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New personnel were recruited mainly for international operations as well as R&D. Several different recruitment channels were used, with the Internet playing an increasingly important role. Orion Pharma's research and product development employed 787 persons. The average age of the employees was 40 years and the average duration of employment was 10 years. Personnel turnover remained virtually at the previous year's level while the total absence rate decreased somewhat from the level of previous years. Development of competence and well-being The Orion Group's comprehensive operations in the healthcare sector call for broad and deep expertise from the personnel. Moreover, growth is sought in the strongest areas of knowhow. The business divisions are becoming increasingly international in their core business operations, and a client-oriented mode of operation is emphasised. It is therefore necessary to develop not only the human resources but also common operative models in these areas. Besides conventional training in profession-specific skills, particular attention was paid to the development of management and co-operation skills as well as to appraisal discussions. Some 4, 000 Group employees took part in in-house training. The Group spent FIM 20.5 million to training services purchased from external sources. The average number of training days per a white-collar employee was 4. Job rotation is an inherent part of the development of competence and expertise. Internal mobility both within and between the business divisions is encouraged, not only to promote versatile skills but also to provide the employees an overall view of the Group operations, to streamline the business processes and to increase flexibility among employees. The practical materialisation of the Group values customer satisfaction, personnel appreciation, continuous development and shareholder value is promoted in the divisions and at Group personnel representatives' meetings through various introductory addresses and discussions.
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EXAMPLES: Example 1: An order is written for a medication to be administered q6h. The first dose is administered at 1430 and is charted as being administered at that time. Since the standard administration times are 0600, 1200, 1800, the next dose is administered at 1800. Example 2: An order is written for a medication to be administered q4h. The first dose is administered at 1230 and is charted as being administered at that time. Since the standard administration times are 0100, 0500, 0900, the next dose is administered at 1700. In this same example, if the first dose had been administered at 1130, the next dose should be administered at 1300. Example 3: An order is written for a medication to be administered q8h. The first dose is administered at 1600 and is charted as being administered at that time. Since the standard administration times are 0500, 1300, 2100, the next dose is administered at 2100. Example 4: An order is written for a medication to be administered q24h. The first dose is administered at 1400 and is charted as being administered at that time. Since the standard administration times are 0900, 1700, 2100, the next dose is administered at 0900 the next day. In this same example, if the first dose had been administered at 1500, the next dose should be administered at 1700 the next day. Example 5: If the first dose of a medication written for q8h is given in the PACU at 1330, the next dose is given at 2100. Example 6: If a patient is receiving a medication on a standard Q6h hour schedule and the scheduled 1200 dose is not given until 1400 because the patient was off the unit for a test, the next dose is given at 1800. In this same example, if the 1200 dose is not given until 1600, the next dose is given at 2400. The missed dose should be marked "extra" and placed in the "discontinued IV" bin in the IV refrigerator. ; Example 7: An order is written for a medication to be administered DAILY. The first dose is administered and charted at 1400. The next dose is administered at 0900 the next day. In this same example, if the order is written at 1900, the first dose is given the next day at 0900, unless the order specifies that the first dose should be administered that night. In this case, the next dose would be administered at 0900 the next morning and dramamine.

Hays, V.W., Black, C.A., Antibiotics for animals: the antibiotic resistance issue. Ames, IA: Comments from Council for Agricultural Science and Technology CAST 1989. Gustafson, R.H., Symposium: Antibiotic residues in meat and milk: use of antibiotics in livestock and human health concerns. Journal of Dairy Science 1991; 74: 1428-1432. Danish Zoonosis Centre, DANMAP 1997. Consumption of Antimicrobial Agents and Occurrence of Antimicrobial Resistance in Bacteria from Food Animals, Food and Humans in Denmark. Copenhagen; 1998. Wegener, H., director of Danish veterinary diagnostic laboratory, personal communication, November 1998 [hereinafter Wegener, personal communication, 1998].

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Sari's relative power -Sari provides patients with information about procedures normally transmitted by nurses. -Sari tacitly assumes role of medical professional; her status becomes temporarily "enhanced; " -she gives written and oral medical information to often uninformed "anxious" ; patients. -This patient seemed confused and needed reassurance about what she should do before and after procedure. -Temporary power Sari uses occurs despite otherwise low non-professional ; status in health care system. -Sari's activities require delicate balance; recognizing her low status when communicating with professionals, -being sensitive to and providing patients with medical information she is not trained to give. -She enters data in the computer and uses stored computer information to remind her about particular patients' clinical circumstances. -gives instructions about fasting, diet, use of enema, etc.
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