A Literature Review About Mecication Errors Essay Example for Free

A Literature Review About Mecication Errors Essay Introduction An error rate of 5% is acceptable in most industries, however, in the health care industry; one single error can result in death. (Berntsen, 2004, p5) This paper discusses medication errors in relation to pharmacology and drug treatment. It will summarize three academic peer reviewed journal articles, followed by general information in relation to medication errors, the impact of medication errors on client care, strategies to prevent medication errors  and conclude with the relationship to nursing. Summary of Articles Related to Medication Errors. The first article is by Karin Berntsen, 2004, and is entitled How Far Has Health Care Come Since To Err is Human? Exploring Use of Medical Error Data. This is a review of what changes have been made since a medication error report written by the Institute of Medicine was published in 1999. This article depicts how the health care system has changed since this 1999 report was written, and how the information was utilized for our benefit. They concluded that in the USA, medical errors were one of the top 8 leading causes of death. They reported the cost for these errors was between $17 Billion to $29 billion dollars. Until a new report is completed, health care providers will be unaware whether their goals in increasing patient safety were accomplished. The article finalizes that there has been progress in regards to prevention of medication errors and health care leaders feel passionate about increasing patient safety. (Berntsen 2004) The second article is by William N. Kelly, 2004, and is titled Medication Errors: Lessons Learned and Actions Needed and highlights the death of a one year old child who was diagnosed with cancer. She subsequently died, not from the cancer, but from receiving an incorrect dosage of a drug that she was being treated with. This report indicates that medications are systematically checked and balanced and errors are usually caught before a drug is administered to a patient. The article states that problems are not being solved in a timely manner since the industry has been putting band aids on problems that need major surgery.(Kelly 2004). In conclusion, the article questions whether or not they are taking the right approach in preventing errors. Many people are trying to fix this problem however; errors are still made too frequently. (Kelly 2004) The final article is by Rosemary M. Preston, 2004, and is titled Drug Errors and Patient Safety: A Need for Change in Practice. This article presents that errors continue to happen for many reasons. It concentrates upon calculations errors, lack of knowledge of drugs, over/under dosing drugs,  interactions with drugs and food, and legalities regarding drug administration. It also presents recommendations to minimize the risk of drug errors with good communication and honesty. The article closes by stating that nurses should never estimate the skills needed for safe administration of medicines. (Preston 2004) Key aspects: medication errors and their causes. To understand the impact that medication errors have on a patient, we have to understand what a medication error is. According to Health Canada online, a medication error is defined as: Any preventable event that may cause or lead to inappropriate medication use or patient harm while the medication is in the control of the health care professional, patient, or consumer. Such events may be related to professional practice, health care products, procedures, and systems, including prescribing; order communication; product labelling, packaging, and nomenclature; compounding; dispensing; distribution; administration; education; monitoring; and use. [Developed for use by the National Coordinating Council on Medication Error Reporting and Prevention]( http://www.hc-sc.gc.ca/english/index.html) Medication errors occur for a variety of reasons. An error can affect all areas of a health care facility from health care management, staff, physicians, pharmacy and especially patients. Studies have indicated that errors will usually occur when the staff demonstrates signs of fatigue, stress, are over-worked or encounter frequent interruptions and distractions. When physicians display bad handwriting, ineffective communication with patients, and do not educate staff and patients effectively, a medication error is more likely to happen. Poor management can result in more medication errors when there is an emphasis on volume, over service quality. This results in inadequate staffing and disorganization. Medication errors affect all components of the health care environment. (http://www.napra.org/docs/0/95/157-/166.asp) Impact on client care. As disturbing as it sounds, one miniscule error can result in a patients injury or can even lead to their death. According to the American Journal of Medicine, statistics reveal that more than two million American hospitalized patients suffered a serious adverse drug reaction in relation to injury within the 12-month period and, of these, over 100,000 died as a result. http://www4.nationalacademies.org/news) Death and injury is a sad reality to any single error. The government established six rights of drug administration to prevent medication errors and ensure accuracy. These six rights include: Right drug, right dose, Right client, right route, right time and right documentation. (Kozier Erb 2004) Injuries that result from a medication error are called adverse drug events. Usually, these unpleasant effects can be eliminated and injury can be avoided. However, every drug produces harmful side effects, but the severities of these effects vary from individual to individual. These side effects also depend on the drug and the dose given. (Kozier Erb 2004) Health care professionals must report all errors and are accountable for their actions. No matter how insignificant, nurses are taught to document and report all mistakes. When statistics show what types of errors are made, an analysis can be done. This analysis can be used to plan ways to prevent them medication errors. (Berntsen, 2004)When a nurse does not report a mistake, the probability that it will happen again will increase. Medication errors have a huge impact on client care. They can result in death, injury, and result in unwanted effects of drugs. It is our responsibility as nurses to comply with the clients six