This document summarizes major financial innovations in 2013 and trends for 2014. Some key points include: investments in online financial startups reached $2 billion in 2013 and are expected to continue growing; mobile payments, tablets, crowdfunding, and bitcoin were major topics in 2013; and trends for 2014 include the growth of mobile banking, peer-to-peer lending, and the potential impact of large companies like Apple, Google, Facebook and Amazon on the financial sector. The document also discusses developments in areas like mobile point-of-sale payments, personal finance management tools, and online microlending.
Hand Hygiene Presentation for February 2004 Veterans Health Administration "Q...Noel Eldridge
This presentation made clear the VHA policy to implement the CDC hand Hygiene Guideline a year before the VHA Directive was issued. A special memo and summary had been sent to VA Network Offices and Medical Center Directors from the Under Secretary for Health (Dr. Roswell). Will post the "TIPS" issue mentioned in slides. Memo has probably been lost in the mists of time. I have a video of this presentation (because it was broadcast on the VA's internal education system) on VHS and someday may get it on YouTube...
February 2004 Hand Hygiene Presentation at Meeting of the Veterans Health Adm...Noel Eldridge
This slide set is almost 10 years old, but it hits some good points. Especially about us knowing what doesn't work to reduce healthcare associated infections, and needing to do things differently. I have a video of this presentation on a VHS tape somewhere and need to figure out how to get it on YouTube like one I did at the conclusion of the Six Sigma Project referred to in these slides. http://www.youtube.com/watch?v=Zb_fVETGzwg
Some formatting is a little off in the translation to the current version of PowerPoint, but I didn't want to start editing and be tempted to change anything.
All questions in this presentation have been taken from The Official CNOR Exam Prep, a CCI product. Designed exclusively by the professionals who administer the CNOR Exam, The Official CNOR Exam Prep is the most comprehensive resource for CNOR test preparation. Featuring expert insights and targeted review of all CNOR Exam subject areas, this user-friendly guide makes it easy to remember key concepts and information found on the exam.
learn more at https://store.cc-institute.org/The_Official_CNOR_Exam_Prep
Nurse and doctors are most at risk of needlestick injuries which commonly occur during disposal. Recapping needles is a major risk factor. Such injuries can expose workers to Hepatitis B, Hepatitis C, and HIV. The risk of infection is highest for deep injuries involving visible blood. Proper sharps disposal, safety devices, and vaccination can help prevent injuries. Hospitals must provide post-exposure prophylaxis drugs according to guidelines to protect healthcare workers.
This document discusses key aspects of infection prevention for healthcare settings. It outlines the roles and responsibilities of infection control professionals in establishing surveillance, outbreak control, isolation protocols, education programs, and ensuring regulatory compliance. Important functions like hand hygiene, antibiotic stewardship, and cleaning medical equipment are examined. The document also explains the chain of infection and methods for breaking it, such as standard and transmission-based precautions. Specific guidelines are provided for cleaning glucometers and handling test strips to prevent cross-contamination between patients. Overall, the document provides healthcare workers with evidence-based strategies and best practices for infection control.
This document provides information on syringe access services as a harm reduction and disease prevention intervention. It discusses the benefits of syringe access programs in reducing HIV and HCV transmission as well as their cost effectiveness. The document outlines different models of syringe access programs and considerations for starting a new program, including conducting a needs assessment, recommended equipment, and the importance of practicing drug user cultural competency. Contact information is provided for technical assistance from The Harm Reduction Coalition.
This presentation discusses antimicrobial stewardship and the challenges of implementing stewardship programs globally. It notes the lack of infectious disease physicians and pharmacists in some countries. Effective stewardship requires a multidisciplinary team approach and overcoming barriers like lack of funding, open antibiotic access, and cultural resistance to change. The presentation highlights strategies that have worked in various settings, including technology solutions, empowering patients, identifying high-risk patients, and education programs. Measuring outcomes like reduced length of stay and improved patient outcomes can demonstrate the impact of stewardship.
This document summarizes major financial innovations in 2013 and trends for 2014. Some key points include: investments in online financial startups reached $2 billion in 2013 and are expected to continue growing; mobile payments, tablets, crowdfunding, and bitcoin were major topics in 2013; and trends for 2014 include the growth of mobile banking, peer-to-peer lending, and the potential impact of large companies like Apple, Google, Facebook and Amazon on the financial sector. The document also discusses developments in areas like mobile point-of-sale payments, personal finance management tools, and online microlending.
Hand Hygiene Presentation for February 2004 Veterans Health Administration "Q...Noel Eldridge
This presentation made clear the VHA policy to implement the CDC hand Hygiene Guideline a year before the VHA Directive was issued. A special memo and summary had been sent to VA Network Offices and Medical Center Directors from the Under Secretary for Health (Dr. Roswell). Will post the "TIPS" issue mentioned in slides. Memo has probably been lost in the mists of time. I have a video of this presentation (because it was broadcast on the VA's internal education system) on VHS and someday may get it on YouTube...
February 2004 Hand Hygiene Presentation at Meeting of the Veterans Health Adm...Noel Eldridge
This slide set is almost 10 years old, but it hits some good points. Especially about us knowing what doesn't work to reduce healthcare associated infections, and needing to do things differently. I have a video of this presentation on a VHS tape somewhere and need to figure out how to get it on YouTube like one I did at the conclusion of the Six Sigma Project referred to in these slides. http://www.youtube.com/watch?v=Zb_fVETGzwg
Some formatting is a little off in the translation to the current version of PowerPoint, but I didn't want to start editing and be tempted to change anything.
