Wednesday, February 19, 2020

M.Sc.in supply chain management (DT351) Purchasing Assignment

M.Sc.in supply chain management (DT351) Purchasing - Assignment Example Although, it was considered before that the supplier is happy to form relationship with the company and same was the case considered for the buyers i.e. buyers are looking to form relationships with the company and this is the reason why they are buying the product from the company. However research shows that this is not the situation in most of the cases. The needs and satisfaction of suppliers and customers do not match in different cases and either one of these parties loses their money in forming relationship. Therefore in order to discuss the relationship between the buyers and suppliers, a four quadrants purchasing portfolio from the perspective of buyers has been presented below: (Santema and Verheul, 2012) The above four quadrants represent four different situations of buyers. However the focus of this section of the report has been on the second quadrant which is ‘Routine’. Therefore, the routine quadrant has been discussed in detail in this part of the report. The other sections of the report discusses about the other three quadrants and the relation of buyers with the suppliers in the other three quadrants. Moreover, the report applies the above matrix on New Bridge Cutlery Company in the last part of this report. QUADRANT #2: ROUTINE The second quadrant is ‘Routine’ which includes products that are purchased on a regular or routine basis by the consumer. This quadrant means Process reduction which means that the cost of demand are not equal to the value given by the consumer, thus the value will be low as well as the complexity. Santema (2011) has said that in routine cases, the products and services are available in the market; therefore there are no high rewards in forming relationships with the suppliers for the buyers. Moreover, Santema (2011) added that in such cases, the buyers are looking for transactional exchange. Gelderman and Weele (2002) have stated that buyers in routine cases are looking for more efficient pr ocesses. It has been said that buyers do not put much effort in order to create the relationship in this quadrants. On the other hand, the suppliers have to go an extra mile in order to make sure that the customers are satisfied and they are able to receive the products or service they want to. Therefore there has been a drastic mismatch between the two stakeholders. Buyers are not likely to pay attention in routine products. As there are many suppliers available, thus this mismatches the demand and supply of these routine products and this reduces the risk and therefore consumers do not give high attention. In such a scenario, the buyers are the dominators (Gelderman and Weele, 2002). Identifying a preferred supplier and then working solely with that supplier could change the position. This could result in reducing the valuable purchasing management time. Portier et al (2011) have claimed that generally buyers do not form such relationships or do not prefer any supplier for routine products or services and buyers do not form supplier relationship. This relationship has been termed as the Key Supplier Management. The main reasons for such relationship not being formed are the barriers that restrict them. These barriers include inability to integrate the purchasing or procurement activities with the other activities, complexities involved in building relationships of supplier portfolio and implementing them, and limited knowledge about value co-creation between

Tuesday, February 4, 2020

Transition on Nurses' Role Essay Example | Topics and Well Written Essays - 1000 words

Transition on Nurses' Role - Essay Example Last and most importantly, it asserts that every single step in the transition process is important to becoming an effective newly qualified nurse. Immediate Life Support and Its Overall Importance Immediate Life Support (ILS) was a program designed in UK to provide the newly qualified nurse the skills to manage cardiac arrest and other medical emergency procedures during his or her transition in a clinical setting (Resuscitation Council, 2011). This particular training is already mandatory for newly qualified nurses as they become hospital staffs (Cole, 2008). This training is also intended to comply with the mandatory levels of life supports, the so-called ‘Chain of Survival,’ which requires them to attend to patients during emergencies (Wirral University Teaching Hospital NHS Foundation Trust Resuscitation Training Department, 2010). Often closely associated with Advanced Life Support (ALS), the ILS equips healthcare professionals with ALS algorithm, defibrillation, a irway management and ventilation, circulation support, and post-resuscitation care. Also, it trains them with the causes and prevention of cardiopulmonary arrest and the use of ABCDE approach. More so, it helps them manage patients in case of cardiopulmonary arrest until resuscitation team arrives, and to be able to provide support as a member of such team (Resuscitation Council, 2010). ... lso show that the knowledge and skills acquired by the students in the course of learning the ILS techniques improved their clinical practice (Gallagher and Traynor, 2011). This goes to show that Immediate Life Support course is indeed very crucial in the transition phase of newly qualified nurses. Transition Phase This phase is one of the most complicated phases in the nursing profession. For one, it causes anxiety, which is said to be caused by â€Å"perceived lack of knowledge and support† evident in one experimental study (Whitehead, 2001, pp. 330-339). In addition, it is also during this phase that the newly qualified nurse is expected to experience â€Å"transition shock.† Nevertheless, it is still a very important stage because it provides an opportunity for skills enhancement and knowledge. Moreover, nurses are also able to enhance their knowledge and reinforcement during this phase (Duchscher, 2008), thus, a very crucial portion of their medical practice. Essen tial Components of Immediate Life Support and Its Importance on the Transition of a Newly Qualified Nurse 1. ALS Algorithm Firstly, algorithm of ALS is conducted to monitor the electrical activity of the heart with the aid of cardiac monitor. After evaluating cardiac arrhythmia, nurses had to decide whether defibrillation is applied or medication administered. Some of the medicines that could be given include adrenaline, calcium, and magnesium, so as with saline or colloids to improve circulation. On the other hand, oxygen is administered and endotracheal intubation in order to secure the airway (Resuscitation Council, 2010). Basically, conducting ALS algorithm, as part of ILS, is essential because it facilitates airway management and the constant monitoring of the heart. In case irregularities arise