Fixing Solutions for Automotive Industry

July 9, 2017

Automotive industry demands high strength fasteners and precision components such as nuts, bolts, studs, screws, rivets, tie rods, shims etc. that are applied to various parts and components to hold and connect two or more surfaces or objects together in a structure.

Automotive industry uses fixing components coming in a huge variety of materials ranging from common steel to aluminum, brass, copper, titanium and plastic to other exotic materials. Choosing the material to manufacture these fixing components is essential due to difference between each material’s strength, corrosion resistance, brittleness, galvanic corrosion properties, and of course cost. Materials are basically selected on considerations of environment, corrosive or thermal extremes, magnetic properties, weight, re usability, stresses, and expected life time.

Depending on these specifications materials are classified into grades & quality standards to produce specific quality alloy mixtures that are then used to produce the fixing components. In addition to this, materials are further processed through a variety of coating, plating and hardening processes to form different specified grades of the alloy mixtures.

The various stages to enhance the metal corrosion resistance and appearance increase the cost of production that leads to expensive parts and fixing components. To keep costs within control, it is always advisable to use standardized materials. As specifying the material with specific chemical analysis adds time & cost to the whole process of manufacturing of fixing components. In a common practice, using standard materials only needs heat treating, cold working and coating to manufacture ready to use fixing components.

Quality is the primary concern for every manufacturing process and hence in order to manufacture high quality fixing tools and apply best industry practices that ensure timely deliverables, companies apply quality control methods such as computerized statistical process control archival documentation and various other approaches.

Inspection process involves utilizing tri-roll gages, hardness testers and optical comparators to ensure optimum performance. Automated sorting technologies are applied for assurance of contaminant free product for use in automated feeding equipment. Other than this, third party inspection, verification and certifications testify quality process on the go.

Used in a variety of application areas, replacing fasteners is quite tedious. It is generally best to match them while replacing. Replacing a bolt or screw with a stronger one is always now a good practice as harder bolts tends to be more brittle and may not work for specific applications. In some environments, applying galvanic corrosion methodology may result better.

No Teletrack Payday Loans – Loans For People With Bad Credit

July 8, 2017

Payday loans are now the most viable options undertaken by most people who are experiencing financial emergencies. It is a short-term loan that intends to handle an urgent need for cash until their subsequent payday. This new system of lending doesn’t involve a credit check which is a very good privilege for debtors with bad credit. Application for this kinds of loans are usually done online just over the internet. What makes this loaning convenient is the promptness of the depositing of money into the debtors bank account which is approximately 24 hours or sometimes even less.

To explain further Teletrack is a method that is employed to examine the applicant’s credit history and checking account. This system exposes to the loan agency the applicant’s flaw in his credit history such as outstanding checks in opposition to current loans, any imminent court judgments, files for bankruptcy and any other related problems with the credit history. These loan agencies don’t have the exigency to authenticate the information imparted by the prospective borrowers since payday loans do not encompass large sum of money other than the fact that these are only short-term loans.

Payday loan agencies suggest instant cash advance for a temporary period, typically ranging from 2-3 weeks. In comparison to traditional loan companies, payday loan agencies offer higher interest rates in order to give a faster service and to cover any risk that may be encountered in the procedure.

Applying for a no teletrack payday loan

The only thing needed is to accomplish a form containing personal data, employment facts and selected bank account of the borrower. Some lenders who offer no teletrack payday loans obligate the borrower to fax some documents like: the most recent paycheck, a copy of the driver’s license or a banks statement or an electricity bill. In order to be eligible for this kind of loan you must be a US citizen over 18 years of age and must be a full employee of a certain company. Some lenders obligate that you should be employed with the identical firm for the past 6 months. Others require a minimum monthly income of $ 1,000 with all the taxes already deducted. These loans also necessitate checking or savings account that has a debit service. Since the process is apparently easy and simple that checking you credit rating is uncalled-for therefore giving you a probability of almost 100% to be approved.

As soon as you application is approved you can immediately and directly get your money transferred into your checking account. In lieu of these no teletrack payday loans, you won’t have to worry about rigid timings because everything is subject to your decision. Not to mention that you can take advantage of applying for it at perfectly any time you would want to.

Issues on repayment

Repayment of your loan is indicated on your application form but usually it’s the time when you get to accept your next paycheck. The lending companies instantly debit the fund and the fee from your account. In the event that you would need more time to repay your loan, you can always ask for an extension few days preceding the automatic debit. Early payment though is advised so as not to accumulate any added fees. This kind of loan could be a savior but also a burden if not paid on time.

Smart Shopping For Evening Dresses

July 23, 2017

How do you know if a dress is really worth buying no matter how expensive it is? Aside from the quality, you need to determine what kind of dress it is. Even if a dress is affordable, you won’t buy it either if you don’t think it’s worth wearing.

Shopping for evening dresses requires careful selection. You would want to make sure that you are making a good investment for your wardrobe. You may want to determine first whether it is really a functional dress or not. Do you think you can wear this on almost every special occasion that you’re about to attend? The price is the vital factor that will determine its worth. Aside from the quality of the fabric, it is the nature of dress itself. Not all of night dresses are versatile, because some women are choosy with their style.

Go for evening dresses that are still classic, elegant, and stylish. Don’t go for trendy clothing for they will just run out of fashion. Consider the design and the color of the dress. Classic styles are worthy of wearing for almost all occasions for it fits anywhere. Unlike the trendy ones, they will be a part of wardrobe’s collection. Petite dresses are trendy nowadays yet you can find its style in a classic version. Find a cheap dress that you don’t need to alter just to fit on occasion or suit on the new demands of trends.

