Clinical Supervision for Nurses Essay Example | Topics and Well Written Essays - 1500 words

Clinical Supervision for Nurses - Essay Example According to Johns (2003), Clinical supervision serves to enhance professional functioning of the junior members under the supervision; the supervisors monitor the quality of services given to patients. Supervision also creates an environment that promotes creativity in supervisees; this supports them so that they have the ability to face patients confidently. As Benfer  (1979) asserts, during clinical supervision, as a clinical supervisor, I will assess the work of the nurse and give her guidelines on how to best deals with patients. Bernard and Good year claim that clinical supervision is similar to training in that it involves a formal process of learning and professional support, which enables the supervisees to develop competence and knowledge in their profession. Because of clinical supervision, nurses identify room for improving their nursing practice (Bernard &  Goodyear 1998). Falender& Shafranske (2004) argue that a variety of approaches and models can be applied in cli nical supervision; in order to assist nurses faced with difficulties. McDaniel, Weber, & McKeever (1983) assert that clinical supervisors often apply various models when training nurses and other supervisees. The most common models of clinical supervision include the developmental model, key issue model, functions model, and process model. As a Clinical supervisor, I would use these models to serve the nurse facing challenges, in her profession. Based on this, the various models of supervision can be used when the training needs of the supervisees vary from one supervisee to another. In training the nurse, who has difficulties in dealing with patients, I would use the developmental model (Benfer 1979). The developmental model proposes that the trainees pass through several stages, which both the supervisors and the supervisees have to take into account. Using this model, I would train the supervisee to cope with the challenges, resulting from complexity of duties (Johns 2003). There fore, as a clinical supervisor, I would apply this model to train the nurse, who has had a promotion to grade E. A nurse who has been promoted to a higher level needs to develop the necessary skills required to perform better in the new position. Promotions come with additional responsibilities in one’s profession.  

The Records of the Parliaments of Scotland to 1707 Essay

The Records of the Parliaments of Scotland to 1707 - Essay Example Indeed there was a specific message conveyed in the document and this was meant to be conveyed to a specified audience. The generalized essence of the message was to create a ratification of an existing document of fact. In the present day, it could be said that the message was a rejoinder to an existing publication as it sought to set the record straight with an existing line of reasoning or belief (Greenhouse, 2005). The existing publication was on the sale and alienation of a suspected earldom to an identified Archibald. The existing line of belief was that Thomas Fleming had sold the earldom to Sir Archibald Douglas and the present writer felt that there was something about this that needed to be corrected. The most immediate audience of the document could, therefore, be identified to be all people who had had knowledge of the previous document, referred to in this instance as a charter and all people who would have access to the ratified document that had been created. The write r actually made the course of an audience of the document very clear as he stated that â€Å"To all who [see or read] this charter, etc.,† (Brown et al, 2007). The document carries specified information to authenticate the sale of earldom from Thomas Fleming to Sir Archibald de Douglas. Essentially, the writer seeks to clear all forms of doubt that may exist with people that the said sale had not been completed or was fraudulent. The writer there makes it clear that evidence of the transfer of power to Sir Archibald de Douglas still exists and that this is a clear indication that all forms of doubt could be cleared. In regards to the authenticity of the existing evidence, therefore, the writer states that â€Å"...and sealed by the seal of the said Thomas Fleming, neither canceled, damaged, erased nor destroyed and not distrusted in any of its parts† (Brown et al, 2007).

