Practice makes perfect

first_imgIncludingoccupational health as a practice placement for student nurses as part of theirpre-registration diploma is a process that has also been advantageous to OHteams, by Tammie Daly, Nia Harris & Alison ClarkeOccupationalhealth nurses (OHNs) are in a unique position to assist student nurses to meetthe public’s ever-changing health needs.Thisarticle discusses the setting up, implementation, and benefits of includingoccupational health as a practice placement for student nurses as part of theirpre-registration diploma programme – a process that has also been advantageousto the OH staff involved. Accordingto an article in Nurse Education Today, ‘collaboration between educationalinstitutions, clinical practitioners and managers is necessary in order toreduce ‘reality shock’ and bridge the gap between nursing education and nursingpractice’.1NottinghamOccupational Health (NOH) has always maintained close links with NottinghamUniversity, through lectures, health screening and support.Ithas, in the past, placed Project 2000 students in industry but, due to ashortage of suitable placements, time constraints and, in some cases, theattitudes of the students, the project folded.TheDepartment of Health’s (DoH) Placements in Focus advocated a more innovativeapproach to providing student nurse placements.2In2001, Alison Clarke, from Nottingham School of Nursing, suggested NOH considerincluding OH as a themed placement for adult branch student nurses as part oftheir ‘community experience’.3Therationale behind the initiative was for student nurses to understand theeffects of work and the workplace on health, and the effects of ill health onthe individual’s fitness to work.Thiswould then enable them to provide better advice to patients on managing theirhealth in relation to their working environment, managing chronic health atwork, liaising with appropriate support to continue to work with an existinghealth problem and returning to work after illness.Outlineof projectTotry to involve other OHNs, Clarke spoke to the Nottinghamshire OH Group and theinformation was distributed via their newsletters. Some OHNs thought thestudents would be too inexperienced to work in our speciality, while others feltunable to commit the time. Six nurses, however, did see the potential, and metwith the programme manager and placement co-ordinator to explore the conceptfurther.Twoorganisations, Nottingham Trent University and NOH, agreed to pilot the scheme,while other organisations expressed a willingness to have the students visitfor periods ranging from half a day to two days.Theplacement sites were first audited by the school to help ensure they would meetthe learning needs of the students. The group met to develop a learning packagearound professional practice, care delivery, care management and thedevelopment of self and key skills.4Eachof these domains was explored in relation to OH practice and to ascertain whatpossible insight could be expected from the placement, as well as thedevelopment of practice skills. Thispackage proved a useful guide for OHNs to facilitate, direct and focus learningfor the students on placement. The placements also benefited the OHNs by makingus critically analyse our own practice, especially when reflecting anddiscussing clinical situations with the students.Itcan be difficult for the busy OHN within the daily constraints of clinicalpractice to find time to search for, read, appraise and think about usingresearch. Students ensure we do find the time, especially as they are taught tolook for evidence-based practice, thereby making us initiate, develop andmaintain change. Theproject started in October 2001. NOH, which has three departments and a team ofnurses, was able to place two students, while Nottingham Trent University tookone student, as its nurse worked alone. The placements were structured and aprogramme produced before the students started. These included visits to otherOH departments such as Astra Zenica, Boots, The Fire Service and RHMS bakery.The students also visited other sites and industries with their mentors (seebox, left).GettingstartedOnthe first day, all three students met at the hospital for the induction. Thisallowed the nurse from the university to meet the students to help ensure peersupport would be possible during the placement and, hopefully, reduce theanxiety of the students entering a new environment.Groundrules were negotiated to ensure the students realised that the health, safetyand welfare of the OH client group was the main concern. The induction includedan explanation of the role of OH, confidentiality issues (especially as peerrecords would be stored in the hospital’s OH department), and the learningexperience that would be available within, and allied to, the placement. Italso covered the expected outcomes from the placement.OutcomeThroughoutthe placements (usually six to eight weeks long), the students met about threetimes with the tutor from the school of nursing, to link theory to practice.The mentors also attended these sessions, providing the opportunity forcommunication and consultation between the students, mentors and tutorialsupport. It also helped the mentors ensure that the students met their expectedoutcomes.TheOHNs negotiated the learning experiences, acted as role models and promotedlearning through reflection.5 They facilitated the students in self-directedlearning by allowing time within the placements for the students to exploreareas of interest (for example, offshore medicals and drug screening).Thiswas especially important because during the placement, the students had toexplore a work/health issue and write a 1,000-word report. Subjects tackledincluded reasons for undertaking respiratory surveillance and hepatitis C andthe healthcare worker.Sofar, six groups have had their themed placements in the OH setting, all ofwhich were evaluated by students, mentors and the school of nursing during agroup discussion at the end of each placement period. Nearly all the studentsgave excellent feedback and the placements have proved popular (see box, p20).Theplacements would not have been so successful without the support of other OHdepartments. Organisations such as Astra Zenica, Boots, Nottingham FireBrigade, and RHMS bakery supported the two main organisations, helping to givethe students a good insight into OH.VickyWright, OH nurse for Sainsbury’s in the Midlands, is hoping to join the schemeand take the students for a couple of days next spring. “I am looking forwardto helping student nurses during their training to see how health in the adultsof working age is supported and managed in the workplace,” she says.ProblemsidentifiedItwasn’t all smooth