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ASC-094 ASC Storage Management Assessment

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ASC-094 exam Dumps Source : ASC Storage Management Assessment

Test Code : ASC-094
Test appellation : ASC Storage Management Assessment
Vendor appellation : Symantec
: 77 existent Questions

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Symantec ASC Storage Management Assessment

Symantec improvements Storage basis, supports SSDs | existent Questions and Pass4sure dumps

by way of Kevin Komiega

-- Symantec announced a slew of product enhancements for Veritas Storage foundation, Cluster File system and Cluster Server these days with its sights set on boosting the performance and administration of solid-state disk (SSD) drives, improving failover methods, and rounding out its skinny provisioning approach.

Veritas Storage foundation, the company's storage administration platform, got the bulk of the upgrades. Sean Derrington, director of Symantec's storage and availability administration group, says Storage groundwork can now immediately find SSD devices from array and server companies and result records the position it belongs in a mode that's limpid to clients.

Storage basis's SSD optimization elements encompass pre-described guidelines that automate the file migration system primarily based upon quite a number attributes, including file size, classification, or endeavor. The utility can now immediately current data from a mechanical quantity to a excessive-efficiency SSD-based volume.

"as an instance, they are able to engage two volumes in an array – one on mediocre complicated disk drives [HDDs] and one on SSDs – and give an administrator visibility into each on account of their dynamic multipathing utility," says Derrington.

On the skinny provisioning front, Storage foundation's SmartMove expertise, which works in tandem with Veritas volume Replicator to migrate from "thick" to "thin" storage over distances, can now peer into legacy storage volumes and automate the storage reclamation technique.

Symantec has likewise prolonged its skinny provisioning know-how to home windows-based mostly virtual server environments through adding aid for Microsoft Hyper-V to its Storage basis for windows product.

Derrington says the Veritas skinny Reclamation API, announced final 12 months, is now fully supported by means of Symantec partners IBM (XIV) and 3PAR (InServ), with extra hardware companions planning usher within the coming months.

the thin Reclamation API allows for computerized region reclamation for thin provisioning storage arrays.

moreover, Symantec has tightened the combination between Veritas Cluster File system and Oracle, Sybase and IBM DB2 to deliver "near instantaneous" recuperation of applications.

Symantec has more suitable Cluster File gadget and Cluster Server for greater levels of availability in Oracle environments. due to this fact, valued clientele can now failover functions working single-example Oracle or single-example DB2 in seconds, in line with Derrington.

Symantec is additionally offering a Storage evaluation service to aid shoppers in their efforts to deploy Symantec products, including Veritas Storage groundwork, Veritas Cluster File gadget and Veritas Cluster Server.

related articles:Symantec unveils FileStore cloud storage platform3PAR places a brand fresh twist on thin provisioningSymantec updates Storage foundation for home windows

Symantec and associate to deliver enhanced protection for Cloud-based mostly functions | existent Questions and Pass4sure dumps

