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Leftarrow Patient Chart
leftarrow←Step 1rightarrow→
Scheduling & Pre Authorization
New Patient:
Perform and fill out a new patient intake form.
Existing Patients:
Verify current information. Verify insurance authorization.Create Patient encounter form.
leftarrow←Step 2rightarrow→
Check In Insurance Verification
New Patients:
Patient fills out and signs new patient registration forms. Copies of I.D. and insurance cards are
made.Create encounter form and new patient chart.
Update electronic health record or paper patient chart applying proper charges.
leftarrow←Step 3rightarrow→
Coding & Charge Entry Review proper codes for services provided and apply related charges.
Generate a insurance claim form. Manually or electronically.
leftarrow←Step 4rightarrow→
Claim Submission
Submit or mail the form to the patients primary insurance provider.
Denied/Rejected Claims:
Determine if the claim has been rejected, denied, or accepted. Follow up to make corrections and
resubmit if possible.
leftarrow←Step 5rightarrow→
Payment Processing &
Monitoring Adjudication
Approved claims:
Payer sends payment to the practice & the payment is than posted to ... Show more content on
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This can be done electronically or manually. While most claims are sent electronically now, some
circumstances require paper claims and it is required for a medical coder to know both methods. The
form used is called a CMS 1500 form. On this form you will input information provided by the
patient during registration, add codes addressing charges for services, document primary and
secondary insurance coverage, and include provider and practice data where the services took place.
Normally, every claim is reviewed by the billing department several times for accuracy before it is
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Executive Summary
Executive Summary of the Joint Commission changes that are need:
Nightingale Community Hospital has been increasing their safety standards in all three general
categories, Conduct a pre–procedure verification process, mark the procedure site and a time–out is
performed before the procedure over the past year. Nightingale Community Hospital's value for
safety states: "We believe that excellence begins with providing safe environment. We put our
patients first as we seek to exceed the expectations of our customers with superior service,
outstanding clinical care and unsurpassed responsiveness." To reach this goal there is always more
that can be done. Based on the safety reports several areas need to be looked at:
Hospital–wide ... Show more content on Helpwriting.net ...
Along with Verbal Orders/Read–Backs the unacceptable abbreviations this area is of concern
because the only part that is not within standards is the "U" (which is used to abbreviate unit) which
actually increased from 17% to 63%. This is very alarming because the units of medications that the
patient is receives is very import to the treatment if not life threatening. When the nursing staff
cannot understand the orders they have to take time away from patient care to get clarification from
the Doctor. This is not always a timely process
The hospital policy of abbreviations is that no abbreviations are to be used when writing orders. The
"U" for unit is specifically mentioned as not acceptable. In order to correct this along with avoiding
any other abbreviations I recommend that we have our order form re–designed along with all the
order paper work. The re–design will have the word NO ABBRIVATIONS ARE EXCEPT. This will
help remind those writing the orders to fill them out correctly. The nursing staff needs to understand
that when they receive orders they should quickly review them looking for any abbreviations and
have the Doctor correct them. If the nursing staff feels that there is a problem with any of the
Doctors they need to bring that to the attention of their Department Head to help resolve the issue.
References
National patient safety goal data: Communication. In (2012). Nightingale Cumminity Hospital
Site
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Fingerprint Identification and Verification Systems
What is A Fingerprint?
What is Fingerprint Recognition?
There are mainly two systems using fingerprints as a biometric:
Fingerprint identification system (FIS) and fingerprint verification system (FVS)
Fingerprint identification system (FIS) vs fingerprint verification system (FVS)
The algorithms that are used to recognize fingerprints are the pattern–matching method and minutia
methods .
pattern–matching method :
Pattern–matching method verifies the identity of the patterns by directly comparing the objective
fingerprint images with the registered image.[ 1]
Graphical center of fingerprint image (not necessarily defined by the fingerprint core) is cropped a
fixed distance and compressed for subsequent match. The greater the difference between the stored
template and the live comparison, the less likely the match.
http://sales.fingertec.com/download/info/whitepaper–01.pdf minutia method:
Minutia method uses feature information of the terminal points and separate points of ridges of the
fingerprint and their relative positions. [ 1 ] this algorithm is capable of improves the quality of the
fingerprint ridge and
Extracts the characteristic points(end point ,Branching point) from it .
Comparison of previous fingerprint Recognition algorithms:[2]
Template Size vs. Search and Match Speed:
The size of a minutia template is directly related to the number of minutia extracted.
The size of the pattern–based template is directly related to the image
On average,
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Patient Analysis: Right Wounds
DOI: 12/20/2005. Patient is a 48–year–old male store manager who sustained injury while assisting
opening and stocking in a new store location. Per OMNI, patient has no active treatment and resides
in an assisted living facility.
Per the medical report dated 09/14/15, the patient fell on 08/10/15 and sustained a wound to his right
anterior tibia. The ulcer/wound has been resistant to healing despite numerous interventions.
Based on the progress report dated 03/01/16, the patient feels that his neuropathic pain in his left leg
is worse since he injured his right leg. The right leg has healed since his fall. The pain starts as a
tingling sensation and then it narrows down to a specific point. The pain is initially mild and
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Tenderness Case Studies
DOI: 03/31/2016. The patient is a 44–year–old male field technician security who sustained a work–
related injury when he climbed over a fence when he fell, and landed on his right foot. Per OMNI,
he was diagnosed with fracture of the right foot.
Physical therapy notes dated 06/10/2016 revealed that the patient has been for a total of 7 physical
sessions. He has been able to tolerate a moderate level of strengthening and balance program
without significant difficulty. Initially, patient complained of posterior tibialis tenderness which has
reduced significantly since his initial visit.
Office notes dated 06/21/2016 revealed that the patient complained of right foot pain with a pain
rating of 6/10. Physical examination revealed tenderness
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Project Pluto Will Adopt The Incremental Build Model Essay
Project Pluto will adopt the Incremental–build model to deliver the required objectives. It is a build–
test–demonstrate model of iterative development in which frequent demonstrations of progress and
verification and validation of work to date are emphasized. Business requirements are allocated to
various elements of the software architecture, and the architecture is partitioned into a prioritized
sequence of builds. Each build adds new capabilities to the incrementally growing product. The
Incremental–build model provides Project Pluto with the "advantages of continuous integration,
verification, and validation of the evolving product, frequent demonstration of progress, early
warning of problems, early delivery of subset capabilities, and systematic incorporation of rework
that may occur during the software development" (Fairley, 2009, p. 64). A significant advantage of
an Incremental–build process is that features built first are verified, validated, and demonstrated
most frequently because subsequent builds incorporate the features of the earlier builds. In building
the software to control a nuclear reactor, for example, the emergency shutdown software could be
built first. Operation of emergency shutdown (scramming) would then be verified and validated in
conjunction with the features of each successive build. Planning an Incremental–build project
involves planning for analysis and design plus planning the number of and frequency of
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Case Study Of Easun Reyrolle
Introduction
CE.1.1.0
INTRODUCTION
CE1.1.1
Project
Verification & Validation of 3 Phase Multifunction Energy Meter
CE. 1.1.2
Duration of Project
6 Months (February 2008 to August 2008 )
CE.1.1.3
Project Location
Project was located in Bangalore, India
CE.1.1.4
Organization
Easun Reyrolle, India is a leader in the field of electrical power management, a vibrant and growing
industry. This is the parent company of the ERL group, which consists of ERL International Pte.
Ltd: Singapore, ERL Marketing International FZE: Sharjah, ERL Phase Power Technologies Ltd:
Canada, ERL Switchcraft Europe GmbH: Germany and ERL Electrical Distribution Solutions Pt
Ltd: Australia. Executed by Easun Reyrolle Ltd to suffice the Energy Meter requirements of
different electricity boards in India.
Organization details: www.easunreyrolle.com
CE.1.1.5
Title of the position held
At the time of this project, I was holding the position as Engineer– Product Management.
CE.1.2.0
BACKGROUND
General Background One of the greatest strengths of Easun Reyrolle is that the entire product cycle
right from the ... Show more content on Helpwriting.net ...
Automation Business & Control & Relay panel Business were the other two business verticals of
ERL; design of control and relay panel for the Electrical substation. Those verticals are our internal
customers apart from the other Electricity boards. Energy meters are very critical in an electrical
system as this is directly linked to the revenue generation of the utility. A minor flaw in the design
may leads to huge loss to the Electrical utility. Hence the design validation of Energy meter is very
critical in terms of the Business point of view. Also Bureau of Indian standard certification is a
Mandatory requirement for selling this product in India. Hence our Management has given emphasis
on the design validation to release a successful product in the
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Case Study Of The UT System
Recommendations Based on the findings above, the UT System should move forward with
implementing blockchain technologies as a ledger to track faculty and student records. Blockchain
development is being pushed forward by financial institutions, and educational institutions, like the
UT System, can benefit from the operational efficiencies of blockchain. The team recommends the
UT System implement a private blockchain with periodic releases of new features. Initially, the
blockchain will be used to track student records, such as personal information, transcripts, etc. The
private blockchain will later be expanded to include alumnus, administrators and faculty, and
professors and researchers. The UT System should implement the private ... Show more content on
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After the final implementation of the blockchain, the UT System could incentivize students to verify
changes by promoting tuition reimbursements or other types of incentives.
Alumnus
After the initial release, the UT System should expect to release three more features to the private
blockchain including record tracking for alumnus, administration and faculty, and professors and
researchers. In regards to alumnus, the blockchain system will contain information on past
transcripts and donor information. The private ledger will allow alumnus to access their transcripts
and other personal information if requested by potential employers. In addition, the university will
have the ability to track donations and see what alumnus are more frequent donors to allow for
targeted donation requests.
Administration and Faculty The benefits for administration and faculty will be tracking personal
data as well as storing historic work data. The ledger system will allow for UT schools' faculty's
information to be systematically stored and have information readily available to view. Work history
can be easily traced, and faculty looking to transfer to other divisions in their department or other
departments can share their work history in order to make their candidacy stand out.
Professors and Researchers The final release for the private blockchain will be for the professors and
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Misrepresented On The Internet
Danny Toffey
Consci 2910
December 5, 2017
Final Essay In our current world, there are many different consumer problems that are taking place
at an increasing rate. These issues are occurring through a wide range of services from retail service
consumer problems, auto consumer problems, credit consumer problems, and many more. The one
consumer problem that has caught my attention on multiple occasions this year would be Internet
Fraud as a whole, especially on social media. The Internet has rapidly become something that is
widely used by many people all over the nation and world, sweeping and striping our societies of
money. People now run companies, and businesses through social media as well. Many occasions
have taken place where things are misrepresented on the Internet, and that's typically how fraud
takes place. Internet sales and fraud can be shown through online ordering. There have been
multiple cases where a buyer would purchase a product online and unfortunately the item is never
delivered to the purchaser. One consumer problem that has been occurring repeatedly this year to
my notice would be the times that people have paid for something that they aren't receiving. There
have been many cases where people order a particular product, or item online with expectancy of a
delivery, and they never get it. One particular example of a consumer problem that comes to my
attention has been the amount of ticketing fraud that occurs through many different websites online.
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General Solicitations And Sell Securities
General Solicitations in Rule 506 D Securities To offer and sell securities in the United States, an
issuer must comply with the registration requirements of the amended Securities Act of 1933, or
must offer and sell the securities pursuant to an exemption from the registration requirements. Rule
506 of Regulation D is commonly used as a private offering exemption. In 2013 the SEC lifted the
ban on general solicitation or general advertising in specific private offerings of securities.
Considered the "final rule", it represents a compromise in many respects. Businesses who wish to
raise funds will have greater opportunities for fulfilling their goal with the lifting of the ban.
However, compliance requirements must also be satisfied in the process. The final rule doesn't apply
to all private securities offerings. Businesses are required to meet numerous requirements such as
selling only to accredited investors, taking logical steps to verify each potential investor is
accredited, and follow the other terms and conditions of a Rule 506 securities offering. For example,
issuers should realize that nothing in the amendments to Rule 506 affect the obligation of the issuer
utilizing the safe–harbor to make full and complete disclosure regarding the offering. All items
considered material regarding the offering are still required to be disclosed in writing prior to the
sale of securities under the safe–harbor, regardless of whether general solicitation or general
advertising is
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EVOC 106 Case Study
Just to give you a brief overview of the EVOC–106 issue from this morning. Kia came over and
asked our input on a call that Latoya was assisting a rep with. Apparently Kevin Kirby decided to
get involved as well because he overheard it. The Front line agent was on the phone with a customer
who was trying to complete ease migration and attempted to add her mobile number as a contact
point for text alerts. She got the standard EVOC–106 text stating that the number was already opted
in for alerts on another customers account. The other account was her deceased husband. Latoya was
able to locate the deceased account and did in fact see the customers number as a contact point.