All questions in this presentation have been taken from The Official CNOR Exam Prep, a CCI product. Designed exclusively by the professionals who administer the CNOR Exam, The Official CNOR Exam Prep is the most comprehensive resource for CNOR test preparation. Featuring expert insights and targeted review of all CNOR Exam subject areas, this user-friendly guide makes it easy to remember key concepts and information found on the exam.
learn more at https://store.cc-institute.org/The_Official_CNOR_Exam_Prep
Nurse and doctors are most at risk of needlestick injuries which commonly occur during disposal. Recapping needles is a major risk factor. Such injuries can expose workers to Hepatitis B, Hepatitis C, and HIV. The risk of infection is highest for deep injuries involving visible blood. Proper sharps disposal, safety devices, and vaccination can help prevent injuries. Hospitals must provide post-exposure prophylaxis drugs according to guidelines to protect healthcare workers.
This document discusses key aspects of infection prevention for healthcare settings. It outlines the roles and responsibilities of infection control professionals in establishing surveillance, outbreak control, isolation protocols, education programs, and ensuring regulatory compliance. Important functions like hand hygiene, antibiotic stewardship, and cleaning medical equipment are examined. The document also explains the chain of infection and methods for breaking it, such as standard and transmission-based precautions. Specific guidelines are provided for cleaning glucometers and handling test strips to prevent cross-contamination between patients. Overall, the document provides healthcare workers with evidence-based strategies and best practices for infection control.
This document provides information on syringe access services as a harm reduction and disease prevention intervention. It discusses the benefits of syringe access programs in reducing HIV and HCV transmission as well as their cost effectiveness. The document outlines different models of syringe access programs and considerations for starting a new program, including conducting a needs assessment, recommended equipment, and the importance of practicing drug user cultural competency. Contact information is provided for technical assistance from The Harm Reduction Coalition.
This presentation discusses antimicrobial stewardship and the challenges of implementing stewardship programs globally. It notes the lack of infectious disease physicians and pharmacists in some countries. Effective stewardship requires a multidisciplinary team approach and overcoming barriers like lack of funding, open antibiotic access, and cultural resistance to change. The presentation highlights strategies that have worked in various settings, including technology solutions, empowering patients, identifying high-risk patients, and education programs. Measuring outcomes like reduced length of stay and improved patient outcomes can demonstrate the impact of stewardship.
Hand Hygiene Requirements and JCAHO National Patient Safety Goals in VHA 2003Noel Eldridge
Special TIPS (Topics in Patient Safety) newsletter issue on Hand Hygiene and the JCAHO (before rename to JC) NPSGs. The Summary of the CDC's guidance, if I remember correctly, is what was attached to the USH's memo to all VA facilities, if I remember correctly...
TIPS issue on the 2004 Joint Commission National Patient Safety Goals (NPSGs) - Starting with this issue, I authored or co-authored every annual issue on the NPSGs through 2010.
The document discusses new technologies for male bladder control and the limitations of current methods. It introduces Liberty as the first new male bladder control method in 50 years. Current methods like diapers, catheters, and condom catheters increase risks of infection, skin damage, and social stigma. Liberty aims to provide a safer, simpler solution for bladder control.
Healthcare Associated Infections (HAIs): Research NewsletterErin K. Peavey
In the US “One in 25 patients have a hospital-acquired
infection...Each day, over 205 deaths occur from HAIs...”
— Centers for Disease Control, 2011
An overview of this month’s article follows with bullet-points of the advantages and disadvantages of various environmental interventions in the prevention of Healthcare-Associated Infections (HAIs), often referred to as hospital-acquired infections. Paragraph summaries of Cleaning Strategies, Materials, Room Design and Hand-Hygiene are listed below. These provide broad themes and findings from the article. Reading the full article is always of benefit for a fuller understanding and is recommended. Click here to access the full article on the HERD Journal website.
How to Prepare for and Respond to a Confirmed COVID-19 Case at Your Lab or Ma...Triumvirate Environmental
As essential businesses continue to operate, it’s crucial to consider how to handle a confirmed COVID-19 case in the workplace. Despite safety precautions to avoid the spread, one of your employees may get sick – do you know what to do? The COVID-19 pandemic has drastically altered how we work and operate. Take a proactive approach to safely keep your business operational in the event of a confirmed COVID-19 case by developing sound disinfection policies and procedures.
This document provides information on a continuing education webinar for pharmacy technicians on COVID-19 presented by Mike Johnston, CPhT. The webinar is 1 hour and offers 1.0 continuing education credit. It reviews key terminology, clinical information, and treatment recommendations regarding COVID-19. It also outlines guidelines from organizations like the FIP, WHO, and CDC for pharmacy staff on prevention, disinfection, and optimizing PPE during the pandemic. Several medications being investigated for treating COVID-19 are discussed, including chloroquine, hydroxychloroquine, and remdesivir. Common patient questions on the virus are also addressed.
