many challenges. To figure them out successfully, they implement strategies which lead out as the result of critical thinking discussion to improve patient care and outcomes. (Daly et al 2006). Nursing leader always faced challenge to think creatively about the development of critical thinking. This has a powerful impact on the problem solving and decision making. Working as a leader always requires continuous development of skills and regular improvement in them. In nursing, nursesà ¢Ãƒ ¢Ã¢â‚¬Å¡Ã‚ ¬Ãƒ ¢Ã¢â‚¬Å¾Ã‚ ¢ leaders confront many different team workers. To work efficiently nurse leaders must create an environment of trust among their followers. This leads to the involvement of co workers in planning and decision making on issues that will affect them directly or indirectly. Sometimes to get success, leaders have to take risk without any fear. Courage helps them to make some crucial decision strongly, which may be stressful and have to be made while under pressure. It also enables them to have confidence about making judgements. According to Kanter in ICN Nursing Leadership (Sally, 2007) it is the expectation of success which provides a link in between someoneà ¢Ãƒ ¢Ã¢â‚¬Å¡Ã‚ ¬Ãƒ ¢Ã¢â‚¬Å¾Ã‚ ¢s ideas and performance. Leaders should have knowledge about interpersonal skills. This means they can motivate or generate others toward shared goals with positive attitudes. To achieve this, nurse leader take initiative steps. Nurse leaders encourage team to work effectively with a range of different people at different levels so that they can feel supported. This will result improvement in health care settings. Along with this, nurse leaders develop new roles and skills regarding any changes and challenges in health organization because all these will result in quality care, efficiency and improvement in equity of access, especially for needy populations. Because nursing provides essential health care services, leaders should alert staff about any changes in policy. A key quality of leader is to transmit their passion about the future to others. A vision for nursing means what would be the ideas of the leader for organization to happen within a specific period of time. Then to get there, all major programmes, projects and activities are planned strategically to turn toward the same vision. The external environment might affect it. For this purpose external awareness related to health trends, issues, new policies and other factors is necessary. SWOT (strength, weaknesses,) and environment scanning helps them to review the whole situation and creates more opportunities. Regardless, political skill is needed to understand, from all stakeholders and to cope with conflicting situations, values, fears and behaviour of different people. It also means being able to plan creative, proactive and appropriate strategies for various situations. Effective communication means one can easily understand someoneà ¢Ãƒ ¢Ã¢â‚¬Å¡Ã‚ ¬Ãƒ ¢Ã¢â‚¬Å¾Ã‚ ¢s language. It is crucial for work safely and to give commands to followers. (Sally, 2007)

Apnea :: essays research papers

Sleeping Apnea Approximately 30 million Americans are victims of a sleep disorder called Obstructive sleep apnea. Man millions more are predisposed and have a high risk of developing the illness. If you are and adult male, the odds are about 50/50 that your breathing is not normal when you are sleeping.   Ã‚  Ã‚  Ã‚  Ã‚  What is Obstructive Sleep Apnea (OSA)? OSA is a recurrent episode during sleep when their throat closes and they cannot suck air into their lungs. This happens because the muscles that normally hold the throat open during wakefulness relax during sleep and allow it to narrow. When the throat is partially closed and/or the muscles relax too much, trying to inhale will suck the throat completely closed and air cannot pass at all. This is an obstructive sleeping apnea episode.   Ã‚  Ã‚  Ã‚  Ã‚  A cessation of breathing must last 10 seconds or more to be called an apnea. Obstructive apnea episodes can last as long as two minutes and are almost always associated with a reduction in the level of oxygen in the blood. When an individual is in the midst of an obstructive sleep apnea episode, as long as sleep continues, the apnea continues. It is only terminated and waking up saves the victim’s life. This arousal instantly increases the activity of the muscles of the tongue and throat muscles that enlarge the airway. The victim will be able to breathe and to once again fill the lungs with life-giving oxygen. This cycle may be repeated hundreds of times a night while the suffer has no idea it is happing How serious is OSA? Depending on the degree of severity, OSA is a potentially life threatening condition. Some one who has undiagnosed severe obstructive sleep apnea is likely to have a heart attack, a stroke, cardiac arrest during sleep, or a harmful accident. In addition, awakening to breathe hundreds of times in a single night causes the victim to become very sleep deprived. There is a constant risk of serious accidents such as falling asleep while driving as well as impaired function in the workplace. Untreated OSA tends to progressively worsen and sooner or later will result in partial or complete disability and death.

Adult Illiteracy :: Adult Illiteracy Essays

"Learning to read is like learning to drive a car. You take lessons and learn the mechanics and the rules of the road. After a few weeks you have learned how to drive, how to stop, how to shift gears, how to park, and how to signal. You have also learned to stop at a red light and understand road signs. When you are ready, you take a road test, and if you pass, you can drive. Phonics-first works the same way. The child learns the mechanics of reading, and when he's through, he can read. Look and say works differently. The child is taught to read before he has learned the mechanics — the sounds of the letters. It is like learning to drive by starting your car and driving ahead. . .And the mechanics of driving? You would pick those up as you go along." —Rudolf Flesch, "Why Johnny Still Can't Read," 1981 Illiteracy in America is still growing at an alarming rate and that fact has not changed much since Rudolf Flesch wrote his best-selling expose of reading instruction in 1955. Illiteracy continues to be a critical problem, demanding enormous resources from local, state, and federal taxes, while arguments about how to teach children to read continue to rage within the education research community, on Capitol Hill, in business, and in the classroom. The International Reading Association estimates that more than one thousand research papers are prepared each year on the subject of literacy, and that is very likely a low figure. For the past 50 years, America's classrooms have been used by psychologists, sociologists, educationists, and politicians as a giant laboratory for unproven, untried theories of learning, resulting in a near collapse of public education. It is time we begin to move away from "what's new" and move toward "what works." The grim statistics According to the National Adult Literacy Survey, 42 million adult Americans can't read; 50 million can recognize so few printed words they are limited to a 4th or 5th grade reading level; one out of every four teenagers drops out of high school, and of those who graduate, one out of every four has the equivalent or less of an eighth grade education. According to current estimates, the number of functionally illiterate adults is increasing by approximately two and one quarter million persons each year. This number includes nearly 1 million young people who drop out of school before graduation, 400,000 legal immigrants, 100,000 refugees, and 800,000 illegal

Essay --

Consumerism, the key tool of social manipulation is considered a child of globalization and represents a set of beliefs, and values that owning material goods is placed very high on the list of priorities. Earlier value system through which we concluded what people really need in life is slowly replaced by the advertisements that people dictate what is fashionable . We no longer know who lives the way he wants to live , and who lives according to " rules " and norms of what is proclaimed in the media . Without adequate personal value system , the question is how our needs may indeed be real and not subject to consumerism . Simply put , today's society has become a consumer society in which no one is happy and by spending money people are trying to fill their lives with joy , a feeling that they are strong , powerful and lead their life the way they want . Is it really so , or is it all a well organised illusion in the minds of marketing professionals ? Consumerism became a force in only a few decades. It started to move the social and economic development of the world , and the only question is in which direction . When talking about this concept , it is certainly not new , but dates back to ancient Mesopotamia , and the first hint of today's practices come in the seventeenth and eighteenth centuries in Britain, where the middle class wants to copy their idols at royal functions. Buying only out of necessity becames not important. More important is to have the things that the rich one has. Consumerism has its roots also in the British society of the time after war. Shopping and enjoying financial freedom was at that time in Britain a relaxation for men who returned from the battlefield . The thought they deserve to make up for los... ...British people. Routine that teaches that it is not important to know , but it's important to spend. People spend seeking acceptance in the community, knowing that society rejects those who do not want or do not have nothing to spend. Thus , it appears that the thesis " money can buy happiness " is slowly becoming a reality . This is supported by the fact that all the greater importance is placed on material goods and the value system of the people changed . It is interesting , however, that although obsessed with consumerism and supplied with money , the British are not the happiest people in the world . Statistics show that the happiest people are in Pakistan , Bangladesh , Vietanam and even Kosovo, where everyone has the time for their families and themselves. However, the modern man is not worth as much as his knowledge, but as much as he has and he can spend.

