...CEBU (VELEZ) GENERAL HOSPITAL Cebu Institute of Medicine Cebu city RECORD OF OPERATION Hospital No.: 14-56992 Out-Patient Date: 09/11/14 NAME: Basmayor, Benigna AGE: 78 SEX: F PRE-OPERATIVE DIAGNOSIS: End Stage Renal Disease 2º to Hypertensive Nephropathy SURGEON: Dr. Requerdo Baclig 1ST ASSIST: PGI Dionson 2ND ASSIST: SIIC Lagon NURSE: Mae Celeste Gallega ANESTHESIA STARTED: 9:10AM ANESTHETIC: Xylocaine 2% OPERATION STARTED: 9:10AM OPERATION ENDED: 10:20AM OPERATIVE FINDING: End Stage Renal Disease 2º to Hypertensive Nephropathy OPERATIVE DIAGNOSIS: End Stage Renal Disease 2º to Hypertensive Nephropathy OPERATIVE TECHNIQUE: AVF Creation, Left Cubital Area (3682) • Patient was placed in a supine position with arms extended at the side. • Left arm was cleansed with Povidone-Iodine solution and sterile drapes were placed accordingly to expose only the operative site. • Local anesthesia using Xylocaine 2% was infiltrated. • A 6cm longitudinal incision was made at the ventral aspect at the proximal 1/3 of the forearm. • Proximal radial artery was located and tagged for easier location and small veins near the artery were cut. • Local anesthesia was then introduced inside the operative site. • Cephalic vein was located and was dilated using dilators of increasing caliber until 3.5 and the distal part of the vein was cut to ensure the durability of the anastomosis. • Operative site...
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...In order to keep everyone safe indoors and outdoors, I look for hazards in the area where the children will be playing, learning, and exploring. Before entering students should know the proper rules and procedures ahead of time in case of an emergency. Which means procedures and rules should be practiced at least once a week for a month or until there is no need for assistance. Staff should be fully trained and well equipped given an emergency during any time. Even if no assistance is needed supervision is always required, as well as supplies, materials, and equipment at hand or is known to be in a close range. To keep everyone healthy indoors and outdoors, I make sure sanitary procedures are stated and present. When entering or exiting an area students, staff, and classroom equipment should be well sanitized daily. For example hand washing before and after eating along with when children are playing indoors and outdoors. Staff should sanitize before and after dealing with each child to prevent the transferring of germs. Rest and nutrition are also a very important role in a child’s everyday life. Students should be immediately tended to when dealing with allergy emergencies no matter how severe. Naps are required in a child care center, children should have a chance to rest during the day specifically children ages new born to five. To ensure I create an active learning environment indoors and outdoors, I keep activities active and very communicative. I like for the kids...
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...factory. This information can be about danger of the chemical use, Medical guideline in case of chemical reaction, Protective test for safety, storage method of the chemicals. Usually Hazcards are used by the technician’s room in the schools. Before students start an activity in the laboratory they should always complete a Risk Assessment. A risk assessment is nothing more than a careful examination of what, in their work, could cause harm to people, so that they can weigh up whether they have taken enough precautions or should do more to prevent harm. The aim is to make sure that no one gets hurt or becomes ill. A risk assessment should tell us what the hazards are, what the risks are, how to minimise the risks and what to do in an emergency. Health and Safety Executive This law was introduced in 1974 The law on health and safety at work in Great Britain is regulated by the Health and Safety Executive and local authorities. As controllers, our role is to determine that businesses are effectively and proportionately managing their health and safety risks to workers and others. To do this, we use a range of interventions to influence, encourage and advise business and, where necessary, hold to account those who fail to meet their...
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...Problem Statement Greg James, a global manager at Sun Microsystems, has found himself in a difficult situation after his teams failed to respond to a customer’s outage. James’s main problems are that his teams have a support system that fails to address emergency situations and that James has poor, inefficient communication with his teams that leads to unhappiness in the workplace. Analysis Sun Microsystems uses a support systems that queues problems for resolution. The situation for HS Holdings went into a queue that is designed to keep track of missing contract numbers. Since there is no queue system for emergencies, it took several hours for anyone of importance to notice the issue. Jamal, the programmer that created the queue system, stated his assignment was to create a queue for accounts with missing contract numbers. Never was Jamal communicated to create a program that dealt with emergencies such as when a client’s servers go down. The problem here is that Sun Microsystems does not have an emergency situation protocol. With a fail proof support system, one that is designed to deal with emergencies, James would not be traveling across the globe to meet with each of him teams. Sun Microsystems also fails from poor and inefficient communications from James to his teams which has caused unhappiness. If this problem is left uncheck, employee morale will decrease and Sun Microsystems could start to see themselves with a high employee turnover. One of the biggest reasons...