Equipment for Cosmetic Dermatology Clinic

Equipment for Cosmetic Dermatology Clinic A cosmetic dermatology clinic differs from the traditional dermatology clinic in terms of the requirement of a wide range of equipment to perform various aesthetic procedures. In the past, the only instrument associated with dermatology practice was a magnifying glass. It then progressed to equipment’s such as Woods lamp, electrocautery, radiofrequency, cryotherapy and phototherapy units. Beyond these tools, the cosmetic dermatologists’ armamentarium includes various basic and specialized equipment’s to carry out a multitude of dermatological treatments and cosmetology procedures. (Box 1) In addition to the treatment equipment, photo documentation devices are also essential. These devices record the results and changes for analysis and prognosis of the treatments and can actually document the percentile UV damage, wrinkle score etc. The cosmetic clients (internet savvy) are aware of the equipment usage in various procedures and check for clinics offering faciliti es with the latest equipment and low downtime. The cosmetic dermatologist not only needs to be updated about the latest equipment’s but should also be aware of its management and maintenance needs. Poor maintenance leads to financial losses for the physician and compromises on efficacy and safety issues for the patient. This chapter gives a brief outline of equipment management and maintenance aspects which would enable the physician to provide safe, effective treatments and sustain the financial aspects of his/ her practice optimally. Box 1: Basic and Specialized equipment in a cosmetic clinic Basic Equipment Microdermabrader Radiofrequency and cautery Cryotherapy Mesotherapy Jet Peel or hydrafacial Microcurrent Electroporation Dermatoscope and photography equipment ( detailed in chapter 5) Phototherapy Units Specialised Equipment- LASERS and Light Systems Intense Pulse Light LASER Hair Reduction- Long Pulse Alexandrite, Long Pulsed ND YAG, Diode Pigmentation- Q Switched ND YAG Fractional and Ablative LASERS Hair Restoration- Low Level Lasers and lights Skin Tightening- LASERS and Radiofrequency, Micro needling Radiofrequency Vitiligo and Psoriasis- Excimer lamp and LASER Body contouring- Radiofrequency, cryolipolysis, ultrasound cavitation, low level laser therapy,etc. BASIC REQUIREMENTS FOR EQUIPMENT MANAGEMENT The basic requirement from any machine/ equipment is its longevity and optimal usage. This can be achieved by effective equipment management procedures [1] (Box 2) Box 2: Effective equipment management procedures Equipment Purchase Installation requirements (storage and space electrical supply, air-conditioner) Standard Operating Protocols Training of the staff Quality control checks (cleaning, safety devices, consumables, regular inspections) Maintenance and servicing (Daily, Preventive, Annual ) Equipment/ Accessories modification Equipment Purchase: The following checklist should be kept in mind during purchase of the equipment. This helps to trouble shoot maintenance issues effectively. Always buy from a certified company or a certified official dealer Check with the dealer for skilled technicians for installation and troubleshooting Sign the maintenance contract with the company (No machine is zero maintenance) Establish the warranty period (details and time lines) Note of the date of manufacture and the numerical code unique to each equipment. Installation Requirements Space and storage Requirements of the equipment and accessories should be taken into account prior to installation. Electrical connections and stabilizers: This has been detailed in Chapter 60. Special sockets and high voltage breakers, stabilizers and UPS (uninterrupted power supply) should be provided. Air conditioner: Most of the LASER machines generate heat and require certain temperatures to be maintained while in operation. An air conditioned environment is preferred as it remains closed, relatively dust free and is useful for machine longevity. Smoke evacuators Fragments of skin, hair and aerosols can damage LASER lenses or light based equipment due to physical interference with transmission. Smoke evacuation systems may be used to reduce the plume debris and limit the harmful effects on the staff, patients/clients and the laser equipment. Standard Operating protocols (SOPs) SOPs regarding usage of the machine are provided by the manufacturer. Indications and Specifications are provided in the operator manual and should be adhered to. Based on the patient requirement, if modifications are made in the SOPs, these should be documented and informed to all the staff. Training of staff (machine operators or