You don’t need to get confused when choosing a worthy evening dress, in spite of an overwhelming number of selections. Once you determine its style, function, and versatility, you can stick on these criteria and choose the best dress that you can ever buy aside from its price and design. And don’t forget that it is capable of enhancing your looks and give you a good boost of self-confidence.

Take an Inventory of Kids' Clothing Before Shopping For More

June 21, 2017

When the time to shop for new school clothes draws near, it is helpful to take count of what clothes your youngsters still have and what they will be wanting for the upcoming school year. Every family’s needs and wants will change from time to time, but this can be extremely helpful when it comes time to make purchases.

Making note of an inventory of your youngsters clothing items is really helpful when one doesn’t want to buy more than is needed, or if you are shopping on a tight budget. It is also helpful when you are trying to reduce the number of clothing items that your kid already has. Most families have one child that often throws all their clothing onto the floor while trying to find a special article of clothing. Minimizing their clothing numbers helps kids be more orderly, take better care of their clothes, and you’ll have a neater room as a bonus.

One way to aid in making inventory fun is to hold a kids fashion show. Ask the children to model all their clothing for you. Make certain they have shirts and pants that match, and that each item is big enough. Keep track of what they own and what they will be needing in the near future. The inventory taking show may be a lot of fun and as involved as you and your kids desire.

As your youngsters show off their clothing, make certain they are the right size and that they aren’t too worn to wear. When you are looking through their clothes, don’t forget to pay attention to accessory items that they might need for their outfits. Be on the watch for separates that can be mixed to make different and new looking outfits.

Figure out how many tops and bottoms each youngster will need. This will help a lot when the time arrives to go clothes shopping for your child. When you find a clothing item that’s not big enough anymore, be certain to pass it along to another child or donate it to Goodwill.

Car Rental Coupons

June 18, 2017

Rental cars have become quite popular during the current economic slowdown. People who plan to buy a used car or even a brand new car is getting attracted to different car rental agencies because of the tough competition, cheap prices and unbelievable options car rental companies offer. Several car rental agencies offer car rentals coupons throughout the year for various reasons. Some of the agencies want to promote their business during off season while some other agencies offer car rentals coupons so that their service will be cheaper than that of their competitor who offers similar services.

Once you finalize a rental company suiting well to your needs, you can check on their official website for ongoing discounts and rental coupons. These coupons come with different offers. Some of the coupons offer a discount on rate from 10-50% while some others add 1-5 extra days to your booking period without extra cost. It is up to you to choose the right type of discount. If you plan to rent for long term, a discount on the rental price will be the right choice for you. If you plan a trip for 7 days and find a coupon offering ‘book for 5 days and get 3 extra days free’ will be the right choice for you.

There are several websites that compare different car rental services and their rates. These websites also highlight the ongoing discounts and coupons available. Such comparison websites are a good choice to know what is going on in the neighborhood but always watch out for scam. Try to rent your car from a reputed car rental agency but also check for any hidden costs. Then check for car rental coupons offered by such reputed agencies.

Some coupons also provide free insurance coverage for a selected number of days and some additional accessories like GPS or child seat for free of cost. Such promotional offers may or may not be useful for you. For example, if you are planning to travel somewhere you are not very familiar, a coupon offering free GPS navigation system can be a great choice for you because you hardly will ‘get lost’ somewhere. Similarly a free child seat is good for you only if you are travelling with a child. Car rental companies design their coupons targeting different customers and their various tastes.

If you are planning to rent a car for your vacation trip or for your everyday requirements, check with different agencies for their specialized coupons. Don’t assume that you will not get a discount coupon because its holiday season. There are several service providers and several offers throughout the year and you will not find the best for yourself without constantly checking for them. Websites such as carrentalmomma.com and rentalcarscode.com have coupons throughout the year with a wide array of offers. Even Google is a great place to find information on best deals available.

Elektroniske Cigaretter – A Better Substitute To Smoking

July 3, 2017

It is a new invention that everyone who smokes should know. This is called the(cigarro electronico), also known as a smokeless cigarette e-cigarette(sigarette elettroniche), and it is to change the legal landscape for cigarette smokers in the world.
The patented(elektroniskas cigaretes) offers to effectively simulate the experience of smoking a real cigarette, without any of the legal and health issues surrounding traditional cigarettes.

While(elektronines cigaretes) look, feel and taste much like traditional cigarette, they work very differently. You see,do not burn tobacco, but when you inhale an e-cigarette, you must enable a “flow censor,” which releases a vapor containing nicotine, propylene glycol and a scent that simulates the taste of tobacco. All this simply means that the(cigarros electronicos) allow you to get your dose of nicotine while avoiding all the carcinogens in traditional cigarettes such as tar, glue, hundreds of additives and hydrocarbons.

In addition to being healthier than conventional cigarettes, and perhaps most important, is the fact that (sigarette elettroniche) are perfectly legal. Since the (cigarro electronico) is not related to tobacco, you can legally burn them anywhere that traditional cigarettes are prohibited such as bars, restaurants, workplaces, even airplanes. In addition, e-cigarette(cigarettes electroniques) you can smoke without fear of harming others because of cigarette(cigarro) smoking bad.

Cartridges are available in a wide variety of tastes and strengths of nicotine. For regular, menthol, also the apple and strawberry flavor cartridges and nicotine strengths come in full, a medium, light, and no. While electronic cigarettes(elektroniskas cigaretes) are technically “alternative to smoking”, rather than smoking cessation device, the range of nicotine strengths offers clear opportunities to support those trying to quit smoking, and seems to be proving to be popular in these markets.