Kevin Kirby called Mel to see if any exceptions could be made with ... Show more content on
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I feel this process should be added to the un–enroll task when doing account cleanup, as we already
have a process to remove a cardholders email and replace it with none@capitalone.com. Having
customers reply stop will provide a number cleanup in workbench. As for the identity verification
piece. If legal decides a customer needs to be verified before we can provide the reply STOP info
then we could use my original idea when this first came up and utilize the Step Up authentication
piece, that would give us the verification we need from a legal standpoint. Sorry this was so long but
I wanted your insight on this so we can come up with a viable solution during our next DTL
meeting.
Just to give you a brief overview of the EVOC–106 issue from this morning. Kia came over and
asked our input on a call that Latoya was assisting a rep with. Apparently Kevin Kirby decided to
get involved as well because he overheard it. The Front line agent was on the phone with a customer
who was trying to complete ease migration and attempted to add her mobile number as a contact
point for text alerts. She got the standard EVOC–106 text stating that the number was already opted
in for alerts on another customers account. The other account was her deceased husband. Latoya was
able to locate the deceased account and did in fact see the customers number as a contact point.
Kevin Kirby called Mel to see if any exceptions could be made with an
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Summary Of Dr. Tenut's Case Study
DOI: 10/17/2012. Patient is a 54–year–old male janitor who sustained injury while emptying water
out of bucket after mopping when he struck his right knee on a metal mop ringer. Per OMNI, he was
initially diagnosed with right knee contusion. Per the PT daily note dated 11/09/12, the IW has
attended 11 visits for his right knee. IW reported that he feels 70% better. Based on the latest
medical report dated 03/08/16 by Dr. Tenuta, the patient presents for his right knee pain. He was
seen for back pain approximately a year ago. He has had persistent issues with that. He feels that he
has been favoring his knees. He has been having problems going up and down steps. On
examination, he has crepitus with patellofemoral range of motion. As of this
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Essay On Changing Car Oil
While most people nowadays, rarely think about changing their car oil. But little do they know, that
regularly changing a car's engine oil is one of the most important things you can possibly do to keep
a car running without any problems or mishaps. Without regular oil changes, the old oil inside of a
car, will break down and clog a car's oil filter, causing a hefty price for repairs and replacements.
The general population, might not know this, but changing the oil of a car is both inexpensive and
easy.
The change begins by driving the car into a driveway or a spot with enough allocated space to work
beneath the vehicle and outside the vehicle. This is done to make sure, that an individual does not
cause any accidental damage to a person, ... Show more content on Helpwriting.net ...
As soon as the oil cap bolt has been screwed back on, new oil has to be added. Locate the the fill
hole at the top of the engine. If location cannot be verified, look to the left of the engine, and there
should be a cap. Before anything is done, it is heavily recommended that vehicle capabilities are
checked in the owner's manual, to insure how much oil the vehicle can take. Too much oil intake
may cause blockage, so please be wary.
Once the new oil has been inserted, it is recommended that the engine is turned off and on to double
check that everything is running smoothly with the oil pressure. This can be verified, by checking
the red engine light turn off and on after startup. If that is not the case, then a bolt is not tightened
properly, and is oozing out liquid or oil.
As another verification method, the dipstick can be pulled out of the vehicle to double check the
pressure. This is located to the bottom left of the engine. It generally looks like a long metal rod.
Simply pull this out, and check to see if both holes on the bottom of the stick are shaded in with oil.
If this is the case, then a successful oil change has been
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Rollover Case Studies
DOI: 8/18/2014. Patient is a 43–year–old male driver who sustained work–related injuries to
multiple body parts after being involved in a one–vehicle rollover accident. As per OMNI entry, he
was initially diagnosed with multiple traumatic injuries; thoracic spine, rib, collar bone, left
humerus, and left leg fracture; multiple small fractures to vertebral spine; and chipped 3 teeth. Based
on the progress report dated 08/22/16, the patient reports that he had his 2nd year anniversary of the
accident, which ah s led to worsening of nightmares and crying spells. He sleeps with Ambien.
Depression is the same. He complains of increased anxiety about the surgery and Klonopin helps.
Pain is the same. On examination, affect is restricted. Mood is
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Designing A Validation Package For Quality Assurance
5.1. Validation Documentation
5.1.1. Create a validation package consisting of:
· Q–FRM12699 Verification of Computerized Calculations
· Documentation produced from testing (evidence that the requirements of Section 5.3, 5.3, and 5.4
of this procedure have been met)
5.1.2. All phases of the validation will be approved by Quality Assurance. Laboratory management
will assign a qualified person(s) to serve as Validator.
5.1.3. The validation will be assigned a title and version (e.g. 3–Nitro Result Calculator, Version
1.0).
5.1.4. The software name and version will be documented, along with the software's minimum
system requirements.
5.1.5. Once validated, the application can be used on any computer ... Show more content on
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After normal fuction testing results have been verified, challenge tests (if any) will then be
performed. The validation report will include the steps taken in the procedure as well as hard copies
showing both the entry data and the calculated results. Choose data sets based on the number and
types of criteria. Each calculation/macro argument or condition, with its expected outcome, must be
tested for accuracy.
5.3. Normal Function Testing
5.3.1. Prior to testing, spreadsheet will be protected or otherwise secured to prevent changes to the
application's calculations.
5.3.2. Data sets will be entered into the application to evaluate normal function testing. Data sets
will contain numbers covering the range of normal values.
5.3.3. The Validator will print the results and compare to previously calculated or known results. If
the application does not have the ability to print, screen captures may be collected and pasted into a
printable document.
5.3.4. A copy of previously calculated or known results will also be included as part of the
Validation Report.
5.3.5. In cases where unexpected output is generated, the spreadsheet developer must revise the
calculation or macro in question. This function is then revalidated. The process is repeated until the
calculation or macro works as expected.
5.3.6.
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Pros And Cons Of Blockchain
Blockchain, the future of transactions. It worries many people with confusion, but others embrace it
as the future. "In the financial markets, trades happen in a fraction of a second. But actually
exchanging the assets and payments can take days, involving multiple banks and clearinghouses.
That can lead to errors, delays, added costs and unnecessary risks" ("Blockchain: The New
Technology"). Todays system is inefficient. It can take days for a transaction to be verified, in that
amount of time stocks could plummet and the market could crash. The extra time makes for more
unnecessary risks. Blockchain is a giant ledger that registers all types of transactions. These
transactions can include anything from selling plants to selling houses, verified in a matter of
seconds. Blockchain is virtually unhackable and is very reliable. Blockchain is so secure because it
is decentralized, it utilizes cryptography, and it is run by its users.
Blockchain is basically a giant ledger, recording payments from many platforms, most notably,
Bitcoin. Blockchain was originally developed as a part of Bitcoin, but Bitcoin and Blockchain are
very different. Bitcoin is a single currency and Blockchain is a record of payments that can support
many different currencies, the most used being Bitcoin. According to Goldman Sachs, "At its heart,
a Blockchain is a record of transactions, ... Show more content on Helpwriting.net ...
"The shift from a centralized technical infrastructure to distributed, ecosystem–enabling platforms is
laying the foundations for new business models in investment insights and financial transaction
technologies" (Bhatia). It will make commerce safer and more reliable. Blockchain is so secure
because it is decentralized, it uses cryptography, and because of user integration. All three of these
methods are laying the foundation for the future of commerce. Cash, credit, debit, PayPal, Venmo,
and the current transactional system are becoming obsolete,it is time to move
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Patient Evacuation
DOI: 9/11/2001. Patient is a 47–year–old female correspondence reader who sustained a work–
related injury while evacuating when she was pushed and fell in chaos due to an event. Per OMNI,
she was diagnosed with herniated lumbar disc. It was noted that the patient has had Per medical
report dated 05/20/15 by Dr. Joshi, the patient has completed 30 PT sessions from 10/13/14 through
05/20/15. Per the medical report dated 05/27/16 by Dr. Joshi, the patient continues toward goals.
Patient reports that PT alleviates her pain, improves overall functional limitations, allows her to
perform activities of daily living (ADLs) with less difficulty and allows her to take care of infant
child without assistance or difficulty. On the statement of medical
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Aft2 Task 1 Accreditation Audit
With all of the possible problems that could occur during surgery, a wrong–site, wrong–patient
mistake is one that should never arise. Nightingale Community Hospital (NCH) fully understands
the importance of doing away with these errors and has set up protocol to work towards this goal.
While the protocol is in place, it is not fully compliant with Joint Commission (JC) standards.
Standard: UP.01.01.01: Conduct a preprocedure verification process. Nightingale Community
Hospital has a Site Identification and Verification policy and procedure. Within this policy, and
Preoperative/Preprocedure Verification Process is addressed. There is also a Preprocedure Hand–Off
form present. This form is a bit misleading as it is essentially a hand–off ... Show more content on
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A time–out is to be conducted immediately prior to performance of the procedure, it is initiated by
the nurse or technologist, it involves all personnel involved in the procedure, the team members
agree to a minimum of patient identity, correct site, and correct procedure to be performed, and all
of this information is documented in the record, including those involved and the duration of the
time–out.
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Summary: Backwoods Mail Order Company
Write several clear, measurable objectives for the training to be delivered to the employees in the
customer order group.
The objectives for training employees in the "Backwoods Mail Order Company" are designed
specifically for the customer order group. In doing this the specific needs of the supporting
managers are accessed as the training is designated to improve customer relations based on excellent
customer interactions while completing order operations. To this end, customer requirements are
examined and areas seen as controversial or incorrect, are addressed to change both the supporting
environment and the order process. The first priority would be to do an internal investigation and
audit systems that support order processing. Once these systems are reviewed for efficiency and
effectiveness it would better serve the customer to identify opportunities to improve customer
communication and order ... Show more content on Helpwriting.net ...
The retraining process will have a quality aspect of the marking process where labeling will be
validated to the purchase order and the library of products when the shipment originally arrives at
the facility. This self–checking model should improve the education of the staff and minimize the
errors that have been occurring when products arrive for stock. Monitoring the weekly, count on
errors will allow us to quickly react to issues and make changes that will help to eliminate additional
errors. In conclusion, it is necessary to implement steps to find critical errors that surround
mismarked merchandise and the way to control this is to have an audit system that systematically
checks products as they come in. To further improve this process we will apply statistical models
where the most prevalent errors are occurring and check these items first to facilitate error proofing
in a proactive
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Pharmaceutical Validation Tool For Quality Management
Pharmaceutical Validation tool for Quality Management
Abstract
Pharmaceutical validations is part of CGMP regulations by which one can build quality attributes of
pharmaceutical specification, i.e. safety, efficacy, purity, in pharmaceutical products. It assures that
the process follow for the manufacturing of pharmaceutical products is well controlled and
monitored at its critical parameters for consistently producing the quality products.
The present review describes the importance of validation in pharmaceutical industry, its
requirement for approval of new drug application by the various regulatory agencies. Furthermore it
highlights the current guidance on process validation by USFDA, EMA.
Key Words: Validation, Quality assurance, critical parameters, NDA, USFDA, EMA, Validation
Guidelines
Contents
Introduction 2
History of Pharmaceutical validation 2
Approaches to Process Validation 4
Stages of process validation according to life cycle approach 4
Stage I: Process Design 4
Stage II: Process Qualification 4
Stage III: Continued Process Verification 5
Features of USFDA Process validation guidance 2011 5
Conclusion 6
References 6
Introduction
Quality is concept applicable at everywhere from business to have successful life. Everyone wants
to buy the quality products and want to live the quality life as per the standards determined by them
for it. As concern with pharmaceutical industries, they are built for to bring the quality in health of
human and animal beings.
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Process Validation Protocol and Report
Process validation Protocol and Report
Chapter–1: Introduction
In today's highly regulated environment for development and manufacturing of Pharmaceutical
/biopharmaceutical Drugs and medical devices there is a heavy requirement imposed by the
regulatory bodies, for the manufactures of drug products to provide an appropriate amount of
assurance that critical processes employed in producing a drug substance or drug product can be
shown to be both doing the right job, and doing the job right is often referred to as Validation.
FDA defines validation as. "Validation is a documented program which provides a high degree of
assurance that a specific process will consistently and repeatedly produce a product meeting its
predetermined ... Show more content on Helpwriting.net ...
The validation report should contain the following.
1. Approved validation protocol. 2. Tabulated or graphical results, process monitoring (forms), and
all analytical results of the validation batches. 3. A copy of the batch records and raw material
releases. 4. The presentation of data should be done in the report and be easily understood and neat.
5. Special investigations or additional tests or retests to be explained in the report. 6. Change
controls and Deviations to be reported. 7. The validation report should have a conclusion. 8.