Areas of Psychology

Malinda S. Kline March 13, 2013 Module 1: Assignment 3 PSY:101 General Psychology A03 KlineM_W1_A3. doc Instructor Angela Snelling Areas of Specialization Number |Subjects of study in |Areas of specialization in |Definition and key points of this specialization (be|Rationale (reason why you matched |Possible research method of | | |psychology |psychology (match with below |sure to use professional sources) |this subject of study with this |study (experimental, | | | |options) | |specialization in psychology) |correlational, observational, | | | | | | |case study, interview) and why | | | | | | |this one may fit the best | |1 | | |Definition |I chose Biological Psychology for |Observational Research- would be| | |Studying the causes of |Biological psychology or |â€Å"A science concerned with the integration of |this subject of study because it |used to see when a person’s | | |aggression in reaction to |Neuropsychologist |psychological observation on behavior and the mind |ba sically evaluates cause and |behavior changes and if any | | |others in their environment. | |Neurological Observations on the brain and nervous |effect. If something is causing a |outside factors incited the | | | | |system. † (Neuropsychology definition, 2013) |person to be aggressive to others |behavior. | | | | |in a certain environment then | | | | | |Key Points |something Biological could be |Interview- would be used to ask | | | | |â€Å"Biological principles to the study of mental |going on. Biological Psychology |the person why they became | | | | |processes and behavior.The field examines the basic|and Neuropsychologists study this |aggressive to a person. By | | | | |biological processes that underlie normal and |behavior to find out why, and how |asking the subject this directly| | | | |abnormal behavior at the level of nerves, |to stop or prevent it further. |you get their side of the story | | | | |neurotransmitters, and brain circuitry. † (Humphreys,| |an d not just inferences. | | | |2011) | | | |2 | | |Definition |I chose Developmental Psychology |Observational Research- could be| | |Studying the period when a |Developmental psychology |â€Å"Branch of psychology concerned with changes in |for this subject because the time |used because it’s observing a | | |newborn child recognizes his| |cognitive, motivational, psychophysiological, and |that a newborn child recognizes |subject’s behavior for something| | |or her parent. | |social functioning that occur throughout the human |his parents is part of |specific or non specific. It | | | | |life span. † (Developmental Psychology, 2013) |Development.Developmental |would be a good study because | | | | | |Psychology studies the cognitive |the only way to tell the | | | | |Key Points |functioning of a person over their|development of a child or person| | | | |â€Å"Infant cognition, conceptual development, language |life span. It helps to say at what|is to observe th em. | | | | |acquisition, and the development of symbolic |point in life humans will develop | | | | | |competence. † (University of Illinois Board of |certain traits, skills, and |Correlation Research- could be | | | | |Trustees , 2009) |abilities. used because it shows a | | | | | | |relationship between two | | | | |â€Å"Focuses on the psychological changes of the human | |variables. The variables would | | | | |mind throughout the life span. Developmental | |be the child’s behavior, and how| | | | |psychologists study infants, the elderly, and every | |other children this age behave. | | | | |age in between. † (Humphreys, 2011) | | |3 | | |Definition |I chose Social and Personality |Correlation Research- would be | | |Sharing some research about |Social and personality |â€Å"Understanding how people think, feels, and acts in |Psychology for this subject |good to evaluate what coping | | |the best strategies to | |real-world social situations. † (Psyc hology |because it relates to how people |skills affect what stress. | | |manage work place stress. | |Department, Cornell University , 2008) |respond to stress at work.Social | | | | | | |and Personality Psychology studies|Interview- would be good because| | | | |Key Points |a personality and how that |you can make a Case Study out of| | | | |â€Å"How people make sense of the world around them. † |particular personality responds to|interviewing several people | | | | |(Psychology Department, Cornell University , 2008) |different situations, like work |about their coping skills, and | | | | | |stress as in the example.It helps|how they help them manage work | | | | | |evaluate how people comprehend the|related stressors. | | | | | |world around them and respond to | | | | | | |the situations. | | |4 | | |Definition |I chose Health Psychology for this|Case Study/ Experimental- would | | Determining which chemical |Health psychology |â€Å"Physical Health can be affected by t he things that |subject because health psychology |be good because you are actually| | |or neurotransmitter might be| |people do, by the way they process information, |studies how chemicals affect a |testing the question. You are | | |activated when people use | |career choice, family dynamics, life troubles and |person’s health, and mental |performing an experiment by | | |coffee as a memory or | |the environment in which we live. † (Dr. Cheryl |health. Health psychology studies |taking subjects and exposing | | |performance â€Å"enhancer†. |MacDonald, 2013) |how certain contributing factors |them to certain chemicals and | | | | | |can affect a person’s ability to |studying the results of tests, | | | | |Key Points |remember things, or activate |brain scans, simple questions, | | | | |â€Å"Exploring biological, psychological, cultural, |different neurotransmitters in the|etc. | | | | |societal, and environmental factors of life, and how|brain. | | | | | |each of these affects physical health. † (Dr.Cheryl | | | | | | |MacDonald, 2013) | | | |5 | | |Definition |I chose Cognitive Psychology for |Observational Research- would be| | |Reviewing the thought |Cognitive psychology |â€Å"A branch of psychology concerned with mental |this subject because this studies |good for this situation because | | |process of someone who has | |processes (as perception, thinking, learning, and |the mental processes of the brain. |the subject may be able to | | |difficulties remembering | |memory) especially with respect to the internal |If a person is having problems |remember certain things, or only| | |things long-term. |events occurring between sensory stimulation and the|remembering things somewhere there|can remember things for a | | | | |overt expression of behavior—compare† (Merriam |is a miss communication in the |certain amount of time. This is | | | | |Webster Incorperated, 2013)   |brain affecting the person’ s |where Case Study or Experimental| | | | | |memory. Cognitive Psychology |Research could be used as well | | | | |Key Points |studies the brain to find a way to|to study the brain further.Te | | | | |â€Å"  (1) Human cognition can at least in principle be |help people remember or find out |see why the subject is | | | | |fully revealed by the scientific method, that is, |how to correct the problem with |forgetting things and what the | | | | |individual components of mental processes can be |the memory, either by medication |person is forgetting. | | | | |identified and understood† ((Costall and Still, |or possible medical procedures or |Interview- will also work good | | | | |1987; Dreyfus, 1979; Searle, 1990) (Dosher, 2007)) |a specific learning interaction. because you have to interview a | | | | | | |person to see what they can and | | | | |â€Å"(2) Internal mental processes can be described in | |can’t do. | | | | |terms of rules or  algorithms  in info rmation | | | | | | |processing models. There has been much recent debate| | | | | | |on these assumptions. ( (Costall and Still, 1987; | | | | | | |Dreyfus, 1979; Searle, 1990) (Dosher, 2007)) | | | |6 | | |Definition |I chose Clinical Psychology for |Interview Research- would be the| | |Methods to gain possible |Clinical Psychology or |â€Å"The field of Clinical Psychology integrates |this subject because this is the |best option for this situation | | |diagnoses in efforts to |Clinical Psychologists |science, theory, and practice to understand, |beginning process of mental health|because you have to interview a | | |understand emotional | |predict, and alleviate maladjustment, disability, |treatment. Clinical Psychologists |person to find out how they are | | |problems. |and discomfort as well as to promote human |perform evaluations on patients to|feeling, to find out how they | | | | |adaptation, adjustment, and personal development. † |diagnose and treat mental |respon d to situations. | | | | |(American Psychological Association, 2013) |illnesses, or help people cope | | | | | | |with stressful situations in their|Observational Research- is | | | | |Key Points lives by teaching coping skills. |another good study for this | | | | |â€Å"intellectual, emotional, biological, psychological,|Clinical psychology is a form of |situation because sometimes a | | | | |social, and behavioral aspects of human functioning |treatment to gain information |person can say something but | | | | |across the life span, in varying cultures, and at |about a person in order to treat |their actions are the opposite. | | | |all socioeconomic levels† (American Psychological |them for emotional disturbances |For example if a person says | | | | |Association, 2013) |they may be having, so they can |they’re not sad but their | | | | | |live a better and more gainful |actions are crying you can tell | | | | | |life. |with observation that the person| | | | | | | is really sad. | Bibliography American Psychological Association. (2013). About Clinical Psychology. Retrieved March 11, 2013, from American Psychological Association, Division 12 Society of Clinical Psychology: http://www. apa. org/divisions/div12/aboutcp. html Developmental Psychology. (2013). Retrieved March 11, 2013, from Merriam Webster Encyclopedia: http://www. merriam-webster. om/concise/developmental+psychology? show=0&t=1363046372 Dosher, Z. -L. L. (2007). Cognative Psychology. Retrieved March 11, 2013, from Scholarpeida, 2(8):2769 : http://www. scholarpedia. org/article/Cognitive_psychology Dr. Cheryl MacDonald, R. P. (2013, Febuary 20). Health Psychology Center Presents: What is Health Psychology? Retrieved March 11, 2013, from Health Psychology Center: http://healthpsychology. org/what-is-health-psychology/ (2008). Psychology and Life; Research Methods in Psychology. In R. J. GERRIG, & P. G. ZIMBARDO, Psychology and Life, 18th Edition (p. Chapter 1; Chapter2). Boston: Pe arson Education Inc. Humphreys, K. (2011, April 9).What are the Areas of Study within Psychology? Retrieved March 12, 2013, from Psychology In Action Communicateing Interesting and Relevant Psychological Research to the Public: http://www. psychologyinaction. org/2011/04/09/what-are-the-areas-of-study-within-psychology/ Linda M. Woolf, P. (2013). Developmental Research Methods. Retrieved March 12, 2013, from Professor of Psychology, Webster University: http://www2. webster. edu/~woolflm/methods/devresearchmethods. html Merriam Webster Incorperated. (2013). Cognitive Psychology. Retrieved March 11, 2013, from Merriam Webster Dictionary: http://www. merriam-webster. com/medical/cognitive%20psychology Neuropsychology definition. (2013).Retrieved March 11, 2013, from Merriam Webster Dictionary: http://www. merriam-webster. com/dictionary/neuropsychologist Psychology Department, Cornell University . (2008). Social and Personality Psychology. Retrieved March 12, 2013, from Cornell Univers ity Department of Psychology: http://www. psych. cornell. edu/SocPsych University of Illinois Board of Trustees . (2009). Developmental Division. Retrieved March 12, 2013, from Psychology University Of Illinoise: http://www. psychology. illinois. edu/about/divisions/developmental/ UYEMURA, B. -A. (2011). An Overview of Health Psychology. Retrieved March 11, 2013, from Psych Central: http://psychcentral. com/lib/2011/an-overview-of-health-psychology/all/1/

Autoethnography

Katrina Washington Professor J. Longacre English 111 Sec. 26 November 25, 2012 Segregate the Other Segregation occurs within the African American race and also towards African Americans by society. Sometimes in life you can be segregated by your own race. Or maybe the outsiders see it as you being an â€Å"other† just because you have different opinions about certain things that they feel is right or wrong. Being the black sheep of a crowd within your very own kind is never a good feeling. In my own personal experience of life, I am always the other out of every group of black people which is my race.Various times I am embarrassed for the way the engage their ignorance into their actions and words. I am a black woman of intelligence and perseverance. I do not tolerate any type of foolery of people’s stupidity to make myself fit in with that particular crowd. I attend the University of Tennessee at Martin, a predominantly white school, where I am always overlooked by my words due to dominant opinions already made about us black folk. However, there was a very heated situation that happened recently that almost lead out of control.The night of the election really took a turn for the worse on campus. Needless to say that since there was a black man versus a white man running for presidency, there were lots of racist actions shown and racist words thrown. This situation made me feel very nervous and uncomfortable because I knew how the turnout would be. Once Barack Obama was announced as president again†¦ things on campus got a bit out of hand. Almost all the black students were outside in the parking lot acting like wild monkeys.Yes I understand they were happy and all, but it shouldn’t have been that ridiculous. There were several white students hanging out windows bellowing racist remarks and insults. Once they started throwing out those dirty words, I felt sick to my stomach. Disgusted and irritated just by the sound of the word  "Nigger†! Black students that heard those bad remarks took things in their own hands and it almost became a riot right there in the parking lot. Me trying to bring down some of the heat, I tried to tell them to calm down and that it wasn’t that serious.They just looked at me as if I had the word weirdo written across my forehead. They ignored my words and thoughts of expression due to my opposite opinion on how to handle things. I then immediately became the â€Å"Other†. I hate to be stereotyped as the average loud, gang banging, trash talking, attitude having black person. And what I was trying to warn them to not fit into the typical stereotypes. However, they thought I was stuck on stupid or something and mentally put me in a little segregated group of my own for my unspoken actions for help.It made me feel eliminated by my own race for thinking outside their mentality structures; fortunately, I do not abide by the status quo. Being the other is never a good spot to sit in. Your voice is never heard and you are always judged if you disagree with what they