Controlling Transmission of Bacteria on Healthcare Identification Badges for ...Lisa Holmes
Session 823, Controlling Transmission of Bacteria on Healthcare Identification Badges for HCWs, Visitor and Patients. This presentation will be presented at AMSUS for participants to obtain continuing education credit. The AMSUS (the society of federal health professionals) Annual Meeting is the only one of its kind to bring military & Federal healthcare professionals together as well as International Delegates. Throughout attendees have the ability to receive CE from world renowned speakers, network across services nationally and internationally, and view demonstrations of the latest technology in healthcare. The meeting will be held 4-9 November 2013 in Seattle WA. Learn more about this event at: http://amsusmeeting.org/annual-meeting-2013/
Laboratory waste management in medical/health universityShira Shahid
Laboratory waste management in medical and health universities must follow regulations and guidelines to properly handle and dispose of waste. Regulations in Malaysia are set by the Department of Environment and classify waste as clinical, radioactive, chemical, or general. Waste must be segregated by color-coded containers and properly labeled. Proper procedures include contracting licensed services for disposal. Students should be trained on guidelines to mitigate health and environmental risks. While Malaysia has regulations, its management system could be improved compared to international standards by more strictly enforcing rules.
The views expressed in the presentations are that of the author and do not necessarily reflect the views of the Government of Canada. Presentations are shared in the original format received from the presenter.
Presentations given at the Conference to Develop a Federal Framework on Lyme Disease are the property of the author, unless otherwise cited. If you reference the author's work, you must give the author credit by naming the author and their work as well as the place and date it was presented.
For more information, contact the Lyme Disease Conference Secretariat at maladie_lyme_disease@phac-aspc.gc.ca
This document discusses various myths and misconceptions around infection control practices in the operating room. It addresses topics such as appropriate OR attire and laundering, the use of masks, cleaning practices, handling of antibiotic-resistant organisms, surgical hand scrubs using alcohol vs. chlorhexidine, instrument cleaning and sterilization, and challenges with cleaning complex instruments. The document provides perspectives and recommendations from organizations like AORN, CDC and WHO on these issues.
Infectioncontrolinter 120819213235-phpapp02 (1)faiz hasan
This document discusses the history and importance of infection control in hospitals. It begins by honoring Ignaz Semmelweiss, who in the 1800s established the link between doctors not washing hands and high maternal mortality. The document then discusses the emergence of hospital-acquired infections as a major health problem, killing 90,000 patients per year. It provides an overview of infection control programs, surveillance techniques, guidelines, and the involvement of physicians in quality improvement efforts to reduce infections.
Infection control in community settingKaushal Goti
This document discusses infectious disease transmission and infection control methods in dental settings. It covers the chain of infection, modes of transmission, risk factors for infection, personal protective equipment, sterilization and disinfection procedures, dental waterline maintenance, portable dental kits for community outreach, and the importance of immunization and training healthcare workers to prevent occupational transmission. The overall goal of infection control is to control disease transmission between patients and healthcare workers.
Did you know 40-65% of all clinical trials involving FDA-regulated products are being conducted overseas? Time, reduced costs, and easier subject recruitment are the factors that make life science companies to conduct clinical trials overseas.
The document discusses OSHA's bloodborne pathogens standards which were established in 1992 to regulate exposure to infectious materials like HIV and hepatitis B in the workplace. It notes that hepatitis B is 100 times more common than HIV. The standards require employers to implement universal precautions, exposure control plans, training, and medical follow up to minimize risk of infection. Schools must comply if employees may come into contact with blood or infectious waste. At risk school employees include coaches, nurses, trainers, teachers, and custodians.
FSMA Friday February 2020 -COVID-19 Update: Ways Food and Beverage Companies ...SafetyChain Software
FSMA Fridays is an informative monthly series. In addition to recapping recent FSMA news, we'll share valuable insight regarding the global coronavirus outbreak, and the effects it may have on supply chain disruptions in North America.
Examine the rise in Antibiotic Resistant Organisms and review the Chain of Transmission with emphasis on the portal of entry, and how a focused patient hand hygiene program may be what’s missing in our goal of lower healthcare associated infections and colorizations.
This document discusses biosecurity and infection control in hospitals and clinics. It defines biosecurity and biosafety, and explains that biosecurity takes a strategic approach to analyzing and managing risks to human, animal, and plant life. Biosafety focuses on safely handling pathogens and hazardous biological materials. The document also discusses nosocomial infections, universal precautions, hand hygiene, and cleaning and disinfection practices that are important for infection control. India faces challenges in implementing effective biosecurity and infection control programs.
This document discusses various industrial hygiene principles and health hazards. It provides examples of chemical hazards like mercury, trichloroethylene, lead, silica, copper fumes, iron oxide, carbon monoxide, chromium, cadmium, and methylene chloride. It also discusses ergonomic hazards like repetitive stress injuries. The document outlines methods for evaluating, controlling and preventing exposure to health hazards through engineering controls, work practices, PPE, and other means.
ABDOMINAL TRAUMA in pediatrics part one.drhasanrajab
Abdominal trauma in pediatrics refers to injuries or damage to the abdominal organs in children. It can occur due to various causes such as falls, motor vehicle accidents, sports-related injuries, and physical abuse. Children are more vulnerable to abdominal trauma due to their unique anatomical and physiological characteristics. Signs and symptoms include abdominal pain, tenderness, distension, vomiting, and signs of shock. Diagnosis involves physical examination, imaging studies, and laboratory tests. Management depends on the severity and may involve conservative treatment or surgical intervention. Prevention is crucial in reducing the incidence of abdominal trauma in children.