The nice thing about that you say, nicotine patches, electronic cigarettes that give the same tactile sensation and oral fixation that the desire of smokers, while satisfying the desires of snuff as well. When you take a drag n electronic cigarette really feel your lungs fill with smoke flavored snuff warm and the waves of smoke exhaled from your lungs as the regular snuff, however, as mentioned, the smoke is actually a lot more water vapor that evaporates quickly heals and not offend anyone in the vicinity.

There’s really only one method to quit smoking: Will. Lots of people state that cold poultry may be the toughest method to stop smoking, with valid reason: they’re going on all the wrong manner. If guess what happens you need to do, and stomp your desire to have cigarettes, before you begin, you’ll have the ability to maintain and not think back!

Need to know much more about giving up smoking with the first? Take a look at a few of these books to prevent smoking and find out how easy it may be really quit!

Although the have been around for a while ‘in various incarnations, is of recent developments in technology and increased restrictions on smoking that have led the e-cigarette can be found in the new popularity. If you are interested in a healthier alternative to smoking, or if you just want the freedom to smoke wherever and whenever you want, the electronic cigarette could be the solution you’re looking for.

Managing a Family With a Travel Nursing Career

July 8, 2017

A career as a travel nurse can be an exciting and rewarding opportunity to see the country. Travel nurses have the opportunity to see many places and people while earning a substantial income. Most travel nurse placements run for about 13 weeks which means relocating quite frequently. Fortunately, travel nurse agencies take into account that many nurses have families so they make arrangements to accommodate a nurse with a family.

A travel nursing career will give you more control over your work and life. Most travel nurse companies allow nurses to choose their assignments based on their personal needs. They tend to select assignments based on location, pay, benefits, professional opportunities, and accommodating their family. No matter where you choose to go in your travel nursing career, most agencies will provide you with nursing positions customized to your fit your lifestyle requirements. Most agencies will allow nurses to choose locations that are not too far from their home. The agencies will also assist nurses with finding accommodations with additional rooms for family members. Some may charge a small fee for the additional rooms. An agency may also help workers find a location in their local area with flexible shifts that will allow them to spend quality time with their family.

Some families will choose to accept a housing stipend instead of housing facilities and travel in a RV. They can then maintain a comfortable lifestyle with all of the necessities and supplies contained in the vehicle. Some families choose to home school their children. Most communities have a wealth of resources to assist in your home schooling needs. This often includes activities that will encourage active socialization activities for children. Married couples who are both travel nurses have the flexibility to arrange their work schedules so that someone is always at home with their children while the other one is on their travel nurse assignment. They will often alternate work placements. This will allow a couple to maintain a family unit as well as have work breaks. If home schooling is not an option, there are some work assignments that can last up to nine months so a child can attend a full school year. Others may choose to accept work assignments that are a few hours drive from their permanent home. With a little time management scheduling, one can earn a great living while raising a family.

Having children does not mean you cannot enjoy a successful career as a travel nurse. There are many advantages that can benefit you as well as your children. Many recruiting agencies will provide you with free housing. Another benefit of bringing your children on assignment is that they have the chance to see other parts of the country and people while you earn a great salary with great benefits. Most travel nursing pay scales are anywhere from ten to fifteen percent higher than the pay of a regular staff nurse. It is much like a working vacation.

The nursing shortage has health care facilities across the country seeking skilled professionals. Travel nurses are in great demand and travel nursing agencies are eager to recruit qualified workers to ease the workload. Finding the best and safest housing for you and your family is not a problem for most agencies. They will accommodate your extra needs, whether you require an extra room for the children or even extra needs for a pet. . As well, you will receive great compensation, great health care coverage, and other appealing incentives. If you are a travel nurse or are interested in a travel nurse career, it is a great time to acquire a position in a fast growing and popular health field.

Internet Marketing Strategy

July 25, 2017

Bayshore is the Internet Marketing solution, providing a complete Internet marketing strategy, promotion of a nationwide advertising. We can help you create a website, get the results or upgrade your existing site’s functionality. Bayshore Solutions can help you effectively combine network marketing, promotional and advertising strategies, customer conversion visitors web design.

Internet marketing is the same as traditional marketing, others are not. Here are seven things you need to know your online marketing is successful. When you write Xu copy, you should take the time to understand what works and what does not. There are two mistakes almost every amateur search engine copywriting.

Successful non-profit organizations use the Internet to market charitable program.

To help companies improve their digital marketing results, I also had in-depth, widely praised and won the AOP Award for best practice, publisher e-consultancy Guide.

Internet marketing is very challenging, and there will be, you need an expert search engine marketing services to beat your competition in the traffic wars. Please consider our search engine optimization company with the help of your project. Free quote service search engine optimization, web design, pay per click advertising, search engine optimization and PPC series, search engine optimization training courses and online brand network analysis.