staff responsible for maintenance) All the staff members in the cosmetic dermatology set up should be trained to follow the SOPs, understand the need and importance of equipment maintenance for the smooth functioning of the clinic. Quality control checks (cleaning, safety devices, consumables) In addition to the daily cleaning; regular weekly or fortnightly check of each machine, safety devices and consumables should be done. This helps to prevent emergency maintenance issues and financial losses. Maintenance and servicing (Daily, Preventive, Annual) A record should be maintained of all planned and unplanned maintenance and services, including any problems or modifications. The service contract records, contact details of service personnel should be documented well. Equipment/ Accessory modification Any modification to the equipment or accessories; or change in its operational usage may have safety implications associated with it. Hence, whenever any modification is done, appropriate documentation is mandatory. Standard accessories should be used. STANDARDISED AND EFFECTIVE EQUIPMENT MANAGEMENT A standardised form, including all the aspects detailed above for equipment management should be kept with individual machines. A soft/ hard copy of this format for all machines should be catalogued and serve as a ready reckoner to the concerned staff. A basic outline of the form has been provided in Box 3. The salient aspects for effective equipment management have been included in Box 4. Box 3: Standard form for individual machines Name of the machine Indications Standard specifications (usually provided by manufacturer) Storage specifications: Equipment/ Accessories Space: Table mounted/ Floor mounted Electricity: Earthing/ UPS requirement AC requirement Consumables Safety devices- Goggles, cooling devices, smoke evacuators Cleaning Techniques Maintenance- Daily, Preventive, Annual or comprehensive maintenance services ( AMC/ CMC) Special tips do’s and don’t’s Installation date Operator Training: Names/ Dates Contact details for Maintenance services: Phone/ Mail id/ Website address/ Personnel Warranty details: Equipment/ Accessories, along with datelines Services Contract: AMC/ CMC, Renewal along with Dates Service done: Dates/ Done by whom/ Supervisory staff Box 4: General Tips for effective equipment management Keep a standardised form with individual machines. Train the staff to handle the equipment carefully Understand the Operators manual Take care of all the parts of machine. Hand pieces are the most important part. Place them in a protective box or on the machine as instructed Keep a check list of the consumables Keep all the machines covered and in a dust free environment Contact technical personnel for preventive machine maintenance at regular intervals Check for contraindication in case of all clients BASIC EQUIPMENT MAINTENANCE The general principles of basic equipment maintenance (as per the standardised form) has been outlined in Table 1. Modifications can be done based on individual machines and clinic requirements. Table 1: Basic Equipment Management Equipment Crystal Diamond- USG, Cleanser, head Salt – cartridges Microcurrent Diamond Pro Lift Radiofrequency /Cautery Mesomate/Dr Injector Injector MesoGun-Manual-Automatic Jet M Machine Indications Exfoliation gently removes the outermost dead skin cell layer for the epidermis. Reduces pigmentation and tanning Improves Acne scars Reduces fine lines and wrinkles Reduces pore size and age spots Facial lift Muscle lift Body Contouring Iontophoresis-Product penetration Disencrustation- Deep cleansing Dermatoses papulosa nigra (DPNs) Warts Skin tags Moles Seborrheic Keratosis Granuloma pyogenicum Xanthelesma Rhinophyma Dull skin Irregular texture Uneven skin tone Hair loss Cellulite Lymphatic drainage Exfoliation Infusion Standard operating protocols Available Available Available Available Available Storage Temperature:20 -600 C Humidity Space Table mounted Table mounted Table mounted Table mounted Dr. .Injector has its own Trolley Table mounted or specially designed trolley Electric/ UPS/ AC Earthing + UPS/ AC- Earthing + UPS/ AC- Earthing + UPS/ AC- Earthing + UPS/ AC- Consumables Hand piece depending on the type of machine Nozzles of two different sizes small for face and neck and big for the body parts Aluminium oxide crystals Two long metal probes, one small probe with sponge for earthing , two sets of coloured wires, one metal roller, sticky pads and big pads. Hand piece Wire loop electrode and pointed electrode Disposable as well as reusable tips are available Kinked wires may need replacement Safety devices Foot pedal Air tubing Triple nozzle handpiece Safety goggles (during peel