LAS VEGAS, NV--(Marketwire - 05/03/11) - Symantec imaginative and prescient -- Symantec Corp. (NASDAQ:SYMC - news) today introduced Symantec security evaluation for Salesforce, a fresh safety utility that's scheduled to exist attainable on the AppExchange, the realm's most-conventional market for enterprise apps in the cloud. Symantec protection evaluation for Salesforce will assist companies lengthen the visibility of their IT infrastructure to consist of cloud-based functions corresponding to Salesforce. Symantec protection evaluation for Salesforce plans to integrate with the Symantec manage Compliance Suite, featuring valued clientele a complete view of the safety and compliance of assistance and applications whether they tarry on premise or in the cloud.Symantec has likewise joined the companion ecosystem, with the intention to permit Symantec to construct functions using applied sciences, distribute to fresh purchasers and market to current consumers by means of the on to Tweet: Symantec and provide consumers extra self assurance in cloud protection:"we've heard from their clients that safety is without doubt one of the properly concerns they've about moving to the cloud. constructing self assurance within the cloud sooner or later faculty that customers will hold the equal visibility and ply of their counsel and applications whether they're within the cloud or residing on the consumer's own infrastructure," pointed out Francis deSouza, senior vp, enterprise protection group, Symantec. "together, Symantec and are innovating to bring greater visibility and transparency for valued clientele relocating to the cloud."" knows that the confidentiality, integrity and availability of their clients' tips are a must-have to their company operations," said Ron Huddleston, senior vice president, "Our toil with Symantec underscores their dedication to offering their consumers with comprehensive visibility into the protection and compliance necessities of working in the cloud."This fresh utility is additional designed to allow valued clientele to combine the evaluation facts into the Symantec manage Compliance Suite, an automated solution which provides a finished view of a firm's IT random and compliance posture. via integrating visibility of cloud-primarily based purposes into the Symantec ply Compliance Suite, corporations should exist capable of define and implement safety guidelines for cloud-based mostly functions within a holistic retort that can likewise exist used across the corporation's broader IT infrastructure.AvailabilityBuilt using, the leading enterprise cloud-computing platform, Symantec protection assessment for Salesforce is scheduled to exist available for verify power and deployment on the AppExchange in Mid-2011. existing Symantec control Compliance Suite, with a latest subscription, and customers can exist capable of exercise the retort at no extra charge.linked

join with Symantec

About Symantec Symantec is a worldwide leader in featuring protection, storage and systems management solutions to assist consumers and companies restful and manage their information-driven world. Their utility and services proffer protection to towards extra hazards at extra features, more fully and correctly, enabling aplomb anywhere assistance is used or saved. greater guidance is purchasable at the Platform and AppExchange is the only proven enterprise platform for constructing and operating enterprise applications in the cloud. The platform powers the Salesforce CRM ( functions, greater than 1,000 ISV ally purposes love those from CA technologies, and Fujitsu, and 200,000 custom applications used by using's 92,300 purchasers corresponding to Japan post, Kaiser Permanente, KONE and sprint Nextel. additionally allows for developers to design any industry app sociable by means of leveraging the sociable collaboration add-ons including profiles, popularity updates, and precise-time feeds purchasable with Chatter.functions developed on the platform may likewise exist easily dispensed to the entire cloud computing community in the course of the AppExchange market Any ahead-searching indication of plans for products is prefatory and All future free up dates are tentative and are field to alternate. Any future unlock of the product or deliberate adjustments to product ability, performance, or feature are discipline to ongoing evaluation by using Symantec, and might or may additionally now not exist applied and will now not exist regarded enterprise commitments with the aid of Symantec and should no longer exist relied upon in making purchasing aware TO EDITORS: if you'd love additional information on Symantec organisation and its products, please consult with the Symantec information latitude at All costs mentioned are in U.S. dollars and are telling best in the u.s..Symantec, the Symantec brand, and the Checkmark logo are logos or registered trademarks of Symantec organization or its associates in the U.S. and other nations. different names may well exist logos of their respective house owners.Technorati Tags Cloud, security, chance, compliance

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ASC Storage Management Assessment

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30 Tips for Designing and pile an Ambulatory Surgery center | existent questions and Pass4sure dumps

Written by Arthur E. Casey, CASC, Senior Vice President of industry Development, Outpatient Healthcare Strategies | December 17, 2012 | Print  | Email This article was written by Arthur E. Casey, CASC, Senior Vice President of industry Development, Outpatient Healthcare Strategies.

In my 20-plus years of involvement with ASC operations, I hold never seen two ASCs designed exactly alike, and not one of the 150-plus I hold visited or worked with was perfectly designed. Everyone has things that toil well and don't toil well from a design and construction perspective.

While perfection is likely an unobtainable goal, if you are planning to design and build a fresh ASC, there are certainly things you should regard before breaking ground on the project that will succor result you — and your fresh facility — in a better position for success.

Based on my experiences, here are 30 tips for designers and developers of fresh ASCs.

1. fetch the physicians' input up front. When I saunter to develop a facility, I interview each physician that will toil there, whenever possible, and talk to them about their workflow, how they love to interact with patients, their rig needs, etc. The more you can learn about what the physicians love and dislike, the better you can address these needs during design of the ASC.