Recommendations may also be made in the report
History of validation protocol and report:
Why validation and the associated validation protocol and report gained importance, below
mentioned is the brief history of the validation and its associated system
Prior to 1978 the pharmaceutical manufacturing was highly regulated, drug product quality and
sterility testing was based solely on finished product testing i.e. it was tested only at the final stage
of the release drug product this was clearly a major setback. For Sterile products – USP Sterility
Testing was the sole criteria for releasing the drug product in to the market. The following incidents
shows
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Work Related Injury: Medical Report
DOI: 12/18/2015. The patient is a 60–year–old male quality control manager who sustained a work–
related injury when he fell from a 6–feet scaffold when he stepped on an unsecured board. Patient
underwent open reduction and internal fixation on 1/8/2016.
Per the medical report dated 02/24/16, the patient had some left knee pain and swelling. On
examination, there was some mild swelling along the anterior proximal tibia. He can flex to about
110 degrees and extend to 10 degrees. Of note, X–rays demonstrated plateau fracture fixed with
plate and screws in good alignment with early callus. Medications include amlodipine; cefadroxil;
diazepam; meloxicam; oxycodone/acetaminophen; rivaroxaban; and sertraline. Diagnoses include
status post open reduction
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An Open Message On All E Mail Users
An open message to all e–mail users:
In recent weeks you may have received a slightly greater than usual number of e–mails purporting to
be invoices or collection notices from a wide variety of sources. Despite our utilization of state–of–
the–art e–mail filtering mechanisms, it is inevitable that a certain number of these messages will still
get through. Ill–willed entities (with various motivations) are continuously attempting to obviate
whatever protective mechanisms are placed in their way.
I would like to take this opportunity to remind all e–mail users of the following advice:
If a message appears to come from an unexpected source, an entity you have never dealt with, or to
which you have never given your business e–mail address, you should immediately be at least
somewhat suspicious of its authenticity.
If a message makes claims regarding a business connection or account which does not exist, you
should also be suspicious. Such messages almost never come from a legitimate business that is
merely mistaken about these sorts of things. They are almost always fake.
If the sender's purported address does not match the purported sender's business name, be very
suspicious. For instance, if a message appears to be a collection notice from American Express, but
the sender's e–mail address appears as poubelle2167@reparationdevelosdesttropez.fr, you should
immediately be suspicious. Do look carefully, though, as a sender will sometimes use a clever, but
not quite
... Get more on HelpWriting.net ...
Essential Security Protocol Verification Techniques
COMPUTER SECURITY
INTRODUCTION
This paper is going to look at two essential security protocol verification techniques namely:
i. Strand Space Protocol Analyser. ii. NRL Protocol Analyser.
The structure and operation of each protocol will be discussed. Usage, strengths and weaknesses,
problems and issues, pros and cons will all be highlighted. Finally, a comparison of the two
protocols will be conducted to justify the selection of a preferred security protocol verification.
Strand Space Protocol
Strand space protocol is a framework model for designing and verification of cryptographic
protocols. It is considered to be a local behavior of a single session of a particular protocol. The
strand space model operates on two additions for a fair ... Show more content on Helpwriting.net ...
[1].
– Standard Strands use a trusted agent from the network server to represent the protocol
performance [1].
– The Strand space protocol model uses a rank function technique to mark traces the entire network
Weaknesses
– The strand spaces protocol model can provide other with a scope of the cryptosystem possible
keys [8].
– The Strand space protocol model is basically designed from a set of mathematical model equations
[7].
Advantages
– It is designed with cryptographic protocol programming language that makes it work efficiently
with cryptographic protocols network [7].
– It can support an intelligent fair exchange protocol between state and state change [1].
– Analysis of attacks can be done in an efficient way with the strand space protocol analyzer model
[8].
– The Strand space protocol model can provide a strong mechanism to obstruct potential attacks
within the cryptosystems networks [1].
– The Strand Space protocol model is equipped with rank function capabilities that can verify the
activities of adversaries from its initial state [5].
Disadvantages
– The disadvantage of this protocol model is the use of standard signatures with short notations to
retrieve an unsuccessful operation [7].
NRL Protocol Analyzer
The NRL protocol analyzer is designed and developed with prolog Language. It is a verification tool
used for special purposes. The NRL protocol analyzer is a protocol that can support a cryptographic
protocol model
... Get more on HelpWriting.net ...
Nt1310 Unit 3 Simulation Analysis Paper
Abstract– In the last decades, the different IPs were developed and integrated within single chip.
The designers were getting lot of issues to verify the chips due to cumbersome of all modules in the
IPs. To overcome from such issues, the new technology has been developed. The designer started to
develop each module in IP design file. Once it is verified then all modules were combined in single
IP and integrated in the chip. Then designer was uploading all IP in a single chip. So the designer
can avoid unexpected outputs from the chip. One important problem in the vlsi design is, designer
could not be able to find the board level errors in the simulation analysis. The simulator is installed
in the computer so that, computer supports all type ... Show more content on Helpwriting.net ...
Since Serializer and De– Serializers are two separate blocks. In order to establish communication
between these two blocks, they are loop backed i.e. TxD signal is connected to the RxD signal and
TxDValid signal is connected to the RxDValid signal vai testbench in software simulation and vai
external pins in FPGA in board level implementation. At each clock cycle the data transmitted
through TxD from the Serializer block will be received through RxD of De–Serailizer block.
Initially, the value of RxData Register will be Zero. Once the data is receiving through RxD, for
each clock cycle, one bit data from RxD will be stored in RxData Register. After 32 clock cycle,
complete 32 bit correct data will be received if there is no data corruption otherwise invalid data will
be received. In De– Serialization block, the data reception will be continuously monitored by a 1 bit
FULL flag. The FULL Flag get set when all bits are shifted into RxData Register and data is
available. The FULL Flag get reset when data is Read through RDATA of AXI bus. The EMPTY
and FULL Flags are continuously monitored through AXI READ
... Get more on HelpWriting.net ...
Spine Grinder: A Case Study
DOI: 06/16/2014. Patient is a 40–year–old male welder who sustained injuries to left shoulder,
cervical spine, and lumbar spine as a result of over exertion on using a grinder on large piece of
metal. Patient is diagnosed with cervical spine sprain, lumbar radiculopathy, right shoulder bursitis,
left shoulder bursitis, and left wrist sprain.
Based on the progress report dated 06/30/16, the patient complains of low back pain, described as
dull and aching and stabbing on the left side of the back. Symptoms are severe with profound
limitations. There is radiation of pain to the left lower extremity. Symptoms are aggravated by
twisting and prolonged walking, and relieved by rest and medications. Associated symptoms include
waking up at night
... Get more on HelpWriting.net ...
The Error Into Software Execution Code
2.3.3. THEOREM PROVING
It uses first order, second order or higher order logic theorem. The main aim of this method is to
detect the error into software execution code. This error could be analyzed in the software
requirement process. All the high level requirements are consistent and satisfies the conformance of
standard.
Thereon proving using deductive mathematics. As it supports for various functionalities like set
theory, logic, alegebric expressions etc. All the mathematical formulae are well defined structure
into this prover. It is very easy to prove the respective requirements. There are various types of
theorem provers.
It uses computer program which has immense capability to solve very difficult problems.
The system needs to present the requirement in precise syntax. This should be properly defined
logical relation between the input and output variables.
Theorem proving is one of the key ways to deal with formal check. It is also known as A hypothesis
prover is a PC program for building and checking deductions in a formal verification . A formal
specification language used to describe the system. There are 3 specifications we should include into
the language.
1. A formal dialect to express formulas: Depending on the requirement, we use the formal
specification languages; eg.OBJ
2. A collection of equations called axioms It uses the stored theorem logic to prove the code. eg.First
or second order logic 3. A gathering
... Get more on HelpWriting.net ...
The Story Of The Uva Campus Rape
Journalist are so focused on getting a "hot" story that they forget one of the most important
principles of journalism, which is the notion of objectivity. Objectivity is described, as "an objective
journalist is one who is detached, neutral, impartial, and unbiased" (Knowlton 45). When Rolling
Stone had Steve Coll and his crew investigate the story that was one of the first problems found in
the story of the UVA campus rape. Sabrina Rubin Erdely was in search of a "college rape case that
would show "what it's like to be on campus now" (Coronel). When Erdely found a story she just
went with it, she did not research enough to make sure the story was credible. From the beginning of
the whole process of the story she already started off unbiased and not neutral to the true facts of the
story.
A Journalist must be unbiased but they also have to check their sources to make sure they are
credible. "To working journalist, the procedures of verification and attribution are as automatic as
breathing in and out." (Knowlton 56) This is another thing the Erdely and the Rolling Stone fact
checker failed to do. Erdely failed to follow up with her sources and make sure they were credible
sources. Instead "she felt the student ("Jackie") had this stamp of credibility" because a university
employee had connected them" (Coronel). Than as for the fact–checker which job is to "review a
writer's story after it has been drafted, to double–check details like dates and physical description"
... Get more on HelpWriting.net ...
Reflective Essay: How To Clean-Up In The Army
The begining of AFY100 was kinda of a reveiw of what I've learn just in the last couple of years. I
suprised though that there was no mention of a bore snake. When I was in the military all you
needed to clean was a bore snake for the caliber, a brush (toothbrush), CLP (Clean, Lubrecte, and
Protect), and some q–tips. Before the military I had know idea how to clean. Now that I'm out and
working in law enforcement I've learn a little more about using solvent when cleaning. I would
agree though the sooner you clean your weapons after going to the range and shooting a couple
hundreds of rounds. The easyer it is to clean the weapon compare to leving time to build up. I never
really though about the perspiration from fingers and hands leave behind
... Get more on HelpWriting.net ...
Lumbar Fatigue: A Case Study
DOI: 10/20/2014. Patient is a 46–year–old male delivery driver who sustained injury while he was
unloading fittings and flanges to job site. Per OMNI, he was initially diagnosed with lower back
strain/sprain.
The patient received a lumbar ESI at L5–S1 per procedure reports dated 06/02/15 and 08/25/15.
Based on the medical report dated 02/02/16, the patient complains of ongoing low back pain
radiating into the right lower extremity with numbness, tingling and dysesthesias despite therapy
and epidurals. He engages in a home exercise program. Pain is rated as 8/10, described as on and
off, dull then sharp. Factors that worsen pain include lifting, carrying, bending, standing up, walking
and sleeping.
The patient has had the following ... Show more content on Helpwriting.net ...
X–ray of the lumbar spine showed instability at L4/S1 spondylosis.
IW was diagnosed with lumbar herniated intervertebral disc, right lumbar radiculopathy, neurogenic
claudication and spondylolisthesis.
Plan is for posterior spinal fusion laminectomy at L4, L5 and S1 levels.
Per the IME report dated 06/24/15 by Dr. Antoine, there is evidence of mild partial disability of
25%. It was opined that the IW's condition warrants further orthopedic treatment, including PT 2
times a week for 6 weeks with re–evaluation upon completion, as well as lumbar ESI. Patient has
hypertension. He is 5 feet and 9 inches tall and weighs 260 pounds.
Per verification to the PT facility, the patient has attended 38 PT sessions for the back from 10/01/15
through 02/10/16.
Requested verification from the provider's office if this will be with or without contrast, and if this
will be done pre or post–operatively, however, no callback was received prior to the submission of
this request to PA.
Is the request for 1 MRI of the Lumbar Spine between 2/10/2016 and 4/10/2016 medically
necessary?
C–4 for Preauthorization Request.
(Kindly use the NY Medical Treatment Guideline as primary reference).
This is 2 of 2
... Get more on HelpWriting.net ...
Questions And Answers On Shipment Delivery Dates
7.2.1 Scheduling Issues: a. Review load lists posted in Ordnance public folders to verify Shipment
Preparation Worksheets (SPW) are completed, DD Form 1348–1As are prepared, and materials are
ready for issue. b. Review Required Delivery Dates (RDD) from load lists located in Ordnance
public folders. c. Contact customer to coordinate and schedule date, time, location and point of
contact for the issue. d. Coordinate with other local commands/units for special requests (i.e.
security escort, special equipment, etc.). e. Coordinate with Ordnance Annex departments to ensure
requested items are loaded and ready for issue on the date scheduled. Provide customer point of
contact information. (G.3.9, Bookmark 1, pg. 2, yellow highlight) iii. COG ... Show more content on
Helpwriting.net ...
(1) AD&C may request a QA to verify their application/non–application once, kick back the
document. (2) AD&C will annotate on the back of the SPW/MUF "Please verify applicability of
NAR/AIN/OHF _ Initial and date. (3) QA will annotate next to the request a comment like
NAR/AIN/OHF does not apply. Initial and date. C. Is the P/W/C and signatures complete on the
reverse? D. Is "No. of T/TR " complete? E. For Air shipments, are length, width, and height, per
pallet, provided (if applicable)? F. Is JMIC number identified, if required? v. COG Manager updates
load list for the following: A. Quantity B. P/W/C C. Location quantity D. "Packed w/" remarks E.