infusion ) Vitamins Cleaning The jar has to be cleared of all the crystals after every service and cleaned. Hand piece needs to be cleansed with alcohol swab before use. Tissue residue should be removed from the active electrode (Rf power ON) with a sterile moist gauze (water only) No scalpel scissors or any sharp objects should be used as it may lead to tissue adherence Disinfection All commercially available disinfectants may be used to disinfect the electrodes. Electrodes should be immersed in fresh cidex solution .then they must be washed and under tap water , dried and Placed in the supplied box Sterilisation All non- disposable hand pieces, cables, plugs and electrodes are autoclavable to 2500 F or 1210C. Steam cleaning of electrodes must be done just before use. Sterilize the guard with alcohol swab prior to the service Regular cleaning of hand piece Maintenance Jar needs to be replaced every fortnight for smooth functioning of the machine Spare hand pieces should always be available Replace filter and nozzle after every 15 bottles Daily Maintenance: Clean hand piece with alcohol swabs or SPCL cleaning Solution. Straighten the tubes. AMC Preventive maintenance should be done at an interval of 1-2 months Preventive machine maintenance at an interval of 1-2 months. The electrodes should be dipped in dilute H2O2 solution so that debris gets cleared, before washing AMC Preventive machine maintenance should be at an interval of 6 months. Daily Maintenance Clean the gun exterior with spirit. Do not allow spirit to enter the interiors. Charge the Gun daily AMC Preventive machine maintenance should be at an interval of 6 months. AMC Preventive machine maintenance should be at an interval of 6 months. Special Tips: Do’s and Don’ts Do’s- follow the instructions mentioned in the user manual Don’ts – do not place anything on the machine Don’ts- Coloured wires should always be tied up and placed on the machine when not in use Do’s- The only way the radiosurgery can create tissue damage is if the heat is allowed to accumulate in the tissue to the point where it can lead to excessive dehydration and hence tissue destruction. Preventing accumulation of such heat is the basic objective of radiosurgery technique and hence one should practice 10 seconds ON and 30 seconds OFF. Don’ts – Do not Use any inflammable anesthetics or cleaning agents. Use the injector and needle that meets the international and domestic standards. SPECIALISED EQUIPMENT MAINTENANCE Specialised equipment’s such as Lasers, lights, radiofrequency based machines are now an integral part of cosmetic clinics. Most of these equipment are expensive and have specific maintenance issues. In addition, the optical radiation emitted by lasers, IPLs and LEDs has potentially hazardous effects on patients, clients and equipment users. There can be direct damage to eyes or skin. A potential risk of fires or explosions from lasers igniting gases or fabrics and the problem of smoke inhalation exist. Engineering (in- built safety measures provided within the laser machine), procedural (policies and practices followed at the cosmetic clinic) and administrative (review by health department) control measures are needed to prevent exposure to potential laser hazards. [2] Effective equipment management procedures as outlined in Box 2 should be followed for each of the specialised equipment in the clinic. The most important aspect of maintenance is simple prevention. This can be achieved through the following measures: Routine inspection, of the laser system and the surroundings (Daily/ weekly checks) Periodic inspection and maintenance of optical components and critical subassemblies (Preventive and annual maintenance checks) Documentation and Record keeping Few examples for daily/ weekly/ preventive checks for laser equipment are outlined in Box 5 [1] Box 5: Examples for daily/ weekly/ preventive checks for laser equipment Examples for daily checks: Check whether the laser output terminates on release of foot/ hand switch Check the device’s alignment of the aiming beam with the therapeutic beam Check device’s filters/ tips for scratches or dirt. Check all system alarms and lights are operating appropriately Assess all device accessories including cables and connectors are clean and functioning. Examples for weekly checks: Inspect protective eye wear for lens scratches or general damage Check all protective blinds, windows and doors, are dust free and functioning appropriately Check that electrical system connections/ UPS, warning lights are functioning correctly Examples of annual/ preventive checks: Electrical safety Device calibration checks Output measurements Beam alignment Shutter operation