‘Alarm fatigue’ a factor in 2d death
The second patient death in four years involving “alarm fatigue’’ at UMass Memorial Medical Center has pushed the hospital to intensify efforts to prevent nurses from tuning out monitor warning alarms.
Nurses exposed to a cacophony of beeps may no longer hear them or begin to ignore them, and that’s what appears to have happened in the latest case: A 60-year-old man died in an intensive care unit after alarms signaling a fast heart rate and potential breathing problems went unanswered for nearly an hour, according to state investigators who reviewed records at the hospital.
The death occurred in August 2010 but was not reported to the state Department of Public Health until this spring. The state cited various violations by the hospital, including not responding to alarms “in a timely manner.’’
The fatality was remarkably similar to another at the Worcester teaching hospital four years ago, when nurses didn’t hear or ignored alarms indicating that the battery on an elderly woman’s monitor needed to be replaced. After the battery failed, 77-year-old Madeline Warner suffered cardiac arrest and the alarm didn’t sound.
Warner’s death in 2007 led the hospital to adopt aggressive measures to improve nurses’ responses and tackle alarm fatigue, which can occur when nurses hear alarms – many of them false – all day long. But the new death shows the problem continues, as it does at hospitals nationwide. It has led to at least 200 patient deaths since 2005 and likely hundreds more, according to a Globe investigation published earlier this year.
“I don’t think any hospital has fully solved this problem,’’ said Maria Cvach, an assistant director of nursing at Johns Hopkins Hospital in Baltimore and a specialists on alarm fatigue. At Hopkins, which is known for its intense focus on reducing false alarms and alarm fatigue, Cvach said she still sees nurses “not hearing or not answering alarms’’ because “they go off all the time.’’
Executives at UMass Memorial declined to comment about the latest death. The Globe obtained the Department of Public Health report on the case through a freedom of information request. The document does not say who disclosed the death to the state or provide a reason for the reporting delay, but the Globe’s stories on alarm fatigue, which included an account of Warner’s death, appeared several weeks before the health department was called.
The state inspectors’ report, which omits the patient’s name and other identifying details, indicates that the patient also was the apparent victim of a medication error. It does not make clear the extent to which that error or alarm fatigue contributed to the patient’s death.
The patient had been cutting down a tree and was struck in the head with a large branch in July 2010, breaking bones in his face and causing bleeding in his brain. After surgery at UMass Memorial, the patient was often restless and agitated. He kept removing a monitor that measured whether his blood had enough oxygen, triggering an alarm to sound much of one day – which could have been a factor in desensitizing nurses.
Read the entire article at Boston.com
Remote viewing is a tool you can use to improve your life. It is a tool that must be earned on a regular basis with practice and fine-tuned by honorable use. It is not glamorous, not a particularly exciting process to go through, not something to pick up when the rare mood strikes you, or a useless star-streaked ride through wondrous astral planes. Perception based remote viewing is an attention management skill.
Remote viewing can be used to find out just about anything. The most practical way to spend your time in session is to discover information that will help improve your life, and perhaps the lives of others. Sure you could attempt to find out if you should keep seeing some guy, or when the next big earthquake is going to occur, but you could also find out your next best employment opportunity; or what you should be doing to obtain optimum health; perhaps even work with others to find missing children and assist in their recovery; or discover the method to develop the next bestselling widget to help improve the quality of a sick person’s life half way around the world.
People have all kinds of wild ideas about what a session might look like. It is not meant to appear “artistic” or feel “other worldly” but is more a data gathering function that results in a simple diagram with simple shapes and words that help describe what is going on. Most people that start out only have simple lines, angles, circles, rectangles and motion indicators, and some basic words that help describe what they are seeing (and that’s the way it should be when you first get started.)
You spend roughly 45 minutes sitting still in a chair, recording your perceptions in a very orderly way. It’s quite boring to watch and most serious remote viewers want to be alone while they do this to avoid distractions showing up in session (except for those that use a monitor as is the case with some CRV based methods).