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...interesting to know that the dress code instills some form of confidence to fire victims. When these victims see a firefighter in full fire combat, they feel at ease and adhere strictly to the orders they are given. A firefighter should, therefore, ensure that they are in their uniform when responding to such scenarios. Further, delays and bulky procedures tend to increase panic among the victims. There should be an easy procedure that will allow the evacuation of victims as fast as possible especially to the crowded places. Movements should be controlled to ease the overcrowding and possibly reduce the number of casualties. Firefighters should also provide emergency lighting facilities as in most instances fire emergencies cause blackouts, and if victims were left out in the darkness, they are likely to panic even more. Providing emergency lights allows victims to trace their easiest way out of the building. The exits should be well labelled to avoid directing the evacuees to risk areas that would subject them to more danger. References Freedman, M. (2015). Fighting Fire in the Sierra National Forest. Charleston, S.C.: History...
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...Abstract This report is filed to illustrate the A competent ambulance volunteer is expected to have certain characteristics that would enable them to overcome difficulties and emergencies. The results of this study indicate that courage, composure, optimistic attitudes and spirit of cooperation are the four most vital characteristics for an ambulance volunteer. Based on our study, we strongly recommend ambulance organizations to provide practical training with self-rescue knowledge, build optimistic attitudes and cultivate spirit of cooperation when training volunteers. 1.0 Introduction In nowadays society, increased attentions are gathered on public safety emergencies. Amongst one of the most important rescue and evacuation tools, the demand for ambulance is increasing rapidly. However, not everyone is suitable for handling ambulances. This study explores the qualities and characteristics individuals ought to have to become a successful ambulance volunteer, and provides recommendations for ambulance organizations on how to hire the appropriate personnel. All data and findings used in this report are obtained from official websites and academic journals. 2.0 Findings According to Shylen (2008), the demand for ambulance services is increasing dramatically in Australia, but the number of ambulance volunteers is gradually decreasing, with obvious drop-offs in numbers certain volunteer positions. These positions need a large amount of new employees. The qualities and characteristics...
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...Before joining the Fire Department, I didn’t have a clue as to what it entailed. I knew that committing to the department wasn’t going to be casual; still I was surprised as to how much it demanded from me. In order to learn how to act during emergency situations, there were monthly company drills (training exercises) that we were required to attend. Sometimes the training was very intense, although they were highly controlled, it was always dangerous. A common exercise was entering a multi-storied building with fires at various locations, which we had to find and put out. The drill was highly teamwork oriented and required concise communication in making our way around. Other drills ranged from practicing force-entry into buildings to getting into full turnout gear with an SCBA ready to use. We had even purchased a junkyard car to set on fire in order to practice putting out car fires. Many of the fire related calls were minor or false alarms. Although there were some actual fire crises, many of the emergencies were medical. Some people are surprised to find out that the local fire department runs many of the ambulances. Some calls I responded to were: overdoses, heart attacks, and the elderly falling in their home. Usually an EMT on scene would check the patient and decide whether or not they needed hospitalization. If they did need medical attention, we would get them on the stretcher and bring them to the local hospital. I’d say being a volunteer at the CPFD had...
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...is not decontaminated, the hospital emergency department and other patient can be exposed. (Mass Causality and High Impact Command, page 99) Are you aware of any procedures that should be taken when It comes to decontamination within the health and medical services? There are several essential steps that will be discussed pertaining to Health and Medical Services. First step that will be discussed is Control. Control is very important and also considered a key factor. You must Control the spreading of the infected or contaminated from the ambulance up to hospital staff. “Even though written procedures might be into place, actual demonstrations of these procedures during an exercise will point out if further training is needed or if procedures should be revised.”(ntl.bts.gov, 254) Next, you will need to find out if the medical facilities know how to retrieve and use necessary medical and other data for diagnosing and treating victims exposed to hazardous materials. “Many of the local hospitals will not be able to treat exposed victims without consultation with medical experts from other parts of the State or country.”(BTS.org, Medical Services) After you have found out if any of the medical facilities know how to retrieve necessary data you will need to Test procedures for providing hospitals with information on the number of victims, types of injuries and contamination involved, and estimated time of arrivals (ETAs) of emergency vehicles to allow adequate...