Internet marketing is still essential to any business’s overall marketing strategy. Mentioned before with all the benefits of internet marketing, people still buy magazines, billboards went out to check to see their mail, watch TV, and shopping. No matter how fast-paced and wide internet of communication, people go out together, talking about going to the gym. Thus, while Internet marketing is absolutely valid and important, demising certain value of the cost of traditional marketing any business, many potential customers. Another thing, when we say that internet marketing, it is not only figures we choose to click on ads. The list also includes security, advertising, advertising social networks, groups, discussion boards and many others. Accordingly, the online marketing activities can effect the number of people exposed. However, one disadvantage is that people started to become one of the, and would even read the advertising information advertising or know (even people in the security list), and delete without opening them. When someone on the Internet, they would like to read / write e-mail, chat with friends, read and post / reply comments, play fun games. As a internet marketing goal is to build a top priority for Internet users. Also, try and spam and unsolicited e-mail and advertising, more and more people away from Internet advertising in general, unless they are some specific content. A variety of Internet marketing strategy is free and paid online marketing can make more money. 12-month Internet Millionaire Review – Russell Brunson is a 12-month millionaire fraud?. As the market one of the most controversial books, and now the Internet millionaire’s 12 months still constitute a major buzz everywhere. A great professional internet marketing make money online. Internet marketing can be a lucrative industry, if some big Internet-related skills and knowledge development to do so successfully. Must also identify and develop the necessary strategies to make money online. Pay per click advertising, online advertising and link exchange programs, is marketing, can be used to make the Internet industry to make money online there are some important programs.

Internet marketing are not the result of a well-defined, integrated internet strategy; rather, they are a response to competitors activities or customers demand. Through the site has existed for more than a year, marketing staff and senior management will Uncategorizedly question its effectiveness. This is usually the point in a coherent Internet marketing strategy needs to become apparent. As a result, starting in the sum of electronic marketing strategy, is when a company’s existing website, which is to review the existing site and its purpose is to improve the effectiveness of the future. There is no evidence that the development and implementation of a strategy to be significantly different approach to electronic marketing. Strategic planning for enterprise development or strategic marketing to comply with the established framework should still be. The framework provides a logical order to follow up to ensure that the strategic focus of all development activities included. It can be said, however, with the e-market strategy for a highly sensitive process of rapid response mode, the events in the market need. Soviet-style five-year planning application does not seem to fit, the best approach is a new process of electronic marketing strategy is a continuous improvement. Check fee (2002) pointed out that e-commerce or e-marketing strategy process models tend to agree with the following features:

There are many ways to market your product using a large number of online with Google AdWords or Yahoo’s Overture advertising network, eBay, members network, cost per click marketing. In addition, there are many second tier cost of sales and earnings per share network. You need to have a good network marketing strategy, using the Internet to provide online marketing tool. With Internet marketing company, will help you to get your website in search engine advertising and optimization services provided by many of the results, but eventually you need to determine what kind of network marketing will give you the best of a product line. It used to be you bought CPM (cost per thousand) in large-scale campaign Web site and hope that the good performance of these ads and get traffic to your website. Now, there are many choices, there is usually a for each event better than the other run. It appears that the use of network marketing the best way to get return on investment cost per click online marketing tool, the strategic point. Google AdWords and Yahoos Overture CPC programs have dominated the world of network marketing in the past two years, they only get bigger and stronger. Network marketing companies have sprung up to help beginners learn how to use AdWords and Overture to the best of their ability to rope. If you want to build a brand, then the cost per click will not be online marketing solutions. Instead of the online brand, you will go to a CPM campaign, is a straight line costs. The targeted ads, and now there’s online advertising spending is due to leave the television and radio have been gradually transferred to the Internet. Why do you want, if you are advertising with the radio or TV, you can actually track the individual results of the work online. We believe that many ad networks and affiliate program will gradually fade out in the next several years, while Google and Yahoo Zhudao even with their own, targeted search results and more per click advertising network. Internet changes quickly, any company want to optimize their online marketing presence needs to adapt and adjust to the latest technology.

Network marketing is the three capacities: transport infrastructure, marketing, application development, marketing methods and permissions. Practical ability of the network in sports marketing when three similar shift manual gearbox, driving a car, both in mechanics.

Internet marketing is the same where you live, because it is a global market.

They do not have banner ads, because they are cheaper than print. In Facebook, because their children that they should be. If you start what you want for your site’s business focus and you concentrate all energy on helping to improve the preliminary results of this goal, Name of the Dong Xi you Keyi try, to see if they are how they work. Or you can look at things, said: “I do not see how it can help me achieve my goal. Now, if you ignore something, it is possible that they will actually become extremely important, and you ‘local employees realize that you
made a mistake. but only the larger error is ignored, since you are overriding, or try to do everything hafway and accomplish nothing.

Network Marketing is not just large budget or the entire company’s IT department. We have developed in Newfoundland and Labrador website, then who can appear in more effective competitors excluded from the market itself. We can do the same for you, to establish an online presence to support your other. This allows you all the seamless integration of marketing activities, you become a better profit growth in your site shooting. With complete Internet marketing strategy and a strong web site design, your company has the potential to become a global player., Kok River, some in Newfoundland and Labrador, or any other parts of the world community, asking them to do, they can help your web site design, as a money-making machines effective. We believe that your answer in Lorne Park and associated companies will seek to get you.

Internet marketing is clear, the next question is usually, “Yes, but where I start?.” For new and existing customers a direct entry point. In the days passed, and when people want to find a business, they turned to the yellow pages. Today, your customers will find you on the Internet, if you are not there, they will turn to the next thing, they did find: 1,

Network Marketing is your competitor doing? How do your competitors in the domestic major search engine rankings? What kind of traffic from their own site? Use the right tools, this valuable information can be found in your competitors.: What is it your product or service for the customer to resolve or do not provide any good? In what ways you can best illustrate this advantage? Clear and consistent information on the positioning of your products in the market based on a solid understanding is very important to all offline and online marketing efforts.: How much money can you get customers and still make a profit? What is each customer, you get the value of life expectancy? This is the answer you need to determine the effectiveness of any network marketing program running on key issues.

