...UNINTERRUPTIBLE AC POWER BACK-UP SYSTEMS INTRODUCTION Fermilab utilizes a variety of emergency AC power systems to provide back-up power to critical loads in the event of power outages. Larger such systems are gas or diesel powered motor-generators. This chapter does not specifically cover these larger systems. Smaller systems are normally powered by the AC electrical distribution system and employ DC batteries for energy storage of sufficient capacity to back-up the protected load for a specific time period. A first version of the smaller type tolerates an interruption of power to the load and is commonly known as an Interruptible Power Supply (IPS). The IPS type system is typically used for emergency egress lighting. The requirements for testing, documenting and repairing emergency egress lighting are specifically addressed in FESHM Chapter 6011 - “PERIODIC TESTING OF EMERGENCY LIGHTS’. The more common version of the emergency power back-up system is the Uninterruptible Power Supply (UPS) which provides continuous uninterrupted AC power to selected loads. The UPS finds use in backing up computer related systems, critical loads (such as the Comm Center), and also emergency egress lighting systems. The voltage output of IPS and UPS systems are typically 120 or 277 VAC. The ampacity of these systems, rated in KVA, and time of being able to provide emergency power vary from system to system. Both the IPS and UPS type systems employ Direct Current (DC) to Alternating...
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...deposits them in Los Angeles.[2][3] It first aired on the Syfy channel on July 11, 2013, and stars Cassie Scerbo, Ian Ziering, Tara Reid, and John Heard.[4] It was also given a one-night only special midnight theatrical screening via Regal Cinemas and NCM Fathom Events, where it took less than $200,000 in the box office across 200 screenings.[5][6] Plot[edit] A freak hurricane hits Los Angeles causing man-eating sharks to be scooped up in water spouts and flooding the city with shark-infested seawater. Surfer and bar-owner Fin (Ziering) sets out with his friends, Baz (Jaason Simmons) and Nova (Scerbo), to rescue his estranged wife, April (Reid), and teenage daughter, Claudia (Aubrey Peeples). While the gang is in Finn's jeep, The Emergency Alert System appears, announcing a tornado warning. He succeeds but April's boyfriend is eaten by the sharks. The group meets up with Matt (Chuck Hittinger), the adult son of Fin and April, who is in flying school. They decide to try to stop the threat of the incoming "sharknadoes" by tossing bombs into them from a helicopter! As Nova prepares to throw one of the bombs, she falls out of the helicopter and directly into a shark's mouth. Matt is heartbroken. Baz is also lost in the storm. After Matt lands on the ground, a flying shark plummets toward the remaining members of the group. Fin jumps into its mouth with a chainsaw and cuts his way out. He emerges carrying an unconscious but miraculously unharmed Nova. Matt is reunited with Nova and...
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...Phoenix HCS 320 Health Care Communication Strategies MU13BHA08 Communication During a Crisis Situation Given the scenario, today as the director of a regional Emergency Management Office, the phone begun to ring more than usual. I had started receiving official reports that the public water supplies of several towns in the area have become contaminated with a life-threatening biological agent. Contingency plans must be addressed within the organization, and with the public without creating a panic. This paper will cover development of a communication plan, and what the communication plan should include. This paper will also cover topics regarding potential advantages, and challenges with communication, communication with the public, and private sector, message mapping, the use of social media, and how media might be used with today’s modern technology. If carefully designed, communication plan can save precious time when an emergency occurs and enable leaders and spokespersons to focus on particulars of the emergency at hand, and the quality, accuracy, and speed of their responses. To show the context of messaging as part of the overall plan, the following describes what a comprehensive communication plan should include. • Describe and designate staff roles and responsibilities for different emergency scenarios • Designate who is accountable for leading the response • Designate who is responsible for implementing various actions • Designate who needs to be consulted...