JMIC number identified, as required vi. Are there any changes to the SPW? NOTE: Any changes on
the SPW must identify a reason for the change and which AD&C Rep authorized the change. A.
YES – Make the changes (if possible) then generate the MMD and 1348–1 a if the quantity change
is not possible due to a possible physical inventory discrepancy. (G.3.3, pg. 9–10, yellow highlight)
The COG Manager will inform the LS or AD&C Manager and discuss a resolution. B. NO –
Finalize issue documents. vii. COG Manager generates number of MMDs indicated on the SPW,
plus one for tickler. viii.COG Manager generates 1348–1a. Generate 4 copies for local issues (AD&
C Original/Customer Copy, Government Copy/Tickler). Plus, any additional as required for
movement. Generate 6 copies for ship–ops (AD& C Original/Customer Copy,
... Get more on HelpWriting.net ...
Social Security Number Of An Individual
Social Security Number of an Individual – The number one priority would be to keep the SSN
confidential, this information does not need to be accessed by most individuals. Behind that integrity
would be the next priority, to make sure this matches up with the individual at hand. Third of course
would have to be availability, without this information, it could prove to be difficult to verify
someones identity.
First Name and Last Name – I feel that all of these attributes serve the same level of importance, due
to the fact there is no description of what sort of situation this worksheet is in reference to. A lot of
information can be had, just from a persons first and last name, especially if this name is not very
common.
Credit Card Number – I also see credit card numbers as all holding the same level of importance. I
feel this way because these numbers need to kept confidential to minimize the risk of theft. Integrity
needs to be held for the fact that if these are manipulated, depending on the situation, refunds may
be pushed to the wrong individuals bank account. And I feel availability is just as important for
verification reasons.
Qualification – I feel that integrity in this care is the most important, for the fact that that these need
to match up with the persons actual qualifications to prevent someone being placed in a position that
may hold confidential information, when in fact they are not qualified to hold this type of
information.
Medical Information –
... Get more on HelpWriting.net ...
Stage 3 Stage 2 Requirements
Stage 2 requirements are designed to promote the patient engagement by providing secure on line
access to their personal health information and promoting health information exchange between
providers to improve care coordination. In order for hospitals to progress to stage 2, they must have
met stage 1 criteria for a full 2 years. In order for hospitals to meet requirements for stage 2 they
must meet a total of 19 objectives (16 core, 3 menu). Many of these objectives require consistency
and maintenance of stage 1 criteria. Cerner® features that aid in meeting stage 2 requirements for
meaningful use are:
All features listed in Stage 1 discussion.
The Patient Portal. The patient portal gives patients the ability to view their personal health
information online, to download and to transmit information about a hospital admission.
Core objectives #8, 14 and 15 and menu objective #6 for meaningful use address specific laboratory
requirements. Several Cerner programs will address these objectives. Health Sentry will be used for
lab reporting and public health reporting ... Show more content on Helpwriting.net ...
While there is a learning curve associated with moving from paper charting to on line
documentation of nursing care, there are a few measures that can decrease the amount of time spent
in front of the computer. In order to avoid time spent frequently logging into the system there are
security features that can be used such as finger print technology and employee badge swipe
technology. Instead of writing notes on paper and then recording in the computer nurses are
encouraged to complete documentation at the patient bedside at the time of patient care
... Get more on HelpWriting.net ...
Essay on Accreditation Audit Raft 1
Executive Summary
Even though Nightingale Hospital has a very detailed Site Identification and Verification Protocol,
some areas do not meet JHACO's standards. Updating the Universal Protocol and Preprocedure
Hand–Off Check sheet will not only bring the facility into compliance but may eliminate any
potential failure in communication between patient, caregiver and provider. Areas that require
further documentation will be on the following Elements of Performance:
A. Compliance Status
UP.01.01: Conduct a preprocedure verification process
Documentation is lacking which demonstrates nursing and preanesthesia assessments were
completed
Process does not indicate that diagnostic and radiology test results are correctly labeled and ... Show
more content on Helpwriting.net ...
ctly labeled and documentation properly displayed in the resident's chart
Update Preprocedure Hand–Off Checklist to include verification of appropriate blood products,
implants, devices, and / or special equipment for the procedure has been accounted for
UP.01.02.01: Mark the procedure site
Protocol to indicate, in opening paragraph, "sites are marked when there is more than one possible
location for the procedure and when performing the procedure in a different location would
negatively affect quality or safety"
In "Marking the Operative / Invasive Site" of protocol, insert "markings be made large and clearly,
leaving no room for misinterpretation" after the third item
Protocol to indicate adhesive markers are not the sole means of marking a site
Protocol to indicate an alternative method of marking premature infants must be used instead of
permanent markers
UP.01.03.01: A time–out is performed before the procedure
Procedure to indicate "a time–out must occur when two or more procedures are performed on the
same patient and the individual performing the next procedure changes"
Training and In–servicing
The Site Identification and Verification Protocol, along with Preprocedure Hand–off will be updated
and reviewed by the facility's Compliance Department
Mandatory in–services of all pre–op and surgical team will be conducted in regards to updated
processes
Three monthly audits to be conducted regarding updated processes
Quarterly audits
... Get more on HelpWriting.net ...
Coast Guard Case Study
1. According to the Coast Guard Chief of Casualty Matters, there are inaccuracies on seventy–five
percent of all required annual verification forms received from the field following a personnel
casualty. The magnitude of the information contained within these forms is not being properly
relayed to our members. To become proficient in collecting required documentation, the Coast
Guard needs to eliminate inaccuracies on the Designation of Beneficiaries and Record of Emergency
Data Form (CG 2020D) (ref (c)), Service Members Group Life Insurance Election and Certificate
Form (SGLV 8286) (ref (d)) and the Family Coverage Election Form (SGLV 8286A) (ref (e)).
Additionally, the Coast Guard must mandate that all annual verifications be electronically ... Show
more content on Helpwriting.net ...
In order to ensure the compliance and all annual verifications are completed accurately, the Coast
Guard must create a self–service function located within Direct Access that would generate each
form electronically. Each member would be responsible to update their required data information
during the annually required period (ref (b)), through a self–service function within Direct Access.
However, the self–service function would give the member the ability to change the forms following
a life event when needed and not just during the required period. Once the member completes the
data entry requirements within each section, the system would automatically apply an official
signature, including a time and date stamp (ref (f)). Adding the electronic signature process would
ensure that the forms were not altered and were generated by the member. Currently, these forms are
filled out by hand and are maintained in the SPO PDR (ref (g)). Far too many times these forms are
being reproduced erroneously resulting in numerous forms stored between multiple PDRs creating
confusion of validity and benefit elections. By implementing an electronic validation system,
following the member's digital signature, the forms would automatically be assigned to the SPO
work–list for review, verification and electronic signature from the SPO technician. Upon
verification and approval, Direct Access would automatically generate a deduction from the
members pay account corresponding with the coverage elected on the SGLV 8286 and SGLV 8286A
forms. Establishing this function would eliminate hundreds of wasted work–hours annually for both
the members and SPO technicians. Each document would then be uploaded in the member's
Electronically Imaged PDR for easy availability for the Decedent Affairs Officer (DAO) following a
personnel casualty. Additionally, each electronic validation would be tracked through CGBI for
command visibility. Creating this process would catapult the Coast Guard out of
... Get more on HelpWriting.net ...
Strengths And Weaknesses Of The Phone Call
Strengths:
– Krista executes on the strong intro when she picks up the phone call.
– Krista asks the client 's questions to find out more about who she is working with and when she
provided the documentation.
– Good foreshadow to the hold.
– Krista takes ownership by offering to leave a voicemail on the client 's behalf, when prompted.
– Krista ends the call by thanking the client for calling in.
Opportunities:
– Call recording disclosure. Krista discloses the call to the wife when she first picks up. At :17 the
wife says that she will put the phone on speaker so that the husband/client can hear as well. Krista
then addresses the client, however, she does not disclose that the call is being recorded. As a best
practice, when a client advises they are putting the phone on speaker, disclose that the call is being
recorded right away. This is important for legal reasons.
– Verification. After the wife explains the reason for her call, Krista asks for the phone # to pull up
the loan. At :58, Krista then asks the husband (the name listed on the account) if he 'd like to add his
wife as an Okay To Speak With. The husband is not verified before giving authorization for his wife
to be added. Krista then goes on to verify the wife only and shortly after discloses the myql account
information to her. It is important that we verify the client prior to getting permission to speak with
another individual about their account and adding somebody else as an okay to speak
... Get more on HelpWriting.net ...
Summary: Work Related Injury
DOI: 2/5/2015. The patient is a 46–year–old female labeling project coordinator who sustained a
work–related injury to her bilateral wrists, forearms and upper back due to lifting storage bins. As
per OMNI, the patient was diagnosed with bilateral shoulder pain, bilateral shoulder subacromial
bursitis, bilateral shoulder tendinosis, left elbow pain and numbness.
The patient underwent left shoulder labral repair and subacromial decompression on 3/23/16.
Based on the progress report dated 09/21/16, the patient reports of 60% pain relief, functional gain
and activities of daily living improvement from completing physical therapy, per Dr. Khan, which
decreased her pain intensity and improved her range of motion. She reports she will be undergoing
... Show more content on Helpwriting.net ...
Tenderness is noted over the left lateral epicondyle. IW is still very tender over left bicipital tendon.
IW has difficulty with left elbow flexion. Surgical scar well–healed and noted anteriorly, laterally,
and posteriorly. Active shoulder range of motion (ROM) is limited with forward flexion to 70% of
normal and abduction to 30% of normal. Internal rotation is 0% of normal.
Assessments include bilateral shoulder pain, bilateral subacromial bursitis, bilateral shoulder
tendinosis, left elbow pain, numbness and status post left shoulder surgery on 03/23/16.
Of note, ultrasound of the left shoulder on this visit reveals anechoic signal over subdeltoid
consistent with bursitis.
Treatment plan includes additional sessions of physical therapy for shoulder stabilization and
strengthening program for 6 visits, in–office medical acupuncture for 6 visits for temporary anti–
inflammatory purpose, and continuation with Voltaren gel and Zorvolex. IW will discontinue
ibuprofen, Percocet and Conzip. IW was provided a refill tramadol 50 mg 1 tablet every 8 hours as
needed #45 for temporary symptomatic pain relief.
Per verification to the provider's office, the patient has attended 24 PT sessions for the left shoulder
from 05/23/16 through
... Get more on HelpWriting.net ...
General Solicitations And Sell Securities
General Solicitations in Rule 506D Securities To offer and sell securities in the United States, an
issuer must comply with the registration requirements of the amended Securities Act of 1933, or
must offer and sell the securities pursuant to an exemption from the registration requirements. Rule
506 of Regulation D is commonly used as a private offering exemption. In 2013 the SEC lifted the
ban on general solicitation or general advertising in specific private offerings of securities.
Considered the "final rule", it represents a compromise in many respects. Businesses who wish to
raise funds will have greater opportunities for fulfilling their goal with the lifting of the ban.
However, compliance requirements must also be satisfied in the process. The impact of the final rule
on the requirements for businesses seeking investment includes the following: The final rule doesn't
apply to all private securities offerings. Businesses are required to meet numerous requirements such
as selling only to accredited investors, taking logical steps to verify each potential investor is
accredited, and follow the other terms and conditions of a Rule 506 securities offering. For example,
issuers should realize that nothing in the amendments to Rule 506 affect the obligation of the issuer
utilizing the safe–harbor to make full and complete disclosure regarding the offering. All items
considered material regarding the offering are still required to be disclosed in writing prior to the
sale
... Get more on HelpWriting.net ...
Research Instrument Used For Students
Participants:
In order to perform my observation, I will gather thirty teens who are willing to take part out of the
predetermined school. Ten teens would be in the ninth grade who do not regularly text, and the other
twenty would be twelfth graders who have texted daily for the last three years. In order to establish a
well–rounded answer, I will make sure students are selected from different classrooms and different
teachers. I will also make sure the thirty teens selected have varying grade point averages to keep
the group diverse. To assure I have a rapport with the students, I will ask to sit in on several classes
before actually individually interviewing anyone.
Research Instrument Used:
Before any research even starts, I will sit in on both the ninth grade and twelfth–grade classes with
participating students seven times to become familiarized with the students and allow the students to
get comfortable with me. After the participants from each class are selected, information will be
gathered for each teen such as their name, age, grade, previous academic grades from seventh grade
until present grade, any additional test scores on English and reading skills, as well as any formal
writing assignments. Furthermore, each participant will be asked individually to fill out a
questionnaire in regards to their texting habits. They will be questioned about the details of their cell
phone usage, the numbers of texts they send daily, as well as how many hours they
... Get more on HelpWriting.net ...