Hand Hygiene Requirements and JCAHO National Patient Safety Goals in VHA 2003Noel Eldridge
Special TIPS (Topics in Patient Safety) newsletter issue on Hand Hygiene and the JCAHO (before rename to JC) NPSGs. The Summary of the CDC's guidance, if I remember correctly, is what was attached to the USH's memo to all VA facilities, if I remember correctly...
TIPS issue on the 2004 Joint Commission National Patient Safety Goals (NPSGs) - Starting with this issue, I authored or co-authored every annual issue on the NPSGs through 2010.
The document discusses new technologies for male bladder control and the limitations of current methods. It introduces Liberty as the first new male bladder control method in 50 years. Current methods like diapers, catheters, and condom catheters increase risks of infection, skin damage, and social stigma. Liberty aims to provide a safer, simpler solution for bladder control.
Healthcare Associated Infections (HAIs): Research NewsletterErin K. Peavey
In the US “One in 25 patients have a hospital-acquired
infection...Each day, over 205 deaths occur from HAIs...”
— Centers for Disease Control, 2011
An overview of this month’s article follows with bullet-points of the advantages and disadvantages of various environmental interventions in the prevention of Healthcare-Associated Infections (HAIs), often referred to as hospital-acquired infections. Paragraph summaries of Cleaning Strategies, Materials, Room Design and Hand-Hygiene are listed below. These provide broad themes and findings from the article. Reading the full article is always of benefit for a fuller understanding and is recommended. Click here to access the full article on the HERD Journal website.
How to Prepare for and Respond to a Confirmed COVID-19 Case at Your Lab or Ma...Triumvirate Environmental
As essential businesses continue to operate, it’s crucial to consider how to handle a confirmed COVID-19 case in the workplace. Despite safety precautions to avoid the spread, one of your employees may get sick – do you know what to do? The COVID-19 pandemic has drastically altered how we work and operate. Take a proactive approach to safely keep your business operational in the event of a confirmed COVID-19 case by developing sound disinfection policies and procedures.
This document provides information on a continuing education webinar for pharmacy technicians on COVID-19 presented by Mike Johnston, CPhT. The webinar is 1 hour and offers 1.0 continuing education credit. It reviews key terminology, clinical information, and treatment recommendations regarding COVID-19. It also outlines guidelines from organizations like the FIP, WHO, and CDC for pharmacy staff on prevention, disinfection, and optimizing PPE during the pandemic. Several medications being investigated for treating COVID-19 are discussed, including chloroquine, hydroxychloroquine, and remdesivir. Common patient questions on the virus are also addressed.
Controlling Transmission of Bacteria on Healthcare Identification Badges for ...Lisa Holmes
Session 823, Controlling Transmission of Bacteria on Healthcare Identification Badges for HCWs, Visitor and Patients. This presentation will be presented at AMSUS for participants to obtain continuing education credit. The AMSUS (the society of federal health professionals) Annual Meeting is the only one of its kind to bring military & Federal healthcare professionals together as well as International Delegates. Throughout attendees have the ability to receive CE from world renowned speakers, network across services nationally and internationally, and view demonstrations of the latest technology in healthcare. The meeting will be held 4-9 November 2013 in Seattle WA. Learn more about this event at: http://amsusmeeting.org/annual-meeting-2013/
Laboratory waste management in medical/health universityShira Shahid
Laboratory waste management in medical and health universities must follow regulations and guidelines to properly handle and dispose of waste. Regulations in Malaysia are set by the Department of Environment and classify waste as clinical, radioactive, chemical, or general. Waste must be segregated by color-coded containers and properly labeled. Proper procedures include contracting licensed services for disposal. Students should be trained on guidelines to mitigate health and environmental risks. While Malaysia has regulations, its management system could be improved compared to international standards by more strictly enforcing rules.
The views expressed in the presentations are that of the author and do not necessarily reflect the views of the Government of Canada. Presentations are shared in the original format received from the presenter.
Presentations given at the Conference to Develop a Federal Framework on Lyme Disease are the property of the author, unless otherwise cited. If you reference the author's work, you must give the author credit by naming the author and their work as well as the place and date it was presented.
For more information, contact the Lyme Disease Conference Secretariat at maladie_lyme_disease@phac-aspc.gc.ca
This document discusses various myths and misconceptions around infection control practices in the operating room. It addresses topics such as appropriate OR attire and laundering, the use of masks, cleaning practices, handling of antibiotic-resistant organisms, surgical hand scrubs using alcohol vs. chlorhexidine, instrument cleaning and sterilization, and challenges with cleaning complex instruments. The document provides perspectives and recommendations from organizations like AORN, CDC and WHO on these issues.
Infectioncontrolinter 120819213235-phpapp02 (1)faiz hasan
This document discusses the history and importance of infection control in hospitals. It begins by honoring Ignaz Semmelweiss, who in the 1800s established the link between doctors not washing hands and high maternal mortality. The document then discusses the emergence of hospital-acquired infections as a major health problem, killing 90,000 patients per year. It provides an overview of infection control programs, surveillance techniques, guidelines, and the involvement of physicians in quality improvement efforts to reduce infections.
Infection control in community settingKaushal Goti
This document discusses infectious disease transmission and infection control methods in dental settings. It covers the chain of infection, modes of transmission, risk factors for infection, personal protective equipment, sterilization and disinfection procedures, dental waterline maintenance, portable dental kits for community outreach, and the importance of immunization and training healthcare workers to prevent occupational transmission. The overall goal of infection control is to control disease transmission between patients and healthcare workers.