think. When you don’t agree with their opinion about whatever, they judge you as being weird or strange. Why do you have to be strange just because you want to speak for yourself and not follow behind others? It’s so annoying and pitiful when you talk to someone about your feelings or what have you, and they act like they really care.Yes people always say they understand what you’re talking about when you tell about a bad experience, especially some sort of struggle or downfall. Unfortunately, most of the time people just tell you they understand to shut you up. The people that agree with you will never understand what the under covering of the words you speak simply because they are not you. It’s needless to say that they’ll blackmail you with your own information once you think you can trust them. There is always a story behind people’s words and their opinion counts too.Being the other is a tough role seeing that people can hear you, but they’re not listening. People hear your cries, but can’t feel your pain. If you ask me, it feels so much worse to be put down by your own race rather than any other. To add extra burden to the plate, high school days were no easier to be myself. I attended a school full African American; there were no white or Hispanic kids what so ever. I never wanted to attend a school with strictly one race, even though I’m African American, I always felt like the only white student there.All the students just took things too far with the names, insults, and ignorant ways. They insulted the way I dressed, talked, and even how I spent my personal time outside of school. â€Å"Why you talk so proper like a white person? † they asked. â€Å"Why you dress like them little rich snobby white girls? † they said. Always upset that they judged me to be something I’m not by the look of my appearance or the sound of my voice. Every time I stood up to defend myself, they said they understand why I don’t act like them; but everybody knows they were saying it to shut me up.They always avoided me and treated me like an outsider because of my significant differences. Even though I am still African American just like them, they still looked to me as the other. I say it is a form of racism within my own race and even social group. How can you segregate someone of your own kind? Every race should get along, but also every race should stick together and have each other’s back. No matter the difference in personality, style, voice, or appearance. We are all the same and it is so stupid to be judged off of those things.Author Christopher Sunami of Essay â€Å"Racism† states, â€Å"Race enters the picture only in as much as it is an easy trait to identify and a hard one to change. For this reason, people of a different racial group are the best and easiest targets for â€Å"Othering. †Ã‚  We live in a world filled with different religions, lifestyles, and races. Remember back in the day how all black people were slaves to the whites? There were whips and chains to prove the black people’s place in the world. Times were terrible and black people had no clue how to get away or how to make everyone believe that it should discontinue.However, in the present time period, statistics say that slavery is still about, just in a different approach. The current approach to slavery usually takes place at work or within social groups around your very own community. Be that as it may, there really is no bright side. There is a cleaner word for slavery but it sort of has similar meanings. The word I’m referring to is â€Å"the other†. The word basically means any group identifiable as a whole to which they don’t belong personally. The biased title of being â€Å"the other† occurs everywh ere none stop.Unfortunately it will not stop, being that the other has no voice and is alienated consistently for his/her opinion or thoughts. As shocking as it may appear, being the other can actually form in its own race group. Being discriminated against by other races is bad enough, but it is more degrading to be discriminated against within your own race group. Author Chris Gosden of the article, â€Å"Race and Racism in Archaeology† says â€Å"All human beings make value judgments concerning other people and things all the time and these are based on physical and formal qualities of persons. People judge other people off of the simplest things imaginable. It is really irrelevant to do such things to people just because they enjoy being themselves. Gosden also mentions that there are two types of discrimination. There is positive discrimination, which is usually making a good judgment to probably better something or someone. There is nothing wrong with judging someone t o let them know that they are doing something wrong or giving off the wrong impression to people whom they do not know.People should realize that it is a form of slavery to discriminate against someone of your same race, eyes need to be opened wider, ears need to listen harder, and racial groups need to grow closer. Gosden also states, â€Å"One pervasive argument about racism is that it is a product of colonial and capitalist relations over the last few hundred years, so that nothing like it existed in earlier periods of human history. † Racism has been taking its toll on the world and certain races for so many years. Needless to say that racism affects a particular race more than any other.African Americans usually get judged harder for the color or â€Å"colour† of our skin if I may. I am an African American myself and I get racist remarks thrown at me here and there just because of my skin color. It is a darn shame that things have not gotten better in this particu lar situation by now. It is actually almost as bad as slavery was back in the day. The reason being is because back in the day slavery was out in the open without any type of sugar coating. Now it is all sneaky and under cover. Most people act to be blind to this type of thing either because they’re ignorant or just in denial to the truth of reality.One thing everybody needs to be sure of, is that almost anything can happen. There is so much going on in this scandalous world that people just look over. Back to the racism in the same race issue†¦ people can’t just continue to look over that like it is okay. There is enough struggles African Americans go through, the last thing they need to be doing is discriminating against each other. African Americans struggle with poverty, unemployment, and believe it or not, an unheard voice to the authorities of this place we live in.Not to mention the people that calls themselves Christians and true believers of God. They are usually the main ones who back stab their kind. Author Christopher Sunami also states, â€Å"In America this has historically been a white-against-black issue, although this has shifted somewhat recently. In some communities, Latinos have replaced blacks at the bottom of the social structure. † I feel this is very untrue seeing that the employment rate of Latino’s is higher than the African American employment rate. It was and always will be a white against black racial issue.No matter what people say or how many things are proven, I see it every day out of my African American eyes. It is most definitely nothing I am proud of; however, I would never turn my own kind away because of his/her difference. It is so ignorant that people are this way, acting just like those other racist groups. The belief of all racism ceasing to exist has been sitting on a wing and a prayer, and I severely fear that it will remain the same. Work Cited Sunami, Christopher. (2006): n. page. P rint. Gosden, Chris. â€Å"Race and Racism in Archaeology: Introduction. † March 2006, n. pag. Print.

Delivering Business Value with IT at Hefty Hardware Essay

The mini-case starts with â€Å"IT is a pain in the neck,† which is a wrong notion that most of the business managers have in an organization. The history of IT-business relationships in most of the organizations shows that there is a huge gap between both sides which is getting better over a period of time. Today, managers know the fact that it is the people, technology and information that realizes the value of a company and everytime IT cannot be blamed for everything. The days have gone when IT was looked at as the sole responsibility for a company’s growth or downfall. IT processes along with the ability of the organization to manage information and people’s faith and behavior decide the actual value. Shortcomings of business and IT The partnership between business and IT at Hefty hardware is not so good and each side thinks that the other side doesn’t really understand what their actual requirements and problems are. The business thinks that they are unnecessarily pouring millions of dollars into IT and not getting a real value for it. They think that the IT is so self-absorbed with their work and problems that they really don’t get what the business is trying to do. The VP, Cheryl O’Shea and the COO Glen Vogel believe that the IT doesn’t know the basic functions of business and as part of the higher-level management, they think that it’s their responsibility to take the IT folks onto the field to really make them understand the business operations at all the Hefty stores. The IT has a total different perspective on this. The CIO, Farzad Mohammed and chief architect, Sergei Grozny refer to this whole idea of going onto the field as ‘Boondoggle’ which shows they be lieve that this would bring no value to the work they do and consider it as a waste of time. They think that going to the field would not help them much in understanding the business. Instead, they are only focused on planning the strategic IT architecture for the Savvy stores initiative and other high priority projects. Also, they think that they can send the IT folks onto the field once they are done with the planning and budget cycle. But, little do they  understand here that it would be of no use sending the IT people after the planning as things to be changed as early as possible in a project life cycle. The more delay in the changes, the more complex and expensive the project would be. The IT folks couldn’t communicate properly with the business about their ideas and strategy that confused the business and made them reject the ideas that were actually worth trying. In the market today, business is showing growing interest to partner with IT to make sure they get the value for investing huge in technology. But, still there is a gap between the two departments and the IT folks think that they do not have enough support from the business to ensure the value is realized for the organization. A good example of deep integration of IT and business is the recent firing of the Apple maps chief. The ill-fated Apple maps was the failure of both the IT folks who couldn’t develop an efficient app for maps and also the business who couldn’t gather all the requirements and couldn’t manage the project to achieve the desired output. As a result, the Apple exec Richard Williamson was blamed and fired for the disastrous project and humiliation for the organization. In the past, a good amount was spent by companies in new technological deployments. During this time, there are no returns. Post-deployment, there would be some value realization due to the initial efficiencies but this would be only for around six months. But, after this due to the increase in use, complexities increase which increase the costs. This may lead to losing belief in the initiative but if the faith is carried on, value can be realized by applying people, information and technology more efficiently and simplifying business. Hence, the organization can achieve real long-term if they religiously follow this. Plan for IT and business collaboration for Savvy Store Success The business and IT, both are right in their place but wrong in the complete picture and both need to work on their shortcomings and start working together as a team to achieve the desired value. It should not be a â€Å"you-us† but â€Å"we† oriented efforts and there should be a blurred line between the two. As thought by Jenny, each hold the pieces of the future picture of business. From the business perspective, they need to really understand how to express and explain what it really wants from IT. Also, they need to link the IT value to the business model so that it becomes easy for the IT to really understand what is expected of them and where does their work fit in the  whole picture. The business should seek commitment to all the projects in IT which would increase the efficiency of the overall process. Also, the business needs to get the right people involved in the organization that not only have the technical skills but also can listen and understand the business perspective. So, T-shaped professionals who not only are experts in their own discipline but also can understand other disciplines are required. The IT strategies and budgets need to be reviewed more frequently and the business needs to revisit the business model at regular intervals and make the required changes instead of expecting overwhelming efforts from the IT that not only leads to poor quality of work but also can spoil the reputation of the company. From the IT perspective, they need to increase their knowledge on business and its functions. IT folks need to understand the overall organizational goals and objectives, business requirements, ideas and success factors. This would help them to work towards the organization success and avoid problems with business. From the scenario of not sending the top IT folks onto the field not only reflects the disinterest of IT to actually getting to know the real scenario but also reflects the bitter truth that there is a lack of resources and the associates are getting overloaded. Instead of adjusting with the number of resources and ignoring the important aspects of business, IT needs to express to the business that they need more resources to concentrate on all the areas of work. The IT staff needs to put tremendous effort on communication since that is one of the biggest hindrances between IT and business. They need to work more on their way of expression and simplify things to make the business understand how the initiatives serve the business purposes. They need to understand organizational dynamic and be more professional in what they do. The dedication of IT towards business should increase and it should serve as a trusted advisor to business. A prioritization rubric needs to be maintained by both the departments and needs to be revisited and updated frequently. The client and corporate values need to be incorporated in all the IT work. This gives a clear picture of what needs to be attended right away and what can be postponed. Also, there is a lack of governance structure to manage the overall strategies and identify the interdependencies between business and IT. The business and IT should trust each other and be clear at their expectations  and accountabilities in order to avoid conflicts in the future. References: McKeen, James D; Smith, Heather (2012). IT strategy: Issues and practices (2nd ed.). Boston: Prentice Hall. Kindle Edition.

