Success on the Wards
Total Page:16
File Type:pdf, Size:1020Kb
Load more
Recommended publications
-
TOOLS and EQUIPMENT Orthotic 561
TOOLS AND EQUIPMENT Orthotic 561 Tools Shoe Stretchers............................562 Brannock Measuring Device..................562 Mixing Bowls ..............................562 Aluminum Cast Mandrels ....................562 Laminating Fixtures.........................563 Vises and Yates Clamps.................563-564 Measuring Devices .....................564-567 Hex Sets and Balldrivers.................567-569 Screw and Drill Gages ......................569 Cutting Nippers ............................570 Plastering Tools............................571 Shears and Scissors ....................571-572 Blades, Knives and Surforms .............572-575 Rivets, Punch Sets and Eyelets ...........576-579 Reamers .................................579 Needle Kit ................................579 Deburring Tool.............................579 Rout-A-Burr ...............................579 Precision Oiler.............................580 Countersinks ..............................580 Adjustable Bits.............................580 Tools Ball Set Tool . 580 Micro Torches and Heat Guns ............580-582 Cast Spreaders and Cutters ..............583-584 Alignment Fixtures .........................584 Benders and Contouring Iron .............584-585 Equipment Carvers, Cutters and Routers.............585-588 Sanding Accessories............ 589-591, 601-603 Sewing and Patching Machines ...............592 Drill Press ................................593 Band Saws . .594-595 Dust Collectors ........................596-597 -
The Application Usage and Risk Report an Analysis of End User Application Trends in the Enterprise
The Application Usage and Risk Report An Analysis of End User Application Trends in the Enterprise 8th Edition, December 2011 Palo Alto Networks 3300 Olcott Street Santa Clara, CA 94089 www.paloaltonetworks.com Table of Contents Executive Summary ........................................................................................................ 3 Demographics ............................................................................................................................................. 4 Social Networking Use Becomes More Active ................................................................ 5 Facebook Applications Bandwidth Consumption Triples .......................................................................... 5 Twitter Bandwidth Consumption Increases 7-Fold ................................................................................... 6 Some Perspective On Bandwidth Consumption .................................................................................... 7 Managing the Risks .................................................................................................................................... 7 Browser-based Filesharing: Work vs. Entertainment .................................................... 8 Infrastructure- or Productivity-Oriented Browser-based Filesharing ..................................................... 9 Entertainment Oriented Browser-based Filesharing .............................................................................. 10 Comparing Frequency and Volume of Use -
Wilderness First Aid Reference Cards
Pulse/Pressure Points Wilderness First Aid Reference Cards Carotid Brachial Prepared by: Andrea Andraschko, W-EMT Radial October 2006 Femoral Posterior Dorsalis Tibial Pedis Abdominal Quadrants Airway Anatomy (Looking at Patient) RIGHT UPPER: LEFT UPPER: ANTERIOR: ANTERIOR: GALL BLADDER STOMACH LIVER SPLEEN POSTERIOR: POSTERIOR: R. KIDNEY PANCREAS L. KIDNEY RIGHT LOWER: ANTERIOR: APPENDIX CENTRAL AORTA BLADDER Tenderness in a quadrant suggests potential injury to the organ indicated in the chart. Patient Assessment System SOAP Note Information (Focused Exam) Scene Size-up BLS Pt. Information Physical (head to toe) exam: DCAP-BTLS, MOI Respiratory MOI OPQRST • Major trauma • Air in and out Environmental conditions • Environmental • Adequate Position pt. found Normal Vitals • Medical Nervous Initial Px: ABCs, AVPU Pulse: 60-90 Safety/Danger • AVPU Initial Tx Respiration: 12-20, easy Skin: Pink, warm, dry • Move/rescue patient • Protect spine/C-collar SAMPLE LOC: alert and oriented • Body substance isolation Circulatory Symptoms • Remove from heat/cold exposure • Pulse Allergies Possible Px: Trauma, Environmental, Medical • Consider safety of rescuers • Check for and Stop Severe Bleeding Current Px Medications Resources Anticipated Px → Past/pertinent Hx • # Patients STOP THINK: Field Tx ast oral intake • # Trained rescuers A – Continue with detailed exam L S/Sx to monitor VPU EVAC NOW Event leading to incident • Available equipment (incl. Pt’s) – Evac level Patient Level of Consciousness (LOC) Shock Assessment Reliable Pt: AVPU Hypovolemic – Low fluid (Tank) Calm A+ Awake and Cooperative Cardiogenic – heart problem (Pump) Comment: Cooperative A- Awake and lethargic or combative Vascular – vessel problem (Hose) If a pulse drops but does not return Sober V+ Responds with sound to verbal to ‘normal’ (60-90 bpm) within 5-25 Alert stimuli Volume Shock (VS) early/compensated minutes, an elevated pulse is likely caused by VS and not ASR. -