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Leftarrow Patient Chart

  • 1. Leftarrow Patient Chart leftarrow←Step 1rightarrow→ Scheduling & Pre Authorization New Patient: Perform and fill out a new patient intake form. Existing Patients: Verify current information. Verify insurance authorization.Create Patient encounter form. leftarrow←Step 2rightarrow→ Check In Insurance Verification New Patients: Patient fills out and signs new patient registration forms. Copies of I.D. and insurance cards are made.Create encounter form and new patient chart. Update electronic health record or paper patient chart applying proper charges. leftarrow←Step 3rightarrow→ Coding & Charge Entry Review proper codes for services provided and apply related charges. Generate a insurance claim form. Manually or electronically. leftarrow←Step 4rightarrow→ Claim Submission Submit or mail the form to the patients primary insurance provider. Denied/Rejected Claims: Determine if the claim has been rejected, denied, or accepted. Follow up to make corrections and
  • 2. resubmit if possible. leftarrow←Step 5rightarrow→ Payment Processing & Monitoring Adjudication Approved claims: Payer sends payment to the practice & the payment is than posted to ... Show more content on Helpwriting.net ... This can be done electronically or manually. While most claims are sent electronically now, some circumstances require paper claims and it is required for a medical coder to know both methods. The form used is called a CMS 1500 form. On this form you will input information provided by the patient during registration, add codes addressing charges for services, document primary and secondary insurance coverage, and include provider and practice data where the services took place. Normally, every claim is reviewed by the billing department several times for accuracy before it is ... Get more on HelpWriting.net ...
  • 3.
  • 4. Executive Summary Executive Summary of the Joint Commission changes that are need: Nightingale Community Hospital has been increasing their safety standards in all three general categories, Conduct a pre–procedure verification process, mark the procedure site and a time–out is performed before the procedure over the past year. Nightingale Community Hospital's value for safety states: "We believe that excellence begins with providing safe environment. We put our patients first as we seek to exceed the expectations of our customers with superior service, outstanding clinical care and unsurpassed responsiveness." To reach this goal there is always more that can be done. Based on the safety reports several areas need to be looked at: Hospital–wide ... Show more content on Helpwriting.net ... Along with Verbal Orders/Read–Backs the unacceptable abbreviations this area is of concern because the only part that is not within standards is the "U" (which is used to abbreviate unit) which actually increased from 17% to 63%. This is very alarming because the units of medications that the patient is receives is very import to the treatment if not life threatening. When the nursing staff cannot understand the orders they have to take time away from patient care to get clarification from the Doctor. This is not always a timely process The hospital policy of abbreviations is that no abbreviations are to be used when writing orders. The "U" for unit is specifically mentioned as not acceptable. In order to correct this along with avoiding any other abbreviations I recommend that we have our order form re–designed along with all the order paper work. The re–design will have the word NO ABBRIVATIONS ARE EXCEPT. This will help remind those writing the orders to fill them out correctly. The nursing staff needs to understand that when they receive orders they should quickly review them looking for any abbreviations and have the Doctor correct them. If the nursing staff feels that there is a problem with any of the Doctors they need to bring that to the attention of their Department Head to help resolve the issue. References National patient safety goal data: Communication. In (2012). Nightingale Cumminity Hospital Site ... Get more on HelpWriting.net ...
  • 5.
  • 6. Fingerprint Identification and Verification Systems What is A Fingerprint? What is Fingerprint Recognition? There are mainly two systems using fingerprints as a biometric: Fingerprint identification system (FIS) and fingerprint verification system (FVS) Fingerprint identification system (FIS) vs fingerprint verification system (FVS) The algorithms that are used to recognize fingerprints are the pattern–matching method and minutia methods . pattern–matching method : Pattern–matching method verifies the identity of the patterns by directly comparing the objective fingerprint images with the registered image.[ 1] Graphical center of fingerprint image (not necessarily defined by the fingerprint core) is cropped a fixed distance and compressed for subsequent match. The greater the difference between the stored template and the live comparison, the less likely the match. http://sales.fingertec.com/download/info/whitepaper–01.pdf minutia method: Minutia method uses feature information of the terminal points and separate points of ridges of the fingerprint and their relative positions. [ 1 ] this algorithm is capable of improves the quality of the fingerprint ridge and Extracts the characteristic points(end point ,Branching point) from it . Comparison of previous fingerprint Recognition algorithms:[2] Template Size vs. Search and Match Speed: The size of a minutia template is directly related to the number of minutia extracted. The size of the pattern–based template is directly related to the image On average, ... Get more on HelpWriting.net ...
  • 7.
  • 8. Patient Analysis: Right Wounds DOI: 12/20/2005. Patient is a 48–year–old male store manager who sustained injury while assisting opening and stocking in a new store location. Per OMNI, patient has no active treatment and resides in an assisted living facility. Per the medical report dated 09/14/15, the patient fell on 08/10/15 and sustained a wound to his right anterior tibia. The ulcer/wound has been resistant to healing despite numerous interventions. Based on the progress report dated 03/01/16, the patient feels that his neuropathic pain in his left leg is worse since he injured his right leg. The right leg has healed since his fall. The pain starts as a tingling sensation and then it narrows down to a specific point. The pain is initially mild and ... Get more on HelpWriting.net ...
  • 9.
  • 10. Tenderness Case Studies DOI: 03/31/2016. The patient is a 44–year–old male field technician security who sustained a work– related injury when he climbed over a fence when he fell, and landed on his right foot. Per OMNI, he was diagnosed with fracture of the right foot. Physical therapy notes dated 06/10/2016 revealed that the patient has been for a total of 7 physical sessions. He has been able to tolerate a moderate level of strengthening and balance program without significant difficulty. Initially, patient complained of posterior tibialis tenderness which has reduced significantly since his initial visit. Office notes dated 06/21/2016 revealed that the patient complained of right foot pain with a pain rating of 6/10. Physical examination revealed tenderness ... Get more on HelpWriting.net ...
  • 11.
  • 12. Project Pluto Will Adopt The Incremental Build Model Essay Project Pluto will adopt the Incremental–build model to deliver the required objectives. It is a build– test–demonstrate model of iterative development in which frequent demonstrations of progress and verification and validation of work to date are emphasized. Business requirements are allocated to various elements of the software architecture, and the architecture is partitioned into a prioritized sequence of builds. Each build adds new capabilities to the incrementally growing product. The Incremental–build model provides Project Pluto with the "advantages of continuous integration, verification, and validation of the evolving product, frequent demonstration of progress, early warning of problems, early delivery of subset capabilities, and systematic incorporation of rework that may occur during the software development" (Fairley, 2009, p. 64). A significant advantage of an Incremental–build process is that features built first are verified, validated, and demonstrated most frequently because subsequent builds incorporate the features of the earlier builds. In building the software to control a nuclear reactor, for example, the emergency shutdown software could be built first. Operation of emergency shutdown (scramming) would then be verified and validated in conjunction with the features of each successive build. Planning an Incremental–build project involves planning for analysis and design plus planning the number of and frequency of ... Get more on HelpWriting.net ...
  • 13.
  • 14. Case Study Of Easun Reyrolle Introduction CE.1.1.0 INTRODUCTION CE1.1.1 Project Verification & Validation of 3 Phase Multifunction Energy Meter CE. 1.1.2 Duration of Project 6 Months (February 2008 to August 2008 ) CE.1.1.3 Project Location Project was located in Bangalore, India CE.1.1.4 Organization Easun Reyrolle, India is a leader in the field of electrical power management, a vibrant and growing industry. This is the parent company of the ERL group, which consists of ERL International Pte. Ltd: Singapore, ERL Marketing International FZE: Sharjah, ERL Phase Power Technologies Ltd: Canada, ERL Switchcraft Europe GmbH: Germany and ERL Electrical Distribution Solutions Pt Ltd: Australia. Executed by Easun Reyrolle Ltd to suffice the Energy Meter requirements of different electricity boards in India. Organization details: www.easunreyrolle.com CE.1.1.5 Title of the position held At the time of this project, I was holding the position as Engineer– Product Management. CE.1.2.0 BACKGROUND
  • 15. General Background One of the greatest strengths of Easun Reyrolle is that the entire product cycle right from the ... Show more content on Helpwriting.net ... Automation Business & Control & Relay panel Business were the other two business verticals of ERL; design of control and relay panel for the Electrical substation. Those verticals are our internal customers apart from the other Electricity boards. Energy meters are very critical in an electrical system as this is directly linked to the revenue generation of the utility. A minor flaw in the design may leads to huge loss to the Electrical utility. Hence the design validation of Energy meter is very critical in terms of the Business point of view. Also Bureau of Indian standard certification is a Mandatory requirement for selling this product in India. Hence our Management has given emphasis on the design validation to release a successful product in the ... Get more on HelpWriting.net ...
  • 16.
  • 17. Case Study Of The UT System Recommendations Based on the findings above, the UT System should move forward with implementing blockchain technologies as a ledger to track faculty and student records. Blockchain development is being pushed forward by financial institutions, and educational institutions, like the UT System, can benefit from the operational efficiencies of blockchain. The team recommends the UT System implement a private blockchain with periodic releases of new features. Initially, the blockchain will be used to track student records, such as personal information, transcripts, etc. The private blockchain will later be expanded to include alumnus, administrators and faculty, and professors and researchers. The UT System should implement the private ... Show more content on Helpwriting.net ... After the final implementation of the blockchain, the UT System could incentivize students to verify changes by promoting tuition reimbursements or other types of incentives. Alumnus After the initial release, the UT System should expect to release three more features to the private blockchain including record tracking for alumnus, administration and faculty, and professors and researchers. In regards to alumnus, the blockchain system will contain information on past transcripts and donor information. The private ledger will allow alumnus to access their transcripts and other personal information if requested by potential employers. In addition, the university will have the ability to track donations and see what alumnus are more frequent donors to allow for targeted donation requests. Administration and Faculty The benefits for administration and faculty will be tracking personal data as well as storing historic work data. The ledger system will allow for UT schools' faculty's information to be systematically stored and have information readily available to view. Work history can be easily traced, and faculty looking to transfer to other divisions in their department or other departments can share their work history in order to make their candidacy stand out. Professors and Researchers The final release for the private blockchain will be for the professors and ... Get more on HelpWriting.net ...
  • 18.
  • 19. Misrepresented On The Internet Danny Toffey Consci 2910 December 5, 2017 Final Essay In our current world, there are many different consumer problems that are taking place at an increasing rate. These issues are occurring through a wide range of services from retail service consumer problems, auto consumer problems, credit consumer problems, and many more. The one consumer problem that has caught my attention on multiple occasions this year would be Internet Fraud as a whole, especially on social media. The Internet has rapidly become something that is widely used by many people all over the nation and world, sweeping and striping our societies of money. People now run companies, and businesses through social media as well. Many occasions have taken place where things are misrepresented on the Internet, and that's typically how fraud takes place. Internet sales and fraud can be shown through online ordering. There have been multiple cases where a buyer would purchase a product online and unfortunately the item is never delivered to the purchaser. One consumer problem that has been occurring repeatedly this year to my notice would be the times that people have paid for something that they aren't receiving. There have been many cases where people order a particular product, or item online with expectancy of a delivery, and they never get it. One particular example of a consumer problem that comes to my attention has been the amount of ticketing fraud that occurs through many different websites online. ... Get more on HelpWriting.net ...
  • 20.
  • 21. General Solicitations And Sell Securities General Solicitations in Rule 506 D Securities To offer and sell securities in the United States, an issuer must comply with the registration requirements of the amended Securities Act of 1933, or must offer and sell the securities pursuant to an exemption from the registration requirements. Rule 506 of Regulation D is commonly used as a private offering exemption. In 2013 the SEC lifted the ban on general solicitation or general advertising in specific private offerings of securities. Considered the "final rule", it represents a compromise in many respects. Businesses who wish to raise funds will have greater opportunities for fulfilling their goal with the lifting of the ban. However, compliance requirements must also be satisfied in the process. The final rule doesn't apply to all private securities offerings. Businesses are required to meet numerous requirements such as selling only to accredited investors, taking logical steps to verify each potential investor is accredited, and follow the other terms and conditions of a Rule 506 securities offering. For example, issuers should realize that nothing in the amendments to Rule 506 affect the obligation of the issuer utilizing the safe–harbor to make full and complete disclosure regarding the offering. All items considered material regarding the offering are still required to be disclosed in writing prior to the sale of securities under the safe–harbor, regardless of whether general solicitation or general advertising is ... Get more on HelpWriting.net ...
  • 22.