There is a wealth of information hidden in simplicity. I have known quite a number of non-remote viewers who seem put off by the S.T. (site template) of a session, the final result of the data gathered. It may not look like much, or just come off as a jumble of simple drawings surrounded by words with nothing immediately standing out as anything of interest. Once you have learned the basics of remote viewing, it becomes quite easy to read and have an idea of what is being portrayed, just as an electrician or architect can immediately make sense of blueprints.
It takes months or years of steady practice to walk into session day in and day out, able to draw and describe something in such great and accurate detail that anyone looking at an S.T., including the viewer, is almost always able to name it and explain what is going on or what is the significance of that object.
If you are in search of an unknown, as is often the case with a cue (like a question, a set of words) based remote viewing assignment, you may feel lost at first when trying to make sense of the final product. Greater understanding often is gleaned by providing yourself with feedback: by viewing the photo or reading the cue. It is then that two and two make four. Even with simple photos provided after the completion of a practice session, there are often a number of “aha” moments. It’s these moments that help us to improve.
For group projects only certain data is relied upon: that which repeats itself over at least 2 remote viewer’s sessions for the same assignment. Through trials it has been shown that information gathered in this way approaches 100% accuracy. If you complete a session twice, (preferably blind to the fact that you are completing the same session an additional time) you can usually take the data that repeats and rely on that to help you make decisions. Of course, common sense should always prevail.
There are simple techniques you can use when setting up your “blind assignment basket” so that you can complete a session on the same assignment twice and not know that you are doing so. This is a slower way of gathering information, but also results in the ability to keep an important project private as well as knowing which information gathered is most reliable.
There are many misconceptions about what remote viewing is and what it is related to in application, form and function. Perception remote viewing is not channeling or meditation or happens as a result of emptying your mind or relaxing or listening to sound, nor is it dowsing or astral projection. No amount of supplements, mantras or subliminal tapes are going to make you able to RV or cause you to have a spontaneous “RV experience” or improve the quality of your work. Only practice, observation and following protocol will cause you to improve. In terms of practicality, it is worlds away from the value astrology reports or tarot card readings can provide (I used to be paid to do both, but have completely quit them).
On a side note… I was very “oh look a squirrel” before I began and would want to scrap sessions left and right for the first six months because I was realizing I had so much brain chatter it was hard to focus. I worked through it and just kept practicing. Now it’s easier for me to focus even when I’m not in session.
I have posted a sample remote viewing practice session to give you a taste of what to expect should you be interested in learning remote viewing.
Remote viewing requires a commitment to yourself. You must also know why, deep down inside you want to learn and why you want to have this skill at your disposal. You don’t have to have romantic notions of changing the world, but you have to believe yourself and have a strong conviction that keeps you going when times get tough.The easiest part of remote viewing is learning the basic rules. If you are not sure yet if remote viewing is right for you, I suggest just jumping in and learn the basics, while letting yourself know it’s fine if you want to pull back after your initial training to evaluate if this is something you want to be a part of your life, to integrate into your own being, like any other skill or hobby. That time after someone learns to go through the motions and can stumble through a complete session is when a large majority of people either decide they love it or can leave it. The water’s warm, so pull up your skivvies and take the plunge. You won’t melt, I promise.
If you have questions, want to learn more about the subject in general or would like help getting started I do offer some free training and provide free practice photo assignments. I also extend confidential assistance with blind pools, cuing, basic project management and analysis for the novice and experienced remote viewer. We are all here to help each other, just email via the contact form on about.me.
There are many American soldiers scattered throughout the world who would like nothing more than a piece of home, whether that be much needed gear, bed linens, their favorite snack or just a few kind words in a short letter from a stranger.
Sending a care package from home to a complete stranger might not be your first thought when seeking self-development, but these small acts of charity (the more accurate translation of the word commonly referred to as “love” found in 1 Corinthians 13 in many newer versions of the Bible) help to take our mind off our own daily issues and to be thankful for the small things in life we take for granted.
Finding a soldier is easier than you might think. Shipping is not expensive and they are only a few basic guidelines you need to follow. The website Any Soldier makes it easy to put a smile on the face of a hardworking soldier.
It was March 26th, 2003. Army Sergeant Brian Horn, one of 1,000 soldiers, parachuted into enemy territory in Northern Iraq. Five months later, Brian Horn was able to call his parents. Marty and Sue Horn had been sending their son an average of six care packages per week. So when Brian asked his parents to send more, “my wife and I thought he was kidding!” Marty Horn told me. “But Brian said, ‘no — its for the soldiers that don’t get any.’”
