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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 denomination : ASC Storage Management Assessment
Vendor denomination : Symantec
: 77 true Questions

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Symantec ASC Storage Management Assessment

Symantec improvements Storage basis, supports SSDs | killexams.com true Questions and Pass4sure dumps

by route 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 do records the region it belongs in a method that's lucid 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 stream data from a mechanical quantity to a excessive-efficiency SSD-based volume.

"as an instance, they are able to hold two volumes in an array – one on unprejudiced 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 furthermore 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 lead 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 new twist on thin provisioningSymantec updates Storage foundation for home windows


Symantec and Salesforce.com associate to deliver enhanced protection for Cloud-based mostly functions | killexams.com true 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 new safety utility that's scheduled to live 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 stay on premise or in the cloud.Symantec has furthermore joined the salesforce.com companion ecosystem, with the intention to permit Symantec to construct functions using drive.com applied sciences, deal to new purchasers and market to current salesforce.com consumers by means of the AppExchange.click on to Tweet: Symantec and Salesforce.com provide consumers extra self assurance in cloud protection: http://bit.ly/iRQYsl"we've heard from their clients that safety is without doubt one of the properly concerns they've about affecting to the cloud. constructing self assurance within the cloud sooner or later ability 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 salesforce.com are innovating to bring greater visibility and transparency for valued clientele relocating to the cloud.""Salesforce.com 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, salesforce.com. "Our labor with Symantec underscores their dedication to offering their consumers with comprehensive visibility into the protection and compliance necessities of working in the cloud."This new 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 chance and compliance posture. via integrating visibility of cloud-primarily based purposes into the Symantec ply Compliance Suite, corporations should live capable of define and implement safety guidelines for cloud-based mostly functions within a holistic retort that can furthermore live used across the corporation's broader IT infrastructure.AvailabilityBuilt using force.com, the leading enterprise cloud-computing platform, Symantec protection assessment for Salesforce is scheduled to live available for verify power and deployment on the AppExchange in Mid-2011. existing Symantec control Compliance Suite, with a latest subscription, and salesforce.com customers can live capable of exhaust 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 cozy and manage their information-driven world. Their utility and services present protection to towards extra hazards at extra features, more fully and correctly, enabling self-confidence anywhere assistance is used or saved. greater guidance is purchasable at www.symantec.com.concerning the drive.com Platform and AppExchange force.com is the only proven enterprise platform for constructing and operating enterprise applications in the cloud. The force.com platform powers the Salesforce CRM (http://www.salesforce.com/) functions, greater than 1,000 ISV colleague purposes relish those from CA technologies, FinancialForce.com and Fujitsu, and 200,000 custom applications used by using salesforce.com's 92,300 purchasers corresponding to Japan post, Kaiser Permanente, KONE and sprint Nextel. drive.com additionally allows for developers to construct any trade app gregarious by means of leveraging the gregarious collaboration add-ons including profiles, popularity updates, and precise-time feeds purchasable with Chatter.functions developed on the force.com platform may furthermore live easily dispensed to the entire cloud computing community in the course of the salesforce.com AppExchange market http://www.salesforce.com/appexchange/.Disclaimer: Any ahead-searching indication of plans for products is introductory and All future free up dates are tentative and are territory 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 live applied and will now not live regarded enterprise commitments with the aid of Symantec and should no longer live relied upon in making purchasing selections.be watchful TO EDITORS: if you'd relish additional information on Symantec organisation and its products, please consult with the Symantec information play at http://www.symantec.com/news. All costs mentioned are in U.S. dollars and are sound 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 live 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 edifice an Ambulatory Surgery hub | killexams.com true questions and Pass4sure dumps

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

In my 20-plus years of involvement with ASC operations, I hold never seen two ASCs designed exactly alike, and None of the 150-plus I hold visited or worked with was perfectly designed. Everyone has things that labor well and don't labor well from a design and construction perspective.