  • 23. EVOC 106 Case Study Just to give you a brief overview of the EVOC–106 issue from this morning. Kia came over and asked our input on a call that Latoya was assisting a rep with. Apparently Kevin Kirby decided to get involved as well because he overheard it. The Front line agent was on the phone with a customer who was trying to complete ease migration and attempted to add her mobile number as a contact point for text alerts. She got the standard EVOC–106 text stating that the number was already opted in for alerts on another customers account. The other account was her deceased husband. Latoya was able to locate the deceased account and did in fact see the customers number as a contact point. Kevin Kirby called Mel to see if any exceptions could be made with ... Show more content on Helpwriting.net ... I feel this process should be added to the un–enroll task when doing account cleanup, as we already have a process to remove a cardholders email and replace it with none@capitalone.com. Having customers reply stop will provide a number cleanup in workbench. As for the identity verification piece. If legal decides a customer needs to be verified before we can provide the reply STOP info then we could use my original idea when this first came up and utilize the Step Up authentication piece, that would give us the verification we need from a legal standpoint. Sorry this was so long but I wanted your insight on this so we can come up with a viable solution during our next DTL meeting. Just to give you a brief overview of the EVOC–106 issue from this morning. Kia came over and asked our input on a call that Latoya was assisting a rep with. Apparently Kevin Kirby decided to get involved as well because he overheard it. The Front line agent was on the phone with a customer who was trying to complete ease migration and attempted to add her mobile number as a contact point for text alerts. She got the standard EVOC–106 text stating that the number was already opted in for alerts on another customers account. The other account was her deceased husband. Latoya was able to locate the deceased account and did in fact see the customers number as a contact point. Kevin Kirby called Mel to see if any exceptions could be made with an ... Get more on HelpWriting.net ...
  • 24.
  • 25. Summary Of Dr. Tenut's Case Study DOI: 10/17/2012. Patient is a 54–year–old male janitor who sustained injury while emptying water out of bucket after mopping when he struck his right knee on a metal mop ringer. Per OMNI, he was initially diagnosed with right knee contusion. Per the PT daily note dated 11/09/12, the IW has attended 11 visits for his right knee. IW reported that he feels 70% better. Based on the latest medical report dated 03/08/16 by Dr. Tenuta, the patient presents for his right knee pain. He was seen for back pain approximately a year ago. He has had persistent issues with that. He feels that he has been favoring his knees. He has been having problems going up and down steps. On examination, he has crepitus with patellofemoral range of motion. As of this ... Get more on HelpWriting.net ...
  • 26.
  • 27. Essay On Changing Car Oil While most people nowadays, rarely think about changing their car oil. But little do they know, that regularly changing a car's engine oil is one of the most important things you can possibly do to keep a car running without any problems or mishaps. Without regular oil changes, the old oil inside of a car, will break down and clog a car's oil filter, causing a hefty price for repairs and replacements. The general population, might not know this, but changing the oil of a car is both inexpensive and easy. The change begins by driving the car into a driveway or a spot with enough allocated space to work beneath the vehicle and outside the vehicle. This is done to make sure, that an individual does not cause any accidental damage to a person, ... Show more content on Helpwriting.net ... As soon as the oil cap bolt has been screwed back on, new oil has to be added. Locate the the fill hole at the top of the engine. If location cannot be verified, look to the left of the engine, and there should be a cap. Before anything is done, it is heavily recommended that vehicle capabilities are checked in the owner's manual, to insure how much oil the vehicle can take. Too much oil intake may cause blockage, so please be wary. Once the new oil has been inserted, it is recommended that the engine is turned off and on to double check that everything is running smoothly with the oil pressure. This can be verified, by checking the red engine light turn off and on after startup. If that is not the case, then a bolt is not tightened properly, and is oozing out liquid or oil. As another verification method, the dipstick can be pulled out of the vehicle to double check the pressure. This is located to the bottom left of the engine. It generally looks like a long metal rod. Simply pull this out, and check to see if both holes on the bottom of the stick are shaded in with oil. If this is the case, then a successful oil change has been ... Get more on HelpWriting.net ...
  • 28.
  • 29. Rollover Case Studies DOI: 8/18/2014. Patient is a 43–year–old male driver who sustained work–related injuries to multiple body parts after being involved in a one–vehicle rollover accident. As per OMNI entry, he was initially diagnosed with multiple traumatic injuries; thoracic spine, rib, collar bone, left humerus, and left leg fracture; multiple small fractures to vertebral spine; and chipped 3 teeth. Based on the progress report dated 08/22/16, the patient reports that he had his 2nd year anniversary of the accident, which ah s led to worsening of nightmares and crying spells. He sleeps with Ambien. Depression is the same. He complains of increased anxiety about the surgery and Klonopin helps. Pain is the same. On examination, affect is restricted. Mood is ... Get more on HelpWriting.net ...
  • 30.
  • 31. Designing A Validation Package For Quality Assurance 5.1. Validation Documentation 5.1.1. Create a validation package consisting of: · Q–FRM12699 Verification of Computerized Calculations · Documentation produced from testing (evidence that the requirements of Section 5.3, 5.3, and 5.4 of this procedure have been met) 5.1.2. All phases of the validation will be approved by Quality Assurance. Laboratory management will assign a qualified person(s) to serve as Validator. 5.1.3. The validation will be assigned a title and version (e.g. 3–Nitro Result Calculator, Version 1.0). 5.1.4. The software name and version will be documented, along with the software's minimum system requirements. 5.1.5. Once validated, the application can be used on any computer ... Show more content on Helpwriting.net ... After normal fuction testing results have been verified, challenge tests (if any) will then be performed. The validation report will include the steps taken in the procedure as well as hard copies showing both the entry data and the calculated results. Choose data sets based on the number and types of criteria. Each calculation/macro argument or condition, with its expected outcome, must be tested for accuracy. 5.3. Normal Function Testing 5.3.1. Prior to testing, spreadsheet will be protected or otherwise secured to prevent changes to the application's calculations. 5.3.2. Data sets will be entered into the application to evaluate normal function testing. Data sets will contain numbers covering the range of normal values. 5.3.3. The Validator will print the results and compare to previously calculated or known results. If
  • 32. the application does not have the ability to print, screen captures may be collected and pasted into a printable document. 5.3.4. A copy of previously calculated or known results will also be included as part of the Validation Report. 5.3.5. In cases where unexpected output is generated, the spreadsheet developer must revise the calculation or macro in question. This function is then revalidated. The process is repeated until the calculation or macro works as expected. 5.3.6. ... Get more on HelpWriting.net ...
  • 33.
  • 34. Pros And Cons Of Blockchain Blockchain, the future of transactions. It worries many people with confusion, but others embrace it as the future. "In the financial markets, trades happen in a fraction of a second. But actually exchanging the assets and payments can take days, involving multiple banks and clearinghouses. That can lead to errors, delays, added costs and unnecessary risks" ("Blockchain: The New Technology"). Todays system is inefficient. It can take days for a transaction to be verified, in that amount of time stocks could plummet and the market could crash. The extra time makes for more unnecessary risks. Blockchain is a giant ledger that registers all types of transactions. These transactions can include anything from selling plants to selling houses, verified in a matter of seconds. Blockchain is virtually unhackable and is very reliable. Blockchain is so secure because it is decentralized, it utilizes cryptography, and it is run by its users. Blockchain is basically a giant ledger, recording payments from many platforms, most notably, Bitcoin. Blockchain was originally developed as a part of Bitcoin, but Bitcoin and Blockchain are very different. Bitcoin is a single currency and Blockchain is a record of payments that can support many different currencies, the most used being Bitcoin. According to Goldman Sachs, "At its heart, a Blockchain is a record of transactions, ... Show more content on Helpwriting.net ... "The shift from a centralized technical infrastructure to distributed, ecosystem–enabling platforms is laying the foundations for new business models in investment insights and financial transaction technologies" (Bhatia). It will make commerce safer and more reliable. Blockchain is so secure because it is decentralized, it uses cryptography, and because of user integration. All three of these methods are laying the foundation for the future of commerce. Cash, credit, debit, PayPal, Venmo, and the current transactional system are becoming obsolete,it is time to move ... Get more on HelpWriting.net ...
  • 35.
  • 36. Patient Evacuation DOI: 9/11/2001. Patient is a 47–year–old female correspondence reader who sustained a work– related injury while evacuating when she was pushed and fell in chaos due to an event. Per OMNI, she was diagnosed with herniated lumbar disc. It was noted that the patient has had Per medical report dated 05/20/15 by Dr. Joshi, the patient has completed 30 PT sessions from 10/13/14 through 05/20/15. Per the medical report dated 05/27/16 by Dr. Joshi, the patient continues toward goals. Patient reports that PT alleviates her pain, improves overall functional limitations, allows her to perform activities of daily living (ADLs) with less difficulty and allows her to take care of infant child without assistance or difficulty. On the statement of medical ... Get more on HelpWriting.net ...
  • 37.
  • 38. Aft2 Task 1 Accreditation Audit With all of the possible problems that could occur during surgery, a wrong–site, wrong–patient mistake is one that should never arise. Nightingale Community Hospital (NCH) fully understands the importance of doing away with these errors and has set up protocol to work towards this goal. While the protocol is in place, it is not fully compliant with Joint Commission (JC) standards. Standard: UP.01.01.01: Conduct a preprocedure verification process. Nightingale Community Hospital has a Site Identification and Verification policy and procedure. Within this policy, and Preoperative/Preprocedure Verification Process is addressed. There is also a Preprocedure Hand–Off form present. This form is a bit misleading as it is essentially a hand–off ... Show more content on Helpwriting.net ... A time–out is to be conducted immediately prior to performance of the procedure, it is initiated by the nurse or technologist, it involves all personnel involved in the procedure, the team members agree to a minimum of patient identity, correct site, and correct procedure to be performed, and all of this information is documented in the record, including those involved and the duration of the time–out. ... Get more on HelpWriting.net ...
  • 39.
  • 40. Summary: Backwoods Mail Order Company Write several clear, measurable objectives for the training to be delivered to the employees in the customer order group. The objectives for training employees in the "Backwoods Mail Order Company" are designed specifically for the customer order group. In doing this the specific needs of the supporting managers are accessed as the training is designated to improve customer relations based on excellent customer interactions while completing order operations. To this end, customer requirements are examined and areas seen as controversial or incorrect, are addressed to change both the supporting environment and the order process. The first priority would be to do an internal investigation and audit systems that support order processing. Once these systems are reviewed for efficiency and effectiveness it would better serve the customer to identify opportunities to improve customer communication and order ... Show more content on Helpwriting.net ... The retraining process will have a quality aspect of the marking process where labeling will be validated to the purchase order and the library of products when the shipment originally arrives at the facility. This self–checking model should improve the education of the staff and minimize the errors that have been occurring when products arrive for stock. Monitoring the weekly, count on errors will allow us to quickly react to issues and make changes that will help to eliminate additional errors. In conclusion, it is necessary to implement steps to find critical errors that surround mismarked merchandise and the way to control this is to have an audit system that systematically checks products as they come in. To further improve this process we will apply statistical models where the most prevalent errors are occurring and check these items first to facilitate error proofing in a proactive ... Get more on HelpWriting.net ...
  • 41.
  • 42. Pharmaceutical Validation Tool For Quality Management Pharmaceutical Validation tool for Quality Management Abstract Pharmaceutical validations is part of CGMP regulations by which one can build quality attributes of pharmaceutical specification, i.e. safety, efficacy, purity, in pharmaceutical products. It assures that the process follow for the manufacturing of pharmaceutical products is well controlled and monitored at its critical parameters for consistently producing the quality products. The present review describes the importance of validation in pharmaceutical industry, its requirement for approval of new drug application by the various regulatory agencies. Furthermore it highlights the current guidance on process validation by USFDA, EMA. Key Words: Validation, Quality assurance, critical parameters, NDA, USFDA, EMA, Validation Guidelines Contents Introduction 2 History of Pharmaceutical validation 2 Approaches to Process Validation 4 Stages of process validation according to life cycle approach 4 Stage I: Process Design 4 Stage II: Process Qualification 4 Stage III: Continued Process Verification 5 Features of USFDA Process validation guidance 2011 5 Conclusion 6 References 6 Introduction Quality is concept applicable at everywhere from business to have successful life. Everyone wants to buy the quality products and want to live the quality life as per the standards determined by them for it. As concern with pharmaceutical industries, they are built for to bring the quality in health of human and animal beings. ... Get more on HelpWriting.net ...
  • 43.
  • 44. Process Validation Protocol and Report Process validation Protocol and Report Chapter–1: Introduction In today's highly regulated environment for development and manufacturing of Pharmaceutical /biopharmaceutical Drugs and medical devices there is a heavy requirement imposed by the regulatory bodies, for the manufactures of drug products to provide an appropriate amount of assurance that critical processes employed in producing a drug substance or drug product can be shown to be both doing the right job, and doing the job right is often referred to as Validation. FDA defines validation as. "Validation is a documented program which provides a high degree of assurance that a specific process will consistently and repeatedly produce a product meeting its predetermined ... Show more content on Helpwriting.net ... The validation report should contain the following. 1. Approved validation protocol. 2. Tabulated or graphical results, process monitoring (forms), and all analytical results of the validation batches. 3. A copy of the batch records and raw material releases. 4. The presentation of data should be done in the report and be easily understood and neat. 5. Special investigations or additional tests or retests to be explained in the report. 6. Change controls and Deviations to be reported. 7. The validation report should have a conclusion. 8. Recommendations may also be made in the report History of validation protocol and report: Why validation and the associated validation protocol and report gained importance, below mentioned is the brief history of the validation and its associated system Prior to 1978 the pharmaceutical manufacturing was highly regulated, drug product quality and sterility testing was based solely on finished product testing i.e. it was tested only at the final stage of the release drug product this was clearly a major setback. For Sterile products – USP Sterility Testing was the sole criteria for releasing the drug product in to the market. The following incidents shows ... Get more on HelpWriting.net ...