sailing; there have been obstacles. One organisation thatjoined the scheme later had to withdraw due to time constraints. However, thatnurse still wants to take students for shorter periods.Thismight lead to joint placements in the future (two organisations having astudent for a shorter duration or even half a week each for the six weeks).There have been rare incidents of problems with time-keeping and absences, butagain these were dealt with on a personal level.Itmust be recognised that it can be emotionally demanding on the part of the OHN,especially if, like the OHN at the university, you work alone. Also, there canbe conflict between the responsibility to clients and giving the studentsenough quality time.Itcan sometimes be difficult to just let go, stand back and allow the students toundertake procedures, especially if there are time constraints and you wouldnormally be able to do it quicker yourself. This is one factor you must takeinto consideration when supporting students – supervised practice takes time,and teaching takes even longer. This has, however, been offset, and provedinvaluable when the students were able to provide support in delivering clientcare during staff shortages.PositiveeffectBeinginvolved in student nurse training can only have a positive effect for allconcerned. It is through education that the quality of care provided topatients and the general population will be improved.Studentswill be able to link theory to practice, and vice versa. They will be able tolook much more holistically at the patient in relation to work and health, andhopefully provide them with appropriate health education so they can takeresponsibility for their own health at work.Onfuture placements, they can raise awareness of good practice, such as promotingOH services, infection control issues, and action to be taken followingcontamination from blood or body fluids. They will understand that ill healthmay arise from exposure to hazards at work whether physical, chemical,biological, psychological or even from an accident.Thisknowledge will stand the students in good stead when they themselves becomeward managers. It will also enable them to look at what the patient will bedoing on discharge from hospital, and think about any special requirementswhich will assist them in successfully returning to work. It may even encouragethem to enter the speciality in later years.ConclusionTheOHNs learned a lot as well, especially through reflective practice and, for themost part, have found the students enjoyable and interesting.Ithas made us look at our own evidence-based practice and competencies and hasencouraged other team members to take an active part in student training. Ithas also encouraged us to read more literature in relation to our own practice.Itdoes take considerable time, commitment and resources on everybody’s part, andwe certainly would not be able to offer such a wide variety of experienceswithout the assistance of our colleagues in other industries.Byworking collaboratively with the school of nursing, it has strengthened thepartnership between education institutions and OH. OHNs can benefit from theexpertise of the university and the students have insight into research andwriting for publications. One student working at the university assisted inwriting a latex glove policy and, as a result of his involvement, a jointarticle was published in Occupational Health.6OtherOHNs should be encouraged to either contact their local school of nursing orhave a more positive outlook if approached to take part in a scheme, especiallyas the number of pre-registration students is increasing and more placementswill be required. It is beneficial – honestly.TammieDaly, RN, MA(Ed), DPSN(OH), is a nurse consultant at Nottingham OccupationalHealth, Queen’s Medical Centre, University Hospital NHS Trust, Nottingham. NiaHarris, BmedSci (Hons), DipOSH, RGN, is an OH specialist at Nottingham TrentUniversity. Alison Clarke, MSc, BN, RNT, RN, is a health lecturer at theUniversity of Nottingham School of NursingE-mail: [email protected]: [email protected]‘We don’t sing the chorus when the folksinger’s here: the learning society andhealthcare’, Schuller T, 2000, Nurse Education Today, 20,218-2262.Placements in Focus: guidance for education in practice for health careprofessionals, Department of Health, 2001, ENB, London3.Care of Adults in Community and Non Institutional Settings (DN10), NottinghamSchool of Nursing 2000a, University of Nottingham (in-house publication)4.Diploma in Nursing Assessment of Practice Record: Adult Branch, NottinghamSchool of Nursing 2000b, University of Nottingham (in-house publication)5.Journal of Advanced Nursing, Volume 21(5), 1006-1015, Atkins, 19956.Stretching the boundaries with new latex-free policy, Harris, N; Roper J, 2003,Occupational Health, Volume 55, no.1, 19-21ThemedplacementsNottinghamOccupational Health placements include internal visits/sessions with:–Infection control team–Health and safety team–Lectures on manual handling, DSE, first aid, risk assessment etc–Visits to income-generating companies including a bakery and lead factory–University siteNottinghamTrent University placements included internal visits/sessions with:–Health and safety department–Personnel department–Physiotherapy–Lectures on risk assessment, DSE, manual handling etc–Agricultural college and satellite site, which includes life sciences, sportsscience, and labsKatherineHoeglund’s experiencesBeforestarting the placement, I did not even know what OH was or how relevant itwould be. I had attended a few times for my hepatitis B vaccinations and thatwas about it.Iwas a bit worried I would not enjoy it, mainly because I thought it might be abit boring. However, having now completed five weeks on placement, I havethoroughly enjoyed it. More so than on any other placement, the importance ofpolicies and procedures has become evident.Myconfidence in undertaking health screenings has soared and I’ve been able tomake links with theory and practice; in other words, my understanding behindnursing actions.Thevariety of the placement surprised me, with a lot of visits to externalcompanies and other OH departments in different fields – vaccinations,audiology, vitalagraph and vision testing, first aid training, health andsafety risk assessment training, blood-borne virus lectures, back carelectures, and infection control training to name but a few. Theskills I have learned on this placement are highly relevant and transferable tofuture roles. I would highly recommend this placement to other students. Related posts:No related photos. Previous Article Next Article Practice makes perfectOn 1 Oct 2003 in Personnel Today Comments are closed. last_img read more