Safety Training

OSHAcademy Course 755 Study Guide Copyright 2011 Geigle Communications LLC OSHAcademy Course 755 Study Guide OSHAcademy Course 755 Study Guide BLOODBORNE PATHOGENS Copyright (c) 2000-2011 Geigle Communications, LLC. No portion of this text may be reprinted for other than personal use. Any commercial use of this document is strictly forbidden. Contact the author to arrange for use as a training document. This study guide is designed to be reviewed off-line as a tool for preparation to successfully complete OSHAcademy Online Course 724. which will contain the correct answers to the questions. The final exam will contain questions taken from each module quiz. I hope you enjoy the course and if you have any questions, feel free to email or call: Read each module, answer the quiz questions, and return online to submit the quiz. Print the quiz response screen Steven Geigle, M. A. , CET, CSHM Geigle Safety Group Inc. 515 NW Saltzman Road #767 Portland, Oregon 97229 www. oshatrain. org www. cshmprep. com [email  protected] net 503. 292. 0654 Copyright 2011 Geigle Communications LLC OSHAcademy Course 755 Study Guide Course Introduction Why do I need to learn about the risk of occupational exposure to bloodborne pathogens? OSHA estimates more than 5. 6 million workers are at risk of occupational exposure to bloodborne pathogens. All occupational exposure to blood or other potentially infectious materials (OPIM) place workers at risk for infection with bloodborne pathogens. Workers in many different occupations are at risk of exposure to bloodborne pathogens, including Hepatitis B, Hepatitis C, and HIV/AIDS. First aid team members, housekeeping personnel in some settings, nurses and other healthcare providers are examples of workers who may be at risk of exposure. Copyright 2011 Geigle Safety Group Inc. 1 OSHAcademy Course 755 Study Guide MODULE 1: WHAT ARE BLOODBORNE PATHOGENS? What are bloodborne pathogens? Bloodborne pathogens are infectious materials in blood that can cause disease when transmitted from an infected individual to another individual through blood and certain body fluids. Bloodborne pathogens are capable of causing serious illness and death. The most common illness caused by bloodborne pathogens are hepatitis B (HBV), hepatitis C (HCV, and acquired immunodeficiency syndrom (AIDS) from HIV, or human immunodeficiency virus. Who is covered by OSHA's Bloodborne Pathogens standard? The standard applies to all employees who have occupational exposure to blood or other potentially infectious materials (OPIM). ? Occupational exposure is defined as â€Å"reasonably anticipated skin, eye, mucous membrane, or parenteral contact with blood or OPIM that may result from the performance of the employee's duties. † ? Blood is defined as human blood, human blood components, and products made from human blood. ? Other potentially infectious materials (OPIM) means: a. The following human body fluids: semen, vaginal secretions, cerebrospinal fluid, synovial fluid, pleural fluid, pericardial fluid, peritoneal fluid, amniotic fluid, saliva in dental procedures, any body fluid that is visibly contaminated with blood, and all body fluids in situations where it is difficult or impossible to differentiate between body fluids; b. Any unfixed tissue or organ (other than intact skin) from a human (living or dead); and Copyright 2011 Geigle Safety Group Inc. 2 OSHAcademy Course 755 Study Guide c. HIV-containing cell or tissue cultures, organ cultures, and HIV- or HBV-containing culture medium or other solutions; and blood, organs, or other tissues from experimental animals infected with HIV or HBV. The following references aid in recognizing workplace hazards associated with bloodborne pathogens. What is the purpose of OSHA's Bloodborne Pathogens standard? The purpose of the standard is to minimize or eliminate occupational exposure to disease-carrying microorganisms or â€Å"pathogens† that can be found in human blood and body fluids. Who must be trained under OSHA's Bloodborne Pathogens standard? OSHA has mandated annual training is required for all employees with potential occupational exposure. This means if there is a reasonable possibility an employee might be exposed to blood or other potentially infectious bodily fluids, they must receive training to minimize or eliminate their risk to potential exposure. What are the primary bloodborne pathogens? The primary bloodborne pathogens are: ? ? ? Hepatitis B Virus (HBV) Hepatitis C Virus (HCV) Human Immunodeficiency Virus (HIV) Other commonly recognized pathogens transmitted by body fluids include: ? ? ? West Nile Virus Malaria Syphilis OSHA has determined employers can minimize or even eliminate occupational bloodborne hazards by developing and enforcing a combination of exposure control strategies which work for all bloodborne diseases. It is not enough for an employer to provide bloodborne pathogens training; they must also have a formal exposure control plan documented and implemented. Training Is Not Enough; An Employer Must Implement A Formal Exposure Control Plan Copyright 2011 Geigle Safety Group Inc. 3 OSHAcademy Course 755 Study Guide Scenario Stanley is an employee for a small manufacturing company. One of Stanley's job responsibilities is to respond to medical emergencies that might happen in the warehouse. Stanley has worked for his employer for five years and has never had to respond to an emergency. Does Stanley still need to receive annual bloodborne pathogens training? Yes! The frequency in which an employee is exposed to potential bloodborne pathogens is not the standard used to determine the need for training. Because there is a reasonable possibility that Stanley might be exposed to bloodborne pathogens as an employee, he must receive annual training. Neither Stanley nor his employer can predict when he might need to provide emergency medical care. Copyright 2011 Geigle Safety Group Inc. 4 OSHAcademy Course 755 Study Guide MODULE 1 QUIZ 1. As part of Kevin's job he is required to provide emergency first aid to employees that become injured or ill while at work. What are the three primary bloodborne pathogens Kevin must be aware of due to occupational exposure? a. West Nile Virus, Influenza, and MalariaUrgent and immediate lifesaving and other measures, which can be performed for injured or ill persons by nonmedical personnel when medical personnel are not immediately available. . Hepatitis B, Syphilis, and Malaria c. Hepatitis B, Hepatitis C, and Human Immunodeficiency Virus d. Human Immunodeficiency Virus, Influenza, and Small Pox 2. Samantha is an employee covered by the OSHA Bloodborne Pathogens Standard 29 CFR 1910. 1030. How often must she complete bloodborne pathogen training? a. once b. annually c. every 2 years d. every 4 years 3. What is the purpose of OSHA's Bloodborne Pathogens standard? a. To ensure that companies don't unnecessarily train employees about bloodborne pathogens. b. To minimize or eliminate occupational exposure to pathogens that can be found in inorganic matter. c. To minimize or eliminate occupational exposure to disease-carrying microorganisms or â€Å"pathogens† that can be found in human blood and body fluids. d. To increase the likelihood that employees are exposed to bloodborne pathogens. Copyright 2011 Geigle Safety Group Inc. 5 OSHAcademy Course 755 Study Guide 4. Who is covered by OSHA's Bloodborne Pathogens standard? a. Only public employees b. Only EMT's, Nurses, and Doctors. c. Employees who DO NOT have occupational exposure to blood or other potentially infectious materials (OPIM). d. All employees who have occupational exposure to blood or other potentially infectious materials (OPIM). . In regards to OSHA's Bloodborne Pathogens Standard, occupational exposure is defined as: _______. a. reasonably anticipated skin, eye, mucous membrane, or parenteral contact with blood or OPIM that may result from the performance of the employee's duties b. reasonably anticipated skin, eye, mucous membrane, or parenteral contact with blood or OPIM while at home c. exposing your employer to legal liability d. skin contact with chemical solutions while in the performance of the employee's duties Copyright 2011 Geigle Safety Group Inc. 6 OSHAcademy Course 755 Study Guide MODULE 2: SPECIFIC BLOODBORNE PATHOGENS Hepatitis B Virus (HBV) The Hepatitis B virus (HBV) is one of the primary causes of Hepatitis, an infection which causes inflammation of the liver. Complications of Hepatitis include cirrhosis of the liver, liver cancer, and liver failure. There is no known cure for the Hepatitis B virus. In the United States, approximately 15 to 25 percent of people infected with HBV will die because of the illness. Hepatitis B can be either acute or chronic. ? Acute Hepatitis B virus infection is a short-term illness that occurs within the first 6 months after someone is exposed to the Hepatitis B virus. Acute infection can, but does not always, lead to chronic infection. Chronic Hepatitis B virus infection is a long-term illness that occurs when the Hepatitis B virus remains in a person's body. Chronic Hepatitis B is a serious disease that can result in longterm health problems, and even death. Symptoms of HBV Symptoms of HBV infection include, but are not limited to: ? ? ? ? ? ? Loss of appetite Fatigue Fever Nausea, vo miting and/or abdominal pain Joint pain Jaundice seen in the eyes Jaundice, a symptom of hepatitis B, often first appears in the eyes Jaundice, also called icterusis, is a yellowing of the skin or eyes and occurs in the more serious phase of Hepatitis B virus. Hepatitis B can damage the liver, resulting in decreased liver function. As the Copyright 2011 Geigle Safety Group Inc. 7 OSHAcademy Course 755 Study Guide liver's ability to filter waste from the blood decreases, the concentration of waste in the blood increases. Only about 50 to 60 percent of individuals infected with Hepatitis B virus show symptoms. It is important to understand even without symptoms, HBV-infected individuals are still infectious to others. Exposure An exposure that might place a worker at risk for HBV, HCV, or HIV infection is defined as: 1. a percutaneous injury (e. . , a needlestick or cut with a sharp object); or 2. contact of mucous membrane or nonintact skin (e. g. , exposed skin that is chapped, abraded, or afflicted with dermatitis) with blood, tissue, or other body fluids that are potentially infectious. Indirect exposure from contaminated objects is a risk, because Hepatitis B virus can remain infectious on environmental surfaces for up to a week (7 days ) in the form of dried blood. This means you must always treat blood, wet or dry, as infectious! Vaccination A vaccination to prevent Hepatitis B virus infection is available. The Hepatitis B vaccine series is a sequence of three shots, typically given one month apart, that stimulate a person's natural immune system to protect against the virus. After the vaccine is given, the body makes antibodies to protect a person against the virus. Antibodies are specialized proteins found in the blood that produce an immune response to a virus invading the body. These antibodies are stored in the body to guard against future infections. They will fight off an infection if a person is exposed to the Hepatitis B virus in the future. Copyright 2011 Geigle Safety Group Inc. OSHAcademy Course 755 Study Guide Scenario Michelle is a custodian in a public elementary school. At the end of each school day, she cleans and vacuums the building, including the schools health room. While cleaning the health room she notices some dried blood on the floor. Should Michelle be concerned about exposure to Hepatitis B virus? Yes. Any blood, wet or dry, has the potential to carry infectio us Hepatitis B virus. As a result, Michelle must take precautions to prevent potential exposure to bloodborne pathogens, including Hepatitis B virus. Hepatitis C Virus (HCV) The Hepatitis C virus (HCV) is also a significant cause of severe liver damage and death. Although only 849 cases of confirmed acute Hepatitis C were reported in the United States in 2007, Center for Disease Control (CDC) estimates approximately 17,000 new Hepatitis C virus infections occurred that year, after adjusting for asymptomatic infection and underreporting. Persons newly infected with Hepatitis C virus are usually asymptomatic, so acute Hepatitis C is rarely identified or reported. Approximately 3. 