  • 45.
  • 46. Work Related Injury: Medical Report DOI: 12/18/2015. The patient is a 60–year–old male quality control manager who sustained a work– related injury when he fell from a 6–feet scaffold when he stepped on an unsecured board. Patient underwent open reduction and internal fixation on 1/8/2016. Per the medical report dated 02/24/16, the patient had some left knee pain and swelling. On examination, there was some mild swelling along the anterior proximal tibia. He can flex to about 110 degrees and extend to 10 degrees. Of note, X–rays demonstrated plateau fracture fixed with plate and screws in good alignment with early callus. Medications include amlodipine; cefadroxil; diazepam; meloxicam; oxycodone/acetaminophen; rivaroxaban; and sertraline. Diagnoses include status post open reduction ... Get more on HelpWriting.net ...
  • 47.
  • 48. An Open Message On All E Mail Users An open message to all e–mail users: In recent weeks you may have received a slightly greater than usual number of e–mails purporting to be invoices or collection notices from a wide variety of sources. Despite our utilization of state–of– the–art e–mail filtering mechanisms, it is inevitable that a certain number of these messages will still get through. Ill–willed entities (with various motivations) are continuously attempting to obviate whatever protective mechanisms are placed in their way. I would like to take this opportunity to remind all e–mail users of the following advice: If a message appears to come from an unexpected source, an entity you have never dealt with, or to which you have never given your business e–mail address, you should immediately be at least somewhat suspicious of its authenticity. If a message makes claims regarding a business connection or account which does not exist, you should also be suspicious. Such messages almost never come from a legitimate business that is merely mistaken about these sorts of things. They are almost always fake. If the sender's purported address does not match the purported sender's business name, be very suspicious. For instance, if a message appears to be a collection notice from American Express, but the sender's e–mail address appears as poubelle2167@reparationdevelosdesttropez.fr, you should immediately be suspicious. Do look carefully, though, as a sender will sometimes use a clever, but not quite ... Get more on HelpWriting.net ...
  • 49.
  • 50. Essential Security Protocol Verification Techniques COMPUTER SECURITY INTRODUCTION This paper is going to look at two essential security protocol verification techniques namely: i. Strand Space Protocol Analyser. ii. NRL Protocol Analyser. The structure and operation of each protocol will be discussed. Usage, strengths and weaknesses, problems and issues, pros and cons will all be highlighted. Finally, a comparison of the two protocols will be conducted to justify the selection of a preferred security protocol verification. Strand Space Protocol Strand space protocol is a framework model for designing and verification of cryptographic protocols. It is considered to be a local behavior of a single session of a particular protocol. The strand space model operates on two additions for a fair ... Show more content on Helpwriting.net ... [1]. – Standard Strands use a trusted agent from the network server to represent the protocol performance [1]. – The Strand space protocol model uses a rank function technique to mark traces the entire network Weaknesses – The strand spaces protocol model can provide other with a scope of the cryptosystem possible keys [8]. – The Strand space protocol model is basically designed from a set of mathematical model equations [7]. Advantages – It is designed with cryptographic protocol programming language that makes it work efficiently with cryptographic protocols network [7]. – It can support an intelligent fair exchange protocol between state and state change [1]. – Analysis of attacks can be done in an efficient way with the strand space protocol analyzer model [8]. – The Strand space protocol model can provide a strong mechanism to obstruct potential attacks within the cryptosystems networks [1]. – The Strand Space protocol model is equipped with rank function capabilities that can verify the activities of adversaries from its initial state [5]. Disadvantages – The disadvantage of this protocol model is the use of standard signatures with short notations to retrieve an unsuccessful operation [7]. NRL Protocol Analyzer
  • 51. The NRL protocol analyzer is designed and developed with prolog Language. It is a verification tool used for special purposes. The NRL protocol analyzer is a protocol that can support a cryptographic protocol model ... Get more on HelpWriting.net ...
  • 52.
  • 53. Nt1310 Unit 3 Simulation Analysis Paper Abstract– In the last decades, the different IPs were developed and integrated within single chip. The designers were getting lot of issues to verify the chips due to cumbersome of all modules in the IPs. To overcome from such issues, the new technology has been developed. The designer started to develop each module in IP design file. Once it is verified then all modules were combined in single IP and integrated in the chip. Then designer was uploading all IP in a single chip. So the designer can avoid unexpected outputs from the chip. One important problem in the vlsi design is, designer could not be able to find the board level errors in the simulation analysis. The simulator is installed in the computer so that, computer supports all type ... Show more content on Helpwriting.net ... Since Serializer and De– Serializers are two separate blocks. In order to establish communication between these two blocks, they are loop backed i.e. TxD signal is connected to the RxD signal and TxDValid signal is connected to the RxDValid signal vai testbench in software simulation and vai external pins in FPGA in board level implementation. At each clock cycle the data transmitted through TxD from the Serializer block will be received through RxD of De–Serailizer block. Initially, the value of RxData Register will be Zero. Once the data is receiving through RxD, for each clock cycle, one bit data from RxD will be stored in RxData Register. After 32 clock cycle, complete 32 bit correct data will be received if there is no data corruption otherwise invalid data will be received. In De– Serialization block, the data reception will be continuously monitored by a 1 bit FULL flag. The FULL Flag get set when all bits are shifted into RxData Register and data is available. The FULL Flag get reset when data is Read through RDATA of AXI bus. The EMPTY and FULL Flags are continuously monitored through AXI READ ... Get more on HelpWriting.net ...
  • 54.
  • 55. Spine Grinder: A Case Study DOI: 06/16/2014. Patient is a 40–year–old male welder who sustained injuries to left shoulder, cervical spine, and lumbar spine as a result of over exertion on using a grinder on large piece of metal. Patient is diagnosed with cervical spine sprain, lumbar radiculopathy, right shoulder bursitis, left shoulder bursitis, and left wrist sprain. Based on the progress report dated 06/30/16, the patient complains of low back pain, described as dull and aching and stabbing on the left side of the back. Symptoms are severe with profound limitations. There is radiation of pain to the left lower extremity. Symptoms are aggravated by twisting and prolonged walking, and relieved by rest and medications. Associated symptoms include waking up at night ... Get more on HelpWriting.net ...
  • 56.
  • 57. The Error Into Software Execution Code 2.3.3. THEOREM PROVING It uses first order, second order or higher order logic theorem. The main aim of this method is to detect the error into software execution code. This error could be analyzed in the software requirement process. All the high level requirements are consistent and satisfies the conformance of standard. Thereon proving using deductive mathematics. As it supports for various functionalities like set theory, logic, alegebric expressions etc. All the mathematical formulae are well defined structure into this prover. It is very easy to prove the respective requirements. There are various types of theorem provers. It uses computer program which has immense capability to solve very difficult problems. The system needs to present the requirement in precise syntax. This should be properly defined logical relation between the input and output variables. Theorem proving is one of the key ways to deal with formal check. It is also known as A hypothesis prover is a PC program for building and checking deductions in a formal verification . A formal specification language used to describe the system. There are 3 specifications we should include into the language. 1. A formal dialect to express formulas: Depending on the requirement, we use the formal specification languages; eg.OBJ 2. A collection of equations called axioms It uses the stored theorem logic to prove the code. eg.First or second order logic 3. A gathering ... Get more on HelpWriting.net ...
  • 58.
  • 59. The Story Of The Uva Campus Rape Journalist are so focused on getting a "hot" story that they forget one of the most important principles of journalism, which is the notion of objectivity. Objectivity is described, as "an objective journalist is one who is detached, neutral, impartial, and unbiased" (Knowlton 45). When Rolling Stone had Steve Coll and his crew investigate the story that was one of the first problems found in the story of the UVA campus rape. Sabrina Rubin Erdely was in search of a "college rape case that would show "what it's like to be on campus now" (Coronel). When Erdely found a story she just went with it, she did not research enough to make sure the story was credible. From the beginning of the whole process of the story she already started off unbiased and not neutral to the true facts of the story. A Journalist must be unbiased but they also have to check their sources to make sure they are credible. "To working journalist, the procedures of verification and attribution are as automatic as breathing in and out." (Knowlton 56) This is another thing the Erdely and the Rolling Stone fact checker failed to do. Erdely failed to follow up with her sources and make sure they were credible sources. Instead "she felt the student ("Jackie") had this stamp of credibility" because a university employee had connected them" (Coronel). Than as for the fact–checker which job is to "review a writer's story after it has been drafted, to double–check details like dates and physical description" ... Get more on HelpWriting.net ...
  • 60.
  • 61. Reflective Essay: How To Clean-Up In The Army The begining of AFY100 was kinda of a reveiw of what I've learn just in the last couple of years. I suprised though that there was no mention of a bore snake. When I was in the military all you needed to clean was a bore snake for the caliber, a brush (toothbrush), CLP (Clean, Lubrecte, and Protect), and some q–tips. Before the military I had know idea how to clean. Now that I'm out and working in law enforcement I've learn a little more about using solvent when cleaning. I would agree though the sooner you clean your weapons after going to the range and shooting a couple hundreds of rounds. The easyer it is to clean the weapon compare to leving time to build up. I never really though about the perspiration from fingers and hands leave behind ... Get more on HelpWriting.net ...
  • 62.
  • 63. Lumbar Fatigue: A Case Study DOI: 10/20/2014. Patient is a 46–year–old male delivery driver who sustained injury while he was unloading fittings and flanges to job site. Per OMNI, he was initially diagnosed with lower back strain/sprain. The patient received a lumbar ESI at L5–S1 per procedure reports dated 06/02/15 and 08/25/15. Based on the medical report dated 02/02/16, the patient complains of ongoing low back pain radiating into the right lower extremity with numbness, tingling and dysesthesias despite therapy and epidurals. He engages in a home exercise program. Pain is rated as 8/10, described as on and off, dull then sharp. Factors that worsen pain include lifting, carrying, bending, standing up, walking and sleeping. The patient has had the following ... Show more content on Helpwriting.net ... X–ray of the lumbar spine showed instability at L4/S1 spondylosis. IW was diagnosed with lumbar herniated intervertebral disc, right lumbar radiculopathy, neurogenic claudication and spondylolisthesis. Plan is for posterior spinal fusion laminectomy at L4, L5 and S1 levels. Per the IME report dated 06/24/15 by Dr. Antoine, there is evidence of mild partial disability of 25%. It was opined that the IW's condition warrants further orthopedic treatment, including PT 2 times a week for 6 weeks with re–evaluation upon completion, as well as lumbar ESI. Patient has hypertension. He is 5 feet and 9 inches tall and weighs 260 pounds. Per verification to the PT facility, the patient has attended 38 PT sessions for the back from 10/01/15 through 02/10/16. Requested verification from the provider's office if this will be with or without contrast, and if this will be done pre or post–operatively, however, no callback was received prior to the submission of this request to PA. Is the request for 1 MRI of the Lumbar Spine between 2/10/2016 and 4/10/2016 medically necessary? C–4 for Preauthorization Request. (Kindly use the NY Medical Treatment Guideline as primary reference). This is 2 of 2 ... Get more on HelpWriting.net ...
  • 64.
