Signs and symptoms. Dyspnea is the most common symptom, but it is very nonspecific. Patients may also complain of chest pain or discomfort, easy fatigability, cough, and orthopnea, or they may be completely asymptomatic. Signs include distant heart sounds, and pericardial friction rub. With cardiac tamponade, progressive heart failure occurs, with increased shortness of breath, cold sweats, confusion, hypotension, jugular venous distention, and pulsus paradoxus.
A supervisor is responsible for the productivity and actions of a small group of employees. The supervisor has several manager-like roles, responsibilities, and powers.acking budget authority means that a supervisor is provided a budget developed by management within which constraints the supervisor is expected to provide a productive environment for the employees of the supervisor's work group.
The difference between direct and indirect supervisor is the presence of the supervisor. Direct supervision means a supervisor is psychically present. Indirect supervision means doing work without the physical presence of the supervisor.