2 million persons in the United States have chronic Hepatitis C virus infection. Chronic Hepatitis C virus infection accounts for an estimated 8,000-10,000 deaths each year in the United States. Approximately 5% of people infected with Hepatitis C virus die as a result of the long term damage caused to the liver and body. Approximately 70%-80% of people with acute Hepatitis C do not have any symptoms. Some people, however, can have mild to severe symptoms soon after being infected, including: ? ? ? ? Fever Fatigue Loss of appetite Nausea Copyright 2011 Geigle Safety Group Inc. 9 OSHAcademy Course 755 Study Guide ? ? ? ? ? ? Vomiting Abdominal pain Dark urine Clay-colored bowel movements Joint pain Jaundice (yellow color in the skin or eyes) If symptoms occur, the average time is 6-7 weeks after exposure, but this can range from 2 weeks to 6 months. However, many people infected with the Hepatitis C virus do not develop symptoms. Hepatitis C virus-infected individuals are infectious to other people, whether they show symptoms or not. Interestingly, Hepatitis C virus is strictly a human disease. It is not known to cause disease in any animals. Blood testing for Hepatitis C virus was not available until 1992. As a result, blood donation agencies did not screen for Hepatitis C virus. Many Hepatitis C virus infections occurred as a result of receiving blood products from infected individuals. Today, testing for Hepatitis C is common place and should occur after any exposure to potential bloodborne pathogens has occurred. There is no vaccine for Hepatitis C. Scenario Manuel is a nurse working nights in the local hospital. During a shift in the emergency department he is stuck with a used needle that punctures his skin and draws blood. Is Manuel at risk for contracting Hepatitis C? Yes. After a needlestick or sharps exposure to Hepatitis C-positive blood, the risk of infection is approximately 1. 8%. Manuel should immediately report the potential exposure and follow his employer's exposure control plan to ensure he receives proper medical treatment and testing. Copyright 2011 Geigle Safety Group Inc. 10 OSHAcademy Course 755 Study Guide There are approximately 200 million people worldwide infected with the Hepatitis C virus. Hepatitis C infections are treated with antiviral drugs, such as interferon. As of 2004, approximately 63% of Hepatitis C virus patients could expect to be cured of the virus. Any blood spills – including dried blood, which can still be infectious – should be cleaned using a dilution of one part household bleach to 10 parts water. Gloves should be worn when cleaning up blood spills. Human Immunodeficiency Virus (HIV) The Human Immunodeficiency Virus (HIV) is the virus responsible for causing Acquired Immunodeficiency Syndrome (AIDS). The HIV virus was originally identified on December 1st, 1981. At the end of 2006, an estimated 1. 1 million persons in the United States were living with diagnosed or undiagnosed HIV/AIDS. In 2007, 42,655 new cases of HIV/AIDS in adults, adolescents, and children were diagnosed. Almost 5,500 people die every day due to AIDS. AIDS caused 2 million deaths in 2008. An estimated 25 million people have died from HIV-related causes since the beginning of the pandemic. The Human Immunodeficiency Virus attacks and suppresses the immune system, reducing a person's ability to fight infection. The virus specifically targets the cells crucial for fighting infection from pathogens. This allows diseases and infections to progress without resistance. Within a few weeks of being infected with HIV, some people develop flu-like symptoms that last for a week or two, but others have no symptoms at all. People living with HIV may appear and feel healthy for several years. However, even if they feel healthy, HIV is still affecting their bodies. Untreated early HIV infection is also associated with many diseases including cardiovascular disease, kidney disease, liver disease, and cancer. Copyright 2011 Geigle Safety Group Inc. 11 OSHAcademy Course 755 Study Guide Scenario Stacy is a police officer employed by the city of Denver, Colorado. She is regularly required to respond to emergency medical situations, often arriving before the local ambulance company. As a result, Stacy is frequently exposed to human blood. Is Stacy likely to contract HIV from exposure to infected blood? No. As long as Stacy follows universal precautions she is not likely to contract HIV. Universal precautions involve the use of protective barriers such as gloves, gowns, aprons, masks, or protective eyewear, which can reduce the risk of exposure of the first aid provider's skin or mucous membranes to potentially infective materials. It can take many years before an HIV-infected person displays symptoms of the disease. Symptoms include: ? ? ? ? ? ? ? Enlarged lymph nodes Fatigue Frequent fevers Persistent or frequent yeast infections of the mouth or vagina Persistent or frequent skin rashes Short-term memory loss Weight loss Enlarged liver and spleen As with Hepatitis B virus and Hepatitis C virus, it is important to understand that individuals with HIV are potentially infectious to others, even though they may have no observable symptoms. Presently, there is no kn own cure for HIV. Although the life expectancy for HIV-infected individuals has increased due to recent advances in treatment, the end result of HIV/AIDS is premature death. Copyright 2011 Geigle Safety Group Inc. 12 OSHAcademy Course 755 Study Guide HIV cannot reproduce outside the human body. It is not spread by: ? ? ? ? ? Air or water. Insects, including mosquitoes. Studies conducted by CDC researchers and others have shown no evidence of HIV transmission from insects. Saliva, tears, or sweat. There is no documented case of HIV being transmitted by spitting. Casual contact like shaking hands or sharing dishes. Closed-mouth or â€Å"social† kissing. All reported cases suggesting new or potentially unknown routes of transmission are thoroughly investigated by state and local health departments with assistance, guidance, and laboratory support from CDC. Disease Comparison Of the three major bloodborne pathogens, Hepatitis B virus is the most contagious. Approximately 33% of individuals exposed to Hepatitis B virus will become infected. Of those individuals exposed to Hepatitis C virus, only about 2% will become infected. Comparatively, Human Immunodeficiency Virus is much less contagious than either form of hepatitis. About 0. 33%, or 1 in 300, people exposed to HIV will become infected with the virus. Despite these statistics, every exposure has the potential to transmit bloodborne pathogens and must be considered significant. Copyright 2011 Geigle Safety Group Inc. 3 OSHAcademy Course 755 Study Guide MODULE 2 QUIZ 1. The Hepatitis B virus (HBV) may remain infectious on contaminated objects or surfaces for up to: _______. a. b. c. d. 3 hours 24 hours 3 days 7 days 2. What percentage of individuals infected with Hepatitis B virus display symptoms? a. b. c. d. 10-15% 25-35% 50-60% 80-90% 3. There are approximately __________ people w orldwide infected with the Hepatitis C virus. a. b. c. d. 5 million 75 million 200 million 1 billion 4. Which of the three major bloodborne pathogens is the most contagious, with 33% of those exposed becoming infected? a. b. c. d. Hepatitis B virus (HBV) Hepatitis C virus (HCV) Human Immunodeficiency Virus (HIV) H1N1 Influenza (Swine Flu) 5. HIV is not spread by: _______. a. b. c. d. saliva, tears, or sweat casual contact like shaking hands or sharing dishes closed-mouth or â€Å"social† kissing all of the above Copyright 2011 Geigle Safety Group Inc. 14 OSHAcademy Course 755 Study Guide MODULE 3: Transmitting Bloodborne Pathogens Fluids that Spread Bloodborne Pathogens The transmission of bloodborne pathogens from one person to another occurs through the transfer of infected body fluids. Common body fluids which can transmit pathogens include† ? ? ? blood cerebral spinal fluid semen vaginal secretions Semen and vaginal secretions can transmit bloodborne pathogens, but only during sexual contact. Wearing disposable gloves can help protect you from accidental exposure to bloodborne pathogens. Fluids that Do Not Spread Bloodborne Pathogens Some body fluids have no documented risk of transmitting pat hogens, including: ? ? ? ? sweat saliva urine feces Although the risk of contracting a pathogen from these bodily fluids might be low, you may not always be able to tell which fluids you are handling, or whether injury has mixed them with blood. For example, a severe abdominal injury could cause blood to be present in urine or feces. Therefore, it is best to protect yourself from ALL bodily fluids. Copyright 2011 Geigle Safety Group Inc. 15 OSHAcademy Course 755 Study Guide How Bloodborne Pathogens are Transmitted Non-occupational bloodborne pathogens are most commonly transmitted through: ? ? sexual contact; or sharing hypodermic needles. Occupational bloodborne pathogens are most commonly transmitted through: ? ? puncture wounds from a sharp or contaminated object, such as broken glass; or from a splash of blood to the mucous membranes of the eyes, nose, or mouth. Protect Yourself from All Bodily Fluids It's important to remember the Hepatitis B virus can remain infectious outside of the body for up to 7 days. For this reason, it is essential that cleanup and decontamination of contaminated objects and surfaces be performed as soon as possible. This will reduce the risk of indirect contact resulting in a bloodborne exposure incident. Understanding how bloodborne pathogens are transmitted will help reduce your risk of exposure and infection. Casual social contact, such as shaking hands, hugging, or sharing a telephone or tool, does not transmit bloodborne pathogens. Direct contact with blood or other potentially infectious bodily fluid can cause an exposure incident. Indirect contact with a contaminated object, such as a countertop, bedding, or clothing, can also cause an exposure incident. Copyright 2011 Geigle Safety Group Inc. 16 OSHAcademy Course 755 Study Guide Scenario Jasmine is a daycare worker taking care of children between the ages of 6 months and 12 years. Kevin is a 3 year old child at the daycare center and has been complaining of a stomachache. Suddenly Kevin begins to vomit unexpectedly. After Kevin's parents have been called to pick him up, Jasmine is asked to clean up the mess. Should Jasmine be concerned about bloodborne pathogens? Yes! Although vomit is not documented as a risk for transmitting bloodborne pathogens, it is often impossible to determine if there is blood mixed in with the vomit. Even a very small amount of blood has the potential to transmit disease. You should always prevent contact with bodily fluids, regardless of whether blood is visible in the fluids. Copyright 2011 Geigle Safety Group Inc. 17 OSHAcademy Course 755 Study Guide MODULE 3: REVIEW QUIZ 1. Trent is an employee for a local ambulance company. As part of his job he is routinely exposed to blood and other bodily fluids. Which of the following could potentially transmit a bloodborne pathogen to Trent? a. b. c. d. Having blood splashed into his eyes Shaking a patient's hand Using the telephone at the hospital Pushing a wheelchair 2. Common body fluids which can transmit pathogens include: _______. a. b. c. d. blood and cerebral spinal fluid sweat and saliva semen and vaginal secretions both a and c 3. Some body fluids have NO documented risk of transmitting pathogens, including: _______. a. b. c. d. lood and cerebral fluid sweat, saliva, urine, and feces semen and vaginal secretions all of the above 4. Bloodborne pathogens are commonly transmitted through: _______. a. b. c. d. puncture wounds from sharp, contaminated objects. shaking hands hugging sharing a telephone 5. It is essential that cleanup and decontamination of contaminated objects and surfaces be performed as soon as possible. a. true b. false Copyright 2011 Geigle Safety Group Inc. 18 OSHAcademy Course 755 Study Guide MODULE 4: The Exposure Control Plan The Exposure Control Plan An employer exposure control plan (ECP) is a requirement of 29 CFR 1910. 