rights of drug administration, to prevent errors from taking place. Strategies to prevent medication errors. There are many efficient ways to prevent nurses from making an error. To ensure patient safety in all aspects of client care, nurses are taught to think critically, and to problem solve. Nurses use critical thinking to ensure safe, knowledgeable, nursing performance and they must be able to keep up with updated health facts by constantly educating themselves with new information. (Kozier Erb 2004) Critical thinking assists in the prevention of medication errors. The six rights in drug administration help prevent medication errors from occurring. It is important to maintain the highest standards of practice of these rights for a drug to be prepared properly. Failure to adhere to any one of these rights will definitely result in a medication error. (Clayton Stock, 2004) Take your time when preparing medications and research any unknown drugs. Rushing should be avoided when preparing, administering and reading medication labels. Proper research must be done before an unfamiliar drug is administered it to a client. Even when in a rushed emergency situation, drugs should be looked at carefully to know the correct concentration and name of the drug, to prevent injury. (http://www.hc-sc.gc.ca/english/index.html) Labels should be read carefully and accurately. Before a drug is given to a patient, three checks should be done to ensure you are giving the proper drug and dose. In a situation where you are unsure of a drug order, you are expected to refuse the order and clarify it by law. If an individual is unfamiliar with a particular drug, the drug should not be given. (http://www.napra.org/docs/0/95/157-/166.asp) When a label is unclear, do not try not to examine the drug order yourself. Do not ask an associate, or ask for anyone elses interpretation of the drug. To get the correct information, contact the individual who ordered the drug to clarify the label. In order to decrease the chances of error, verify all unclear hand writing, abbreviations, decimal points, decimal places and dosages. (http://www.napra.org/docs/0/95/157-/166.asp) Use of dosage abbreviations should not be used to avoid drug miscalculations. Dosage abbreviations are misinterpreted more often, than any other type of abbreviation. Using standardized abbreviations, would assist in preventing misinterpretation of abbreviations. (Preston 2004) A drug check should be done three times prior to the administration of a drug. The drug label should correspond with the physicians orders. The three checks should be done; Before removing the drug from the shelf or dosage cart, before preparing or measuring the actual prescribed dose, and before replacing the drug on the shelf or before opening a unit dose container, just before administering a dose to a patient. (Clayton Stock, 2004) Do not make assumptions regarding drugs. Physicians, pharmacists, make mistakes and other parts of the health system may be flawed. For example, when documentation shows the patient has no drug allergy, it is wrongful to assume the patient will have no adverse reaction to a new drug. This could result in detrimental results to a clients health. Therefore no assumptions should ever me made. (http://www.ismp.org-/ToolsAllina-Orientation.html) A quiet environment for preparing medications will prevent prescription errors from occurring. Sometimes, nurses are repeatedly interrupted when preparing a medication. Distractions interfere with processing information and decision making. Errors will least likely occur when preparations are done when there are no distractions. (http://www.ismp.org-/ToolsAllina-Orientation.html) When preventing errors, staff must be certain all dosage calculations are correct and clarified. It may be beneficial to ask a colleague to assist you in checking doses, to minimize the chance of miscalculations. Other suggestions to minimize error include; making pre-calculated conversion cards, always use a leading zero before a decimal, never use a zero after the decimal and include indications whenever possible. Miscalculations are preventable if proper methods of inspecting calculations are used. (Preston  2004, p.72) Assess for the effects of drugs to avoid harming a client. A client must be assessed before and after a drug is given. For instance, before giving an oral medication, assess whether the client can swallow or feels nauseated. An appropriate follow up should be done after a medication is administered. It is important to check if the client experienced the desired effect of the drug. Significant abnormal responses to drug should be reported to the physician. (Kozier Erb 2004) Conclusion. To finalize this assignment, medication errors are mistakes that can cause harm to patients and can even result in death. The articles that have been summarized illustrate situations where medication errors have occurred and review what the health care industry is doing to prevent errors. A medication error is preventable and errors can be caused by a variety of reasons. This paper has discussed the impact medication errors have on client care and strategies of how to prevent errors from occurring. As a nurse, this knowledge will assist me in keeping beneficence a priority for client care. References Clayton, Bruce D., BS, RPh, PharmD, and Yvonne N. Stock, MS, BSN, RN. Basic Pharmacology for Nurses. 13th ed. United States of America: Mosby, 2004. Government of Canada Online. (2004, Summer). Retrieved July 18, 2004, from Health Canada Web site: (http://www.hc-sc.gc.ca/english/index.html) Kelly, William N. Medication Errors. Professional Safety 49: 35. Academic Search Elite. EBSCO. Assiniboine Community College. 22 July 2004 . Government of Canada Online. (2004, Summer). Retrieved July 18, 2004, from Health Canada Web site: (http://www.hc-sc.gc.ca/english/index.html) Kozier Erb, Barbara, et al. Fundamentals of Nursing. 7th ed. Upper Saddle River, New Jersey: Pearson Prentice Hall, 2004. Minimizing Medication Errors. (n.d.). In NAPRA: National Association of Pharmacy Regulatory Authorities. Retrieved July 17, 2004, from NAPRA: National Association of Pharmacy Regulatory Authorities Web site: http://www.napra.org/docs/0/95/157/166.asp Preston, Rosemary M. Drug errors and patients safety: the need for a change in practice. British Journal of Nursing (BJN) 13: 72. Academic Search Elite. EBSCO. Assiniboine Community College. 22 July 2004 .