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...STUDENT REPONSE FOR WEEK The two words emergency and disaster do send shivers down my spine, when thinking about them. After reading your post I was able to break down the word emergency even more. So I am sure we can agree emergency could be anything that is posing a risk to someone’s life. These specific emergencies require a response team to take immediate action, whereas for example an emergency pertaining to the environment would not. There are specific authorities that may not respond to the danger of a persons or animals life. Fires and tornados are not considered an emergency. There is something called a state of emergency which is when the government declares an emergency in a specific state. An example of this, back in 2011 there was heavy rains in the state of New York. Due to water rises long the river there was mass flooding. The water was coming well over the flood walls. This was a danger, so a state of emergency was called. People were being evacuated, and sent to shelters that were being run by FEMA. There is management of emergencies agencies and is divided into 4 possible categories: state of preparedness, quick response, recovery, and mitigation. When comparing emergency and disaster I have brainstormed additional defenses, one can prepare for an emergency when disaster one cannot. Emergencies can be on a scale from small to large whereas disasters are always large. If there is an emergency like a small fire that can be handled by the local fire department...
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...workers seemed to have a big influence over the emergency outcome from what I observed. The EMS workers were pretty much controlling all the emergency scenes, which is why the outcomes at the end are what they turn out to be. For example, there was a section in the station where all the calls and dispatch information was received called the Watch Office. Here, one of the volunteers also gave me the opportunity to see an example of a dispatch print out. When I first saw it, I was confused about what the information on it meant exactly. The volunteer then kindly explained what each and every piece of information on the page meant. Observing the Watch Office made me realize that technology has made everything so much easier for emergencies. As calls are received in the offices, the numbers and locations are tracked down. One of the volunteers told me that they don’t need to do much interrogation now, as everything is automatically tracked down and brought into their system, which then allows the dispatch to print everything out. Another thing I observed was that all of the people working at the station were very coordinated and cooperative. They were very organized and all the calls that they were receiving were transferred down to the appropriate units that needed to help them out. This showed that they were all well trained and ready to do their job as soon as an incident occurred, meaning there wouldn’t be any delays at all if an emergency situation was to take place. After taking...
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...-Number of shots heart; type of gun used; position of pt when shot; distance of the pt from the gun. History should be gathered from the pt, available eye-witnesses, and emergency medical service providers Does the patient have intra or extraperitoneal bleeding that requires surgical intervention? Does the patient have peritoneal contamination requiring washout and repair of a hollow viscus? Penetrating injuries with any hemodynamic instability and/or signs of intraperitoneal injury are treated operatively at the outset of management -GSWs most often injure the small bowel followed by the colon and liver Clinical thinking Does the patient have an adequate airway, and ability to protect it? Is the patient breathing? Is oxygenation and ventilation adequate? A GSW in the abdomen may penetrate the diaphragm and cause a significant thoracic injury -Does that patient have adequate blood volume and perfusion? How does the patient respond to resuscitation, does the pt take beta blockers that may mask an appropriate tachycardia? -evaluate the pts ability to follow commands and respond appropriately. Is neurological disability a central phenomenon from shock, or is there a direct spinal cord injury? The patient must always be adequately exposed to evaluate all injuries, don’t over look the axial, back, gluteal cleft, and perineum. Patients with penetrating abdominal injuries are best served by antibiotic therapy prior to operative intervention. Initial therapy should be broad...