Accuracy of timer Filters The general tips for effective and safe laser equipment management are outlined in Box 6. The general principles of specialised equipment maintenance (as per the standardised form) has been outlined in Table 2. Modifications can be done based on individual machines and clinic requirements. Box 6: General tips for effective and safe laser equipment management Laser Room (details in chapter 60) Restrict entry to the room when the system is in use; put laser warning sign Do not include any light reflecting objects such as mirror, Provide rubber mat flooring ( prevents damage and losses in case of accidental fall of hand pieces, goggles, etc) Services/ Maintenance checklist Maintain a logbook of regular maintenance check and calibration Maintain detailed information about service centre/ personnel Check for engineers training certificate. Calibration must be checked by authorized personnel with calibrated power meter. Always check for calibration certificate when under AMC/ Maintenance Deionized (DI) water is needed for cooling in some machines. Check levels 1-3 monthly and change Check fire safety measures Check for Electromagnetic immunity and declaration compliance. Check for recommended separation distances between portable and mobile RF communications equipment and laser Equipment Use Check the power supply/ UPS before the machine is switched on. If the machines need to be moved to a different room, do it carefully and avoid jerky movements Always place the tips or hand pieces in the designated box so as to avoid any accidental fall or damage to the same Optical lenses, fibre optic cord, some hand pieces contain lasing medium are expensive, hence handle all equipment parts with care Never leave the system in ready mode unattended Practice use of hand switch as much as possible Most laser screens have a touch screen. Be sure not to point on the screen while firing the laser shot ( Can inadvertently happen with the foot pedal) In event of any emergency use the emergency shut –off knob Use colourless gels for lasers Use Skin markers and colours for demarcating areas. Skin markers should be preferably white or appropriate colour depending on the laser absorption spectrum or else they can act as chromophores and cause burns Cleanse and dry the area to be lased thoroughly Inspect the laser tip always before treating the patient. Do not use if damaged. Make sure the correct eye wear is used (Different protective eyewear is indicated for different wavelengths) Do not treat eyebrows eyelashes or other areas surrounding the eye orbit with Nd: YAG or Er: YAG lasers. The light emitted by these can cause serious eye damage or blindness. Use corneal shields especially in cases of direct touch lasers being used in the orbital area. Gas based and pulse dye lasers (Example- Excimer, Pulse dye lasers) Switch ON everyday Cleaning of hand piece with alcohol swabs. Gas bottles used as consumables are very expensive Mirrors needs to be cleaned by engineers every 3 months. Calibration of voltages is very important. Dye needs to be replaced after 50000 shots Body shaping and contouring machines: All hand pieces need to be cleaned daily Better to use specific oils or gels, otherwise ultra-sonography gel can be used; may be glycerine based. The emitted sounds should be perfect Phototherapy units Check lamp power every month and calibrate if needed Clean fans every quarterly Table 2: General principles of specialised equipment maintenance ( separate doc- horizontal chart) CONCLUSION Equipment management and maintenance is an integral part of the cosmetic practice set- up. Specialised equipment such as lasers and radiofrequency based devices are expensive and have specific maintenance issues. In addition to the financial implications for the practice, the safety and efficacy of the treatments provided by the physician are chiefly dependent on well managed equipment. SUMMARY A cosmetic dermatology clinic differs from the traditional dermatology clinic in terms of the requirement of a wide range of equipment to perform various aesthetic procedures. It is a good practice to employ equipment management and maintenance measures. The effective equipment management procedures include checklists and processes for purchase, installation, developing standard operating protocols, staff training, quality control checks, maintenance and servicing (daily, preventive, annual ) and modifications in equipment/ accessories. Good equipment management and maintenance practices have healthy financial implications for the practice. It assures optimal usage and longevity of the machine life, along with safe and effective treatments for the patients/ clients.