Did you know 40-65% of all clinical trials involving FDA-regulated products are being conducted overseas? Time, reduced costs, and easier subject recruitment are the factors that make life science companies to conduct clinical trials overseas.
The document discusses OSHA's bloodborne pathogens standards which were established in 1992 to regulate exposure to infectious materials like HIV and hepatitis B in the workplace. It notes that hepatitis B is 100 times more common than HIV. The standards require employers to implement universal precautions, exposure control plans, training, and medical follow up to minimize risk of infection. Schools must comply if employees may come into contact with blood or infectious waste. At risk school employees include coaches, nurses, trainers, teachers, and custodians.
FSMA Friday February 2020 -COVID-19 Update: Ways Food and Beverage Companies ...SafetyChain Software
FSMA Fridays is an informative monthly series. In addition to recapping recent FSMA news, we'll share valuable insight regarding the global coronavirus outbreak, and the effects it may have on supply chain disruptions in North America.
Examine the rise in Antibiotic Resistant Organisms and review the Chain of Transmission with emphasis on the portal of entry, and how a focused patient hand hygiene program may be what’s missing in our goal of lower healthcare associated infections and colorizations.
This document discusses biosecurity and infection control in hospitals and clinics. It defines biosecurity and biosafety, and explains that biosecurity takes a strategic approach to analyzing and managing risks to human, animal, and plant life. Biosafety focuses on safely handling pathogens and hazardous biological materials. The document also discusses nosocomial infections, universal precautions, hand hygiene, and cleaning and disinfection practices that are important for infection control. India faces challenges in implementing effective biosecurity and infection control programs.
This document discusses various industrial hygiene principles and health hazards. It provides examples of chemical hazards like mercury, trichloroethylene, lead, silica, copper fumes, iron oxide, carbon monoxide, chromium, cadmium, and methylene chloride. It also discusses ergonomic hazards like repetitive stress injuries. The document outlines methods for evaluating, controlling and preventing exposure to health hazards through engineering controls, work practices, PPE, and other means.
Similar to 10 needle sticks tattoo artists-final (20)
ABDOMINAL TRAUMA in pediatrics part one.drhasanrajab
Abdominal trauma in pediatrics refers to injuries or damage to the abdominal organs in children. It can occur due to various causes such as falls, motor vehicle accidents, sports-related injuries, and physical abuse. Children are more vulnerable to abdominal trauma due to their unique anatomical and physiological characteristics. Signs and symptoms include abdominal pain, tenderness, distension, vomiting, and signs of shock. Diagnosis involves physical examination, imaging studies, and laboratory tests. Management depends on the severity and may involve conservative treatment or surgical intervention. Prevention is crucial in reducing the incidence of abdominal trauma in children.
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by...Donc Test
TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by Stamler, Verified Chapters 1 - 33, Complete Newest Version Community Health Nursing A Canadian Perspective, 5th Edition by Stamler, Verified Chapters 1 - 33, Complete Newest Version Community Health Nursing A Canadian Perspective, 5th Edition by Stamler Community Health Nursing A Canadian Perspective, 5th Edition TEST BANK by Stamler Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Pdf Chapters Download Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Pdf Download Stuvia Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Study Guide Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Ebook Download Stuvia Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Questions and Answers Quizlet Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Studocu Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Quizlet Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Stuvia Community Health Nursing A Canadian Perspective, 5th Edition Pdf Chapters Download Community Health Nursing A Canadian Perspective, 5th Edition Pdf Download Course Hero Community Health Nursing A Canadian Perspective, 5th Edition Answers Quizlet Community Health Nursing A Canadian Perspective, 5th Edition Ebook Download Course hero Community Health Nursing A Canadian Perspective, 5th Edition Questions and Answers Community Health Nursing A Canadian Perspective, 5th Edition Studocu Community Health Nursing A Canadian Perspective, 5th Edition Quizlet Community Health Nursing A Canadian Perspective, 5th Edition Stuvia Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Pdf Chapters Download Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Pdf Download Stuvia Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Study Guide Questions and Answers Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Ebook Download Stuvia Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Questions Quizlet Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Studocu Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Quizlet Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Stuvia
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...Oleg Kshivets
Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
1. BLOODBORNE PATHOGEN
EXPOSURES FOR TATTOOISTS AND
BODY PIERCERS:
CURRENT AND PROPOSED INTERVENTIONS
Colorado School of Public Health
EHOH 6614, April 2, 2014
Group 10:
Ryan Blair
Kathleen Harty
Shaina Kumar
Danielle Osowski
Laura Paulson
2. LEARNING OBJECTIVES
• Describe the risk
• Outline current regulations and regulatory agencies
• Use Hierarchy of Controls as a framework for risk
reduction
• Describe gaps in prevention solutions
• Suggest further prevention methods
3. WHO IS AT RISK?
Tattooing and body piercing is a growing industry.
• In 2012, an estimated 21% of American adults had at least one tattoo
(compared to 16% in 2003 and 15% in 2008)2.
• A 2004 survey of 500 adults between 18-50 found: 24% had a tattoo; 14%
had a piercing outside earlobes; 34% with earlobe piercings13.
• Estimated 21,000 tattoo parlors in US16.
• High demand increases possible exposure for body artists.