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...cell service is so congested, only SMS go through, and with unreliability. Physical Preparations: * All pets wear collars that are clearly marked and coincide with their primary key in our database. * Backup lighting installed and inspected quarterly - 12hr battery life. * Backup generator with fuel to last 72 hours. * Emergency food and water stored in basement. * Three hard copy evacuation routes for each hot site location * Emergency printable animal / owner roster pre-created & available to be printed at any time. * Emergency backup power for server and main computer (allow time for generator to power on) Before: This is a challenging step because in this part of the plan you must decide if you will be staying or evacuating. The safest time to evacuate is prior to the emergency. If you've determined the hurricane will be manageable and you stay, you will have to: Monitor news, check battery levels, maintain accurate roster, touch base with alternate hot sites, prepare a go kit should you have to move (includes evacuation route maps, swappable hard disks, pet / owner rosters, employee emergency contacts, DR plan), contact hot sites and determine availability During: Unfortunately, this is often the most helpless of the steps. Number one priority should be safety. Individuals should move to predetermined hurricane locations in the center of the building under tables or other supportive objects. This is a time to keep each other...
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...sensitive, Electricity change box, must wear a wrist strap, Special conductive covers, pullout car 8) Service interphone - 3 groups 9) Cockpit to Ground – P40 Maintenance Documents 10) AIMS - Airplane information management system P1 301-to-309 = Servicing 401-to-499 = Removal & Installation 11) ATA – Servicing chapters (12) 12) DDG – Dispatch Deviations Guide i) Section 2 – MMEL ii) Section 3 – CDL 13) Failure Fault Code = 8 Digits Maintenance Message = 7 Digits 14) Wing to Body Fairing with composite panels are with honeycomb structure. 15) ELMS = 7 Panels P100, P200 = LH, RH Power Panel Controller Respectively *P200 Heavy Loads P320 = Ground Handling TR Unit 16) How are batteries (Main APU) charged? – Charged from Ground Sevice Bus 17) E-10 Rack = APU battery & Charger 18) IDG (integrated drive generator) to LRUS (Line replaceable units) = i) two filters ii) Remote Oil Sensors 19) IDG Servicing when i) Service Indication ii) Underfill/Overfill You must do a IDG Shutdown + 10mins 20) Location of Backup Generator Supplement cooling fan : MEC RHS 21) Number of Permanent Backup Generators : (3) 22) Treat as Emergency Power Source = Main battery & R.A.T 23) Rack located = Aft right main landing gear wheel well. 24) GH Bus Pri Ext Power – TopPriority APU – 2nd Sec Ext Power – 3rd 25) No of...
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...How to Use a 5-level Triage System Western Governors University Topic: The importance and application of a 5-level triage system. INTRODUCTION Attention Getter: I am currently a Charge Nurse in the busiest emergency room in Nevada. We see an average of 300 patients a day with wait time in the lobby upwards of 12-14 hours. Purpose: The purpose of my presentation is to inform. I want my audience to understand why a 5-level triage system is best practice and I want my audience members to have a basic understanding of a 5-level triage system and to be able to begin training in an ER triage setting. Audience: The ideal audience for my presentation are nurses that are newly graduated or new to the ER setting. My topic is specific for my intended audience and is beneficial for them. This presentation can be easily altered to address nurses that will be working in a pediatric ER. Significance: The ability to correctly triage a patient in an ER is crucial to patient safety and patient care. In a busy ER patients generally have to wait to be taken out of the waiting area. A triage nurse needs to be able to sort through the patients and decide who the priorities are. The intended audience will become the nurses making these decisions. Thesis Statement: Research shows that a 5-level triage system is best practice because ESI and CTAS provide dependability and reliability and because the implementation of a standardized ER triage process improves patient care. ...
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...accidents are common to Namibia’s emergency medical care practitioners, but it becomes a serious problem when it is a mass casualty case. The scene becomes more difficult to control. For this reason the triage system needs to be efficient. This assignment reflects on a mass casualty incident that the author encountered and particularly focuses on the triage system used. The crew was dispatched to a motor vehicle accident. Two vehicles were involved: a mini-bus and a pick-up truck. The scene was cordoned off by the fire brigade and the traffic officers were controlling the on-coming traffic. The scene was mildly chaotic because practitioners were shouting at each other, patients were all over the scene and there no point where all the patients were taken to for triage. It was very difficult especially for the emergency care practitioners to treat their patients because it was dark and it became even more difficult when it started to rain. Evaluation The author was unhappy with the...