2. relegate time to research. If you can expend significant time conducting research into your needs and options, you will result yourself in a better position to design educated decisions and provide guidance to your architect.

When interviewing architects, inquire of if they hold learned from their mistakes by visiting any of the facilities they designed to see what worked well and what did not. More importantly, when checking references of an architect, request a floor diagram from the reference to review while asking the reference questions such as, "From the way your ASC was originally designed, what did the architect Do that was qualified and what doesn't work? What is your current like? hold you had to Do any workarounds? What is your supply storage like? Where is your rig storage and how does it work?"

Ask the questions that discourse to issues valuable to you, your physicians and what you want to achieve with your design. The key is identifying the most valuable things to you and then pile for those priorities, especially if you hold to build into an existing MOB and your footprint is by far determined for you. You need to design certain what's most valuable to you is done best.

3. Review multiple designs. Don't just regard one architect or peek at one layout. You will want to peek at multiple architects and their layouts. This is not only for cost comparison; as you view different designs for your ASC, you can identify the best of each layout and toil with the architect you elect to integrate those elements into your final design.

4. diagram for a realistic case volume. I always interpret physician partnerships that when they're thinking about developing a fresh ASC, determine where they are today with their case volume and crop that number in half. From that standpoint, build the ASC with an objective of reaching the number they regard they hold today. The reality is they're probably not going to exist anywhere immediate to that volume pattern from the beginning. This is an valuable consideration so they Do not build the facility too minuscule or too large to accommodate unrealistic volume.

5. Understand your structural opportunities and limitations. pile an ASC as a standalone facility in its own pile is much easier from a design perspective, since you can essentially create the pile — its shape, exercise of space and workflow — any way you want. This model seems to exist more common in more pastoral and suburban settings vs. the typically more dense metropolitan setting.

In metropolitan areas, you're probably going to develop a fresh ASC in an existing office pile and/or an MOB that may exist under construction. In this scenario, you minister to race into more obstacles with your design plans, from structural beams and posts you hold to toil around to the pre-determined physical footprint of the building.

The optimal design chance is with a standalone facility because you can create the pile to match the floor diagram and closely mimic what you're trying to achieve. However, this option is more expensive, and the reality is that for most fresh ASCs, you don't need a facility large enough to justify investing in construction of a total fresh building.

6. Understand your patients to diagram your lobby. When considering the size of your lobby, it is helpful to know the patients who will exercise it. In markets with a larger percentage of minorities and individuals on the lower recess of the economic scale, I hold observed an enlarge in the number of people in the lobby. This may exist attributable to a family-oriented culture and/or patients with family members who hold no other position to go. In situations love these, you might hold patients coming in with several family members, and will want to diagram a lobby that is large enough to accommodate a greater number of visitors.

The very logic is exact for ASCs planning to discharge pediatrics. These young patients will often approach in with a mother and father, and sometimes siblings and grandparents. Note: If you're treating children, you must engage into consideration the potential for a crying child in All areas of your patient flow: in pre-op, recovery and your lobby space.

In addition to speaking with your physicians about their patients, regard visiting their offices on diligent days to assess how many people connect patients for an office visit. This will provide you with a better understanding of what you're likely to see in your ASC's lobby.

7. position industry office staff near patient check-in. You will want your industry office immediate to where you check in patients. In the event that you hold multiple patients checking in at one time, a member of the industry team will then exist in a position to step out from a cubicle to assist with check-in and succor ensure there is never a long line of patients waiting for processing.

8. Position the scheduler(s) immediate to ORs. Scheduling, in my opinion, needs to exist very immediate to the ORs, or at least where schedulers can easily gain the clinical manager or nurse manager if there are questions and/or problems with the schedule. This immediate proximity will allow staff members to more easily address concerns. Placing schedulers in the front of the pile and far from ORs will require them to call back to the clinical region for assistance. It is easier for a manager to peek over a scheduler's shoulders at the schedule rather than needing to log in at a separate computer station to view the schedule and assess the situation.