Dylan Thomas Poems of 1933 Essay -- Dylan Thomas Poets Poetry Languag

Dylan Thomas' Poems of 1933 Show how, in his poems of 1933, Dylan Thomas uses language and poetic form to explore both his own metaphysical viewpoint and his position as a poet in relation to the rest of society. In this essay I will look at how Dylan Thomas uses language and poetic form to explore his own metaphysical viewpoint and his position as a poet in relation to the rest of society. I will begin by looking at and analysing the poems that explore DT’s metaphysical ideas. In this part of my analysis I will be analysing relevant parts of the following poems; ‘The force that through the green fuse’, ‘And death shall have no dominion’ and ‘Why east wind chills’. ==================================================================== From reading the first poem ‘The force that through the green fuse’ I see the image of life being the ‘force’ and living things are the ‘fuses’. I think that what DT is trying to say is that life is a continual cycle and never stops, it is only the physical elements which the ‘force’ must possess to become life that are the restriction to the flowing and continual cycle. I think the key lexis here is ‘fuse’; the word fuse has many different connotations within the context of this poem (also note that the fuse is green – a further connection with nature and natural things). One such meaning that could be derived from it is that of a fuse used in an electrical socket. This kind of fuse breaks if there is too much current flowing through at once. On the other hand the word fuse can also means to join together, to combine. So, the force that combines human kind and nature as one is at the same time the force that divides us and prevents us from understanding why we exist.... ... nature in order to create bead and wine for Holy Communion. This is show in line 10 ‘Man broke the sun, pulled the wind down’ the word ‘sun’ could also be a pun for son – Jesus. In the last stanza the reader is addressed directly ‘you’, bringing them into the poem and allowing them to see what damage man is causing. He reminds them that he too is a part of nature, which seems to suggest that his destruction is an inevitable part of his purpose on earth. Overall I feel that these poems give a representation of DT’s position as a poet in relation to the rest of society. I feel that he is trying to say that, as a poet, he is isolated from the rest of civilisation and that it is his job to help readers see the falseness of society and persuade them to not change it, but realise the illusion and appreciate the wonders of nature and all natural things.

My Autography

My name is Md. Tanvir Rahman Mazumder and I was born in Comilla in 1990. I have a nice family and they live in Comilla. At present I live in Dhaka with my Brother, he has an employee of the multinational company for almost 5 years. I am currently attending North South University in an effort to obtain my Bachelor of Business Administration (BBA) degree. My family is the most important part of my life as well as my success.It is influenced that I have on my family as well as my personal goals that have driven me to want to excel in all I do and try to be good rule models for my family along with others I come into contact a well. My life is so far is comprised of a wonderful family, great friends, a small successful classic car restoration business and a sincere dedication to my family, education and work. My elementary school experience is very interesting and memorable. In my elementary school I am a very stubborn and sporty boy. I am totally into sports. I love to play cricket and basketball.I also love to make friends and hangout with them. I pass my leisure time by listening to music and a small chat with friends on the phone. Sometimes I really miss my elementary school experience. I am currently attending the north south university in an effort to obtain my bachelor degree in business management. I am attending this university because it is the ranked 1 university in Bangladesh. It has a big campus. All of the faculty members are highly qualified and they gain their PhD degree from abroad. Now my university days were awesome. I had lot of fun there with my friends.I also played for my university cricket team and I was the best cricketer in my university. I feel very proud for attending this university. Course CodeClass Name/SubjectTeacher’s Name MIS105Introduction to computersAfz MGT210Principles of ManagementJNA BUS172Introduction to StatisticsABS MKT202Introduction to MarketingZTK Outside university whenever I get enough time I used to go to my v illage. I always give away my old clothes to the poor people. Every Friday my friends and I go to the rural area and I also help my friends to cook food for the poor people.My friends and me organized a charity show for those who were live in under the poverty line. Sometimes I go to many historical places in the Dhaka city and outside the city. By the year 2015 I hope to be in a good job as top management position. The outlook for my future is a good one due to my family and education. I can see myself becoming more versed in compliance services and in the future possibly starting a related company. I see my future as being a top quality manager in a position of importance involving critical decision-making that drives a company to competition and wins.I can also see in the future where I will be taking time to reward my family for their support and accomplishments, possibly in the long vacation outside the country. I can also see in my future where my wife and myself will be able to continue to pass on our experiences to both our children and grandchildren helping them to achieve their goals. I believe that only future holds on what I put into it. To this point in my life I have worked hard to achieve my educational goals from graduating high school to shortly obtaining my degree in business management through the North South University.I think I will get more opportunities to achieve my goal. As I stated in the beginning, I have always placed a great importance on my education and have had a drive to learn more and excel in life. I would hope that through all of my experiences in my personal as well as educational life that this will provide the foundation on which I can succeed and as a professional to help my future company I would work for. I hope you have enjoyed my autobiography, I think you can see that my life has been based on hard work, education and responsibility. It is there principles that I believed could have the greatest effect on anyoneâ₠¬â„¢s success.