The yardstick of safe practice

first_img Previous Article Next Article Inthe 9th annual Ruth Alston lecture, organised by the Association ofOccupational Health Nurse Practitioners (AOHNP), barrister Diana Kloss examinesthe legal liability of the occupational health professionalIam not, and do not purport to be, a health professional. However, for manyyears I have been interested and involved in healthcare law, especially in thefield of OH. Ruth Alston, whom I knew, was particularly interested in the roleof OH in business.Ihave been asked to explore the issue of how far the potential legal liabilityof the occupational health nurse (OHN) has both positive and negative economiceffects on the business.Itis well established that the liability of the employer, both under the criminallaw of health and safety and the civil law of compensation, has importanteconomic effects.Risesin premiums for employer liability insurance and the proposal that the cost ofNHS treatment for staff injured at work should be borne by the negligentemployer are some of the recent actual and potential examples of the financialburdens on business of legal liability. Ofcourse, the costs of preventative measures are also expensive items on thebalance sheet. It was for this reason that health and safety at work was withinthe competence of the European Union, and the European Coal and Steel Communitybefore it, from the very beginning. It was recognised that the protection ofworkers was a costly matter, and that companies throughout Europe should operateon a level playing field.Inthis lecture, I am concerned not with the liability of the employer, but thatof the nurse. Their potential liabilities arise in the following key areas:–Criminal law–Civil law of negligence–Employment laws, particularly the Disability Discrimination Act (DDA)–Professional liability, as policed by the Nursing and Midwifery Council (NMC)–The duty to the employer under the contract of employment.Dutiesunder criminal lawTheseare principally imposed by the Health and Safety at Work Act and regulationsmade there under. Most of the legal obligations are imposed on the employer,but there are duties imposed on employees as well.Section7, which obliges employees to co-operate with the employer in caring for theirown health and safety and that of others, is one example, as is section 36:“Where the commission by any person of an offence under any of the relevantstatutory provisions is due to the act or default of some other person, thatother person shall be guilty of an offence, and a person may be charged with,and convicted of, the offence by virtue of this subsection, whether or notproceedings are taken against the first-mentioned person”.InHealth and Safety Executive v Lockwood, Stephen Lockwood was an occupationalhygienist working as a consultant in a woodworking factory.1 An inspectordiscovered that the levels of airborne dust were over the legal limits, thusputting the employer on the wrong side of the law (the COSHH Regulations).Thefault lay with the hygienist, who had failed to comply with the standards andprocedures recommended by his profession. Following the case, he undertookfurther training modules.Theemployer was issued with an improvement notice, but was not prosecuted. Aprosecution was brought before the Stafford magistrates against the hygienist,who was found not to be competent as required by the management regulations. Hewas fined £1,000 and ordered to pay £2,000 in costs.Ihave been informed by a senior doctor at the Employment Medical AdvisoryService that similar prosecutions have been considered against OHprofessionals, though none have yet reached the courts.Whatamounts to competence? There are several guides as to the need for competenceand how it may be obtained.2 The practitioner must have appropriatequalifications, an understanding of current best practice, an awareness of thelimits of their knowledge and experience, and must stay up-to-date. The morecomplicated the task, the higher the level of knowledge and experiencerequired.Outsidethe law of health and safety, general criminal law will also impact on thepractitioner. For example, the law of manslaughter has been used by the CrownProsecution Service on a number of occasions in recent years to prosecutedoctors and nurses guilty of gross negligence. Nurses must also, of course,take care to comply with laws relating to dangerous and controlled drugs.Itis important to note there can be no insurance against potential criminalliability, though insurance against the legal costs of defending a criminalcharge is permitted.Dutiesunder the civil lawThetort of negligence imposes a duty of care on all health professionals to takereasonable care. It is more common for health professionals to be sued in thecivil courts than to be prosecuted. Therefore, I strongly advise any healthprofessional to take out legal liability insurance and not to rely on theemployer, whose interests may conflict with those of the nurse.  