9. preserve medical records storage latitude small. I'm not a proponent of large medical records storage rooms. More facilities are going to an electronic version. You will want enough latitude to store no more than a year's worth of charts at a given time. It will succor to learn your anticipated case volume and to assume you will need a paper chart for each case for a year. design certain you hold space large enough to accommodate just that much paper; if you design the latitude any larger, it's likely you will exercise the space to stock other items that should saunter elsewhere.

10. Who gets the corner office? Carefully select who receives an office and where offices are placed. I am not a proponent of many offices in an ASC. I regard there is a tendency to overbuild offices, which typically results in leadership spending too much time in the office and not enough attention to where they should be. Obviously, it is necessary to provide the administrator with an office; just design certain it is not isolated and inconvenient for staff to visit. You likewise Do not want it situated off the OR hall because the administrator will find it challenging to accomplish what is needed when faced with numerous practicable distractions.

The nurse manager typically needs an office or private space where counseling can engage place, and engage pervade of required paperwork. Your nursing manager's office should not exist in the administration region as that should exist a unprejudiced distance from the ORs. design certain the nursing manager's office is immediate enough to the ORs or clinical region to assist in monitoring the current and exist readily available to step out and assist if needed.

Does a medical director need an office? In my opinion, no. But Do physicians need a workspace for everyone to use? Sure. Will that space exist different from where they will dictate? It should be.

The industry manager and other industry office positions Do not require a private office. The exercise of alcoves and/or cubicles with sound dampening features provides more flexibility to design changes to the layout.

11. design certain pre-op can accommodate case volume. This is an instance where doing your homework and research up front by speaking with the initial physician investors is going to exist critical. I recommend you Do your best to learn exactly which procedures the physicians intend to perform, how many procedures they can discharge in a day and the mediocre length of time for these procedures. This information will succor provide a framework to succor determine how many pre-op stations and recovery bays your ASC should have, which requires learning of the types of procedures your physicians will perform.

It's not uncommon to see a four-OR/procedure latitude with 4-6 pre-op bays. This ratio can work, and will often meet pile requirements, but is likely to present challenges for fast-paced ASCs with high volume of shorter cases. For example, if your ASC performs ophthalmology procedures, they can often schedule as many as 15-20 cases per day or more. Ophthalmology patients will often engage longer to admit because they're often on more medications or hold longer patient histories to review. However, the procedural current of these patients is usually very quick, especially when you hold ophthalmologists who can discharge cataract procedures in 10-15 minutes. If your pre-op time is twice that long — 20 minutes, for instance — and you only hold 1-1.5x pre-op rooms ops per OR, you will visage a situation where patients will become backlogged as pre-op team members toil to fetch patients through their process and into the ORs.

A similar problem faces ASCs performing a large volume of gastroenterology and smart procedures. These procedures likewise minister to exist very short in the actual length of procedure. The time between the first patient entering the OR and the next patient being fully prepared for surgery is fairly short. You will want to design certain you hold enough pre-op spaces available so patients are ready to saunter into the procedure latitude or the OR, once the physician is ready for the next case. The time in between cases becomes even shorter when physicians are flipping rooms. You need to design certain you hold enough pre-op spots to accommodate the anticipated physicians' current and their preferred practice patterns.

12. Determine whether you want patient lockers. I'm not a proponent of the lockable locker for patients. There was a time when most facilities had lockers for storage of patients' belongings. Once patients locked the locker, they pinned the key to the lock to the patient's gown. That way, they knew those belongings essentially always stayed with the patient.

The reality is if the recovery latitude is not immediate to the lockers, you now need a staff member to saunter over to the locker, assemble All of the belongings and bring them back, or if, during surgery, the gown is removed, and you now hold to saunter search thru the laundry to retrieve the key These issues look to negate the concept of securing and locking the patient's belongings. More and more facilities are going with the approach of putting the patient's belongings in a bag, making certain the bag stays with the gurney and the gurney stays with the patient.