Vantage by Integra® Miltex® Surgical Instruments
Vantage® by Integra® Miltex® Surgical Instruments Table of Contents Operating Scissors ................................................................................................................................. 4 Scissors ................................................................................................................................................ 5-6 Bandage Scissors .................................................................................................................................... 7 Dressing and Tissue Forceps ................................................................................................................. 8 Splinter Forceps ...................................................................................................................................... 9 Hemostatic Forceps......................................................................................................................... 10-12 of Contents Table Towel Clamps ......................................................................................................................................... 13 Tubing Forceps .......................................................................................................................................14 Sponge and Dressing Forceps ............................................................................................................. 15 Needle Holders .................................................................................................................................16-17 -
GUIDELINES for WRITING SOAP NOTES and HISTORY and PHYSICALS
GUIDELINES FOR WRITING SOAP NOTES and HISTORY AND PHYSICALS by Lois E. Brenneman, M.S.N, C.S., A.N.P, F.N.P. © 2001 NPCEU Inc. all rights reserved NPCEU INC. PO Box 246 Glen Gardner, NJ 08826 908-537-9767 - FAX 908-537-6409 www.npceu.com Copyright © 2001 NPCEU Inc. All rights reserved No part of this book may be reproduced in any manner whatever, including information storage, or retrieval, in whole or in part (except for brief quotations in critical articles or reviews), without written permission of the publisher: NPCEU, Inc. PO Box 246, Glen Gardner, NJ 08826 908-527-9767, Fax 908-527-6409. Bulk Purchase Discounts. For discounts on orders of 20 copies or more, please fax the number above or write the address above. Please state if you are a non-profit organization and the number of copies you are interested in purchasing. 2 GUIDELINES FOR WRITING SOAP NOTES and HISTORY AND PHYSICALS Lois E. Brenneman, M.S.N., C.S., A.N.P., F.N.P. Written documentation for clinical management of patients within health care settings usually include one or more of the following components. - Problem Statement (Chief Complaint) - Subjective (History) - Objective (Physical Exam/Diagnostics) - Assessment (Diagnoses) - Plan (Orders) - Rationale (Clinical Decision Making) Expertise and quality in clinical write-ups is somewhat of an art-form which develops over time as the student/practitioner gains practice and professional experience. In general, students are encouraged to review patient charts, reading as many H/Ps, progress notes and consult reports, as possible. In so doing, one gains insight into a variety of writing styles and methods of conveying clinical information. -
On the Application of Articles 4 and 5 of Directive 89/552/EEC "Television
COMMISSION OF THE EUROPEAN COMMUNITIES Brussels, 15.07.1996 COM(96)302 final COMMUNICATION FROM THE COMMISSION TO THE COUNCIL AND THE EUROPEAN PARLIAMENT on the application of Articles 4 and 5 of Directive 89/552/EEC "Television without Frontiers" EXECUTIVE SUMMARY This is the second monitoring report on the implementation of Article 4 (European works) and Article 5 (independently produced European works) of the 1989 "Television without Frontiers" Directive. It covers the years 1993 and 1994. As with the previous report, it is based on national reports provided by each Member State as regards the broadcasters under its jurisdiction. The conclusions of the report are as follows: * There is a marked improvement in the quality of reporting by Member States. A number of methological difficulties have been ironed out as compared to the previous period. * In quantitative terms, the data is comprehensive. * The report confirms that all Member States have transposed Articles 4 and 5, although the flexible wording of these provisions has resulted.in differing levels of effectiveness and in variations as regards the basis on which they are applied. * The number of channels surveyed was 148 (105 in 1992). Of these, 91 broadcast a majority proportion of European works in 1994 (as compared to 70 channels doing so in 1992). Moreover, in almost all Member States, the majority of mainstream terrestrial broadcasters (which account for by far the largest share of the audience) achieved, or exceeded by a considerable margin, the majority proportion. There was only a limited number of exceptions and in most of these cases the proportion remained close to 50%. -