  • 65. Questions And Answers On Shipment Delivery Dates 7.2.1 Scheduling Issues: a. Review load lists posted in Ordnance public folders to verify Shipment Preparation Worksheets (SPW) are completed, DD Form 1348–1As are prepared, and materials are ready for issue. b. Review Required Delivery Dates (RDD) from load lists located in Ordnance public folders. c. Contact customer to coordinate and schedule date, time, location and point of contact for the issue. d. Coordinate with other local commands/units for special requests (i.e. security escort, special equipment, etc.). e. Coordinate with Ordnance Annex departments to ensure requested items are loaded and ready for issue on the date scheduled. Provide customer point of contact information. (G.3.9, Bookmark 1, pg. 2, yellow highlight) iii. COG ... Show more content on Helpwriting.net ... (1) AD&C may request a QA to verify their application/non–application once, kick back the document. (2) AD&C will annotate on the back of the SPW/MUF "Please verify applicability of NAR/AIN/OHF _ Initial and date. (3) QA will annotate next to the request a comment like NAR/AIN/OHF does not apply. Initial and date. C. Is the P/W/C and signatures complete on the reverse? D. Is "No. of T/TR " complete? E. For Air shipments, are length, width, and height, per pallet, provided (if applicable)? F. Is JMIC number identified, if required? v. COG Manager updates load list for the following: A. Quantity B. P/W/C C. Location quantity D. "Packed w/" remarks E. JMIC number identified, as required vi. Are there any changes to the SPW? NOTE: Any changes on the SPW must identify a reason for the change and which AD&C Rep authorized the change. A. YES – Make the changes (if possible) then generate the MMD and 1348–1 a if the quantity change is not possible due to a possible physical inventory discrepancy. (G.3.3, pg. 9–10, yellow highlight) The COG Manager will inform the LS or AD&C Manager and discuss a resolution. B. NO – Finalize issue documents. vii. COG Manager generates number of MMDs indicated on the SPW, plus one for tickler. viii.COG Manager generates 1348–1a. Generate 4 copies for local issues (AD& C Original/Customer Copy, Government Copy/Tickler). Plus, any additional as required for movement. Generate 6 copies for ship–ops (AD& C Original/Customer Copy, ... Get more on HelpWriting.net ...
  • 66.
  • 67. Social Security Number Of An Individual Social Security Number of an Individual – The number one priority would be to keep the SSN confidential, this information does not need to be accessed by most individuals. Behind that integrity would be the next priority, to make sure this matches up with the individual at hand. Third of course would have to be availability, without this information, it could prove to be difficult to verify someones identity. First Name and Last Name – I feel that all of these attributes serve the same level of importance, due to the fact there is no description of what sort of situation this worksheet is in reference to. A lot of information can be had, just from a persons first and last name, especially if this name is not very common. Credit Card Number – I also see credit card numbers as all holding the same level of importance. I feel this way because these numbers need to kept confidential to minimize the risk of theft. Integrity needs to be held for the fact that if these are manipulated, depending on the situation, refunds may be pushed to the wrong individuals bank account. And I feel availability is just as important for verification reasons. Qualification – I feel that integrity in this care is the most important, for the fact that that these need to match up with the persons actual qualifications to prevent someone being placed in a position that may hold confidential information, when in fact they are not qualified to hold this type of information. Medical Information – ... Get more on HelpWriting.net ...
  • 68.
  • 69. Stage 3 Stage 2 Requirements Stage 2 requirements are designed to promote the patient engagement by providing secure on line access to their personal health information and promoting health information exchange between providers to improve care coordination. In order for hospitals to progress to stage 2, they must have met stage 1 criteria for a full 2 years. In order for hospitals to meet requirements for stage 2 they must meet a total of 19 objectives (16 core, 3 menu). Many of these objectives require consistency and maintenance of stage 1 criteria. Cerner® features that aid in meeting stage 2 requirements for meaningful use are: All features listed in Stage 1 discussion. The Patient Portal. The patient portal gives patients the ability to view their personal health information online, to download and to transmit information about a hospital admission. Core objectives #8, 14 and 15 and menu objective #6 for meaningful use address specific laboratory requirements. Several Cerner programs will address these objectives. Health Sentry will be used for lab reporting and public health reporting ... Show more content on Helpwriting.net ... While there is a learning curve associated with moving from paper charting to on line documentation of nursing care, there are a few measures that can decrease the amount of time spent in front of the computer. In order to avoid time spent frequently logging into the system there are security features that can be used such as finger print technology and employee badge swipe technology. Instead of writing notes on paper and then recording in the computer nurses are encouraged to complete documentation at the patient bedside at the time of patient care ... Get more on HelpWriting.net ...
  • 70.
  • 71. Essay on Accreditation Audit Raft 1 Executive Summary Even though Nightingale Hospital has a very detailed Site Identification and Verification Protocol, some areas do not meet JHACO's standards. Updating the Universal Protocol and Preprocedure Hand–Off Check sheet will not only bring the facility into compliance but may eliminate any potential failure in communication between patient, caregiver and provider. Areas that require further documentation will be on the following Elements of Performance: A. Compliance Status UP.01.01: Conduct a preprocedure verification process Documentation is lacking which demonstrates nursing and preanesthesia assessments were completed Process does not indicate that diagnostic and radiology test results are correctly labeled and ... Show more content on Helpwriting.net ... ctly labeled and documentation properly displayed in the resident's chart Update Preprocedure Hand–Off Checklist to include verification of appropriate blood products, implants, devices, and / or special equipment for the procedure has been accounted for UP.01.02.01: Mark the procedure site Protocol to indicate, in opening paragraph, "sites are marked when there is more than one possible location for the procedure and when performing the procedure in a different location would negatively affect quality or safety" In "Marking the Operative / Invasive Site" of protocol, insert "markings be made large and clearly, leaving no room for misinterpretation" after the third item Protocol to indicate adhesive markers are not the sole means of marking a site Protocol to indicate an alternative method of marking premature infants must be used instead of permanent markers UP.01.03.01: A time–out is performed before the procedure Procedure to indicate "a time–out must occur when two or more procedures are performed on the same patient and the individual performing the next procedure changes" Training and In–servicing The Site Identification and Verification Protocol, along with Preprocedure Hand–off will be updated and reviewed by the facility's Compliance Department Mandatory in–services of all pre–op and surgical team will be conducted in regards to updated
  • 72. processes Three monthly audits to be conducted regarding updated processes Quarterly audits ... Get more on HelpWriting.net ...
  • 73.
  • 74. Coast Guard Case Study 1. According to the Coast Guard Chief of Casualty Matters, there are inaccuracies on seventy–five percent of all required annual verification forms received from the field following a personnel casualty. The magnitude of the information contained within these forms is not being properly relayed to our members. To become proficient in collecting required documentation, the Coast Guard needs to eliminate inaccuracies on the Designation of Beneficiaries and Record of Emergency Data Form (CG 2020D) (ref (c)), Service Members Group Life Insurance Election and Certificate Form (SGLV 8286) (ref (d)) and the Family Coverage Election Form (SGLV 8286A) (ref (e)). Additionally, the Coast Guard must mandate that all annual verifications be electronically ... Show more content on Helpwriting.net ... In order to ensure the compliance and all annual verifications are completed accurately, the Coast Guard must create a self–service function located within Direct Access that would generate each form electronically. Each member would be responsible to update their required data information during the annually required period (ref (b)), through a self–service function within Direct Access. However, the self–service function would give the member the ability to change the forms following a life event when needed and not just during the required period. Once the member completes the data entry requirements within each section, the system would automatically apply an official signature, including a time and date stamp (ref (f)). Adding the electronic signature process would ensure that the forms were not altered and were generated by the member. Currently, these forms are filled out by hand and are maintained in the SPO PDR (ref (g)). Far too many times these forms are being reproduced erroneously resulting in numerous forms stored between multiple PDRs creating confusion of validity and benefit elections. By implementing an electronic validation system, following the member's digital signature, the forms would automatically be assigned to the SPO work–list for review, verification and electronic signature from the SPO technician. Upon verification and approval, Direct Access would automatically generate a deduction from the members pay account corresponding with the coverage elected on the SGLV 8286 and SGLV 8286A forms. Establishing this function would eliminate hundreds of wasted work–hours annually for both the members and SPO technicians. Each document would then be uploaded in the member's Electronically Imaged PDR for easy availability for the Decedent Affairs Officer (DAO) following a personnel casualty. Additionally, each electronic validation would be tracked through CGBI for command visibility. Creating this process would catapult the Coast Guard out of ... Get more on HelpWriting.net ...
  • 75.
  • 76. Strengths And Weaknesses Of The Phone Call Strengths: – Krista executes on the strong intro when she picks up the phone call. – Krista asks the client 's questions to find out more about who she is working with and when she provided the documentation. – Good foreshadow to the hold. – Krista takes ownership by offering to leave a voicemail on the client 's behalf, when prompted. – Krista ends the call by thanking the client for calling in. Opportunities: – Call recording disclosure. Krista discloses the call to the wife when she first picks up. At :17 the wife says that she will put the phone on speaker so that the husband/client can hear as well. Krista then addresses the client, however, she does not disclose that the call is being recorded. As a best practice, when a client advises they are putting the phone on speaker, disclose that the call is being recorded right away. This is important for legal reasons. – Verification. After the wife explains the reason for her call, Krista asks for the phone # to pull up the loan. At :58, Krista then asks the husband (the name listed on the account) if he 'd like to add his wife as an Okay To Speak With. The husband is not verified before giving authorization for his wife to be added. Krista then goes on to verify the wife only and shortly after discloses the myql account information to her. It is important that we verify the client prior to getting permission to speak with another individual about their account and adding somebody else as an okay to speak ... Get more on HelpWriting.net ...
  • 77.
  • 78. Summary: Work Related Injury DOI: 2/5/2015. The patient is a 46–year–old female labeling project coordinator who sustained a work–related injury to her bilateral wrists, forearms and upper back due to lifting storage bins. As per OMNI, the patient was diagnosed with bilateral shoulder pain, bilateral shoulder subacromial bursitis, bilateral shoulder tendinosis, left elbow pain and numbness. The patient underwent left shoulder labral repair and subacromial decompression on 3/23/16. Based on the progress report dated 09/21/16, the patient reports of 60% pain relief, functional gain and activities of daily living improvement from completing physical therapy, per Dr. Khan, which decreased her pain intensity and improved her range of motion. She reports she will be undergoing ... Show more content on Helpwriting.net ... Tenderness is noted over the left lateral epicondyle. IW is still very tender over left bicipital tendon. IW has difficulty with left elbow flexion. Surgical scar well–healed and noted anteriorly, laterally, and posteriorly. Active shoulder range of motion (ROM) is limited with forward flexion to 70% of normal and abduction to 30% of normal. Internal rotation is 0% of normal. Assessments include bilateral shoulder pain, bilateral subacromial bursitis, bilateral shoulder tendinosis, left elbow pain, numbness and status post left shoulder surgery on 03/23/16. Of note, ultrasound of the left shoulder on this visit reveals anechoic signal over subdeltoid consistent with bursitis. Treatment plan includes additional sessions of physical therapy for shoulder stabilization and strengthening program for 6 visits, in–office medical acupuncture for 6 visits for temporary anti– inflammatory purpose, and continuation with Voltaren gel and Zorvolex. IW will discontinue ibuprofen, Percocet and Conzip. IW was provided a refill tramadol 50 mg 1 tablet every 8 hours as needed #45 for temporary symptomatic pain relief. Per verification to the provider's office, the patient has attended 24 PT sessions for the left shoulder from 05/23/16 through ... Get more on HelpWriting.net ...
  • 79.
  • 80. General Solicitations And Sell Securities General Solicitations in Rule 506D Securities To offer and sell securities in the United States, an issuer must comply with the registration requirements of the amended Securities Act of 1933, or must offer and sell the securities pursuant to an exemption from the registration requirements. Rule 506 of Regulation D is commonly used as a private offering exemption. In 2013 the SEC lifted the ban on general solicitation or general advertising in specific private offerings of securities. Considered the "final rule", it represents a compromise in many respects. Businesses who wish to raise funds will have greater opportunities for fulfilling their goal with the lifting of the ban. However, compliance requirements must also be satisfied in the process. The impact of the final rule on the requirements for businesses seeking investment includes the following: The final rule doesn't apply to all private securities offerings. Businesses are required to meet numerous requirements such as selling only to accredited investors, taking logical steps to verify each potential investor is accredited, and follow the other terms and conditions of a Rule 506 securities offering. For example, issuers should realize that nothing in the amendments to Rule 506 affect the obligation of the issuer utilizing the safe–harbor to make full and complete disclosure regarding the offering. All items considered material regarding the offering are still required to be disclosed in writing prior to the sale ... Get more on HelpWriting.net ...
  • 81.
  • 82. Research Instrument Used For Students Participants: In order to perform my observation, I will gather thirty teens who are willing to take part out of the predetermined school. Ten teens would be in the ninth grade who do not regularly text, and the other twenty would be twelfth graders who have texted daily for the last three years. In order to establish a well–rounded answer, I will make sure students are selected from different classrooms and different teachers. I will also make sure the thirty teens selected have varying grade point averages to keep the group diverse. To assure I have a rapport with the students, I will ask to sit in on several classes before actually individually interviewing anyone. Research Instrument Used: Before any research even starts, I will sit in on both the ninth grade and twelfth–grade classes with participating students seven times to become familiarized with the students and allow the students to get comfortable with me. After the participants from each class are selected, information will be gathered for each teen such as their name, age, grade, previous academic grades from seventh grade until present grade, any additional test scores on English and reading skills, as well as any formal writing assignments. Furthermore, each participant will be asked individually to fill out a questionnaire in regards to their texting habits. They will be questioned about the details of their cell phone usage, the numbers of texts they send daily, as well as how many hours they ... Get more on HelpWriting.net ...