13. determine if enclosed rooms for pre-op assessment are necessary. There are two different mindsets on how to ply pre-op assessment and confidentiality concerns. Many people feel you need to hold enclosable rooms with the faculty to shut the door to ensure privacy. These are great, but they really devour up significant space — more space than I would bicker is necessary. They likewise design it more difficult to preserve track of what's happening with patients behind closed doors: are they dressed, Do they need help, etc.

Conversely, the other option is bays with curtains separating one bay from the other. This scenario is not really conducive to privacy. A third option — and possibly the best depending on your circumstances — would exist an amalgamation of the two described above. You could hold bays, but with hard, plenary walls to succor with confidentiality and privacy, and noiseless hold curtains for the front for privacy while changing. This option typically gives you the best of both scenarios. design certain that you install enough bumper protection in these bays to preserve the ASC looking pristine, and not hold your walls dinged up from being hit by the equipment.

Note: Regardless of which model you choose, it is very valuable to hold a restroom located near the pre-op bays. You don't want patients walking down a long hallway in their gown to exercise the bathroom.

14. appropriate appropriate and adequate nursing desk workspace. If you are planning to preserve patient charts at the nurse's desk, you will need to regard what this will Do your workflow. Physicians, including anesthesiologists, will likely want to hold effortless access to the charts. In a diligent ASC, this may result in several physicians and staff members working at the desk at the very time, so the workspace will need to exist huge enough to accommodate a significant number of people. But you will want to avoid making the space so large that physicians are far away from their patients when viewing charts.

15. Identify which specialties will saunter in which ORs. Identifying which ORs will exist primarily used for which specialties is very helpful from a design perspective. For example, if you're pile a three-OR facility and diagram to running ophthalmology out of 1-2 ORs, orthopedics in 1-2 ORs and smart in one OR, you're going to want your phacoemulsification system and microscope immediate to the ophthalmology rooms and storage for the C-arm immediate to the OR. If you're doing orthopedics in the very rooms as ophthalmology, for example, you will want a position to store the microscope or phacoemulsification machine However, moving rig inordinately increases the likelihood of them being damaged or falling out of calibration, requiring increased maintenance.

16. Don't build ORs too small. One of the biggest problems I see in existing facilities is ORs that were built too minuscule or not designed for the types of procedures performed in today's ASCs. For example, regard a huge orthopedics case that needs a C-arm, and All of the carts and towers required. Try to discharge one of these cases in a minuscule or poorly designed latitude and it will become tight very quickly. With the advent of spine and other procedures requiring huge rig and more people, you need ORs large enough to maneuver in and accommodate several pieces of (often big) equipment.

17. But don't build ORs too large, either. Conversely, I hold seen ORs that were up to twice the size they should hold been. You must exist reasonable in the assessment of how large to build your ORs. Should you build them to meet minimal code? Absolutely not! However, somewhere between that absolute minimum and doubling the size of the room, probably in the orbit of between one-and-a-third to one-and-a-half times the minimum. You want to hold them large enough to accommodate the C-arm, microscopes, cart movement, the faculty to switch from the left to prerogative side of the patient, additional rig (related to the specific specialty), etc. In some of the larger cases, you will need to accommodate more people — an extra physician, an rig rep in the room, etc. It is extremely valuable to design the OR space to appropriate everyone and everything that needs to exist there.

18. Don't position your ORs near the property line. You will want to build your ASC so that you can expand if you max out OR capacity several years down the road. Avoid placing your ORs on the sides of your pile near property lines, where expansion into the space is not permitted. Flip the direction around so you hold the faculty to expand, for example, into the parking lot.

19. regard future expansion "next door." If you're pile the ASC in an MOB, and will occupy space on the very floor as other businesses, expansion will most likely occur by your taking space from the industry "next door" if it becomes available as opposed to adding on to the building. As such, you will want to position your ORs or other clinical areas where expansion is most likely to occur along the walls you share with other businesses.

There are many people who are proponents of the concept of pile out but not equipping an extra OR up front during construction. This may exist a qualified idea, or you may recess up paying rent on space for the next 10 years unnecessarily. diagram carefully.