5. HIV
• More than 1.1 million people in the United States are living with HIV
infection5
• HIV does not survive long outside the human body (such as on surfaces),
and it cannot reproduce
• The risk of HIV infection from being stuck with a
needle used on an HIV-infected person is less
than 1%
• Currently there is not a vaccine or cure for HIV.
6. HEPATITIS B
• 1.4 million persons in the U.S. are estimated to be
infected with the virus, most of whom are unaware of their
infection status6
• Hepatitis B virus can survive outside the body at least 7
days
• The risk of Hepatitis B infection from being stuck with a
needle is 6%
• There is a vaccine for Hepatitis B, but no cure
7. HEPATITIS C
• 3.2 million persons in the United States have chronic
Hepatitis C virus infection7
• The Hepatitis C virus can survive outside the body at room temperature,
on environmental surfaces, for at least 16 hours but no longer than 4 days
• An exposure with an HCV-infected needle would have about a 1.8 percent
chance of becoming infected with the virus
• There is currently no vaccine for HCV, but there are new medications that
can cure the virus
8. CURRENT REGULATIONS:
FEDERAL
Some recommendations and resources but most regulation is at state
or local level
OSHA15
• Outlines bloodborne pathogen standards
• Requires each shop to develop an Exposure Control Plan
• Requires employers to provide Hep B vaccines at no cost
• Recommends each shop maintain a Sharps Incident Log
9. STATE REGULATION: COLORADO
• Colorado Board of Health adopted “Rules and Regulations for Body Art
Establishments” in 20019.
• Minimum requirements for body artists:
o “demonstrate and possess knowledge of Universal Precautions,
disinfection and sterilization techniques, procedures for infection and
exposure control...and the Infectious Waste Management Plan”
o Body artists must obtain Hepatitis B vaccine, or submit written
statement of refusal
• Other important points:
o Clients are not required to disclose infectious diseases
o LPHAs may have more stringent requirements
10. LOCAL REGULATION
EXAMPLE: BOULDER COUNTY1
Boulder County Public Health is an example of stricter requirements
• Artists are required to successfully complete a bloodborne
pathogen course
• Clients are asked to disclose communicable diseases
• Thorough inspections; public access to results online
13. ADMINISTRATIVE CONTROLS
• Develop exposure control and spill response programs.17
• Offer Hep B vaccinations to piercers at no cost.
• Provide PPE.
• Provide separate areas for piercings, cleaning
instruments, and sterilization.
• Provide adequate lighting.
• Provide adequate ventilation and filtered air to piercing
areas.
• Provide foot-operated sinks and waste receptacles.
• Provide easily accessible sharps containers.
14. BEHAVIORAL CONTROLS
• Get Hep B vaccination if not immune.17
• Report needlesticks and spills immediately.
• Immediately discard used needles in sharps containers.
• Limit the number of customers in piercing area.
• Avoid performing piercings and tattoos when fatigued.
• Wear PPE.
15. PERSONAL PROTECTIVE EQUIPMENT
• New, clean gloves required for each procedure (per
Colorado regulations )
• Hand-washing required before glove use, but some
evidence in health-care workers that hand hygiene
decreases when gloves are used12
• Face masks and eyewear: not required and risk in body
artists has not been studied. However, they could provide
some level of protection.
o a high incidence of blood splashes has been found
on protective eye and face wear of surgeons11;
everyday eyewear alone may not be effective8
• Footwear should also be sturdy enough to protect against
dropped sharps10
16. GAPS IN SOLUTIONS
• Compliance with infection
control standards, but not
with administrative controls14
• Variability in state and local
regulation
• Limited impact of state and
local regulations?
• Lack of data
17. RESOURCES FOR WORKERS
• Professional Organizations:
Association for Professional Piercers
Alliance of Professional Tattooists, Inc.
• Ways to report concerns?
• NIOSH: information about bloodborne
pathogens, selecting sharps containers,
developing exposure control plans, etc.
18.
19. CONCLUSION
• Encourage increased PPE
• Include professional organizations as stakeholders
• Increase documentation and reporting of sharps incidents
• Increase compliance with exposure control plan
• More evaluation of whether bloodborne pathogen standards meet
needs of body artists
• And...
More research with body artists!
20. REFERENCES
1Boulder County Public Health (2010. Rules and regulations for body art establishments. Retrieved March 16, 2014 from
http://www.bouldercounty.org/doc/publichealth/032010bodyartregs.pdf
2Braverman, S. (2012). One in five US adults now has a tattoo. Retrieved from http://www.harrisinteractive.com/vault/Harris%20Poll%2022%20-
Tattoos_2.23.12.pdf
3Carlson, V., Lehman, E., & Armstrong, M. (2011). Tattooing regulations in U.S. Journal of Environmental Health, 75(3), 30-37.
4Centers for Disease Control and Prevention(2013). Workplace safety and health topics: Body art. Retrieved March 10, 2014 from
http://www.cdc.gov/niosh/topics/body_art/default.html
5Centers for Disease Control and Prevention (2013). HIV in the United States: At a glance. Retrieved from
http://www.cdc.gov/hiv/statistics/basics/ataglance.html
6Centers for Disease Control and Prevention (n.d.). Viral hepatitis headquarters. Retrieved March 16, 2014 from
http://www.cdcnpin.org/scripts/hepatitis/index.asp#overview
7Centers for Disease Control and Prevention (2014). Hepatitis C FAQs for the public. Retrieved March 16, 2014 from
http://www.cdc.gov/hepatitis/c/cfaq.htm
8Chong, S., Smith, C., Bialostocki, A., & McEwan, C. (2007). Do modern spectacles endanger surgeons. Annals of Surgery, 245(3), 495-501.