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

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

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

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

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

Ask the questions that speak to issues principal to you, your physicians and what you want to achieve with your design. The key is identifying the most principal things to you and then edifice for those priorities, especially if you hold to build into an existing MOB and your footprint is partially determined for you. You need to construct confident what's most principal to you is done best.

3. Review multiple designs. Don't just esteem one architect or observe at one layout. You will want to observe 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 labor with the architect you select to integrate those elements into your final design.

4. route for a realistic case volume. I always relate physician partnerships that when they're thinking about developing a new ASC, determine where they are today with their case volume and reduce that number in half. From that standpoint, build the ASC with an objective of reaching the number they mediate they hold today. The reality is they're probably not going to live anywhere immediate to that volume figure from the beginning. This is an principal consideration so they accomplish not build the facility too little or too big to accommodate unrealistic volume.

5. Understand your structural opportunities and limitations. edifice an ASC as a standalone facility in its own edifice is much easier from a design perspective, since you can essentially create the edifice — its shape, exhaust of space and workflow — any route you want. This model seems to live 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 new ASC in an existing office edifice and/or an MOB that may live under construction. In this scenario, you tend to dash into more obstacles with your design plans, from structural beams and posts you hold to labor around to the pre-determined physical footprint of the building.

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

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

The same logic is honest for ASCs planning to accomplish pediatrics. These young patients will often near in with a mother and father, and sometimes siblings and grandparents. Note: If you're treating children, you must hold 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, esteem visiting their offices on busy days to assess how many people join patients for an office visit. This will provide you with a better understanding of what you're likely to note in your ASC's lobby.

7. region trade office staff near patient check-in. You will want your trade 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 trade team will then live in a position to step out from a cubicle to assist with check-in and back 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 live 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 edifice and far from ORs will require them to call back to the clinical region for assistance. It is easier for a manager to observe over a scheduler's shoulders at the schedule rather than needing to log in at a divorce computer station to view the schedule and assess the situation.

9. retain medical records storage play small. I'm not a proponent of big medical records storage rooms. More facilities are going to an electronic version. You will want enough play to store no more than a year's worth of charts at a given time. It will back to learn your anticipated case volume and to assume you will need a paper chart for each case for a year. construct confident you hold space big enough to accommodate just that much paper; if you construct the play any larger, it's likely you will exhaust the space to stock other items that should fade 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 mediate there is a tenor 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 construct confident it is not isolated and inconvenient for staff to visit. You furthermore accomplish not want it situated off the OR hall because the administrator will find it challenging to accomplish what is needed when faced with numerous possible distractions.

The nurse manager typically needs an office or private space where counseling can hold place, and hold confidence of required paperwork. Your nursing manager's office should not live in the administration region as that should live a objective distance from the ORs. construct confident the nursing manager's office is immediate enough to the ORs or clinical region to assist in monitoring the stream and live readily available to step out and assist if needed.

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

The trade manager and other trade office positions accomplish not require a private office. The exhaust of alcoves and/or cubicles with sound dampening features provides more flexibility to construct changes to the layout.

11. construct confident 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 live critical. I recommend you accomplish your best to learn exactly which procedures the physicians intend to perform, how many procedures they can accomplish in a day and the unprejudiced length of time for these procedures. This information will back provide a framework to back 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 note a four-OR/procedure play with 4-6 pre-op bays. This ratio can work, and will often meet edifice 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 hold longer to admit because they're often on more medications or hold longer patient histories to review. However, the procedural stream of these patients is usually very quick, especially when you hold ophthalmologists who can accomplish 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 physiognomy a situation where patients will become backlogged as pre-op team members labor to congregate patients through their process and into the ORs.