Note: While you may never expand your ASC, you don't want to immediate off that opportunity. I approach into facilities that are maxed to capacity and really need to peek at ways of expanding. Unfortunately, layout makes it difficult to add fresh ORs without essentially shutting down operations and starting from scratch, which is cost-prohibitive. If you hold an existing operation running, you're never going to just immediate down and remodel your total facility for six months and then reopen. diagram carefully.

20. preserve anesthesia out of the corner. It is captious for your anesthesia provider to saunter around the OR and not exist stuck in a corner near the gas outlets. If the anesthesiologist has limited mobility in the OR, you will need to position the patient around the anesthesiologist rather than designing the OR in such a way for anesthesiologists to saunter around and Do what they need to for patient care.

In minuscule centers, if your lead anesthesiologist is the medical director and someone needs to discourse with him or her or during a procedure, if he or she is in the corner of the OR, staff members will need to navigate the latitude to fetch over to the anesthesia cart. This isn't conducive to qualified flow. Anesthesia providers are a crucial and captious Part of the operative team, and you need to regard their placement and location just as much as the placement of physicians and scrub techs.

21. Avoid built-in cupboards in ORs. In many ORs, I see astounding built-in cupboards designed to house supplies for the OR. From an operations standpoint, I am vehemently against these cupboards in the OR, primarily for two reasons: 1) They're never designed in a manner to stock what you really need in a manner that you need; and 2) You recess up having multiple locations for the very supply item. From a cost and inventory standpoint, it becomes extremely difficult to know how much of a given supply you hold on hand if you, for example, hold a specific kind of suture in four different ORs. Add this to your main storage stock, and you recess up with five locations for one kind of suture.

Invariably, you will purchase five boxes of something to stock the four ORs and the main stock, when in reality you'll only saunter through one box in the next six months. That becomes problematic from a cost standpoint and in terms of inventory outdates, and it's a challenge to manage All of this from an operational perspective.

I believe facilities should maintain supplies in 1-2 locations, maximum. If ASCs Do a qualified job of picking cases and making certain preference cards are as complete as practicable and kept up to date, they should hold 99 percent of supply items necessary for any case picked for the latitude from these 1-2 locations, thus eliminating the need to stock those supplies in the OR as well.

22. diagram for gurney current and storage. Gurneys travel throughout the ASC, and it's captious when planning the building's layout to determine which path will permit the best current for gurneys. The gurneys bring the patient from pre-op into the OR, then from the OR into recovery, then back to pre-op for the next patient. They likewise need to exist cleaned before another patient is placed upon them. You need to determine how your current is going to toil relative to those gurneys and how far they hold to saunter to fetch from one destination to another.

If there isn't enough storage space for unused gurneys, they may clutter the OR hall, which causes potential problems with fire safety. They may likewise become stacked in a corner, which makes it difficult to fetch the prerogative gurney to the prerogative patient and preserve current moving. It is valuable to build in alcoves for gurney storage, but this space should only used to store the gurneys.

23. diagram for adequate OR rig storage. adequate rig storage outside of the OR is extremely important. Unless you're planning to equip your center so every latitude has its own tower, its own C-arm and every piece of rig for every specialty you're doing, you hold to store that rig somewhere. Some facilities will hold a space for the gurney and separate space for rig overflow where they store C-arms and towers not in use.

24. Build rig storage that addresses your physicians' needs. As mentioned earlier, it's valuable to learn which rig the initial physician users will need; this will succor ensure you're pile enough storage space for the rig you will purchase.

25. Design practical storage rooms. Design your rig storage in a manner that ensures the rig is easily accessible. pile a single, large, square storage latitude is usually not practical, as pieces of rig will inevitably recess up stuck in the back and sides of the latitude and accessing them will require emptying out much of the supply room. Long, narrow spaces in which you can access any space without emptying the latitude is much more beneficial from a storage standpoint.