Internet marketing is falling over themselves trying to shift dollars from offline to online marketing. I believe the idea is that network marketing will give them better to reduce the U.S. dollar in a tight economic returns. While it is certainly a solid strategy for mobile Internet, it pays to put it a little thought, the first: Verify your infrastructure. Offline dollars in your move to online, to ensure that you can actually use all of the online customer service. Do you have in place of? You can quickly adjust the landing page and website copy? No sense, if you put in to send visitors to a site, sucking money from online advertising. If you are from offline to online money like two weeks to generate a 5:1 return, reducing the Prozac and think twice to come back. The biggest mistake I see their budget, the company’s transformation, is that they think this is a line ‘run and do’ things. Marketers and their bosses think they can create a landing page or start a PPC campaign, and then forget about it for a month. And this cycle works in print or television, it will not work online. Line is highly, highly repetitive, and requires constant attention. So you save a lot of advertising money into the labor force.

Characteristics of network marketing is definitely a good start in the Internet market, but if you do not know how to drive traffic to your site, these things will be wasted.

Search Engine Optimization Senior Account Manager applicants must have at least the search engine optimization, link building, PPC 3 years of experience, and can hit the ground running. Intelligence and ability to work proactively without supervision is necessary, you should be able to work on project management. You also must be able to communicate with customers the highest level of search engine optimization. Sales useful, but not necessary, because this ability is the main strategy and client management role. We are a small busy Swiss institutions and roll up their sleeves and complete the work is essential. The way we work, we are very flexible, but this is a full-time position at our headquarters in Bristol, England, Bristol in the UK so you must be near or on, such as bathing, Swindon, Chelten Burnham, Gloucester.

Internet online marketing experts found in the blog, webmaster forums and online publications. com, where you can learn about the latest Google updates the new method can make money website. Acetylcholine maravilla is the President and Chief Executive Officer powerhomebiz. One on entrepreneurship, in order to step by step information.

Internet marketing is just too numerous to mention in this article. If you access the Internet value-added services, web savvy, you will see how much of this marketing can increase your business type.

Network marketing is online marketing, network marketing, network marketing. Internet marketing is very important, but the madness of growth with social media, I strongly recommend listening skills is to know how to do twitter, Facebook and YouTube. Many marketing media, relying on the three to take home the bacon only. The building is a long list of network marketing, a necessary component of success. List building simply means that a user list, you can communicate regularly via e-mail. In order to start building a list, you first need to establish what is called a capture page. Pages, your visitors will be asked to provide some free gifts, to share their names and e-mail. It can be a free report, e-books, video or presentation software. Many merchants also offer free electronic can receive daily early bird tips and notifications.

In today’s competitive (and noise) market, we must combine all the right online marketing tools, to create a truly effective and comprehensive marketing program. All, of course, is up and around the central site, but to create opportunities, improve customer response, increased brand awareness, the site of the network through a comprehensive marketing strategy, including search engine optimization, PPC, social media tools to support marketing, and so on.

Linked network marketing ideas and technology and business strategy design, development, Internet advertising and marketing. Search engine marketing, email marketing, display advertising, affiliate marketing, display advertising, blog marketing, display advertising, viral marketing. Internet marketing is the media running along the different stages of customer engagement cycle through search engine marketing, search engine optimization in a specific site, e-mail marketing and Web 2, banner ads. Network marketing has become more and more organizations use to promote the network media key and very effective. ‘The establishment of a website’ or ‘promotion site’ is the foundation, but not the basis of network marketing.

Somewhere behind that website is a real goal, the real organization. Internet marketing strategy includes all of the online advertising products and services, including market research, email marketing, websites, and direct sales.

Nursing Entrepreneurship Creates New Opportunities For Nurses

June 19, 2017

While too many people in most industries are still struggling to find jobs, nursing continues to be one the most in-demand positions. This demand for nurses brings more than job security, it brings opportunities for nursing entrepreneurship to those nurses who are looking for more than just a job.

Taking the Leap to Self Employment

The first question potential nurse entrepreneurs need to answer is whether freelancing or business ownership really suits them. Most everyone can agree on the advantages: being one’s own boss, more flexibility with one’s schedule, able to focus on the work one enjoys most, and best of all, unlimited economic potential.

There are, however, serious challenges as well. People mistakenly believe that the greatest obstacle in starting a business is having the money to get started. This is false. There are a number of business opportunities that require very little start up capital. If some money is needed, entrepreneurs have a number of ways of accessing it.

Instead, the most common roadblock to entrepreneurship is in the mind. A freelancer or entrepreneur has to have the internal fortitude to put themselves into the marketplace and have the confidence to pursue their vision. Everyone’s confidence waivers from time to time, the larger issue is whether such mental blocks can be overcome.

Freelance or Open a Small Business

Deciding whether to freelance, that is work as an independent contractor, or open a small business that will grow to have additional employees, isn’t a decision that has to be made immediately. In fact, since the value nurses have to sell is expertise, it’s very easy to begin as a freelancer. As demand grows and the nurse entrepreneur becomes more comfortable with the business side of the work, then a freelancer can transition into a small business if one wants.

In either case, there are legal issues surrounding working as a freelancer and starting a business. A number of organizations that specialize in helping new entrepreneurs or nurse entrepreneurs specifically can offer some guidance on the potential legal issues that can arise. They will also likely be able to connect new entrepreneurs with lawyers who can help.

What Types of Nursing Businesses Exist

The best businesses are those that find a need in the marketplace that isn’t being met. Any nurse who’s worked through the system can list the situations where nurses, medical staff, patients, or anyone part of the health system has gotten frustrated by an issue. Exploring potential solutions for those types of situations can lead one to a good business idea.