Effects if the Columbian Exchange on Europe Essay

The Columbian Exchange refers to the interchange of diseases, crops, and ideas between the New and Old World after Christopher Columbus’s initial voyage to the Americas in 1492. These biological exchanges changed the way of life for both Native Americans and the Europeans, impacting the social and cultural makeup of both sides. The discoveries of valuable metals and crops are perhaps the biggest findings for the Old World, and these encounters helped countries like Europe get out of the Middle Ages and into the years of Enlightenment. However, the exchange not only brought gains, but also losses. The years of exploration and exchange following Columbus’s landing helped European nations in many ways, especially contributing to the development of the economy and population. Before Columbus’s expedition to the distant lands, Western Europe was an agrarian society, in which the people lived in family households. The feudal lords ruled the land strictly, causing living conditions to be poor for the majority of the Europeans. Most peasants and lowerclassmen survived on bread and porridge, seasonal vegetables, and rarely a piece of meat. In addition, one-third of Europe’s population died from starvation and diseases like Black Death. Still, however, productivity was increased by water mills, iron plows, and other new technologies. Under the Roman Catholic Church, and the pope, Europeans lived strictly religious lives. The Columbian Exchange helped bring Europe’s economy out from the depths and also aided food production, protecting Europeans from famine. The seemingly long years of these exchanges helped Europe’s economy for the better, even though much more money was being put into circulation. The introduction of new staple crops like corn and potatoes brought in large sums of money and surpluses. Slave labor saved the European a lot of money, too. Trade and raiding the I ndians, on the other hand, brought in valuable metals like gold or silver, furs, raw materials, and other goods. Additionally, these trades caused for the advancement of ships and other large vessels, which created more jobs and opportunities, helping the economy grow even more. Tobacco, another crop from the New World, was so widely accepted that it became a substitute for currency in some areas of Europe. All of these social and agricultural enhancements assisted in the specialization of labor, eventually leading European countries into the Renaissance. Many of the exchanges that transformed the economy also reformed the population. Surpluses from growing crops saved the  peasants and lowerclassmen from starvation. Since more people were able to survive, rather then dying from malnourishments, the population of European countries rose. The shipment of slaves, although not too large, also caused the population figures to go up. At this point, European countries started to send people to the New World due to overcrowding; however, some diseases like syphilis arrived at Europe from returning the Englishmen. Although syphilis caused many deaths, it did not effect the overall population of Europe, and it was in no way comparable to the epidemics that were caused by immigration to the New World. Europe truly gained from trading and exploring the unexplored, virgin soil of the New World. They gained materials and crops, which helped boost the economy; be that as it may be, the Europeans also lost lives due to diseases like syphilis. All in all, the Columbian Exchange helped the economy, reformed the way of agriculture and education, and started the age of Enlightenment.