A similar problem faces ASCs performing a big volume of gastroenterology and stitch procedures. These procedures furthermore tend to live 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 construct confident you hold enough pre-op spaces available so patients are ready to fade into the procedure play 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 construct confident you hold enough pre-op spots to accommodate the anticipated physicians' stream and their preferred drill 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 play is not immediate to the lockers, you now need a staff member to fade over to the locker, congregate All of the belongings and bring them back, or if, during surgery, the gown is removed, and you now hold to fade search thru the laundry to retrieve the key These issues appear 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 confident 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 ability to shut the door to ensure privacy. These are great, but they really eat up significant space — more space than I would argue is necessary. They furthermore construct it more difficult to retain track of what's happening with patients behind closed doors: are they dressed, accomplish 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 live an amalgamation of the two described above. You could hold bays, but with hard, replete walls to back with confidentiality and privacy, and soundless hold curtains for the front for privacy while changing. This option typically gives you the best of both scenarios. construct confident that you install enough bumper protection in these bays to retain 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 principal to hold a restroom located near the pre-op bays. You don't want patients walking down a long hallway in their gown to exhaust the bathroom.

14. earmark confiscate and adequate nursing desk workspace. If you are planning to retain patient charts at the nurse's desk, you will need to esteem what this will accomplish your workflow. Physicians, including anesthesiologists, will likely want to hold smooth access to the charts. In a busy ASC, this may result in several physicians and staff members working at the desk at the same time, so the workspace will need to live powerful enough to accommodate a significant number of people. But you will want to avoid making the space so big that physicians are far away from their patients when viewing charts.

15. Identify which specialties will fade in which ORs. Identifying which ORs will live primarily used for which specialties is very helpful from a design perspective. For example, if you're edifice a three-OR facility and route to running ophthalmology out of 1-2 ORs, orthopedics in 1-2 ORs and stitch 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 same rooms as ophthalmology, for example, you will want a region to store the microscope or phacoemulsification machine However, affecting 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 note in existing facilities is ORs that were built too little or not designed for the types of procedures performed in today's ASCs. For example, esteem a powerful orthopedics case that needs a C-arm, and All of the carts and towers required. Try to accomplish one of these cases in a little or poorly designed play and it will become tight very quickly. With the advent of spine and other procedures requiring powerful rig and more people, you need ORs big 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 live reasonable in the assessment of how big 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 big enough to accommodate the C-arm, microscopes, cart movement, the ability to switch from the left to birthright 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 principal to design the OR space to happy everyone and everything that needs to live there.

18. Don't region 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 edifice near property lines, where expansion into the space is not permitted. Flip the direction around so you hold the ability to expand, for example, into the parking lot.

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

There are many people who are proponents of the concept of edifice out but not equipping an extra OR up front during construction. This may live a well-behaved idea, or you may cease up paying rent on space for the next 10 years unnecessarily. route carefully.

Note: While you may never expand your ASC, you don't want to immediate off that opportunity. I near into facilities that are maxed to capacity and really need to observe at ways of expanding. Unfortunately, layout makes it difficult to add new 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. route carefully.

20. retain anesthesia out of the corner. It is censorious for your anesthesia provider to travel around the OR and not live 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 route for anesthesiologists to travel around and accomplish what they need to for patient care.

In little centers, if your lead anesthesiologist is the medical director and someone needs to speak 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 play to congregate over to the anesthesia cart. This isn't conducive to well-behaved flow. Anesthesia providers are a crucial and censorious fragment of the operative team, and you need to esteem 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 note incredible 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 cease up having multiple locations for the same 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 nature of suture in four different ORs. Add this to your main storage stock, and you cease up with five locations for one nature 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 fade 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 accomplish a well-behaved job of picking cases and making confident preference cards are as complete as possible and kept up to date, they should hold 99 percent of supply items necessary for any case picked for the play from these 1-2 locations, thus eliminating the need to stock those supplies in the OR as well.

22. route for gurney stream and storage. Gurneys travel throughout the ASC, and it's censorious when planning the building's layout to determine which path will permit the best stream 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 furthermore need to live cleaned before another patient is placed upon them. You need to determine how your stream is going to labor relative to those gurneys and how far they hold to fade to congregate 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 furthermore become stacked in a corner, which makes it difficult to congregate the birthright gurney to the birthright patient and retain stream moving. It is valuable to build in alcoves for gurney storage, but this space should only used to store the gurneys.