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...from this week. Does reading the story help you to understand the events in the article? Do the events described in the article help you to better understand the text you read this week? Does understanding history and current events help to enhance your understanding of literature? Why? Select one of the readings from this week. What is the effect of the major ideology present? How has the philosophical, religious, political, or social ideology affected the story? Would the story be the same with a different ideology? Refer to the story “Good Girls Are Bad News” by Subhadra Sen Gupta. What effects do competing ideologies have on the beliefs represented in this text? Use a specific example from the readings. Nigeria: State of Emergency Declared By THE ASSOCIATED PRESS Published: May 14, 2013 • FACEBOOK • TWITTER • yGOOGLE+ • SAVE • E-MAIL • SHARE • PRINT • REPRINTS • [pic] [pic] Connect With Us on Twitter Follow@nytimesworldfor international breaking news and headlines. Twitter List: Reporters and Editors Admitting that Islamist extremists now control some of his nation’s villages and towns, PresidentGoodluck Jonathan declared...
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...MAINSTREAMING Disaster Risk Reduction IN SCHOOLS’ CURRICULUA (ANALYTICAL INSTRuMENT FOR POLICY ADVOCACY) By, AmjAd NAzeer Indus ConsortIum (IC) (December 2012, IslamabaD, Pakistan) 0 “Things like DRR need to be there in the textbooks. Aspired to interpret, we ourselves will learn further and teach children better. Children will in turn explain things to their younger brothers and sisters, even to their parents and to those who cannot read or write. The new learning has a capacity to inform, who should do what during, before or after a disaster.” Ali Akbar, A primary school teacher in Chack Tumb Bhel, U.C Khoski, Badin. “Disaster Reduction Begins at School” (United Nations International Strategy for Disaster Reduction, 2006-8) 1 CONTENTS 1. Introduction……………………………………………………………………..……3 2. Growing Frequency of Natural Disasters: A Major Concern……..….…………7 3. Relevant UN Conventions and Other International Commitments….…………7 4. Impact of Natural Disasters on Children and Schools.……………………….....9 5. Education and Psychosocial Impact on Children………………………………10 6. Connecting Education, Safe Schooling and DRR……………………………...10 7. Significance of Mainstreaming DRR in Curriculum and Children’s Potential Role....…………………………………...……………………………………….…12 8. Approaches to Integrate DRR with Sindh and Punjab’s Textbooks….…..…..14 8.1. Infusion or Permeation Approach…………….…………………………………16 8.1.1. Holistic Review of Sindhi, Urdu And English Textbooks….……………..…17 8.1.1.1. Sindhi and Asaan...
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...Editor’s Note: This Chapter is the continuation of an adaptation of a state plan for disaster preparation and response. In total, the original chapter comprises Chapters 1, 14, 16-18. Chapter Overview Many of you are reading this manual as part of your efforts to prepare as a spiritual care professional who will be ready to respond during times of disaster. Your main role will be to provide emotional and spiritual support to those affected by disaster, but it is also critical for you to understand the context in which you will be providing this support—the bigger picture, so to speak. Disaster relief operations are complex systems having more to them than just a response mechanism. They require a significant amount of pre-planning. Disaster experts have long known that waiting until a disaster strikes to test a community’s response procedures can be disastrous. How communities respond to disaster can even induce more stress on individuals and place them at risk for developing a variety of adverse reactions and psychological consequences. This section takes the first step towards introducing you to the key elements of disaster management and response at multiple levels. The focus of this chapter is on the framework of disaster planning, preparedness, and response. In the event of a disaster in your community, you may be asked and/or may want to help. It will help you to have an understanding of the structure of the overall response so that you know how your efforts will enhance...
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... | EMERGENCY RESPONSE PLAN | | [Type the author name] | 10/23/2011 | Table of Contents PURPOSE OF EMERGENCY PLAN.................................................................................. PLANNING FOR EMERGENCY....................................................................................... PROCEDURES............................................................................................................... RESPONDERS SAFETY................................................................................................... DEPARTMENT OF PUBLIC WORKS................................................................................. INCIDENT COMMAND CENTER .................................................................................... INCEDENT COMMAND SYSTEM (ISC) FIRE DEPARTMENT....................................................................................................... INCIDENT CLASSIFICATION EVACUATION PROCEDURES.......................................................................................... POLICE DEPARTMENT .................................................................................................. EMERGENCY MEDICAL RESPONCE................................................................................. STAGING MANAGER COMMUNICATION PROCEDURES.................................................................................. HAZARDOUS MATERIALS EMERGINCY RESPONSE PLAN PURPOSE OF EMERGENCY PLAN ...
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