The Pact Essay example -- Pact Analysis Essays

The Pact Assignment I found it difficult to relate with the book, The Pact, for near the first half of the story. The three boys, Rameck, Sam, and George all grew up in impoverished neighborhoods in New Jersey. They were surrounded by drugs, violence, theft, prejudice, and death. None of the 3 had a father figure within their home while growing up and discovered that it was extremely difficult to find any positive role models within their area. As kids, Sam and Rameck both caved under the peer pressure and became entangled in immoral activity. Rameck had even let adrenaline take over during a fight and stabbed a man in the thigh with a switchblade. As a result he spent 4 days in jail, some time on house arrest, and faced attempted murder charges, which were later dropped. Sam also spent 4 weeks in juvenile detention at a similar time for a mugging he had participated in. I am very fortunate to have never been put into this type of position. It makes me feel quite selfish for ever complaining about a negative situation in my own life. As very young children they had the understanding that one day they may be shot and killed. Most children are entirely sheltered from any type of violence, death, and immoral behavior, at least until they are tossed into the public school system. I was one of those children. My parents never mentioned to me any type of wrongdoing which in reality is considered commonplace in our perfect America. Though everyone pretended the bad wasn‘t there, that does not mean that it had never been experienced. As a young child my family did go through some problems. My father wasn’t home much, either doing his job, traveling from plant to plant (which were states apart) as a modular home inspector, or doi... ...idates/bush.new.html> â€Å"Economy.† Wikipedia, The Free Encyclopedia. 4 Nov. 2004. â€Å"George Bush.† The White House. 4 Nov. 2004. â€Å"George H.W. Bush.† Famous Texans. 5 Nov. 2004. Miller, Roger. â€Å"Bush & Bin Laden- George W. Bush had ties to Billionaire Bin Laden Brood.† American Free Press. 5 Nov. 2004. â€Å"President Bush, Jordanian King Discuss Iraq, Middle East.† The White House. 10 Nov. 2004. â€Å"President George W. Bush.† The White House. 4 Nov. 2004.