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..."PLEASE SAVE HIM!!" is a sentence heard by Emergency Medical Service professionals (EMS) all over the United States, and as always, there is a rescuer waiting to be dispatched to save a person’s life. Thousands of EMS personnels save lives on a daily basis, not for the paycheck, but for the privilege of saving someone’s life. This has been the case since 1966 when it all started. Emergency Medical Services is a branch of medicine concerned with the treatment of critical and unscheduled patients with illnesses or trauma that requires immediate medical attention. EMS is a new but popular industry in today's society. Since its debut, EMS has changed to meet the demands and needs of its customers in a time-effective manner. To fully grasp the...
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...health, language barriers and an ineffective or absent health care triage system. The identified problem is knowledge deficit of accessing appropriate health care related lack of knowledge related to accessing proper level of health care as evidenced by inappropriate use of emergency services for non emergent care needs. Background and context Four intrepid nursing students from St Catherine University undertook a community assessment of University Avenue from Snelling Avenue east to the capitol buildings otherwise known as Frog Town. Conversations occurred with stakeholders including paramedics and local citizens at a Salvation Army. One disturbing trend that was identified is the use of emergency medical services and emergency rooms for routine care needs such as stomach flu. This occurs and is reinforced for several reasons. One of these is the 1986 legislation EMTALA that enforces that all hospitals must see and treat everyone regardless of their ability to pay. This is an unfunded mandate which means no reimbursement is provided shifting the cost onto society in the forms of increased cost for other services. According to Consumer Health Reports, the average cost of an ER visit is $1300 (2009). While the ER provides for a catch all safety net it does not provide timely effective and appropriate care to citizens. Since all emergency calls must be responded to, the individual who may need emergency...
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...mobilizing and managing health and medical services in response to emergencies at Glover International Airport. These areas include treatment, transport and evocation of the injured, removal of deceased, disease control and prevention of contamination during emergencies. • Situation and Assumptions Glover International Airport provides basic emergency medical care response for the Airport and will request assistance from the city of Seattle and City or Tukwila Fire Departments as necessary. The Airport provides emergency medical services through ARFF personnel and on/off-site mutual aid emergency medical technicians. If mutual aid is not available, the use of triage will be utilized to ensure an efficient use of existing resources. The Airport strives to ensure its response is adequate to protect life and health for the first 12 to 24 hours without outside assistance. Large-scale incident will require outside agency support. The surrounding communities have a large contingent of Health and Medical resources to bring to bear. Many medical professionals will volunteer their services and Glover International Airport must be prepared to ensure their legitimacy. It should be noted that these resource might they be adversely affected by the emergency. All requests for additional health and medical support will be made though the on-site Law Enforcement and will be coordinated in accordance with the Incident Command System. • Operations All responding agencies will report to the IC...
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...Do X-rays Requested By Triage Nurses Decrease Waiting Times? Research in Health and Social Care Introduction: Since 1991 when the patient’s charter (Department of Health 1991) was introduced, Accident and Emergency (A&E) departments have been under pressure to see, treat and discharge patients within a certain time period. In 1991 75% of walking wounded who presented to the department had to be discharged within one hour. It was subsequently changed in 2004 when the government decided that 98% of all patients attending an A&E department should be in the department no longer than four hours (Department of Health 2004). And again in 2011 when the department of health introduced the clinical care indicators that relaxed the target to 95% seen, treated and discharged or admitted in 4 hours (Department of Health 2011). Triage nurses within the accident and emergency department are one of the first people to assess the patients who present with an injury or illness. The patient’s condition is assessed and their need for how quickly they require treatment is prioritised. Triage nurses are usually experienced A&E nurses who have many years A&E experience (Dolan et al 2007). Patients are then placed in queues to await assessment by a Doctor or Emergency Nurse Practitioner. Once seen they are then put in another queue to await x-ray if necessary before waiting again to see the doctor/ENP that will interpret their x-ray and decided on the best course of treatment...