26. Carefully regard other storage needs. While storage for surgical rig is important, it's not the only storage you need to consider. You may want a storage region for All of your anesthesia supplies, and you need a storage region for your pharmaceuticals. The rules for storing pharmaceuticals now require ASCs to secure everything from IV solutions to syringes, in addition to making certain All medications are secure. Many facilities diagram poorly to address these requirements; they typically result medications in a closet-type area, and then realize that there's no latitude left to stock IV solutions and syringes. This means they are forced to find another secure location, which may present challenges from a convenience and cost perspective.

With so many items requiring storage, designers of a fresh ASC may exist inclined to diagram for extra storage. The danger with this is if there is unassigned storage space, the space is unlikely to remain unused for long and may become the home for random pieces of rig and storage overflow. pile appropriate-sized storage rooms for specific purposes is extremely important.

27. position processing near supplies and receiving. I believe purchasing should exist placed immediate to where supplies are received and stocked. It shouldn't exist up in the industry office region if receiving is in the back of the pile and the supply latitude is nearby. Purchasing needs to exist located immediate to where most of the purchasing- and storage-related toil will engage place.

28. Value the significance and needs of sterile processing. The sterile processing room(s) in your ASC will exist extremely important. Your instrument trays need to exist stored in a latitude where humidity can exist controlled and monitored, so it can't exist prerogative around the corner or in the very latitude as your autoclaves. When you open the autoclaves, steam rushes out, and you will visage the constant problem of trying to monitor humidity levels.

You will likewise want your sterile processing latitude near your ORs for convenience, designed so you hold appropriate storage for your supplies and built large enough to accommodate personnel and instrument trays. The number of trays you need to sterilize will enlarge if your case volume is high.29. Strategically position physician dictation alcoves. It's not uncommon to see really nice alcoves for physician dictation built in the OR hall or in recovery rooms. Unfortunately, these alcoves are often rarely used because their location doesn't toil well with physicians' flow. When interviewing physicians, try to determine their preferences for where they love to dictate, and diagram the alcoves accordingly.

30. deliver space with one fracture latitude for physicians and staff. I'm not a proponent of separate lounges for physicians and staff. I regard it's extremely valuable that everyone works together to embolden a team mindset. separate lounges only embolden a separation between the two teams and foster an "us vs. them" concept.

I'm not a proponent of tiny staff fracture rooms, either. You need a latitude large enough to accommodate at least one-third of staff plus physicians and anesthesia providers. During lunch breaks, you will likely hold as much as one-third or more of your staff at lunch, so design certain there's enough space to accommodate this number of team members, physicians, anesthesia personnel, and possibly a vendor or two, comfortably.

Although not a requirement, fracture rooms often will exist used to host staff meetings, so if you diagram to Do so, you should likewise hold enough space to accommodate staff members for training and in-services.

ConclusionOverall, the long and the short of planning for the progress of an ASC comes down to information data collection, planning and establishing the key points and issues and ultimately determining what is most valuable to you, your physicians and your patients.

Arthur E. Casey, CASC, is senior vice president of industry progress for Outpatient Healthcare Strategies (, a provider of healthcare management consultancy services for ambulatory surgery centers, hospitals and physician group practices based in Houston.

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Here's the seafood Australians devour (and what they should exist eating) | existent questions and Pass4sure dumps

Many Australians are concerned with the sustainability of their seafood. While definitions of sustainability vary, according to government assessments, over 85% of seafood caught in Australia is sustainable.

However, just because a fish is sustainably caught, it doesn't design it the most nutritious and healty option – and vice versa. For the first time, research has investigated the seafood Australians devour in terms of what's best for us and the planet.

Our study, published today in the journal Frontiers in Nutrition, institute that Australians consume a lot of large oceanic fish, love shark and tuna, as well as farmed salmon and prawns, but there are other, healthier options available love mackerel, sardines and blue grenadier.

What Australians eat

The word seafood is used to relate thousands of different species, both marine and freshwater, and from the wild or farmed. Because of these differences, the environmental footprint of "seafood" can vary greatly, as can their nutritional profile.

Our research used data from the Australian Health Survey to investigate the nutritional character and sustainability of seafood consumption in Australia.