The Pathways of Plant Water Movement

Experiment 6- The Pathways of Plant Water Movement Aim: To investigate the movement of materials in xylem Materials: ?Fresh celery stalk with leaves ?Eosin solution (1%) ?A plastic container with tap water ?A sharp scalpel ?Hand lens ?A light microscope ?Two glass slides ?A cover slip Risk Assessment and Safety Precautions: Risk AssessmentSafety Precautions Eosin solution- can cause stainsAlways use gloves when handling Scalpel is dangerous and can cause cutsAlways handle carefully, with blade facing down. Be especially careful when walking with a scalpel.Glassware can break easilyBe careful with all glassware. If cut, wash with water and seek advice to avoid infection. Method: 1. Obtain a fresh celery stalk and used a sharp scalpel to make a 45 degree angle cut under water, to prevent the air bubbles from blocking the xylem. Immediately placed the celery stalk in eosin solution and left it overnight. 2. Removed celery stalk from the eosin solution and used a scalpel to cut a very th in, transverse section of the celery stem. 3. Placed the thin sample on a clean slide and covered it with a cover slip.Observed the sample under high magnification using a light microscope. 4. Drew the observation under a high power. 5. Located one vascular bundle and peeled it longitudinally in the stained region. Made a wet mount of the longitudinal tissue and observed it under a microscope. Results: Transverse (Low):Transverse (High): X40X400 Longitudinal (High): X400 Questions/ Discussion: 1)What general stem structures were stained? What tissues in these structures were most heavily stained? The general stem structures stained were the cell walls of the xylem. The base of the celery stem was most heavily stained. )What statement can you make regarding the transpirational pathway of water in a plant? Even root distribution is important for both water and nutrient uptake, because of the movement of water and nutrients in the soil and in the plant xylem,, even root distribution is important. The The xylem pathway is a continuous column of water, which is not broken by bubbles, and contained in a cellulose pipe which the walls are porous in places. 3)What was the purpose of this exercise? The purpose of this exercise was to observe and investigate the movement of materials (in this case, water) in xylem.

The Agony and the Ecstasy

The Agony and the Ecstasy The past is always forgotten, left alone in the dark, a reminiscence among hundreds, until it finally erodes from living memory†¦But before it vanishes, the past always fights back, in an effort to reclaim its throne. In 15th century Europe, the Church and its preachings of the past were swept away in a tide of change; the clash of these two ideas is shown in The Agony and the Ecstasy. Throughout the movie, Pope Julius II illustrates the values of the Middle Ages through his speech and actions, both of which reflect the ideologies of that time period.The twin values of obedience and punishment lie at the core of the Middle Ages, entwined and inseparable; both are exemplified in Pope Julius II’s actions and words. The Pope demonstrates the concept of obedience, treasured so deeply by the Church, through his actions following the noncompliance of subjects. One example of this is the Pope’s reaction to Michelangelo’s blasphemous sonnet ; he immediately rebukes him for his lapse in deference.The Pope’s demand of complete and utter submission to the Church demonstrate the emphasis on unquestioned obedience to the Pope (and likewise to the Church). Another instance is the Pope’s encounter with the French ambassador; the Pope angrily tells him that he will stand no interference from the French king in Church matters. The Pope’s harsh reprimand once again points to the importance of undisputed conformity to the Church’s words; it was a vital segment of their society .The Middle Ages was a time of fear and uncertainty, of conflict in discord; the Church was the backbone of Middle Ages’ society, and kept daily life running as smoothly as possible—but was successful only because the people obeyed. Without obedience, their lives would have come to sudden and abrupt halt. As a Greek playwright put it, â€Å"Obedience is the mother of success and is wedded to safety†. The Chur ch thought the same way, and for all the right reasons—it just held on to these beliefs too long. An equally important value Pope Julius II exhibits is that of punishment, often a result of disobedience, mostly in his speech.An illustration of this value is shown in the same encounter previously mentioned with the French ambassador; the Pope, angry at the French king’s hypocrisy and lack of respect for the Church, thundered, â€Å"Let him learn that I too carry a stick. Let him learn that I am the Pope! † Through his angry threat to the king, the Pope reveals to the ambassador and the viewer that he is not afraid to use force to establish his authority as pope. Furthermore, the Pope, when he hears that Michelangelo has disappeared, he is outraged, and maintains his ground: â€Å"He will paint it or he will hang! the Pope exclaims. Through his threats to Michelangelo, the Pope reinforces the Middle Ages’ belief in the power of punishment; a disorderly soc iety such as theirs could not have existed very long without some form of law and order. The Church used punishments to enforce discipline in an uncertain world; It was the only method that prevented the spread of immorality. Even a highly-acclaimed Renaissance man agreed with the concept, reasoning, â€Å"He who does not punish evil commands it to be done. †