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...Triage * Triage classifies emergency patients for assessment and treatment priorities * Triage decisions require gathering objective and subjective data rapidly and effectively to determine the type of priority situation present * Emergent situations are potentially life-threatening; they include such conditions as respiratory distress or arrest, cardiac arrest, severe chest pain, seizures, hemorrhage, severe trauma resulting in open chest or abdominal wounds, shock, poisonings, drug overdoses, temperatures over 105°F (40.5°C), emergency childbirth, or delivery complications * Urgent situations are serious but not life-threatening if treatment is delayed briefly; they include such conditions as chest pain without respiratory distress, major fractures, burns, decreased level of consciousness, back injuries, nausea or vomiting, severe abdominal pain, temperature between 102 and 105°F (38.9 and 40.5° C), bleeding from any orifice, acute panic, or anxiety * Nonemergency situations are not acute and are considered minor to moderately severe; they include such conditions as chronic backache or other symptoms, moderate headache, minor burns, fractures, sprains, upper respiratory or urinary infections, or instances in which a patient is dead on arrival Triage nursing involves the care of more injured individuals than the available resources can handle. Triage, which comes from ‘trier’, a French word meaning ‘to sort,’ is the system used by emergency and medical personnel...
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...IN UTILIZING ACCIDENT &EMERGENCY DEPA RMENT? BY ZAHRA AHMED EBRAHIM Master in Business Administration General Management Organization and Business Management Open Asia e University 2011 Introduction Background of the Study A number of approaches to the structure and management of organizations developed during the late 1800s and early 1900s .The early philosophies are traditionally labelled classical theory while the later approaches include systems theory and contingency theory. The classical approach to organization focuses efficiency through design. Eleanor and Phillip (2009) kept four elements to build classical theory: division and specialization of labour, chain of command, organizational structure, and span of control. The first element emphasised about dividing the work reduces the number of task that lead to proficiency and specialization. The second element is the chain of command which is meant the hierarchy of authority and responsibility within the organization. However, the collaboration between staff and there managers improve the efficiency and productivity of the unit. Moreover, the third element is organizational structure that describes the arrangement of the work group. The design of the Organization is intended to faster the organization survival and success. Finally, the span of control addresses the pragmatic concern of how many employees a manager can effectively supervise. The later approaches are systems theory and contingency...
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...3 individuals that appear to be suffering from possible illness. Simulation Prebrief and Debrief question guide * Prebrief- Discuss the following ; o Discuss common/frequent community diseases and why/how they are transmittable. o Discuss triage process and disaster planning. Triage is identifying and separating individuals quickly according to injury severity and treatment needed. Disaster triage focuses on sorting the greatest number of people as fast as possible. Triage performed at the site and again at the treatment area is very different from triage that is routinely conducted in the emergency department. The focus of disaster triage is to do as little as possible, for the greatest number, in the shortest time. One triage system that is used by first responders is START. START stands for “simple triage and rapid treatment.” This system describes what to do when first arriving at a multiple casualty or mass casualty incident. Disaster triage of an injured person should occur in less than 1 minute. This system also describes how to use people with minor injuries to help. As a decision is made regarding the status of an individual, the person is labeled with a colored triage tag. Green on the triage tag is for the walking wounded or those with minor injuries (e.g., cuts and abrasions) who can wait several hours before they receive treatment; yellow is for those with systemic but not yet life-threatening complications who can wait 45 to 60 minutes (e.g.,...
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...Emergency departments throughout united states face overcrowding, the challenge is due to the high demand for services, an increasing number of visits, overuse and misuse of services, and escalating healthcare costs. All hospitals follow a triage system to cope with overcrowding. When there is overcrowding, that will result in longer wait time for treatment, lengthens door to provider time, increase in number of patients leaving ED before treatment, and diverting ambulances to another facility. “Boarding” of patients is one of the main issues in emergency departments and ultimately impacts the service and quality of care patients receive. Emergency department is the front door of the hospital and is the actual revenue generating center of the hospital. Today's entire healthcare revenue cycle has shifted from a provider-to-insurer paradigm...
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