Membershipof the Royal College of Nursing (RCN) and other trade unions includes insuranceas a benefit of membership. In 2003, insurance through the Medical DefenceUnion for AOHNP members was £135 for £10m cover. This compares very favourablywith the costs of employer liability insurance. Up to now, I know of no casewhere an OHN has been sued, but there is always a first time.Theemployer is only legally (vicariously) liable for a nurse if they are directlyemployed. In theory, the employer made liable for the negligence of a nursecould call upon the negligent nurse to reimburse them.Employmentlaws, such as the Disability Discrimination Act (DDA) 1995, also impose dutieson health professionals.  Section 57 ofthe DDA states: “A person who knowingly aids another person to do an unlawfulact is to be treated as himself doing the same kind of unlawful act… Anemployee or agent… shall be taken to have aided the employer or principal to dothe act”.InLondon Borough of Hammersmith and Fulham v Farnsworth, a job applicant suedboth the employer and the self-employed occupational physician for unlawfullydiscriminating against her by turning her down for a job as a social worker.3Shehad a history of depression that, in the physician’s view, made it likely thatshe would have a sickness absence that was longer than average.Thetribunal held that both were liable because there had been insufficientconsideration of the fact that Farnsworth had recovered from her depression andhad held down a job for a reasonable period before applying to the council.Onappeal, the court exonerated the doctor because the only route whereby shecould be held liable was section 57, and the tribunal had not considered thatsection. Had the case been properly argued, the doctor might have been requiredto pay damages in addition to the employer’s liability.Dutiesto the professionAserious breach of the nurse’s professional Code of Conduct might lead to theloss of a career as well as a job.4TheProfessional Conduct Committee has the power to strike a nurse off the registerfor breaching the code. In my experience, nurses are more fearful of thissanction than any other.Arecent case was that of Jose Deogee, an OH nurse in Scotland, who was struckoff for purchasing prescribed drugs without authorisation. At the time, a spokespersonfor the NMC said it was very unusual for an OHN to appear before theProfessional Conduct Committee.Dutiesto the employer  Ifthe nurse is employed under a contract of employment, they are an employee. Ifthey work as a self-employed consultant, they have a contract with the employerto provide a reasonably efficient service, but not a contract of employment.Seriousmisconduct or incompetence may lead to a fair dismissal of an employee, but theduty to the employer is not absolute. The nurse is entitled to refuse to breakthe law or their Code of Ethics, since their necessary compliance with thesewill be an implied term in their contract.Ihave received several e-mails from OHNs who are being subjected to pressure,even threat of the sack, by personnel departments who are demanding access toconfidential records without the consent of the worker in question.Itis crystal clear that the nurse has a legal and ethical duty to preserve theworker’s confidence. Where the employer cannot obtain consent, it will have toobtain a court order, except in exceptional cases where the interests of othersoverride consent, such as where the worker is endangering others.Isthe nurse’s fear of legal action damaging to the effectiveness and costs of anOH service, or is it a valuable deterrent to poor practice? Does it lead todefensive medicine, such as unnecessary tests or x-rays?–I am not aware of any research on this issue in OH – perhaps it should beundertaken. But there is research into the practice of defensive medicine inother healthcare settings.Defensivemedicine was defined by Lord Pitt in the House of Lords, on 10 November 1987,as follows: “If doctors are to face these awards of severe damages they have tomake sure of their defence. You are always better off in the witness box if youcan say that you have done all the tests that are considered necessary… Thatmeans that one is wasting resources”.Ithas been alleged that, for example, the rise in the number of babies born byCaesarean section is due to the fear of litigation against obstetricians, butthe evidence is that convenience and the mother’s fear of a natural birth aremore likely to be the cause.5Inany event, health professionals are judged by the standard of a reasonablepractitioner (a system of peer review), so that reductions in tests andprocedures need not give rise to legal liability if the changes are discussedwithin the profession and receive the support of a reasonable body ofpractitioners.Thecall for ‘evidence-based medicine’ should be heard by OHNs along with theircolleagues in other specialties. It is important in my view for the professionto agree on standards as far as possible, and establish a recognised ‘bestpractice’. It can only be for the benefit of both employer and workers that thenurse feels constrained by the fear of legal liability to achieve the standardsset by the profession.Ithas been suggested to me that unethical OH consultants occasionally leademployers to believe that tests are legally required when that is not the case.If this is true, it might constitute an actionable or even criminalmisrepresentation, and a potential breach of the ethical rules of theprofession.Doesthe fear of legal proceedings restrict OH professionals in what they reveal tothe employer, thus causing economic damage to the business?–Most of the enquiries I receive from OHNs concern the duty ofconfidentiality, and there is no doubt that many employers see OH personnel asbeing unreasonably secretive.Here,there is a conflict between the interests of the employer and of the worker.The ethical duties of health professionals primarily protect the worker ratherthan the employer, but this is necessary to ensure that staff are willing toconfide in them. Without this trust, no health professional can do a goodjob.  However,employers see OH records as their property and are frustrated when they aredenied access. I have been told that some employers wish to classify nurses asOH advisers to try to avoid professional ethics, but I need hardly say thatthis must be strongly resisted.Therecent publication by the Royal College of Nursing of a Code of Confidentialityfor OHNs will give them some support against a predatory employer.6Iwould argue that a good OH service is of economic benefit to the employer inhelping to prevent work-related ill-health, advising on the rehabilitation ofworkers who have become disabled and assisting in the reduction of sicknessabsence. Confidentiality is an essential concomitant of such a service.Doesthe fear of legal proceedings limit the practice of OHNs because they areunhappy about assuming a more responsible role, or because employers or doctorsare unhappy about taking on more responsibility, thus making the OH serviceless effective?–Here, the NMC and the RCN play a central role in encouraging and supportingnurses to undertake tasks for which they are competent.7Onetopic often debated is whether a nurse is competent to make a diagnosis,regarded in the past as the prerogative of the medical profession.Itis proposed in the new general practitioner contract which is to be introducedin April 2004, that GPs should no longer have any legal obligation to certifysickness absence after seven days.8Itis envisaged that OH departments, among others, will take over this function.It is likely that OHNs will sign sicknotes. Will they give a diagnosis of thereason for absence, or will they merely state whether the worker is fit orunfit to do the job? Clinical details cannot be given without consent. Since OHhas no clinical function, will it be necessary to inform the GP of the givingof the sicknote? Again, this cannot be done without consent.Iam aware that I have raised more questions than I have answered, but I hope Ihave stimulated debate among the profession. The answer to the question posedin the lecture’s title appears to be that legal liability is a deterrent topoor practice.Andalthough human resources professionals may not always agree, if it setsparameters within which the nurse should operate, then this is for the benefitof both the employer and the employee in the long-term. References1.Piney,Exposure assessment and control (2002) 95 Occupational Health Review 1892.Management of Health and Safety at Work Regulations ACOP and Guidance (1999),paragraphs 51 and 52; HSE (1998) Outline map on competence training andcertification; HSE (2000) guidance for employers on how to get advice on healthand safety3.[2000] IRLR 6914.Code of Professional Conduct – Nursing and Midwifery Council (2002) London5.Medical Negligence: Competence and Accountability – Ham, Dingwall, Fenn, Harris(1988), King’s Fund, London6.Confidentiality – RCN Guide for occupational health nurses (2003), RCN, www.rcn.org.uk7.Qualified to practise? – Robson, (2001) 94 Occupational Health Review 168.GMSContract 2003; Green Paper, Pathways to Work, Stationery Office The yardstick of safe practiceOn 1 Jan 2004 in Personnel Today Comments are closed. Related posts:No related photos.last_img read more