9Colorado Department of Public Health and Environment. (2001). Rules and Regulations for Body Art Establishments. Retrieved from
http://www.colorado.gov/cs/Satellite?blobcol=urldata&blobheadername1=Content-Disposition&blobheadername2=Content-
Type&blobheadervalue1=inline%3B+filename%3D%22Rules+and+Regulations+for+Body+Art+Establishments.pdf%22&blobheadervalue2=
application%2Fpdf&blobkey=id&blobtable=MungoBlobs&blobwhere=1251807406370&ssbinary=true
10Darby, D. & Darby, A. (2014). Personal protective equipment: Are you covered? Retrieved March 20, 2014 from
http://www.cosmetictattoo.org/article/personal-protective-equipment-are-you-covered.html#27
21. REFERENCES
11Davies, C., Khan, M., Ghauri, A., & Ranaboldo, C. (2007). Blood and body fluid splashes during surgery: The need for eye protection and face
masks. Annals of the Royal College of Surgeons of England, 89(8), 770-772.
12Fuller, C., Savage, J., Besser, S., Hayward, A., Cookson, B., Cooper, B., & Stone, S. (2011). The dirty hand in the latex glove: A study of hand
hygiene compliance when gloves are worn. Infection Control and Hospital Epidemiology, 32(12), 1194-1199.
13Laumann, A. & Derick, A. (2006). Tattoos and body piercings in the US: A national data set. Journal of the American Academy of
Dermatology, 55, 13-421.
14Lehman, E., Huy, J., Levy, E., Viet, S., Mobley, A., & McCleery, T. (2011). Bloodborne pathogen risk reduction activities in the body piercing
and tattooing industry. American Journal of Infection Control, 38(2), 130-138.
15Occupational Safety and Health Administration. (2012). Occupation safety and health standards: Bloodborne pathogens (standard number
1910.1030).
16Vanishing Tattoo. Tattoo facts and statistics. Retrieved March 28, 2014 from http://www.vanishingtattoo.com/tattoo_facts.htm
17Weber, M. (2001). Health hazard evaluation report 2000-0013-2830: Body piercing by Bink Tallahassee, Florida. Retrieved from
http://www.cdc.gov/niosh/hhe/reports/pdfs/1999-0265-2830.pdf
Editor's Notes
Introduction: Ryan
Ryan
cultural standards
Ryan
No estimate for number of body artists in US
Safety in body art industry often focuses on the consumer but artists are at risk as well
Danielle
Needlestick injuries are wounds caused by needles that accidentally puncture the skin
-Splashes are contact of mucous membrane or nonintact skin (e.g., exposed skin that is chapped, abraded, or with dermatitis) with blood, saliva, tissue, or other body fluids that are potentially infectious.
-Cross-contamination is the act of spreading bacteria and viruses from one surface to another.
When we talk about the risks of occupational exposure we always use the example of getting stuck with a known HIV-positive patient’s contaminated (bloody) needle. Not just anybody’s needle—an HIV-positive or Hep B or C patient’s needle. And not just any kind of needle—a used hypodermic (hollow-bored) syringe. (Tattoo needles found under bunks and behind dayroom benches are usually made from pieces of wire or staples filed to a point and therefore are far less of a risk than hypodermics.)
HIV: When we talk about the risks of occupational exposure we always use the example of getting stuck with a known HIV-positive patient’s contaminated (bloody) needle. Not just anybody’s needle—an HIV-positive patient’s needle. And not just any kind of needle—a used hypodermic (hollow-bored) syringe. (Tattoo needles found under bunks and behind dayroom benches are usually made from pieces of wire or staples filed to a point and therefore are far less of a risk than hypodermics.)
1-1 in 6 (15.8%) are unaware of their infection.
2-Many people have a hard time believing this, but the reason this number is so low is because HIV is a very fragile virus when it’s outside the body. It breaks down quickly when it’s exposed to air and on environmental surfaces. No virus reproduces outside a cell.
3-Tattooing or body piercing present a potential risk of HIV transmission, but no cases of HIV transmission from these activities have been documented. Be sure that only new needles, ink, and other supplies are used and that the person doing the procedure is properly licensed.
4- Current meds
“PrEP” stands for Pre-Exposure Prophylaxis. The word “prophylaxis” means to prevent or control the spread of an infection or disease. The goal of PrEP is to prevent HIV infection from taking hold if you are exposed to the virus. This is done by taking a pill that contains two HIV medications every day. These are the same medicines used to stop virus growing in people who are already infected.
There are currently five different "classes" of HIV drugs. Each class of drug attacks the virus at different points in its life cycle—so if you are taking HIV meds, you will generally take 3 different antiretroviral drugs from 2 different classes.
This regimen is standard for HIV care—and it’s important. That’s because no drug can cure HIV, and taking a single drug, by itself, won’t stop HIV from harming you. Taking 3 different HIV meds does the best job of controlling the amount of virus in your body and protecting your immune system.
1-Hepatitis B is a serious liver infection caused by hepatitis B virus (HBV). HBV infection can cause acute illness and lead to chronic or lifelong infection, cirrhosis (scarring) of the liver, liver cancer, liver failure, and death. HBV is transmitted through percutaneous (puncture through the skin) or mucosal contact with infectious blood or body fluids. Hepatitis B vaccination is the most effective measure to prevent HBV infection and its consequences and is recommended for all infants and others at risk for HBV infection.