Both Marty and Sue Horn had spent their careers in the Military, so they immediately understood what Brian was saying. Millions of men and women serving overseas never receive any mail. Besides often lacking basic necessities, these men and women have to cope with the harsh conditions of serving overseas without signs of support from friends and family back home.
Any Soldier is a website that lets you find a soldier to send letters or packages to. Some are better off than others but all of them are missing something or another from home. Some of them would like nothing better than a letter.
Why would you want to do this? You may want to consider this act a reminder to be thankful for what you might take for granted, or to remember others before you start to worry about trivial matters in your life. Keep in mind this action is in no way a political statement. Whether or not you believe in the reason the government put those soldiers in various places around the world has nothing to do with the individual Americans that are far from home.
Maybe their store is always running out of soap or they can’t get their favorite gum or candy where they are. Maybe they are in short supply of socks or proper boots or need sheets. Maybe they are bored and just want a new video game to take their mind off more serious things in their off time. If you are a die-hard gamer you can understand this plight. The items and reasons are endlessly varied.
There are thousands of names to choose from and usually it is best to choose someone that is newly listed because they don’t have as many people sending them packages. Each soldier will state how many people they have contact with on a regular basis and separate them into male and female. I chose a female soldier because I figured I’d have a better grasp of what she would want or need.
If you want to help, do what you can, even if it is just a letter. I’ve read time and time again letters are much appreciated. This would also be a good project for a classroom or church. A soldier could be chosen that has an appropriate amount of contacts (say one for each student or one per classroom). A list could be made public of all their wants and needs. Small donations could be asked for the shipping and packaging supplies. Boxes could be sent off as they become full and the money is raised for shipping.
You can click on a link on the solider info page that will tell you what the shipping rules are. Also you will need to read the details about shipping. Basically you only pay for shipping to a few points around the United States, so you might want to pick someone that has a zip code close by to keep your shipping costs to a minimum. The average sized box shouldn’t cost more than 10 dollars or so to ship.
For security reasons you have to request an email containing the soldier’s address, and can only ask for a few at a time. They are usually prompt in emailing you the information, just be patient and check your junk mail. Also, before sending additional packages, check back and see if there is a notice that the address has changed. Usually it doesn’t because units move together, but if the individual is a floater of sorts or if a unit embeds itself into bigger units then there may be an address change.
If you decide to send anything, just follow the rules. Depending on where you send something the rules may change. Often you cannot send pork products, fresh vegetables, or money and I’m pretty sure you can never send anything overly violent or sexual, even if they don’t know any better or do know and ask. You are still responsible for what you send in the mail.
Although you may ship to a specific soldier, in spirit the packages can be given to anyone who might need what’s inside, but only if you write a specific line in the shipping address. If you want, you may write “ATTENTION: ANY SOLDIER” (in all capitals to adhere to U.S.P.S. guidelines) below the soldier’s name. This will help ensure that your package will be given to someone else who can appreciate your effort and not end up a “Return to Sender” waste of time and money.
I’ve had arguments with a few postal workers about the use of the line “ATTENTION: ANY SOLDIER” even though there is a name above it. This particular line without a name is not acceptable, but the official rule as I understand it, is that it is fine as long as there is a name above it. Try telling that to some of the postal workers and you’ll end up in an argument and won’t get anything sent.
There is however a simple solution to this. After writing the line, cross it off with a single pen stroke. Then there is no argument because if you are given a hard time by a well-meaning but misguided employee you can say: “Yes I know, so I crossed it off.” A scowl might be thrown your way but they can’t do anything about it. The addition of this simple line in the address helps the soldier understand the meaning of the package.
The rule of thumb for shipping is, if the box is shaken and you can hear stuff move around you haven’t stuffed enough peanuts in. I hold the box closed and give it a gentle and then rougher shake. Once I get the box so there’s no more sounds of shifting, I then pack a few extra in, squeeze it shut and tape it up very well. The reason I do this is because peanuts do settle a bit in shipment.