However, it isn’t necessary to reinvent the wheel. There are a number of well-established nursing entrepreneurship ideas that others have already made successful. Just as the need for nurses grows as health becomes a larger national issue, so will the need for the types of nurse entrepreneur businesses that already exist. One should never think because the business already exists, the marketplace is full.

Experienced nurses can use their backgrounds to pursue any of these entrepreneur ideas:

- temporary staffing services

- home care service

- care case managers

- medical bill review

- personal coach in wellness, nutrition, or patient advocacy

- operational consultant for facilities

- trainer either for other medical professionals or to general public as part of a wellness clinic or program

- medical equipment or clothing supplier

Copyright (c) 2012 Nurse Entrepreneur Network

Planning and Design of Behavioral Healthcare Facilities

July 6, 2017

Behavioral Healthcare Facilities: The Current State of Design

In keeping with most districts of healthcare, the marketplace has seen a boom in the construction of Behavioral Healthcare facilities. Contributing to this increase is the paradigm shift in the way society views mental illness. Society is placing a heavier value on the need to treat people with serious addictions such as alcohol, prescription and elicit drugs. A large percentage of people suffering from behavioral disorders are afflicted with both mental and addictive behaviors, and most will re-enter communities and either become contributors or violators.

These very specialized facilities do not typically yield the attention from today’s top healthcare designers and their quantity accounts for a small fraction of healthcare construction. However, Behavioral Healthcare projects are increasing in number and are being designed by some very prominent architectural firms such as Cannon Design and Architecture Plus. Many are creating state-of-the-art, award-winning contemporary facilities that defy what most of us believe Behavioral Healthcare design to be.

Changing the Way We Design Behavioral Healthcare Facilities

As with all good planners and designers, A+D (along with facility experts) are reviewing the direct needs of patient and staff while reflecting on how new medicine and modern design can foster patient healing rates, reduce environmental stress, and increase safety. This is changing the face of treatment and outcome by giving the practitioner more time to treat because they require less time and resources to “manage” disruptive patient populations.

The face of Behavioral Healthcare is quickly changing. No longer are these facilities designed to warehouse patients indefinitely. And society’s expectations have changed. Patients are often treated with the belief that they can return to their community and be a contributor to society. According to the National Association of Psychiatric Health Systems (NAPHS), depending on the severity of illness, the average length of stay in a Behavioral Healthcare facility is only 9.6 days.

What has changed?

Jaques Laurence Black, AIA, president and principal of New York City-based daSILVA Architects, states that there are two primary reasons for the shortened admission period:

1. Introduction of modern psychotropic drugs that greatly speed recovery

2. Pressures from insurance companies to get patients out of expensive modes of care

To meet these challenges, healthcare professionals are finding it very difficult to effectively treat patients within the walls of antiquated, rapidly deteriorating mental facilities. A great percentage of these facilities were built between 1908 and 1928 and were designed for psychiatric needs that were principled in the belief to “store” not to “rehabilitate.”

Also impacting the need for Behavioral Healthcare construction is the reluctance of acute-care facilities to provide mental health level services for psychiatric or addiction patients. They recognize that patient groups suffering from behavioral disorders have unique health needs, all of which need to be handled and treated only by very experienced healthcare professionals. This patient population also requires a heightened level of security. Self-harm and injuring staff and other patients are major concerns.

The Report of the Surgeon General: “Epidemiology of Mental Illness” also reports that within a given year about 20% of Americans suffer from a diagnosable mental disorder and 5.4% suffer from a serious mental illness (SMI ) – defined as bipolar, panic, obsessive-compulsive, personality, and depression disorders and schizophrenia. It is also believed 6% of Americans suffer from addiction disorders, a statistic that is separate from individuals who suffer from both mental and addiction disorders. Within a given year it is believed that over one-quarter of America’s population warrants levels of mental clinical care. Even if these statistics were cut in half, it cannot be denied as a serious societal issue.

With a growing population, effectively designing in accordance with such measures is at the heart of public health.

Understanding the Complexity of Behavioral Healthcare Design

Therefore, like Corrections, leading planners and designers specializing in Behavioral Healthcare are delving deeper to better understand the complexity of issues and to be the activist to design facilities that promote treatment and healing – and a safer community.

The following is a list of key design variables that are being studied and implemented:

1. Right Sizing

2. Humanizing Materials and Color

3. Staff-Focused Amneties and Happiness

4. Security and Safety

5. Therapeutic Design Tenants

Right-sizing

Today’s Behavioral Healthcare facilities are often one-story single buildings within a campus size. Often debated by Clients due to costs, this design preference is driven by the demand for Uncategorized light, window views to nature for all patient areas, and outdoor open-air gardens “wrapped” within. All of this provides soothing qualities to the patient, reduces their anxieties, counteracts disruptive conduct and helps to reduce staff stress.

“When you look at the program mix in these buildings, there’s a high demand for perimeter because there are a lot of rooms that need Uncategorized light. Offices, classrooms, dining areas, community rooms, and patient rooms all demand Uncategorized light, so you end up with a tremendous amount of exterior wall, and it forces the building to have a very large footprint.” – James Kent Muirhead, AIA, associate principal at Cannon Design in Baltimore

These design principles are also believed to improve staff work conditions. Unlike a multi-story complex, at any moment staff can walk outdoors and access nature, free from visual barriers, and within a building that more accurately reflects building types that both patients and staff would encounter in their communities.