Weekly Market Review: July 15, 2019

first_imgThis material does not constitute a recommendation to engage in or refrain from a particular course of action. The information within has not been tailored for any individual. The opinions expressed herein are those of Michael A. Higley as of the date of writing and are subject to change. MML Investors Services, LLC (MMLIS) provides this article for informational purposes, and does not make any representations as to the accuracy or effectiveness of its content or recommendations. Mr. Higley is not an employee of MMLIS and any comments, opinions or facts listed are those of Mr. Higley.This commentary is brought to you courtesy of MML Investors Services, LLC (Member FINRA, Member SIPC). Past performance isn’t indicative of future performance. An index is unmanaged and one cannot invest directly in an index. Material discussed is meant for informational purposes only and it is not to be construed as specific tax, legal, or investment advice. Although the information has been gathered from sources believed to be reliable, it is not guaranteed. Please note that individual situations can vary, therefore, the information should be relied upon when coordinated with individual professional advice. Clients must rely upon his or her own professional advisor before making decisions with respect to these matters. It was an “old movie” that long-time stock investors have seen before: the chair of the nation’s central bank calmed the fears of skittish investors and all but guaranteed that a rate cut would occur in the coming weeks, causing stocks to surge. Alan Greenspan, Fed Chair from 1987-2006, did it so often it became known as the “Greenspan Put,” i.e., whenever a financial crisis arose, the Fed would come to the rescue by lowering interest rates. Current Fed Chair Jerome Powell oversees an economy with a historically low jobless rate, low inflation and a stock market already at record levels, but he is still concerned that global speed bumps may eventually work their way into our economy – thus the need now for a rate cut in the near term (source: BTN Research).Stock investors celebrated Chairman Powell’s comments to Congress last week by pushing the S&P 500 above 3,000 for the first time ever. The stock index closed at 3014 on Friday (7/12/19), its 10th record close this year and 217th in the ongoing 124-month bull run that has produced a gain of +453% since March 2009, equal to an annualized return +18.0% per year. Rumor has it that bulls don’t last forever, but that fact has been lost for now on this streak of more than 10 years (source: BTN Research).OPEC, once the king of global oil production, has seen its status diminish with the boom of American shale oil. The 15-nation cartel was the source of just 29.8% of the world’s daily production of oil as of July 2019, its lowest total by percentage in almost 29 years, i.e., since September 1990. OPEC generated 39.5% of the world’s oil in April 1998 (source: International Energy Agency).Notable Numbers for the Week:WHERE DID THEY GO? – The number of publicly listed companies, i.e., companies traded on an exchange,has dropped from a peak of 8,090 in 1996 to just 4,336 today (source: theglobaleconomy.com).WANT A PENSION? – 83% of full-time state and local government employees were participants in a defined benefit pension plan in 2018. Just 16% of full-time workers in the private sector were participants in a defined benefit pension plan in 2018 (source: Urban Institute).RICHEST – The top 1% of wage earners in the U.S. reported at least $480,804 of pre-tax income in 2016 and own an estimated 29% of the total wealth in the country (source: Survey of Consumer Finances).GRAY HAIR OR NO HAIR – An estimated 56 million Americans will be at least 65 years old by the year 2020, i.e., one out of every six Americans. An estimated 73 million Americans will be at least 65 years old by the year 2030, i.e., one out of every five Americans (source: Census Bureau).last_img read more