Put as many layers of sealed plastic as you can between things. If you send something such as soap and candy in the same box, wrap them up individually in several layers of small unscented trash bags or sandwich bags or even larger food storage bags. (These kind of bags can be reused and might come in handy.) I can ensure you, the candy will taste like soap after being locked up in a box for a good deal of time, even if they are both in their own package. This also helps if something comes out of its package and leaks. Even if it makes it way out of its own plastic bag, it won’t get on everything else. Whatever you do, never send anything like soda or aerosol cans like shaving cream or bug spray. Buy squirt bottles instead. It’s a good idea to tape removable lids in place.
Oh and don’t expect a reply. They are busy doing a dangerous job. It is usually easier to give them an email, but even then, sometimes they just don’t have time or don’t have access to a computer on a regular basis. Some of them don’t have access to reliable electricity!
The best way to keep up with what is going on with them is to check back on the website, as they have to check in every 50 or so days so the owners of Any Soldier know they are still available to take packages and letters. Some of them seem to give weekly updates with lots of pictures. Others aren’t so social or wordy and just let you know they received your packages and they are thankful and give an update on things such as “no more books we have a library now!” or “we still need socks and shampoo.”
Check out the Any Soldier website and become familiar with it. Click on some names and read what these soldiers have to say. Pick one, check the shipping rules for their particular address, and put a smile on the face of a hard working soldier!
1 Corinthians 13:11-13
When I was a child, I spake as a child, I understood as a child, I thought as a child: but when I became a man, I put away childish things.
For now we see through a glass, darkly; but then face to face: now I know in part; but then shall I know even as also I am known.
And now abideth faith, hope, charity, these three; but the greatest of these is charity.
I learned many lessons from Star Trek: The Next Generation. I even wrote an English Composition paper about the lessons contained within Star Trek and ST: TNG during my short stint in college.
There have been many times in my life when dealing with tough situations that I have played this scene in my head, where Picard’s persistence finally shows it’s fruit – he is to be returned to the Enterprise. It reminded me to be brave, never give up and stick to my guns.
I sum up the lesson I learned from Picard like this:
Never compromise what is in your heart for temporary relief and comfort.
Back then I hadn’t accepted Jesus into my heart, but I can never deny my past. When I was barely a teenager I began my study of the deeper messages embedded in most of the Star Trek episodes, like I study passages in the Bible today. Those lessons pulled me through some tough times in my young life. I know from attending several conventions, there are millions of people out there that feel the same way.
If you ever need to feel an overwhelming sense of hope and don’t feel comfortable attending a church – go to a Star Trek convention with an open mind and let yourself feel the collective love and warmth shine through all those that attend.
In response to the many questions we receive about remote viewing and the perception process, we have decided to post a Q&A series of articles to answer the most commonly asked questions. We hope you will enjoy it.
This is part one of a five part question and answer series (Q&A) on perception based remote viewing, also known as Solo ERV or SERV.
Each article in the series will contain frequently asked questions about perception and remote viewing.
We will address questions on a variety of remote viewing experience levels. Some of the questions will be for those new to remote viewing, other Q&A will be for experienced and advanced remote viewers.
Visit ProjectJedi.net for answers to questions you may have never thought to ask! If you have questions about remote viewing that haven’t been answered you can always visit the new open group on Facebook. So far I’ve seen a lot of friendly people there heavily interested psychic abilities, health topics and sharing knowledge.
You can view a sample video from the Project Jedi Remote Viewing Training DVD Set here.
Paul Revere’s Ride
Henry Wadsworth Longfellow
Listen my children and you shall hear
Of the midnight ride of Paul Revere,
On the eighteenth of April, in Seventy-five;
Hardly a man is now alive
Who remembers that famous day and year.
He said to his friend, “If the British march
By land or sea from the town to-night,
Hang a lantern aloft in the belfry arch
Of the North Church tower as a signal light,–
One if by land, and two if by sea;
And I on the opposite shore will be,
Ready to ride and spread the alarm
Through every Middlesex village and farm,
For the country folk to be up and to arm.
“Then he said “Good-night!” and with muffled oar
Silently rowed to the Charlestown shore,
Just as the moon rose over the bay,
Where swinging wide at her moorings lay
The Somerset, British man-of-war;
A phantom ship, with each mast and spar
Across the moon like a prison bar,
And a huge black hulk, that was magnified
By its own reflection in the tide.