In addition to right-sizing for the overall building footprint, is right-sizing for internal patient and staff support area. Similar to the move we have seen in Corrections to de-centralize support spaces, Behavioral Healthcare is moving to decentralized nursing/patient units called “neighborhoods.” With mental health facilities there is a large concern with distances and space adjacencies in relation to the patient room and patient support areas such as treatment and social spaces. Frank Pitts, AIA, FACHA, OAA president of Architecture Plus, Troy, NY, advocates neighborhoods that average 24-30 beds arranged in sub-clusters, called “houses”, of 8-10 beds. Thus, each neighborhood consists of three houses. Often these layouts will include a common area where patients congregate and socialize, with a separate quiet room so patients can elect to avoid active, crowded areas. In addition Pitts states, “There’s a move away from central dining facilities. So, while facilities will still have a central kitchen, it’s a whole lot easier moving food than it is patients.” However, it is important for the facility to mimic normal outside daily life routines, so patients are encouraged to frequently leave their neighborhoods to attend treatment sessions, and outdoor courtyards.

Humanizing Materials & Color

In all facilities that play a role in rehabilitation, design strives to create spaces that humanize, calm, and relax. Behavioral Healthcare patients need to feel that they are in familiar surroundings; therefore, the architectural vocabulary should feel comfortable and normal. Since these facilities are about rehabilitation (when possible) and encouraging patients to merge back into society, the facility should feel like an extension of the community. Their spaces should reflect the nature and architecture of the surrounding region and thus so, no two facilities should look too much alike.

“Our a
pproach to designing these facilities is to view the facility as an extension of the community where patients will end up when they’re released. Interior finishes also depend on geography because you want to replicate the environment patients are used to. You want to de-stigmatize the facility as much as possible.” – Tim Rommel, AIA, ACHA, OAA, principal with Cannon Design in Buffalo, NY.

Therefore, materials and colors within these spaces want to feel familiar to one’s region and everyday life. To soothe the psyche and rehabilitate, they want to feel soft and comfortable, yet visually stimulating. An interior that is overly neutral or hard in appearance is not appropriate. Materials should reduce noise, and colors should lift the spirit. This can help to create an environment in which the patient can learn, socialize, and be productive while easing anxieties, delivering dignity, and modifying behavior. As stated previously, behavioral studies advise the use of softer interior materials-like carpeting, wood doors and tile. Doing so translates directly to both patient and staff well-being, particularly staff safety, and makes for a nicer place to work. In addition, staff have more resources to “treat” instead of manage heated situations. When staff experiences are eased and satisfied, morale is boosted and life-saving rules and policies are more likely to be enforced.

Staff-Focused Amenities & Happiness

While reducing staff stress and fatigue through a healing supportive environment seems like an obvious goal, there are relatively few studies that have dealt with this issue in any detail. More attention has been given to patient outcomes. However, many leading hospitals that have adopted therapeutic tenants into their newly built environments have seen vast improvement through their “business matrixes” and financial reporting.

In one example, the Mayo Clinic, a national leader in implementing healing design in its facilities, has reported a reduction of nursing turnover from a national annual average of 20% to an annual 3%-4%. In another example, when Bronson Methodist Hospital incorporated evidence-based design into its new 343-bed hospital, they cited their 19%-20% nurse turnover rate dramatically dropped to 5%.

Now, both the Mayo Clinic and Bronson Methodist Hospital have had to initiate a waiting list for nursing staff seeking positions. This converts to better-trained and qualified staff, and a reduced error rate. Therefore, more health facilities are investing in staff support areas such as lounges, changing rooms, and temporary sleep rooms. Within these staff spaces and in the hospital throughout, facilities are also recognizing the need for upgrade materials, better day lighting, and an interesting use of color: One soon realizes that the need of patients and staff are interwoven, each impacting positively or negatively the other.

Security & Safety

Without debate, self harm and harm to staff is one of the biggest concerns mental health facilities manage. Often the biggest safety and security concern is the damage patients can do to themselves. “There are three rules I had drummed in me,” says Mark Hanchar; Director of Preconstruction Services for Gilbane Building Company, Providence, R.I. “First, there can’t be any way for people to hang themselves. Second, there can be no way for them to create weapons. Third, you must eliminate things that can be thrown.” Hanchar says that the typical facility is, “a hospital with medium-security prison construction.” This means shatter proof glass, solid surface countertops (laminate can be peeled apart), stainless steel toilets and sinks (porcelain can shatter), push pull door latches and furniture that cannot be pulled apart and used as a weapon. These are just to name a few.

Additionally, removing barriers between patients and nursing staff is a safety consideration. Frank Pitts, AIA, FACHA, OAA president of Architecture Plus, says what may be counter-intuitive for safety precautions, “Glass walls around nursing stations just aggravate the patients.” Removing glass or lowering it at nursing stations so patients can feel a more human connection to nurses often calms patients. There is also discussion of removing nursing stations altogether; decentralizing and placing these care needs directly into the clinical neighborhoods and community spaces. Pitt says, “The view is that [nursing staff] need to be out there treating their patients.”

Therapeutic Design Tenants

As medicine is increasingly moving towards “evidence-based” medicine, where clinical choices are informed by research, healthcare design is increasingly guided by research linking the physical environment directly to patient and staff outcomes. Research teams from Texas A&M and Georgia Tech sifted through thousands of scientific articles and identified more than 600 – most from top peer-reviewed journals – to quantify how hospital design can play a direct role in clinical outcomes.

The research teams uncovered a large body of evidence that demonstrates design features such as increased day-lighting, access to nature, reduced noise and increased patient control helped reduce stress, improve sleep, and increase staff effectiveness – all of which promote healing rates and save facilities cost. Therefore, improving physical settings can be a critical tool in making hospitals more safe, more healing, and better places to work.