23. route for adequate OR rig storage. adequate rig storage outside of the OR is extremely important. Unless you're planning to equip your hub so every play 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 divorce 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 back ensure you're edifice 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. edifice a single, large, square storage play is usually not practical, as pieces of rig will inevitably cease up stuck in the back and sides of the play 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 play is much more advantageous from a storage standpoint.

26. Carefully esteem 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 confident All medications are secure. Many facilities route poorly to address these requirements; they typically do medications in a closet-type area, and then realize that there's no play 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 new ASC may live inclined to route 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. edifice appropriate-sized storage rooms for specific purposes is extremely important.

27. region processing near supplies and receiving. I believe purchasing should live placed immediate to where supplies are received and stocked. It shouldn't live up in the trade office region if receiving is in the back of the edifice and the supply play is nearby. Purchasing needs to live located immediate to where most of the purchasing- and storage-related labor will hold place.

28. Value the weight and needs of impotent processing. The impotent processing room(s) in your ASC will live extremely important. Your instrument trays need to live stored in a play where humidity can live controlled and monitored, so it can't live birthright around the corner or in the same play as your autoclaves. When you open the autoclaves, steam rushes out, and you will physiognomy the constant problem of trying to monitor humidity levels.

You will furthermore want your impotent processing play near your ORs for convenience, designed so you hold confiscate storage for your supplies and built big enough to accommodate personnel and instrument trays. The number of trays you need to sterilize will augment if your case volume is high.29. Strategically region physician dictation alcoves. It's not uncommon to note 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 labor well with physicians' flow. When interviewing physicians, try to determine their preferences for where they relish to dictate, and route the alcoves accordingly.

30. deliver space with one shatter play for physicians and staff. I'm not a proponent of divorce lounges for physicians and staff. I mediate it's extremely principal that everyone works together to encourage a team mindset. divorce lounges only encourage a separation between the two teams and foster an "us vs. them" concept.

I'm not a proponent of tiny staff shatter rooms, either. You need a play big 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 construct confident 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, shatter rooms often will live used to host staff meetings, so if you route to accomplish so, you should furthermore hold enough space to accommodate staff members for training and in-services.

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

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

© Copyright ASC COMMUNICATIONS 2019. Interested in LINKING to or REPRINTING this content? View their policies by clicking here.

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Here's the seafood Australians eat (and what they should live eating) | killexams.com true 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 construct it the most nutritious and healty option – and vice versa. For the first time, research has investigated the seafood Australians eat in terms of what's best for us and the planet.

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

What Australians eat

The word seafood is used to record 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 property and sustainability of seafood consumption in Australia.

We measured nutrition by the estimated contribution of 100g of a given seafood to the unprejudiced 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 establish that there were big 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 plane 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 moderate 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 intricate 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 relish prawns or shrimp, is resulting in higher emissions from the global fishing fleet, as these fisheries are fuel intensive. In contrast, little pelagic fisheries, such as sardines, hold very low emissions – although they are a lot less popular.

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

However, it's not lucid this substitution is environmentally friendly. At the same 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 live tricky making an informed conclusion on the spot.

However, Food Standards Australia and New 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 lead or observe 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 furthermore developed a canned tuna lead (changeyourtuna.org.au).

Eating new seafood species can live tricky if you are not chummy with them. There are many resources available to back 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 new Community Supported Fishery each week, or hold it delivered.

All food production has an impact, but making an informed preference can live advantageous for health and the environment. So, congregate venturesome 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 eat (and what they should live eating) (2018, December 4) retrieved 17 April 2019 from https://phys.org/news/2018-12-seafood-australians.html

This document is matter to copyright. Apart from any objective dealing for the purpose of private study or research, no fragment may live 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 | killexams.com true questions and Pass4sure dumps

No result found, try new 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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