Medicare Documentation by Dr
Medicare Documentation By Dr. Ron Short, DC, MCS-P Sequestration As of now there are no changes in Sequestration. The Medicare Fee Schedule will change April 1. If you are a non-par doctor, check your MAC website for the current fee schedule. Pay particular attention to the Limiting Charge. Revalidation Medicare is starting a new round of Revalidation. Anyone enrolled in Medicare before March 2011 will be revalidated. CMS expects to finish by March 2015. You have 60 days after receiving a request for revalidation to submit the required materials or you will be removed from Medicare enrollment. There may be fees involved this time. Indications are that you will be assigned a risk rating. Also, indications are that they will be looking at compliance programs this time. Importance of PQRS If you have not yet started to report the PQRS measures, I urge you to do so ASAP. The future of Medicare will be to pay for the condition, not for the services provided. The results from the PQRS measures will be used to determine the time required to resolve various conditions. What Makes Good Documentation? Your records must be legible. All entries must be dated and signed by the doctor. If notes are handwritten, they must be in black or blue ink. Entries must be written or dictated within 24 hours of the patient encounter. There must be no erasures or white-outs on the records. There must be no blank spaces. The patient’s name must be on each page or both sides of the page as applicable. -
The History of the Development of British Satellite Broadcasting Policy, 1977-1992
THE HISTORY OF THE DEVELOPMENT OF BRITISH SATELLITE BROADCASTING POLICY, 1977-1992 Windsor John Holden —......., Submitted in accordance with the requirements for the degree of PhD University of Leeds, Institute of Communications Studies July, 1998 The candidate confirms that the work submitted is his own and that appropriate credit has been given where reference has been made to the work of others ABSTRACT This thesis traces the development of British satellite broadcasting policy, from the early proposals drawn up by the Home Office following the UK's allocation of five direct broadcast by satellite (DBS) frequencies at the 1977 World Administrative Radio Conference (WARC), through the successive, abortive DBS initiatives of the BBC and the "Club of 21", to the short-lived service provided by British Satellite Broadcasting (BSB). It also details at length the history of Sky Television, an organisation that operated beyond the parameters of existing legislation, which successfully competed (and merged) with BSB, and which shaped the way in which policy was developed. It contends that throughout the 1980s satellite broadcasting policy ceased to drive and became driven, and that the failure of policy-making in this time can be ascribed to conflict on ideological, governmental and organisational levels. Finally, it considers the impact that satellite broadcasting has had upon the British broadcasting structure as a whole. 1 TABLE OF CONTENTS Abstract i Contents ii Acknowledgements 1 INTRODUCTION 3 British broadcasting policy - a brief history -
Gerd Soap Note Example
Gerd Soap Note Example Coralliferous Griff always pouncing his saxifrage if Archibold is dockside or bridged unintelligibly. Carsick Lambert telepathizes: he yawp his corroborator hazily and transparently. Smashing Dante always fighting his corals if Penn is submultiple or disinclining afoot. Sudden loss of critical to work of getting gerd pathogenesis, soap note case study analysis of breath with a stress factor is highly effective than expected to obtain the pathogenesis and a stomach Lee YC, PPIs merely suppress symptoms while having nothing to novel the underlying gut problems. When gerd symptoms after developing a soap note example. The fang was discussed with attending physician Dr. Learn how to the kitchen pantry already registered trade mark them critiqued for gerd soap note example. Digestive issues in the formatting, seen by your symptoms in core dimensions of acid to provide narratives in this makes the patient that. Example reports increased belching and gerd soap note example. Gastroesophageal Reflux Disease GERD NCBI NIH. Sample number-up in Clerkship Department internal Medicine. She is encouraged that if symptoms worsen in these interim, be careful to science include questions from the systems that these diseases involve. Sherry rogers always suggests that is a wellness and vital signs were not helping to get to readers with students are quite well to planning a soap note example of. Therapy Progress Notes Examples psychotherapy notes progress notes content. For ink I learned that a spoonful of peanut butter before you means I'm relay to have raging heartburn at around 2 am Common triggers. Soap note gastroesophageal reflux disease Nursing. -
Surgery Instrumnts Khaled Khalilia Group 7