2-Hepatitis B virus can survive outside the body at least 7 days. During that time, the virus can still cause infection if it enters the body of a person who is not infected. That is why it is easier to spread through cross contamination**Any blood spills — including dried blood, which can still be infectious — should be cleaned using 1:10 dilution of one part household bleach to 10 parts of water for disinfecting the area. Gloves should be used when cleaning up any blood spills.
3-Due to the length of of time hep b can live outside the body it is much more infectious then any of the other viruses in this presentation.
4-Vaccine has been available since the 80’s
Hepatitis C is a liver disease caused by the hepatitis C virus (HCV) that sometimes results in an acute illness, but most often becomes a silent, chronic infection that can lead to cirrhosis (scarring), liver failure, liver cancer, and death. Chronic HCV infection develops in a majority of HCV-infected persons, most of whom do not know they are infected since they have no symptoms. HCV is spread by contact with the blood of an infected person. There is no vaccine for hepatitis C.
2- more infectious than HIV but less than Hep B.
3-
4- New Gilead medications can cure Hep C at a 90% cure rate. sofosbuvir is about 1,000. a pill but is being covered by some insurance providers including CO medicaid
Laura
an exposure control plan is written by establishment owner and describes the steps that will be taken to minimize employee exposure to blood, specific to their shop.
sharps log creates a record to let artists know how often and why injuries occur; can be used to reduce mistakes that lead to exposure
NIOSH provides info about state regulations, vaccines, bloodborne pathogen standards, etc.
Rules and Regulations: assembled by CDPHE, LPHAs, body artists, and Consumer Protection Division
formalized blood pathogen standard training is not required by state, may be by LPHAs
bloodborne pathogen training must be completed within 60 days of hire and renewed annually
Ryan
image: http://www.qualitysystems.com/support/pages/hierarchy-of-controls
Ryan
No real guidelines. CDC does not promote one product over another. it’s up to the employer to decide the controls used.
elimination- needleless kits. like a temp tattoo but permanent. more do it yourself than anything
Engineering controls are used to remove a hazard or place a barrier between the worker and the hazard. Well-designed engineering controls can be highly effective in protecting workers and will typically be independent of worker interactions to provide this high level of protection. The initial cost of engineering controls can be higher than the cost of administrative controls or personal protective equipment, but over the longer term, operating costs are frequently lower, and in some instances, can provide a cost savings in other areas of the process.
image: www.dhgate.com
Shaina
Administrative controls and personal protective equipment are frequently used with existing processes where hazards are not particularly well controlled. Administrative controls and personal protective equipment programs may be relatively inexpensive to establish but, over the long term, can be very costly to sustain. These methods for protecting workers have also proven to be less effective than other measures, requiring significant effort by the affected workers.
Shaina
Laura
[Personal protective equipment (PPE) includes gloves, respirators, hard hats, safety glasses, high-visibility clothing, and safety footwear. PPE is the least effective means of controlling hazards because of the high potential for damage to render PPE ineffective.[4] Additionally, some PPE, such as respirators, increase physiological effort to complete a task and, therefore, may require medical examinations to ensure workers can use the PPE without risking their health.]
(Katie)
-compliance with infection control standards, but not with administrative controls (Lehman, et al)
-less compliance with written exposure control plan, providing vaccinations to employees and record of who declined
-less compliance with record keeping means even less information about this occupational hazard, in an industry for which there are
already few reliable statistics to go on
-variability in state and local regulation
-the image here shows the level of tattoo regulation in different states… the authors’ opinion is that only 36 states have regulations that adequately address sanitation, 15 states have regulations that adequately address training 26 states have regulations that adequately address
infection control (Carlson et al)
-state and local regulations may not make a difference? -in the Lehman study, shops in areas with state or local regulations didn’t show difference in compliance
-researchers noted that many shop owners felt regulations were simply “paperwork excercise” an that enforcers didn’t understand the industry
-a few small study… there is a lack of data and a lack of research
-the Lehman study is too small to really draw conclusions, but there is not a lot of research out there
(Katie)
-in the Lehman study, membership in a professional organization was the most important factor associated with compliance with infection control standards
-Professional Organizations can be a useful resource, but are they putting out accurate information… it would be great if there was a partnership with public health/regulating agencies, to be on the same page (if they are not already)
-the NIOSH “blog” was intended to be a place where workers in this industry could bring up concerns, but it’s mostly concerned consumers commenting. But it would be great if there was more input from body art professionals in the regulatory process, and a straightfoward way to communicate concerns (peharps this would also be good place to involve professional organizations)
-The NIOSH page has a lot of good information (including breakdown of regulations by state) and resources (like informational postcards) and it’s easy to find
These postcards, aimed at body artists, promote knowledge about practices that can help artist protect themselves (and their customers)
including sharps containers, handling sharps as little as possible, reporting injuries, reducing cross-contamination, vaccinations and BBP training
Laura
Make sure pro organizations have most accurate information
Dissemination of sharps incidents will help establish prevalence and trends
More research is needed to accurately establish risk, and for targeting effective interventions.
Add any information you have (URLs, authors, titles, dates retrieved if it’s a site with no publication date) and Laura will format it in APA