Today’s therapeutic spaces have been defined to excel in 3 categories:

1. Provide clinical excellence in the treatment of the body

2. Meet the psycho-social needs of patients, families, and staff

3. Produce measurable positive patient outcomes and staff effectiveness

Considering the cost of treating mental illness, which is exceedingly high, and wanting facilities to have effective outcomes, a further practice of incorporating therapeutic design is increasing. The National Institute of Mental Health (NIM H) approximated in 2008 that serious mental illnesses (SMI ), costs the nation $193 billion annually in lost wages. The indirect costs are impossible to estimate.

The estimated direct cost to clinically treat is approximately $70 billion annually and another $12 billion spent towards substance abuse disorders. In addition to the increased need of care and the boom in Behavioral Healthcare construction, it becomes an obligation to make certain that we as facility managers, architects, designers and manufacturers therapeutically plan and design these facilities.

Notably, in 2004, “The Role of the Physical Environment in the Hospital for the 21st Century: A Once-in-a-Lifetime Opportunity,” published by Roger Ulrich P.H.D., of Texas A&M University, was released. In a culmination of evidence-based research, research teams found five design principles that contributed significantly to achieving therapeutic design goals.

The report indicates five key factors that are essential for the psychological well-being of patients, families and staff, including:

1. Access to Nature

2. Provide Positive Distractions

3. Provide Social Support Spaces

4. Give a Sense of Control

5. Reduce or eliminate environmental stress

Access to Nature

Studies indicate that nature might have the most powerful impact to help patient outcomes and staff effectiveness. Nature can be literal or figurative – Uncategorized light, water walls, views to nature, large prints of botanicals and geography, materials that indicate nature and most importantly, stimulating color that evokes nature. Several studies strongly support that access to nature such as day-lighting and appropriate colorations can improve health outcomes such as depression, agitation, sleep, circadian rest-activity rhythms, as well as length of stay in demented patients and persons with seasonal affective disorders (SAD).

These and related studies continue to affirm the powerful impact of Uncategorized elements on patient recovery and stress reduction. Thus, it is clea
r that interior designs which integrate Uncategorized elements can create a more relaxing, therapeutic environment that benefits both patients and staff.

Positive Distractions

These are a small set of environmental features that provide the patient and family a positive diversion from “the difficult” and, in doing so, also negate an institutional feel. These can be views to nature, water walls, artwork, super imposed graphics, sculpture, music – and ideally all of these want to be focused on nature and, when applicable, an interesting use of color. Therapeutic environments that provide such patient-centered features can empower patients and families, but also increase their confidence in the facility and staff. This helps with open lines of communication between patient and caregiver.

Social Support Spaces

These are spaces designed partially for the patient but mainly for the comfort and socialization of family members and friends of the patient; therefore, family lounges, resource libraries, chapels, sleep rooms and consult rooms all play a role. When family and friends play a key role in a patient’s healing, these spaces encourage families to play an active role in the rehabilitation process.

Sense of Control

In times when patients and family feel out of control, it is very healing for the facility design and staff to provide it back when appropriate. Although, this cannot always be done suitably in mental healthcare facilities. However, when applicable, these design features include optional lighting choices, architectural way-finding, resource libraries, enhanced food menus, private patient rooms and

optional areas to reside in. A few well-appointed studies in psychiatric wards and nursing homes have found that optional choices of moveable seating in dining areas enhanced social interaction and improved eating disorders. When patients feel partially in control of their healing program and that the building features are focused to them, an increased confidence of the quality of care enters and tensions lower.

As with all therapeutic design, this allows the caregiver to use their resources healing in lieu of “managing” patient populations.

Reduce or Eliminate Environmental Stress

Noise level measurements show that hospital wards can be excessively noisy places resulting in negative effects on patient outcomes. The continuous background noise produced by medical equipment and staff voices often exceeds the level of a busy restaurant. Peak noise periods (shift changes, equipment alarms, paging systems, telephones, bedrails, trolleys, and certain medical equipment like portable xray machines are comparable to walking next to a busy highway when a motorcycle or large truck passes.

Several studies have focused on infants in NIC Us, finding that higher noise levels, for example, decrease oxygen saturation (increasing need for oxygen support therapy), elevate blood pressure, increase heart and respiration rate, and worsen sleep. Research on adults and children show that noise is a major cause of awakening and sleep loss.

In addition to worsening sleep, there is strong evidence that noise increases stress in adult patients, for example, heightening blood pressure and heart rate. Environmental surfaces in hospitals are usually hard and sound-reflecting, not sound-absorbing causing noise to travel down corridors and into patient rooms. Sounds tend to echo, overlap and linger longer.

Interventions that reduce noise have been found to improve sleep and reduce patient stress. Of these, the environmental or design interventions such as changing to sound-absorbing ceiling tiles, are more successful than organizational interventions like establishing “quiet hours.”

Conclusion and Additional Information

The information contained in this excerpted report is intended as a guide for architects, specifiers, designers, facility planners, medical directors, procurers, psychologists and social workers which have a stake in providing improved facilities for behavioral healthcare patients. It is a portion of a report entitled “The Contributions of Color” authored by Tara Hill, of Little Fish Think Tank. Ms. Hill was commissioned by Norix Group Inc., in 2010 to research the role color plays in the safe operation of correctional facilities and behavioral health centers. More in-depth information specifically about the psychological influence of color and behavioral healthcare facility design can be found by reading the full report.

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