We measured nutrition by the estimated contribution of 100g of a given seafood to the mediocre requirement of protein, omega 3, calcium, iodine, selenium and zinc. Sustainability was assessed on the basis of stock status, resource use, habitat and ecosystem impacts, and health and disease management.

The majority of respondents (83%) did not consume any seafood on the day of the survey, and they institute that there were large discrepancies in consumption patterns between different sociodemographic groups.

Of those who did consume seafood, the symmetry was lowest among adults who were unemployed, had the least education and those who were most socio-economically disadvantaged.

Crustaceans and low-omega 3 fish, such as basa and tilapia, which were identified as some of the least nutritious and least sustainable types of seafood, constituted a substantial amount of total seafood intake for the lowest socio-economic consumers.

In contrast, consumers in the highest socio-demographic group consumed mainly high trophic level fish, such as tuna and shark, and farmed fish with high omega-3 content, such as salmon and trout, which were considered the more nutritious types of seafood with a qualify sustainability. Less than 1% of adults reported eating sardines and mackerel which were considered some of the most nutritious and sustainable varieties.

What is sustainability?

Sustainability in seafood is complex and difficult to quantify. Greenhouse gas emissions are not currently covered by the major assessment groups, despite the contribution of the fishing industry to global emissions and the variation between different seafood types.

For example, growing exact for crustaceans love prawns or shrimp, is resulting in higher emissions from the global fishing fleet, as these fisheries are fuel intensive. In contrast, minuscule pelagic fisheries, such as sardines, hold very low emissions – although they are a lot less popular.

Farmed seafoods likewise vary considerably in their environmental footprint. In the past, large farmed species of fish hold been fed with much smaller wild fish. This practice is in decline, with minuscule feed fish replaced by crops and animal by-products.

However, it's not limpid this substitution is environmentally friendly. At the very time, the nutritional value of farmed fish has decreased.

Making better choices

Detailed nutrition information is not readily available at the point of purchase for fresh seafood. It can exist tricky making an informed decision on the spot.

However, Food Standards Australia and fresh Zealand hold created nutrient profiles for a orbit of food, including seafood. The National Heart Foundation of Australia provides information on the amount of marine-sourced omega-3s in fish and seafood commonly available, with species such as Atlantic salmon and sardines listed as highest sources, while prawns and crabs are much lower.

To check the sustainability of your seafood choice, you can consult the AMCS usher or peek for certifications such as the Marine Stewardship Council (MSC) for wild capture fisheries or the Aquaculture Stewardship Council (ASC) or Best Aquaculture Practices (BAP) logos. WWF hold likewise developed a canned tuna usher (

Eating fresh seafood species can exist tricky if you are not chummy with them. There are many resources available to succor you pick and prepare seafood, such as FRDC fish files, Sydney Fish Market recipes and an SBS section on sustainable seafood recipes.

In WA, the Western Australian Fishing Industry Council hold produced guides on local seafood, including information on underultised species, cooking and storage. South Australians can now pick up local fish from the fresh Community Supported Fishery each week, or hold it delivered.

All food production has an impact, but making an informed selection can exist beneficial for health and the environment. So, fetch adventurous with your seafood selections by experimenting with choices that are both nutritious and meet your sustainability criteria. As you become more chummy with different species and ways to prepare them, you won't hold to juggle different guides at the fish counter and determine it's All too hard.

This article is republished from The Conversation under a Creative Commons license. Read the original article.The Conversation

Citation: Here's the seafood Australians devour (and what they should exist eating) (2018, December 4) retrieved 17 April 2019 from

This document is topic to copyright. Apart from any unprejudiced dealing for the purpose of private study or research, no Part may exist reproduced without the written permission. The content is provided for information purposes only.

Ardmore Shipping's (ASC) CEO Anthony Gurnee on Q4 2017 Results - Earnings call Transcript | existent questions and Pass4sure dumps

No result found, try fresh keyword!Ardmore Shipping Corp (NYSE:ASC) Q4 2017 Results Conference call February 7 ... trading volume as a result of the offering will profit All shareholders. Meanwhile, management remains focused on ...

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