030(c) of the Bloodborne Pathogens Standard established by the Occupational Safety and Health Administration (OSHA). The purpose of the ECP is to establish procedures to eliminate or minimize employee exposure to bloodborne pathogens. Does your employer have an ECP? A written ECP outlines the strategies necessary to eliminate or minimize employee occupational exposure to bloodborne pathogens. This site-specific plan identifies all employee classifications which have occupational exposure to bloodborne pathogens and other potentially infectious materials (OPIM). Additional components of an ECP are: ? ? ? ? Engineering and work practice controls Personal protective equipment (PPE) Housekeeping Containment and labeling of potentially infectious materials Site-Specific Methods Another key component of the ECP includes listing the site-specific methods by which the facility will reduce the employee risk. These methods include appropriate training, the communication of hazards, hepatitis B vaccinations for any employee who has occupational risk of exposure, methods for postexposure evaluation and follow-up, proper recordkeeping, and a sharps injury log. The final part of the plan describes the procedure for the investigation and evaluation of circumstances surrounding exposure incidents in order to quickly provide effective follow-up care to exposed employees. This investigation will also help each site team learn from accidents and establish new measures to prevent them from happening again. Copyright 2011 Geigle Safety Group Inc. 19 OSHAcademy Course 755 Study Guide Employees Must Have Access To Their Employer's Exposure Control Plan (ECP) The written exposure control plan must be accessible to all employees. It must be reviewed and updated annually or when alterations in procedures create the possibility of new occupational exposures. Additionally, non-managerial employees who provide direct patient care must be asked to provide input in the identification, evaluation, and selection of effective controls to isolate or remove bloodborne pathogens from the workplace. Scenario Steven is a new employee for AAA Manufacturing. He has been hired as a supervisor to oversee line production on the swing-shift. As a supervisor, he is expected to provide emergency medical care if an employee becomes injured or sick. Should Steven's position be classified as having occupational exposure to bloodborne pathogens? Yes. Although providing emergency medical care is not Steven's primary responsibility, it is part of his job classification. As a result, Steven does have the potential for occupational exposure to bloodborne pathogens. Steven's employer must ensure he has the proper training and equipment to provide medical care safely and with minimal risk of occupational exposure. Copyright 2011 Geigle Safety Group Inc. 20 OSHAcademy Course 755 Study Guide MODULE 4: REVIEW QUIZ 1. An exposure control plan must: _______. a. . c. d. be unique to each location or job site define the employees covered by the Bloodborne Pathogens Standard provide procedures for investigating and evaluating an exposure all of the above 2. The purpose of the Exposure Control Plan (ECP) is: _______. a. b. c. to establish procedures to create or increase employee exposure to bloodborne pathogens to help employees after they've b een exposed to blood borne pathogens to establish procedures to eliminate or minimize employee exposure to bloodborne pathogens to reduce the employers legal liability after an employee is exposed to blood borne pathogens . 3. The following is a component of an Exposure Control Plan (ECP): _______. a. b. c. d. the release of potentially infectious materials personal protective equipment (PPE) monetary controls purchasing controls 4. Employees must have access To their employer's exposure control plan (ECP). a. b. true false 5. When must an Exposure Control Plan (ECP) be reviewed and updated? a. Semi-annually and when alterations in procedures create the possibility of fewer occupational exposures. Annually or when alterations in procedures create the possibility of new occupational exposures. Every two years Every four years b. c. d. Copyright 2011 Geigle Safety Group Inc. 21 OSHAcademy Course 755 Study Guide MODULE 5: Recognize the Potential for Exposure Employer Responsibilities to Identify Jobs at Risk Employers must identify job classifications in which employees have occupational exposure, as well as the associated tasks and procedures in which there is a potential of exposure to blood or other infectious materials. Employers must review job classifications annually to ensure proper procedures and training is established. What jobs are most at risk of exposure? Occupations with a likely chance of occupational exposure include: ? ? ? ? ? ? ? ? ? first aid providers teachers daycare workers housekeepers lab workers firefighters Emergency Medical Technicians (EMTs) and paramedics law enforcement agents medical and dental personnel An employer must review every job classification and make a determination of the potential occupational exposure for that position. Failure to properly identify potential occupational exposure can result in warnings or fines issued by OSHA. If an occupational exposure does occur, it is important for you to follow the employer's written procedures for handling medical self-care and evaluation, as well as documenting the circumstances of the exposure. Copyright 2011 Geigle Safety Group Inc. 22 OSHAcademy Course 755 Study Guide Scenario Maria is an employee for a local hospital and works in their housekeeping department. Is it Maria's responsibility to know what her occupational exposure is? No. It is the employer's responsibility to ensure each employee is properly trained and understands their potential occupational exposure. Further, the employer is responsible for documenting the training and maintaining all associated records. Maria has the responsibility to follow the established procedures identified in her employer's exposure control plan and ask questions if needed. It is important to know if your job classification puts you at risk for occupational exposure. If your job classification does put you at risk, be aware that specific tasks or procedures in your job may still have the potential for exposure. Copyright 2011 Geigle Safety Group Inc. 23 OSHAcademy Course 755 Study Guide MODULE 5: REVIEW QUIZ 1. Sarah has just been assigned new job responsibilities after receiving a promotion at work. Where should Sarah look to determine if her new responsibilities create an occupational exposure to bloodborne pathogens? a. b. c. d. an employer provided list of job classifications job applications standard operating procedure employee handbook 2. How often must employers review job classifications to ensure proper procedures and training are established? a. b. c. d. every two years whenever the employer feels like it semi-annually annually 3. Occupations with a likely chance of occupational exposure include: _______. . b. c. d. first aid providers, teachers, and daycare workers housekeepers, lab workers, and fire fighters EMT's/paramedics, law enforcement agents, and medical/dental personnel all of the above 4. An employer must review every job classification and make a determination of the potential occupational exposure for that position. a. b. true false 5. Failure of an employer to prope rly identify potential occupational exposure can result in warnings or fines issued by OSHA. a. b. true false Copyright 2011 Geigle Safety Group Inc. 24 OSHAcademy Course 755 Study Guide MODULE 6: Exposure Control Methods Methods To Control The Risk Of Exposure The recommended infection-control concept called â€Å"Universal Precautions† advocates everyone's blood and body fluids be considered potentially infectious. This eliminates the difficulty in determining risk individually. Remember, although some bodily fluids have not been documented to transmit pathogens, it is sometimes impossible to tell if blood or another potentially infectious fluid is present. The two essential control strategies employees use to eliminate or minimize the transmission of bloodborne diseases in the workplace are: ? engineering controls, and work practice controls. Engineering Controls Engineering controls minimize exposure in the workplace either by removing or isolating the hazard, such as providing a sharps container for needles, splash guards, and mechanical pipetting devices. Engineering controls is all about the equipment used to minimize exposure. The Sharps container for needles is a good example of an eng ineering control. Employers will examine and maintain or replace engineering controls on a regularly scheduled basis. Work Practice Controls Work practice controls focus on the manner in which tasks are performed. For example, using disposable gloves when performing emergency care is considered a work practice control. Another example of work practice controls is to perform all actions involving potentially infectious material in such a way as to minimize splattering, splashing, and spraying. Proper handling and disposal of needles or sharps, contaminated bandages, gauze, or linens is also essential. Work practice controls is all about how tasks are performed to minimize exposure. Safe work practices include eliminating eating, drinking, smoking, applying make-up or lip balm, or handling contact lenses in locations with potentially infectious material. In healthcare facilities, Copyright 2011 Geigle Safety Group Inc. 25 OSHAcademy Course 755 Study Guide employees are prohibited from wearing artificial nails. Food and drink must not be kept in a refrigerator, freezer, shelf, or in the general area of where blood or other potentially infectious material are kept. Wash your hands! Hand washing after an exposure can reduce your risk of infection Your employer must provide readily accessible hand-washing facilities or antiseptic hand cleanser or wipes if hand-washing facilities are not available. Perform hand washing immediately after any exposure, even if you were wearing gloves. Vigorous scrubbing with soap or alcohol-based foam or gel and warm water is considered the most effective technique. This will further reduce your risk of infection resulting from an exposure. Practices that are completely prohibited in the workplace include: bending, recapping, and removing contaminated needles, shearing or breaking needles, and mouth pipetting or suctioning of potentially infectious material. Antiseptic hand cleaner in conjunction with clean cloth/paper towels or antiseptic towelettes are examples of acceptable alternatives to running water. However, when these types of alternatives are used, employees must wash their hands (or other affected areas) with soap and running water as soon as feasible. This alternative would only be acceptable at worksites where soap and running water are not feasible. Copyright 2011 Geigle Safety Group Inc. 26 OSHAcademy Course 755 Study Guide Scenario Dr. Kramer owns and operates a small dental clinic in San Francisco, CA. As part of her exposure control plan, she requires her employees to wash their hands before and after working with any patients. She also requires new gloves be used with every patient. Is this an example of engineering controls or work practice controls? Work practice controls Dr. Kramer is requiring her employees to do something to reduce the risk of occupational exposure. Work practice controls focus on the actions taken to minimize exposure. Copyright 2011 Geigle Safety Group Inc. 27 OSHAcademy Course 755 Study Guide MODULE 6: REVIEW QUIZ 1. The recommended infection-control concept called â€Å"Universal Precautions† advocates everyone's blood and body fluids be considered: _______. a. b. c. d. potentially non-infectious not harmful not infectious potentially infectious 2. The two essential control strategies employees use to eliminate or minimize the transmission of bloodborne diseases in the workplace are: _______. a. b. c. d. elimination and administrative controls substitution and elimination controls administrative and substitution controls engineering and work practice controls 3. Which of the following are work practice controls? a. b. c. d. Adding a sharps container to the bathroom. Using disposable gloves when performing emergency care. Adding a splash gaurd into an operating room. Both a and c. 4. Perform _______ immediately after any exposure, even if you were wearing gloves. . b. c. d. hand washing work practice controls engineering controls eye flushing 5. When exposed to bloodborne pathogens, antiseptic hand cleaner in conjunction with clean cloth/paper towels is only an acceptable alternative to washing your hands when soap and running water are not feasible. a. b. true