South Shore Line July tickets remain valid for August

first_img Facebook (“The South Shore Line” by railsr4me, CC BY-ND 2.0) Good news for those who purchased July monthly tickets for the South Shore Line.The rail line announced this week that all July tickets will remain valid throughout the month of August.Passengers who purchased a paper July monthly ticket should plan to keep that ticket and use it throughout August. Those who purchased a digital July ticket via the mobile app will see an August ticket uploaded to their account prior to August 1.For more information, contact the SSL through the online contact form at mysouthshoreline.com/contact.SSL is also offering free westbound rides on all trains July 1 through August 31. The free rides apply to all SSL stations, and passengers can simply board applicable westbound trains with no ticket purchase.All doctors, nurses, EMTs, paramedics, firefighters and other medical personnel and law enforcement can continue riding for free throughout the months of July and August. For more information, visit southshoreline.com. Facebook Pinterest WhatsApp Google+ TAGSAugustcoronavirusCOVID-19freejulyrail lineridesSouth Shore Linetickets WhatsApp By Brooklyne Beatty – July 1, 2020 0 467 center_img Pinterest IndianaLocalNews South Shore Line July tickets remain valid for August Twitter Twitter Google+ Previous articleOfficial: No South Bend Cubs baseball this seasonNext articleFamily Fun Day Camps scheduled for July at South Bend park Brooklyne Beattylast_img read more

Tens of thousands rally in support of Nepal’s embattled PM

first_imgKATHMANDU, Nepal (AP) — Nepal’s prime minister, facing growing protests against him, has gathered his supporters in a rally in the capital in an attempt to show he still has support. Tens of thousands of people waving red Communist flags gathered at the heart of Kathmandu cheering and chanting slogans in support of Prime Minister Khadga Prasad Oli. A splinter faction of Oli’s governing Nepal Communist Party and opposition parties have been holding protests against him since he decided to dissolve Parliament on Dec. 20 and hold new elections on April 30 and May 10. The splinter faction led a nationwide general strike on Thursday, shutting down schools, markets and transportation.last_img read more

Vermont gets $1.47 million in federal grants to help crime victims

first_imgPatrick Leahy (D-VT) announced Tuesday that Vermont has been awarded more than $1.47 million in federal grants to help victims of crime.  The grants come from the Crime Victims Fund, the primary source of federal financial aid for crime victims, and are administered through the US Department of Justice.“The need for victim assistance and compensation has grown over the years, and the Crime Victims Fund has been a mainstay for crime victims in states like Vermont,” said Leahy.  “Programs like those supported by the Vermont Center for Crime Victim Services help survivors piece their lives back together.  The vital funding Vermont has received from the Crime Victims Fund will help to ensure continued support for these efforts.”Vermont has received $1.27 million for victim assistance programs to support local efforts such as crisis intervention, emergency shelters, transportation, counseling and criminal justice system advocacy.  The state has also received $200,000 for compensation programs to reimburse victims and their families directly for expenses related to their victimization, including medical and mental health costs, and funeral burial expenses.  The funding is administered by the Vermont Center for Crime Victim Services.Leahy, a former prosecutor in Vermont, has led the effort in Congress to protect the Crime Victims Fund, which the last administration sought to tap for other uses.  The Fund is supported exclusively by fines and other penalties paid by convicted federal offenders, not by taxpayer dollars.  The Fund serves roughly four million crime victims every year, including victims of domestic violence, sexual assault, child abuse, elder abuse and drunk driving, as well as survivors of homicide victims.  Crime Victim Fund grants have become especially important for states at a time when many programs have faced funding cuts in the wake of the economic downturn.Leahy is the author of the Crime Victims Fund Preservation Act, which will help ensure that crime victims receive essential services and federal support under the Victims of Crime Act (VOCA).  Last October, the legislation was approved by the Senate Judiciary Committee, which Leahy chairs.  He also worked to include $100 million for crime victim assistance in the 2009 economic recovery act.More than 4,000 agencies nationwide are supported by VOCA funds each year. Source: Leahy. 9.14.2010last_img read more