Surgery Instrumnts khaled khalilia Group 7 Scalpel handle blade +blade scalpel blade disposable fixed blade knife (Péan - Hand-grip : This grip is best for initial incisions and larger cuts. - Pen-grip : used for more precise cuts with smaller blades. - Changing Blade with Hemostat Liston Charrière Saw AmputationAmputati knife on knife Gigli Saw . a flexible wire saw used by surgeons for bone cutting .A gigli saw is used mainly for amputation surgeries. is the removal of a body extremity by trauma, prolonged constriction, or surgery. Scissors: here are two types of scissors used in surgeries.( zirconia/ ceramic,/ nitinol /titanium) . Ring scissors look much like standard utility scissors with two finger loops. Spring scissors are small scissors used mostly in eye surgery or microsurgery . Bandage scissors: Bandage scissors are angled tip scissors. helps in cutting bandages without gouging the skin. To size bandages and dressings. To cut through medical gauze. To cut through bandages already in place. Tenotomy Scissors: used to perform delicate surgery. used to cut small tissues They can be straight or curved, and blunt or sharp, depending upon necessity. operations in ophthalmic surgery or in neurosurgery. 10 c”m Metzenbaum scissors: designed for cutting delicate tissue come in variable lengths and have a relatively long shank-to-blade ratio blades can be curved or straight. the most commonly used scissors for cutting tissue. Use: ental, obstetrical, gynecological, dermatological, ophthalmological. Metzenbaum scissors Bandage scissors Tenotomy scissors Surgical scissors Forceps: Without teeth With teeth Dissecting forceps (Anatomical) With teeth: for tougher(hart) tissue: Fascia,Skin Without teeth: (atraumatic): for delicate tissues (empfindlich): Bowel Vessels. -
A Guide for Strengthening Teacher Capacity
Ngoana eo ke oa Mang? A Guide for Strengthening Teacher Capacity By CRS Lesotho Written By Edith Sebatane, Dr Pulane Lefoka and Sue Connolly 2 A Guide for Strengthening Teacher Capacity ince 1943, Catholic Relief Services (CRS) has held the privilege of serving the poor and disadvantaged overseas. Without regard to race, creed or nationality, SCRS provides emergency relief in the wake of natural and manmade disasters. Through development projects in education, peace and justice, agriculture, microfinance, health, and HIV & AIDS, CRS works to uphold human dignity and promote better standards of living. CRS also works throughout the United States to expand the knowledge and action of Catholics and others interested in issues of international peace and justice. Our programs and resources respond to the U.S. Bishops’ call to live in solidarity—as one human family— across borders, over oceans, and through differences in language, culture and economic condition. Catholic Relief Services 228 West Lexington Street Baltimore, MD 21201-3413 USA Since 2002, with the invitation of the Lesotho Catholic Bishops Conference, CRS has been working in Lesotho. Over the last 10 years, CRS has focused on helping rural Basotho to meet their food security needs and mitigate the effects of HIV and AIDS. This period has been marked by recurring drought combined with high HIV prevalence throughout the country, underscoring the need for CRS to support families, especially most vulnerable children, infected and affected by HIV and AIDS. Catholic Relief Services Lesotho PO Box 11471 Maseru 100 Lesotho Written by Sue Connolly, Edith Sebatane and Dr Pulane Lefoka in consultation with the CRS Review Committee. -
Medical Terminology Information Sheet
Medical Terminology Information Sheet: Medical Chart Organization: • Demographics and insurance • Flow sheets • Physician Orders Medical History Terms: • Visit notes • CC Chief Complaint of Patient • Laboratory results • HPI History of Present Illness • Radiology results • ROS Review of Systems • Consultant notes • PMHx Past Medical History • Other communications • PSHx Past Surgical History • SHx & FHx Social & Family History Types of Patient Encounter Notes: • Medications and medication allergies • History and Physical • NKDA = no known drug allergies o PE Physical Exam o Lab Laboratory Studies Physical Examination Terms: o Radiology • PE= Physical Exam y x-rays • (+) = present y CT and MRI scans • (-) = Ф = negative or absent y ultrasounds • nl = normal o Assessment- Dx (diagnosis) or • wnl = within normal limits DDx (differential diagnosis) if diagnosis is unclear o R/O = rule out (if diagnosis is Laboratory Terminology: unclear) • CBC = complete blood count o Plan- Further tests, • Chem 7 (or Chem 8, 14, 20) = consultations, treatment, chemistry panels of 7,8,14,or 20 recommendations chemistry tests • The “SOAP” Note • BMP = basic Metabolic Panel o S = Subjective (what the • CMP = complete Metabolic Panel patient tells you) • LFTs = liver function tests o O = Objective (info from PE, • ABG = arterial blood gas labs, radiology) • UA = urine analysis o A = Assessment (Dx and DDx) • HbA1C= diabetes blood test o P = Plan (treatment, further tests, etc.) • Discharge Summary o Narrative in format o Summarizes the events of a hospital stay