false Copyright 2011 Geigle Safety Group Inc. 28 OSHAcademy Course 7 55 Study Guide MODULE 7: Personal Protective Equipment Using Personal Protective Equipment (PPE) Personal Protective Equipment (PPE) is specialized clothing or equipment that protects you from exposure to blood or other potentially infectious material. Personal protective equipment is designed to keep blood and other potentially infectious material away from your skin, eyes, and mouth Examples of PPE include: disposable gloves, gowns, laboratory coats, protective face shields, resuscitation masks or shields, and mouth pieces. Any equipment necessary to prevent exposure to blood or other potentially infectious material is considered PPE. Effective personal protective equipment must not allow potentially infectious materials to pass through or reach your skin, eyes, mouth, or clothes under normal conditions of use. General work clothes, such as uniforms, pants, shirts, or blouses, which are not intended to function as a protective barrier against hazards, are not considered to be PPE. Employer responsibilities An employer must ensure employees use appropriate personal protective equipment. Your employer must make PPE available to you in the appropriate size and at no cost. Nonlatex alternatives will also be made available to employees who have allergic sensitivity to latex. Employers must also properly clean, launder, repair, replace, or dispose of contaminated PPE as needed at no cost to the employee. Disposable Gloves Disposable gloves should be a standard component of emergency response and first aid equipment and should be worn by anyone initiating emergency care. It is best to always wear disposable gloves when providing first aid care. Copyright 2011 Geigle Safety Group Inc. 29 OSHAcademy Course 755 Study Guide Replace your gloves as soon as possible if they are torn, punctured, contaminated, or if their ability to function as a barrier is compromised. Remove contaminated gloves by turning them inside out. Be careful to prevent any splashing or spraying of potentially infectious material. You should always wash your hands after removing your gloves, even if you don't think they were contaminated. Pocket CPR Mask and Gloves Wear face shields when splashes, sprays, spatters, or droplets of infectious material pose a hazard to your eyes, nose, or mouth. It is always better to be prepared and wear a face shield if there is any chance of potential exposure to your eyes, nose, or mouth. Use a disposable ventilation mask or shield with a one-way valve to prevent an exposure when performing rescue ventilations during CPR. It is common for patients to vomit during CPR due to excess air in the stomach. Place contaminated protective equipment in appropriately designed areas or containers for cleaning or disposal. These areas or containers should be properly labeled and identified in your employer's exposure control plan. Scenario Sarah is a medical laboratory technician. As part of her job duties she analyzes blood and body fluid samples. Sarah was recently reprimanded for not wearing disposable gloves to perform her work duties. She tells her supervisor the gloves make it hard for her to handle the collection containers and that she would like to not be required to wear gloves. What should Sarah's supervisor tell her? Sarah's supervisor must tell her the use of personal protective equipment is not optional. She must wear the gloves. The supervisor should also ask Sarah if the gloves are the correct size and fit for her hands. If the gloves are not the correct size, then this issue must be resolved as well. Only under very rare circumstances can an employee decline the use of personal protective equipment. Copyright 2011 Geigle Safety Group Inc. 30 OSHAcademy Course 755 Study Guide MODULE 7: REVIEW QUIZ 1. Is it acceptable for an employee to take contaminated clothing home to be washed? a. b. c. yes no maybe . All of these are examples of personal protective equipment, EXCEPT: _______. a. b. c. d. disposable gloves laboratory coat thermometer safety glasses 3. When performing CPR, it is always best to: _______. a. b. c. d. wear disposable gloves use a ventilation mask or shield with a one-way valve be prepared for the patient to vomit all of the above 4. Remove contaminated gloves by: _______. a. b . c. d. cutting them off ripping them off turning them inside out pulling them off and spraying infectious material across the room 5. Place contaminated protective equipment in: _______. a. b. c. d. garbage bag laying on the floor a stainless steel garbage can with no garbage bag appropriately designed areas or containers for cleaning or disposal a plastic basket labeled â€Å"reuse† Copyright 2011 Geigle Safety Group Inc. 31 OSHAcademy Course 755 Study Guide MODULE 8: Hepatitis B (HBV) Immunization Getting vaccinated The best way to prevent Hepatitis B is by getting vaccinated. The Hepatitis B vaccine is considered one of the safest and most effective vaccines ever made. Numerous studies looking at the vaccine's safety have been conducted by the Centers for Disease Control and World Health Organization. Your employer must offer you a Hepatitis B vaccination series if you have a risk of occupational exposure to blood or other potentially infectious materials. Your employer must pay for the cost of the vaccination series. You must be offered the vaccination before you undertake tasks that expose you to potentially infectious materials, and at a reasonable time and location. Three shots! The Hepatitis B immunization series requires three separate injections The Hepatitis B vaccine is very effective in protecting against the Hepatitis B virus. Approximately 97 percent of people who receive the vaccine will become fully immune to the virus. It is given in a series of three shots. The entire series of shots is required to provide full immunity. The vaccine is safe with very few adverse reactions. Typical Vaccination Schedule: The first injection can be administered at any given time. The second injection must be given at least one month after the first, and the third injection must be given six months after the first. A licensed physician or other healthcare professional will perform or supervise the vaccinations. Your employer does not have to offer you the vaccination series if you have previously received the complete series or have tested as immune to HBV. Copyright 2011 Geigle Safety Group Inc. 32 OSHAcademy Course 755 Study Guide You can decline the vaccination for Hepatitis B after being informed of the risks and benefits. To do this, you must sign a declination form. If you initially decline the vaccination for Hepatitis B, you can later request it from your employer at no charge. There are currently two vaccines used to prevent Hepatitis B infection in the United States. Neither vaccine contains blood products. You cannot get Hepatitis B from these vaccines. Scenario Tony has just been accepted to a local paramedic training program. Before beginning the program, the school requires students to receive the Hepatitis B vaccination and pay for it themselves. Is the school required to pay for the vaccination? No. Typically only employers are required to pay for the Hepatitis B vaccination series. Postsecondary schools can require the vaccination series as an admissions requirement, and require the applicant to pay for the cost. There have been instances where public school districts (K-12) have been required to pay for the vaccination series if there is a potential for the student to be exposed to bloodborne pathogens as part of their coursework. Copyright 2011 Geigle Safety Group Inc. 33 OSHAcademy Course 755 Study Guide MODULE 8: REVIEW QUIZ 1. Kristina has just been hired for a position which is classified as having occupational exposure. Kristina's employer offers to pay for the Hepatitis B vaccination series. Can Kristina decline the vaccination series? a. yes b. c. no maybe 2. What percentage of people receiving the Hepatitis B vaccine will become fully immune? a. b. c. d. 17% 35% 75% 97% 3. The Hepatitis B vaccine is considered one of the safest and most effective vaccines ever made. a. b. true false 4. Your employer does not have to offer you the vaccination series if: _______. a. b. c. d. you have previously received the complete series or have tested as immune to HBV you have tested immune to HCV you have tested immune to HIV you have previously received one shot of the vaccination series 5. You cannot get Hepatitis B from either of the Hepatitis B vaccines that are available. . true b. false Copyright 2011 Geigle Safety Group Inc. 34 OSHAcademy Course 755 Study Guide MODULE 9: When an Exposure Occurs What to do When You are Exposed When an exposure occurs, immediate self-care is the highest priority. Flush potentially contaminated materials from the mucous membranes of the eyes, nose, and mouth with large amounts of running water. Allow a puncture wou nd from a potentially contaminated sharp object to bleed. Wash the wound with soap and water. Wash potentially contaminated material off your skin with soap and water as quickly as possible after an exposure. Washing is especially important when you have cuts, rashes, or scrapes on your skin. When available, use a face and eye wash station to flush the eyes, nose, or mouth if they are exposed to blood or bodily fluids. What do you do next? After self-care, report the exposure incident without delay. This allows for timely testing of the source individual and, if necessary, the employee. You will be directed to a healthcare professional for medical evaluation as soon as possible after receiving the source individual's test results. The evaluation will document the route of exposure and how the exposure occurred. There is no cost to you for this evaluation. Post-Exposure Therapy If you are exposed to HIV-infected blood, most medical facilities offer short-term therapy called Post-Exposure Prophylaxis (PEP). This therapy must begin as soon as possible after the exposure. PEP can reduce the risk of getting HIV by as much as 80 percent. Copyright 2011 Geigle Safety Group Inc. 35 OSHAcademy Course 755 Study Guide The evaluation will also include counseling and education regarding the testing process and the ramifications of the exposure. This includes sexual practices information for the six month post-exposure evaluation period. The result of testing is confidential and will be reported only to you and your company's exposure control plan. No other person will be notified of the results. Scenario Patrick is a nurse working in the emergency department of the local hospital. During one of his shifts he is accidentally jabbed by a used needle. The needle punctures his skin and draws blood. What should Patrick do? Immediate self care is Patrick's first priority. He needs to allow the puncture wound to bleed, hopefully flushing any contaminates out of his body. Next, he should wash the affected area thoroughly with soap and water. Next, Patrick needs to report the incident to his direct supervisor so a injury report can be completed. Patrick will then be seen by a health care professional to determine the best course of treatment for him. Sometimes it is possible to test for various diseases if the exposure source can be identified. This is not always possible. Copyright 2011 Geigle Safety Group Inc. 36 OSHAcademy Course 755 Study Guide MODULE 9: REVIEW QUIZ 1. While providing first aid treatment to a fellow employee, Maria had blood sprayed into her eyes. What should Maria do first? a. Provide immediate self care. . Report the incident to her supervisor. c. Go to a hospital. d. Continue working. 2. If your eyes, nose, or mouth are exposed to blood or bodily fluids you should: _______. a. use a washcloth to wipe your face off b. flush the eyes, nose, and mouth with large amounts of running water c. take a shower within 24 hours of exposure d. apply baking soda to the eyes, nose, and mouth to absorb any contami nated materials from the mucus membranes 3. If you have potentially contaminated material on your skin the first thing you should do is: _______. a. lay down and elevate the contaminated area b. eek medical attention c. apply ice d. wash with soap and water as quickly as possible 4. You are exposed to contaminated material and finish immediate self-care. What do you do next? a. Go home and try to forget about the exposure. b. Catch a movie to take your mind off of the exposure. c. Report the exposure incident without delay. d. you Write about the exposure incident in your personal journal. 