Brazil To Build New Nuclear Reactor

first_imgBy Dialogo May 07, 2010 Brazil is to build a 483-million-dollar nuclear reactor to produce radioactive material for medical use as well as industrial-grade enriched uranium, local media reported Wednesday, citing a cabinet minister. “The multipurpose reactor has a very important role in the nuclear program,” Science and Technology Minister Sergio Rezende said in the daily O Estado de Sao Paulo. The reactor will be built in Ipero, 130 kilometers (80 miles) from the southeastern city of Sao Paulo, in an area where the Brazilian navy is developing a nuclear submarine project and building ultracentrifuges to enrich uranium. The reactor will be used for nuclear medicine, producing what are known as radiopharmaceuticals for diagnosing and treating diseases like cancer, Rezende said, as well as produce industrial-level enriched uranium starting in 2014. The announcement came as senior officials from around the world meet at the United Nations to review the Nuclear Non-Proliferation Treaty (NPT), and ahead of Brazilian President Luiz Inacio Lula da Silva’s May 16-17 trip to Iran. Lula in February announced that two new nuclear power plants would be built in Brazil’s northeast. Brazil has an ambitious civilian nuclear program, and for more than 20 years has had two nuclear plants in Angra dos Reis, in Rio de Janeiro state. The country’s constitution bans the presence of nuclear weapons on Brazilian territory.last_img read more

Debit economics at your credit union

first_imgMost credit unions are still doing OK on debit interchange rates, according to a new survey. Ten years ago, financial institutions reported receiving a weighted average interchange of $0.41 for each consumer debit transaction.With the Dodd Frank interchange rate cap in effect since fourth quarter 2011, large issuers (>$10 billion in assets), earned a weighted average of $0.24 per debit transaction in 2014, while exempt financial institutions (<$10 billion) earned $0.40, according to the 2015 Debit Issuer Study, commissioned by Pulse.Also according to this year’s study data, exempt issuers generated average annual debit interchange revenue of $112 per card. Regulated issuers received average interchange income of $59 per card, with transaction growth helping to offset a portion of the impact of lower per-transaction rates.This year’s study was the 10th installment in the series and was conducted by Oliver Wyman, an independent management consulting firm. continue reading » 20SHARESShareShareSharePrintMailGooglePinterestDiggRedditStumbleuponDeliciousBufferTumblrlast_img read more

A company from Slavonia furnishes American hotels with furniture

first_imgThat Slavonia can and knows differently is an example of furniture manufacturer Ancona grupa doo from Đakovo, which has been entrusted with equipping five hotels in the United States, from New York through Washington to Miami, writes Business diary.It is about Ancona Group from Đakovo, which produces furniture in its own production, and employs over 120 employees. “These are two hotel chains there and an international competition. Four hotels belong to the Club Quarters chain, three of which are in New York and one in Washington, these four we have to equip by the end of the year. I’m going to America next week because of an arrangement for a possible four more outfits next year. There are indications that this could turn into a very serious business. It has also been agreed to equip a hotel belonging to the Even chain, located in Miami, and we have to deliver it by March or April next year. We sent a model room to America for a project in Miami, and to equip hotels in New York and Washington is already working hard in production”Points out the owner of Ancona Group, Markica Stanušić for Poslovni dnevnik.Photo: Ancona groupExactly one “small” company from Croatia managed to contract the equipping of five American hotels in 2017 and 2018 through a regular tender. You know when you apply for a job and if you have the best offer you get a job. So simple and normal, right?”I was on a trip to America last year for Christmas and New Year. I accidentally booked the Club Quarters hotel and when I arrived, I expected a lot more. We went through a dozen hotels, but the furniture seemed terribly cheap, modest. I contacted an agent I met at the fair and asked if we had the opportunity to compete there. There was a competition, and just for that hotel where I stayed for the first time. We called and – passed ” Stanušić points out and adds that his new client has so far imported everything from the Blistok East, and never from Europe. “I don’t know what they expected here, but when they saw the company, the facilities, the model room, our approach to work, they went in amazement”Concludes Stanušić.Let’s buy Croatian. Meet them – Ancona GroupRelated news:EXCELLENT COOPERATION! PRIMA FURNITURE EQUIPPED BLUESUN 5-STAR HOTELSHOTEL ESPLANADE RECOGNIZED THE QUALITY OF CROATIAN FASHION DESIGN AND CREATED A COLLECTION OF NEW UNIFORMS FOR HOTEL RECEPTION EMPLOYEESLUXURY TOURISM IS NOT GOLDEN FAUCETS BUT QUALITY DESIGNlast_img read more

The torch-bearer

first_imgTo access this article REGISTER NOWWould you like print copies, app and digital replica access too? SUBSCRIBE for as little as £5 per week. Would you like to read more?Register for free to finish this article.Sign up now for the following benefits:Four FREE articles of your choice per monthBreaking news, comment and analysis from industry experts as it happensChoose from our portfolio of email newsletterslast_img