3rd fact sheet Essays - Human Sexuality, Pornography Law

3rd fact sheet Essays - Human Sexuality, Pornography Law 3rd Fact Sheet By Dany SADER An obscenity is any utterance or act that strongly offends the prevalent HYPERLINK https://en.wikipedia.org/wiki/Morality morality of the time. In the HYPERLINK https://en.wikipedia.org/wiki/United_States United States of America , issues of obscenity raise issues of limitations on the HYPERLINK https://en.wikipedia.org/wiki/Freedom_of_speech freedom of speech and of HYPERLINK https://en.wikipedia.org/wiki/Freedom_of_the_press the press , which are otherwise protected by the HYPERLINK https://en.wikipedia.org/wiki/First_Amendment_to_the_United_States_Constitution First Amendment to the HYPERLINK https://en.wikipedia.org/wiki/United_States_Constitution Constitution of the United States . Child pornography Child pornography refers to images or films ; as such, visual child pornography is a record of HYPERLINK https://en.wikipedi a.org/wiki/Child_sexual_abuse child sexual abuse . In HYPERLINK https://en.wikipedia.org/wiki/New_York_v._Ferber New York v. Ferber , HYPERLINK https://en.wikipedia.org/wiki/List_of_United_States_Supreme_Court_cases,_volume_458 458 HYPERLINK https://en.wikipedia.org/wiki/United_States_Reports U.S. HYPERLINK https://supreme.justia.com/cases/federal/us/458/747/ 747 (1982), the U.S. Supreme Court ruled that child pornography need not be legally obscene in order to be outlawed. The Court ruled that in contrast to the types of images considered in Miller , images that depicted underlying harm to children need not appeal to the prurient interest of the average person, portray sexual conduct in a patently offensive manner, nor be considered holistically, in order to be proscribed. Another difference between U.S. constitutional law concerning obscenity and that governing child pornography is that the Supreme Court ruled in HYPERLINK https://en.wikipedia.org/wiki/Stanley_v._Georgia Stanley v. Georgia , HYPERLINK https://en.wikipedia.org/wiki/List_of_United_States_Supreme_Court_cases,_volume_394 394 HYPERLINK https://en.wikipedia.org/wiki/United_States_Reports U.S. HYPERLINK https://supreme.justia.com/cases/federal/us/394/557/ 557 (1969), that possession of obscene material could not be criminalized, while in HYPERLINK https://en.wikipedia.org/wiki/Osborne_v._Ohio Osborne v. Ohio , HYPERLINK https://en.wikipedia.org/wiki/List_of_United_States_Supreme_Court_cases,_volume_495 495 HYPERLINK https://en.wikipedia.org/wiki/United_States_Reports U.S. HYPERLINK https://supreme.justia.com/cases/federal/us/495/103/ 103 (1990), the high court ruled that possession of child pornography could be criminalized. The reason was that the motive for criminalizing child pornography possession was to destroy a m arket for the exploitative use of children rather than to prevent the material from poisoning the minds of its viewers. The three dissenting justices in that case argued, While the sexual exploitation of children is undoubtedly a serious problem, Ohio may employ other weapons to combat it. Censorship in film This is most notably shown with the X rating under which some films are categorized. The most notable films given an X rating were HYPERLINK https://en.wikipedia.org/wiki/Deep_Throat_(film) Deep Throat (1972) and HYPERLINK https://en.wikipedia.org/wiki/The_Devil_in_Miss_Jones The Devil in Miss Jones (1973). These films show explicit, non-simulated, penetrative sex that was presented as part of a reasonable plot with respectable production values. Some state authorities issued injunctions against such films to protect local community standards; in New York, the print of Deep Throat was seized mid-run, and the film's exhibitors we re found guilty of promoting obscenity. According to the documentary HYPERLINK https://en.wikipedia.org/wiki/This_Film_Is_Not_Yet_Rated This Film Is Not Yet Rated , films that include gay sex (even if implied) or female pleasure have been more harshly censored than their heterosexual, male counterparts. The HYPERLINK https://en.wikipedia.org/wiki/Motion_Picture_Association_of_America Motion Picture Association of America (MPAA) issues HYPERLINK https://en.wikipedia.org/wiki/Motion_Picture_Association_of_America_film_rating_system ratings for motion pictures exhibited and distributed commercially to the public in the United States; the ratings are issued through the Classification and Rating Administration (CARA). The intent of the rating system is to provide information about the content of motion pictures so parents can determine whether an individual motion picture is suitable for viewing by their children. Canada Section 163 of the Canadian Criminal Code provides the country's legal definition of obscenity. Officially termed as Offen s es Tending to Corrupt Morals,the Canadian prohibited class of articles that are to be legally included as obscene things is very broad, including text-only written material, pictures, models (including statues), records or any other obscene thing that according to Section 163(8) has a dominant characteristic of the publication is the undue exploitation of sex, or the combination of sex and at least one of crime, horror, cruelty or violence is deemed to be obscene under the current law. The current law states 163. (1) Every person commits an offen s e who makes, prints, publishes, distributes, circulates or has in their possession for the purpose of publication, distribution or circulation any obscene written matter, picture, model, phonograph record or any other obscene thing. The HYPERLINK https://en.wikipedia.org/wiki/Canad a_Border_Services_Agency Canada Border Services Agency seizes items it labels obscene. In 1993, Canadian police arrested the 19-year-old writer of a fictional sex story The Forestwood Kids,however, the case was dismissed in 1995. In February 2009,