5. If you are exposed to HIV-infected blood, most medical facilities offer short-term therapy called Post- Exposure Prophylaxis (PEP). a. true b. false Copyright 2011 Geigle Safety Group Inc. 7 OSHAcademy Course 755 Study Guide MODULE 10: Housekeeping What is housekeeping? â€Å"Housekeeping† refers to ensuring a worksite is maintained in a clean and sanitary condition. An employer must imp lement an appropriate written schedule for cleaning, and determine the best method to decontaminate each location within a facility. There are four types of regulated waste that require special handling: 1. Liquid or semi-liquid blood or potentially infectious materials 2. Contaminated items that could release potentially infectious material in a liquid or semi-liquid state 3. Items caked (solid or dry) with potentially infectious materials that are capable of releasing these materials during handling 4. Contaminated sharp objects It is of the utmost importance that infectious waste be safely contained. ? Infectious waste should be placed in specially designed containers constructed to contain the contents. ? The containers need to be leak-proof, labeled or color coded, and closed prior to removal to prevent spills. ? If a container is leaking, place it in a secondary leak-proof container. Copyright 2011 Geigle Safety Group Inc. 38 OSHAcademy Course 755 Study Guide Contaminated Laundry Contaminated laundry† refers to laundry that is soiled with potential infectious material or that may contain sharp objects, such as needles. ? ? Contaminated laundry should be handled as little as possible. Wear gloves when handling contaminated laundry, and place it in labeled, leak-proof bags or containers before transporting it. ? Never take contaminated protective clothing home for laundering, even if it is personal clothing. ? Pick up potentially contaminated broken glassware using mechanical means only, such as tongs, forceps, or brush and dustpan. ? Never use your hands, even if you are wearing gloves. Contaminated items should not be stored or processed in a way that requires you to reach into containers. Work practice controls should be established to prevent you from reaching into a container to remove potentially contaminated items, such as glassware or needles. All equipment and work surfaces that could become contaminated should be cleaned and decontaminated routinely using an appropriate disinfectant while wearing PPE. All pails, bins, and similar reusable receptacles should be decontaminated on a regular basis and as soon as possible after visible contamination is noticed. Copyright 2011 Geigle Safety Group Inc. 39 OSHAcademy Course 755 Study Guide Scenario Kevin is a custodial engineer for a local middle school. As part of his job duties, he is required to clean the health room daily. It is common for students to have minor injuries or ailments, such as nose bleeds or a skinned knee, during the school day. What housekeeping issues does Kevin face? It is important all contaminated materials, such as bloody gauze, is contained, labeled, and disposed of properly. Kevin should wear PPE, such as gloves, when performing this task. Kevin should decontaminate the health room surfaces daily using an approved method and appropriate disinfectant. If visible blood or body fluids are present on a surface, the fluid should be cleaned and the surface decontaminated immediately. Copyright 2011 Geigle Safety Group Inc. 40 OSHAcademy Course 755 Study Guide MODULE 10: REVIEW QUIZ 1. Is it acceptable for an employee to take contaminated clothing home to be washed? a. yes b. no c. maybe 2. One of the four types of regulated waste that requires special handling is: _______. a. b. c. d. ater with a concentration of bleach that is 5% or greater liquid or semi-liquid blood or potentially infectious materials cigarette butts food wrappers or cups that have been used by persons with HIV 3. In regards to bloodborne pathogens and contaminated materials, what is â€Å"housekeeping†? a. An employer managing their financial books appropriately. b. When an employer lays off employees that cause trouble, especially employees that expose themselves to bloodborne pathogens. c. Employees cleaning and maintaining their own homes. d. An employer ensuring a worksite is maintained in a clean and sanitary condition. . Infectious waste should be: _______. a. b. c. d. placed in specially designed containers constructed to contain the contents placed in any available garbage can thrown out with all of the other garbage both b and c 5. Pick up potentially contaminated broken glassware using: _______. a. your bare hands b. mechanical means only, such as tongs, forceps, or brush and dustpan c. your hands while wearing gloves d. both a and c Copyright 2011 Geigle Safety Group Inc. 41 OSHAcademy Course 755 Study Guide 6. Contaminated items should not be stored or processed in a way that requires you to reach into containers. . true b. false Copyright 2011 Geigle Safety Group Inc. 42 OSHAcademy Course 755 Study Guide MODULE 11: Communicating a Hazard in the Workplace Primary methods of communicating: Signs and Labels Signs a nd labels that alert you to the presence of potentially infectious material and the risk of exposure are vital to a workplace with occupational exposure to potentially infectious materials. Be sure you are aware of and abide by all signs and labels signaling hazards and hazardous material. Signs should have a fluorescent orange or orange-red background with a black â€Å"biohazard† symbol in the foreground. Labels must contain the biohazard symbol and must have the word â€Å"Biohazard† written on them. A biohazard label or sign should be attached to each object or container of contaminated material by string, wire, adhesive, or another method that prevents loss or unintentional removal of the label or sign. When red bags or containers with the biohazard symbol on them are used, a sign or label is not necessary. Also, when medical laboratory personnel are drawing and testing blood samples, the individual containers housing potentially infectious materials do not need to be labeled. Properly indicating contaminated material using labels and signs will greatly reduce the risk of accidental exposure to the contaminated material. It is important to maintain appropriate container labeling at all times. Annual training must be conducted for all employees with occupational exposure. Copyright 2011 Geigle Safety Group Inc. 43 OSHAcademy Course 755 Study Guide Information and Training All employees (including part-time and temporary employees) with occupational exposure in the organization should participate in a training program that is provided at no cost during working hours. The training materials used should be appropriate in content and vocabulary to the educational and literacy levels and are conveyed in the language of the employees. The training materials should clearly state the objectives of the training. Trainers should be knowledgeable in the subject matter covered by the training program as it relates to the workplace. All employees should have an opportunity for interactive questions and answers with the person(s) conducting the training. If computer or online training is used, it should provide an opportunity for a person knowledgeable about the training material to be available to answer questions. Training Program Elements The Bloodborne Pathogens training program should include information and explanations of at least the following: ? ? ? ? Epidemiology, symptoms, and modes of transmission of bloodborne diseases the Exposure control plan that has been implemented and how to obtain a copy of the written plan Appropriate methods for recognizing tasks and activities that may involve exposure to blood or OPIM Use and limitations of methods that will prevent or reduce exposures, including appropriate engineering, administrative or work practice controls, and personal protective equipment (PPE) Information and Training ? ? The basis for selection of PPE Types, proper use, location, removal, handling, decontamination, and disposal of PPE Hepatitis B vaccination series, including its efficacy, safety, method of administration, benefits, and the fact that the vaccination will be offered to employees free of charge ? ? Appropriate actions to take and persons to contact in an emergency involving blood or OPIM Procedure to follow if an exposure incident occurs, including the: 44 Copyright 2011 Geigle Safety Group Inc. OSHAcademy Course 755 Study Guide o o o ? Method of reporting the incident Medical follow-up that will be made available Procedure for recording the incident in the sharps injury log Post-exposure evaluation and follow-up that will be made available to employees Signs, labels, and/or color codings that are used Frequency of Training Training should be provided at the time of employees' initial assignment (to tasks in which occupational exposure may occur) and at least annually thereafter (i. e. , within one year of their previous training). Additional training, limited to addressing the new exposures created, is provided to the employee whose occupational exposure is affected by: ? ? ? Introduction of new engineering, administrative, or work practice controls Changes or modifications in existing tasks or procedures Institution of new tasks or procedures Copyright 2011 Geigle Safety Group Inc. 45 OSHAcademy Course 755 Study Guide Scenario Jennifer works for a computer parts manufacturer. One of her job duties is to perform housekeeping tasks for her section of the warehouse. During her last shift an employee was injured and required first aid treatment, producing contaminated clothing and personal protective equipment. This contaminated material needs to be labeled and disposed of. How should Jennifer dispose of this contaminated material? Jennifer needs to use appropriate personal protective equipment while working with the contaminated materials. She must also place the contaminated material in a leakproof bag that is labeled with the symbol and word â€Å"Biohazard†. Jennifer should then dispose of the bag based on her employer's exposure control plan. What's missing on the bag of contaminated clothing to the right? Copyright 2011 Geigle Safety Group Inc. 46 OSHAcademy Course 755 Study Guide MODULE 11: REVIEW QUIZ 1. Signs should have a: _______. a. fluorescent yellow background with a black â€Å"lightning bolt† symbol in the foreground b. fluorescent red background with a black â€Å"radioactivity† symbol in the foreground c. fluorescent orange or orange-red background with a black â€Å"biohazard† symbol in the foreground d. red background with a black â€Å"skull† symbol in the foreground 2. A biohazard label or sign should: _______. a. be attached to each object or container of contaminated material b. be posted, at eye level, at the entrance of any room that contains biohazard material c. not be necessary if the biohazard container is made of a clear material and has no indicators that contaminated material is inside d. contain the contaminated materials symbol and the words â€Å"contaminated materials† written on it 3. All employees (including part-time and temporary employees) with occupational exposure in the rganization should participate in a training program that is provided at no cost during working hours. a. true b. false 4. The Bloodborne Pathogens training program should include: _______. a. The Exposure control plan that has been implemented and how to obtain a copy of the written plan. b. Appropriate methods for recognizing tasks and activities that may involve exposure to blood or OPIM. c. Types, proper use, location, removal, handling, decontamina tion, and disposal of PPE. d. All of the above. Copyright 2011 Geigle Safety Group Inc. 47 OSHAcademy Course 755 Study Guide 5. Training should be provided at the time of employees' initial assignment (to tasks in which occupational exposure may occur) and at least: _______. a. semi-annually thereafter (i. e. , within six months of their previous training) b. annually thereafter (i. e. , within one year of their previous training) c. every 2 years thereafter (i. e. , within two years of their previous training) d. every 3 years thereafter (i. e. , within three years of their previous training) Copyright 2011 Geigle Safety Group Inc. 48