Meanwhile, his friend through alley and street
Wanders and watches, with eager ears,
Till in the silence around him he hears
The muster of men at the barrack door,
The sound of arms, and the tramp of feet,
And the measured tread of the grenadiers,
Marching down to their boats on the shore.
Then he climbed the tower of the Old North Church,
By the wooden stairs, with stealthy tread,
To the belfry chamber overhead,
And startled the pigeons from their perch
On the sombre rafters, that round him made
Masses and moving shapes of shade,–
By the trembling ladder, steep and tall,
To the highest window in the wall,
Where he paused to listen and look down
A moment on the roofs of the town
And the moonlight flowing over all.
Beneath, in the churchyard, lay the dead,
In their night encampment on the hill,
Wrapped in silence so deep and still
That he could hear, like a sentinel’s tread,
The watchful night-wind, as it went
Creeping along from tent to tent,
And seeming to whisper, “All is well!”
A moment only he feels the spell
Of the place and the hour, and the secret dread
Of the lonely belfry and the dead;
For suddenly all his thoughts are bent
On a shadowy something far away,
Where the river widens to meet the bay,–
A line of black that bends and floats
On the rising tide like a bridge of boats.
Meanwhile, impatient to mount and ride,
Booted and spurred, with a heavy stride
On the opposite shore walked Paul Revere.
Now he patted his horse’s side,
Now he gazed at the landscape far and near,
Then, impetuous, stamped the earth,
And turned and tightened his saddle girth;
But mostly he watched with eager search
The belfry tower of the Old North Church,
As it rose above the graves on the hill,
Lonely and spectral and sombre and still.
And lo! as he looks, on the belfry’s height
A glimmer, and then a gleam of light!
He springs to the saddle, the bridle he turns,
But lingers and gazes, till full on his sight
A second lamp in the belfry burns.
A hurry of hoofs in a village street,
A shape in the moonlight, a bulk in the dark,
And beneath, from the pebbles, in passing, a spark
Struck out by a steed flying fearless and fleet;
That was all! And yet, through the gloom and the light,
The fate of a nation was riding that night;
And the spark struck out by that steed, in his flight,
Kindled the land into flame with its heat.
He has left the village and mounted the steep,
And beneath him, tranquil and broad and deep,
Is the Mystic, meeting the ocean tides;
And under the alders that skirt its edge,
Now soft on the sand, now loud on the ledge,
Is heard the tramp of his steed as he rides.
It was twelve by the village clock
When he crossed the bridge into Medford town.
He heard the crowing of the cock,
And the barking of the farmer’s dog,
And felt the damp of the river fog,
That rises after the sun goes down.
It was one by the village clock,
When he galloped into Lexington.
He saw the gilded weathercock
Swim in the moonlight as he passed,
And the meeting-house windows, black and bare,
Gaze at him with a spectral glare,
As if they already stood aghast
At the bloody work they would look upon.
It was two by the village clock,
When he came to the bridge in Concord town.
He heard the bleating of the flock,
And the twitter of birds among the trees,
And felt the breath of the morning breeze
Blowing over the meadow brown.
And one was safe and asleep in his bed
Who at the bridge would be first to fall,
Who that day would be lying dead,
Pierced by a British musket ball.
You know the rest. In the books you have read
How the British Regulars fired and fled,—
How the farmers gave them ball for ball,
>From behind each fence and farmyard wall,
Chasing the redcoats down the lane,
Then crossing the fields to emerge again
Under the trees at the turn of the road,
And only pausing to fire and load.
So through the night rode Paul Revere;
And so through the night went his cry of alarm
To every Middlesex village and farm,—
A cry of defiance, and not of fear,
A voice in the darkness, a knock at the door,
And a word that shall echo for evermore!
For, borne on the night-wind of the Past,
Through all our history, to the last,
In the hour of darkness and peril and need,
The people will waken and listen to hear
The hurrying hoof-beats of that steed,
And the midnight message of Paul Revere.
You can also listen to a recording of this poem from 1916 at the Library of Congress website.