Term Papers Editing

Term Papers Editing Term Papers Editing Term Papers EditingDear students, now we write from the side of your instructors. They complain that you submit your term papers, do not make proofreading and editing. They say that to submit a term paper without term paper editing means failure to get a good grade.They cannot understand how you can submit papers without additional look at their structure, mistakes in language and format. If you want to get their respect and a good grade, you should look at their tips on term paper editing at least. Here we present tips from our experts of writing:Why Do We Perform Term Paper Editing?Taking into account the high percent of students, who order term paper editing at us after they have received their assignments from other writing services, (and this percent makes up 50%) we considered this and started performing some useful services, such as:Checking. We may check your paper for mistakes presences and remove them from your paper.Research making. If you need to conduct a research, you are welcome to use our term paper editing.Additional writing. Let us imagine that you have not managed to write the introduction or conclusion. We may do it instead of you.Additional information inserting. If you need more citations, examples or other additional information, we may find it for you and insert into your paper without text changing.Please, Pay Attention To The Popular Sections Of Our Site:Term Paper Editing General Mistakes Punctuation. This mistake is one of the most serious and common. Students do not want to check their term papers. Thus, they do not notice mistakes in punctuation. In addition, they want to add some inappropriate words and word-combinations, overloading their text.Subject-verb. The agreement of them should be right, especially, if there are some adverbs between them.Use of nouns. Sometimes collective and possessive nouns have their own usage, about what students forget.Wrong format of citations. It is a sore subject, because students do n ot pay attention to the style they write in.Redundancy of information. There may be many sentences, which are not in a logical order. In the same way, some words are also odd.Lack of prepositional phrases. Students do not see a need to use them or use some clichs.Term Paper Editing TipsDo not submit paper without checking it. Double read it or give to another person to read.As you have written your term paper, check up the structure (introduction, body part and conclusion), transitional words and sentences, etc.Use citations in the right format.Format of your paper is important aspect. Check it for yourself.Follow the format of the outline, as it may be of two types.If you want, we may write a new assignment for you. Sometimes, it is faster and cheaper than to edit a term paper due to a great number of mistakes there. Your Choice, Your Money, Your Time! Contact us and receive an excellent professional assistance!

Personal Development through Reflective Practice Essay

Personal Development through Reflective Practice - Essay Example The organisational structure for Outcomes UK Ltd is mainly controlled by the strategic director along with a number of secondary employees working under him. In the executive management group, officers have been assigned with the task of corporate management of the council, ensuring timely and regular meetings for discussion of current issues perceived to have a significant impact on the council and its services. The executive management has the responsibility of managing projects and other day-to-day activities in order to establish an entity that holds consistent values and views (NRC 2002). Their fixed responsibility lies in a number of tasks such as providing tactical advice and skillful plans to the council; making sure that policy objectives are effectively integrated within their services; managing the development of all strategies; providing information and establishing strong communication with councilors, managers, and staff members; supervising the working relationships between councilors and staff members; keeping watch over organisational values, attitudes, and structure; bringing together the council’s work with other organisations and establishing working relations; and handling resolution of conflicts. All these duties reflect Devlin’s (2006) assertion that executive management plays a major role in every action that the organisation takes. Often times, the members of the executive management group are handpicked by the Chief Executive Officer (CEO) based on their individual strengths and the values that they have displayed. Those who can liv e up to the specific tasks assigned to executive management are selected. On the other hand, though much of the organisation’s responsibility lies upon this high ranking group, there is still a need for every member of the council to be involved in daily tasks for organisational goals to be successfully